Mental health problems and influencing factors of parent-child separated children: An umbrella review of meta-analysis

BACKGROUND

An increasing number of parents are forced to part with their children due to the pressures of life or unpredictable circumstances. This forced separation often has a devastating effect on children's minds, leading to a range of mental health problems.

METHODS

We searched five databases (EBSCO, PubMed, Scopus, Web of Science, and China National Knowledge Infrastructure) from inception to November 17, 2023, and performed a systematic analysis using Comprehensive Meta-Analysis (CMA) 3.0.

RESULTS

We identified 28 eligible meta-analyses with 746,175 participants across 170 outcomes. Parent-child separated (PcS) children were at higher risk for emotional problems (d = 0.22 [95 % CI 0.17-0.28]), cognitive problems (d = 0.20 [95 % CI 0.10-0.29]), behavioral problems (d = 0.21 [95 % CI 0.15-0.27]) and psychosis (d = 0.22 [95 % CI 0.15-0.29]) than non-PcS children. Regarding influencing factors, both personal and social factors were moderately positively correlated with emotional and behavioral problems. Family factors had a moderate positive correlation between emotional problems (z = 0.20, [95CI% 0.12-0.28]), and a low positive correlation with behavioral problems (z = 0.13, [95CI% 0.04-0. 22]). After addressing the issue of overlapping data, there were no significant differences in emotional problems in children with PcS compared to non-PcS children.

LIMITATIONS

The majority of studies included in our umbrella review were from China, which may limit the generalizability of our findings.

CONCLUSION

PcS children suffer more mental health problems than non-PcS children. The community needs to act and intervene proactively to promote the improvement of the mental health of these children.

The impact of parental absence on the mental health of middle school students in rural areas of Western China

Background

Extensive research has established the association between parental absence and adolescent psychological well-being, particularly in the Chinese context. However, studies specifically examining the dual impact of parental separation and migration on psychological outcomes among adolescents in Western China remain relatively limited.

Aim

This study aims to systematically examine the association between various parental absence situations and mental health outcomes in early adolescence, with the objective of informing targeted interventions and policy formulations to optimize psychosocial support systems for vulnerable youth population.

Methods

The Wilcoxon rank-sum test was employed to analyze continuous and ordinal variables that exhibited non-normal distributions. To investigate the associations between various patterns of parental absence and psychological outcomes (depression, anxiety, and stress) among middle school students, binary logistic regression analysis was performed, while the model's goodness-of-fit was evaluated by using the Hosmer-Lemeshow test, with a p > 0.05 indicating satisfactory model fit.

Results

This cross-sectional study investigated mental health outcomes among a cohort of 8,606 middle school students, revealing notable prevalence rates of depressive symptoms (6.7%), anxiety (6.1%), and stress-related symptoms (8.1%). Multivariate analysis demonstrated that different forms of parental absence exerted substantial effects on mental health severity, with statistically significant associations for depression, anxiety, and stress (all p < 0.001). The results revealed that various forms of parental absence had a significant impact on depression, anxiety, and stress. Specifically, the combined impact of divorce and left-behind children (DLC) creates a synergistic effect, resulting in psychological risks (OR = 1.623-1.725, all p < 0.001), that are significantly higher than those associated with either factor individually (LBC/DC). Further analysis identified additional risk factors, including senior high school (OR = 1.486, p < 0.001), boarding school (OR = 1.155, p = 0.037), and girls (anxiety OR = 1.213, p < 0.001), all showing significant associations with adverse mental health outcomes.

Conclusion

Our study underscores significant mental health risks associated with diverse patterns of parental absence among adolescents in the Sichuan region. By fostering stronger parent-child bonds and providing targeted emotional support, it may be possible to mitigate the adverse psychological effects of parental absence and help adolescents better navigate these mental health challenges.

Positive character and psychological well-being: A nuanced examination among adolescents from diverse rural-urban and migration contexts

INTRODUCTION

Positive character is an integral component of positive youth development that relates to psychological well-being among adolescents, yet the literature has largely overlooked its within-group variation. This study examined the latent profiles of positive character and explored their variation in psychological well-being across four adolescent groups (i.e., migrant, left-behind, rural local, and urban local adolescents) within each profile.

METHODS

A diverse sample of 15,895 adolescents from 10 provinces of China (Meanage = 13.16, SD = 2.53; 47.5% girls) completed a cross-sectional survey on positive character and psychological well-being in 2017. Latent profile analysis (LPA) was conducted based on four positive characters. We investigated the distribution of each positive character profile across subgroups, as well as if and how the psychological well-being varied across different adolescent groups within each profile.

RESULTS

LPA revealed three subgroups, including "Thriving" (53.6%), "Moderate" (39.1%), and "Lagging" (7.4%) positive character profiles. The "Thriving" profile was more prevalent among the urban local (58.5%) and migrant (55.8%) adolescent groups, while the "Lagging" profile was most prevalent among the left-behind adolescent group (11.6%). Urban local and migrant adolescents tended to show better psychological well-being compared to rural local and left-behind adolescents, and the disparities were generally more pronounced under the "Thriving" profile as compared to the "Moderate" and "Lagging" profiles.

CONCLUSIONS

Three positive character profiles were captured among four groups of Chinese adolescents varied in parental migration status and rural-urban residency. Tailored youth development programs are needed for different groups of adolescents varying in positive character profiles.

Ecological analysis of air particulate matter exposure and depression among adolescents in developing regions of Hubei, China

BACKGROUND

Adolescent depression is a health issue influenced by various factors, with the impact of environmental factors, particularly air pollution, being insufficiently understood. This study investigates the relationship between particulate matter (PM2.5) and adolescent mental health.

METHODS

A survey of middle school students in two rural counties of Hubei Province-Tongcheng and Lichuan-was conducted using multi-stage probability sampling. Data on demographics, mental health, and social conditions were collected via self-administered questionnaires. PM2.5 exposure levels were obtained from the NASA Giovanni database using a two-step machine learning model. Depression levels were measured with the PHQ-9 scale. Generalized linear regression and structural equation modeling were used to analyze the relationship between PM2.5 and depression.

RESULTS

The study included 2780 valid responses (mean age 13.49 years, 52.73% male). The findings indicated a correlation between PM2.5 exposure, left-behind children status, and negative coping strategies with higher PHQ-9 scores. Each unit increase in PM2.5 was associated with a 1.004 increase in the PHQ-9 score (P < 0.01). Left-behind children had scores 1.023 times higher than their peers (P = 0.039), while positive coping correlated with lower scores (RR = 0.855, P < 0.001). The influence of PM2.5 on depression was fully indirect, mediated by personal traits and family/community environments (β = -0.003, P = 0.855).

LIMITATIONS

The cross-sectional design limits causal inferences, and self-reporting may introduce bias. The focus on middle schoolers from two counties may limit broader applicability.

CONCLUSIONS

This research underscores the complex factors contributing to adolescent depression, with individual characteristics playing a crucial role. The impact of air pollution on depression is mediated by personal traits and the community environment.

Patterns of adverse childhood experiences and their associations with depression, life satisfaction and short-form video addiction in Chinese college students

BACKGROUND

Adverse childhood experiences (ACEs) are widespread in East Asia, heightening the susceptibility to psychological and behavioral complications in adulthood.

OBJECTIVE

To identify polyvictimization patterns among Chinese college students and investigate the associations between diverse patterns and symptoms of depression, short-form video addiction (SVA), and life satisfaction.

PARTICIPANTS AND SETTING

This study encompassed 13,307 college students from four urban centers in China (Mage = 20.2; 46.4 % female).

METHODS

Latent class analysis (LCA) was employed to discern patterns of ACEs among college students. The three-step method (R3step) was utilized to explore the influence of demographic characteristics on the distribution of latent classes. Additionally, the automatic Bolck-Croon-Hagenaars (BCH) Method was deployed to investigate the latent classes effect on distal outcomes.

RESULTS

Left-behind experience was the most common ACE among Chinese college students. Four ACEs patterns were identified: 1) No/Very Low ACEs class (N = 8936, 67.2 %); 2) Parental Absence class (N = 430, 3.2 %); 3) Low/Moderate ACEs class (N = 3565, 26.8 %); and 4) High Violence and Left-behind class (N = 376, 2.8 %). The findings revealed a progressive escalation in healthy outcomes associated with the four ACEs patterns. Specifically, from the first class to the fourth, the severity of associated consequences (depression, life satisfaction and SVA) intensified.

CONCLUSIONS

Distinct ACEs patterns correlate with varying degrees of mental health issues. Compared to participants solely separated from parents, those exposed to abuse and neglect demonstrate more pronounced mental health challenges and addiction susceptibilities.

Association between bullying victimization and mental health problems among Chinese left-behind children: a cross-sectional study from the adolescence mental health promotion cohort

Background

Left-behind children (LBC) refer to those who have been separated from at least one parent for six months or more due to parental migration for work. This phenomenon poses a significant threat to the mental health of over 61 million LBC in China. This study aims to compare the prevalence of mental health symptoms between LBC and non-left-behind children (non-LBC) and to explore the predictive effect of bullying victimization on adolescent mental health problems.

Methods

In 2019, we conducted a cross-sectional analysis involving 28,036 children and adolescents in Mianyang City, Sichuan Province, China, with ages ranging from 8 to 19 years. Mental health symptoms were assessed using the 7-item Generalized Anxiety Disorder (GAD-7) scale and the 9-item Patient Health Questionnaire (PHQ-9). The Delaware Bullying Victimization Scale-Student (DBVS-S) was employed to gather data on experiences of bullying victimization. Information on self-injury was collected by inquiring whether participants had engaged in self-injurious behavior and the reasons for such behavior. Multivariable logistic regression was utilized to analyze the risk and protective factors associated with mental health symptoms, with a particular focus on different types of bullying victimization.

Results

Compared to non-left-behind children (non-LBC), left-behind children (LBC) exhibited a higher prevalence of mental health issues: anxiety symptoms (24.0% vs. 18.0%, p<0.001), depressive symptoms (27.9% vs. 19.4%, p<0.001), and self-injurious behavior (17.7% vs. 12.2%, p<0.001). Among LBC, physical bullying was identified as the most significant predictor of anxiety symptoms (OR = 1.62). Additionally, LBC who experienced verbal bullying had a higher risk of depressive symptoms (OR = 2.23) and self-injurious behaviors (OR = 1.54). Enhanced family functioning, positive teacher-student relationships, and strong peer relationships were found to offer protective effects against mental health problems.

Conclusion

Our results suggested that LBC experienced a higher incidence of mental health symptoms, particularly among those who had been victims of bullying. This underscores the urgent need for supportive strategies focused on the school environment and interpersonal relationships to mitigate negative mental health outcomes for LBC.

Why wearing a yellow hat is impossible: Chinese and U.S. children's possibility judgments

When thinking about possibility, one can consider both epistemic and deontic principles (i.e., physical possibility and permissibility). Cultural influences may lead individuals to weigh epistemic and deontic obligations differently; developing possibility conceptions are therefore positioned to be affected by cultural surroundings. Across two studies, 251 U.S. and Chinese 4-, 6-, and 8-year-olds sampled from major metropolitan areas in Texas and the Hubei, Sichuan, Gansu, and Guangdong Provinces judged the possibility of impossible, improbable, and ordinary events. Across cultures and ages, children judged ordinary events as possible and impossible events as impossible; cultural differences emerged in developing conceptions of improbable events. Whereas U.S. children became more likely to judge these events possible with age, Chinese children's judgments remained consistent with age: Chinese 4- to 8-year-olds judged these events to be possible ∼25% of the time. In Study 2, to test whether this difference was attributable to differential prioritization of epistemic versus deontic constraints, children also judged whether each event was an epistemic violation (i.e., required magic to happen) and a deontic violation (i.e., would result in someone getting in trouble). With age, epistemic judgments were increasingly predictive of possibility judgments for improbable events for U.S. children, and decreasingly so for Chinese children. Contrary to our predictions, deontic judgments were not predictive. We propose that cultural valuation of norms might shape children's developing intuitions about possibility. We discuss our findings in light of three accounts of possibility conceptions, suggesting ways to integrate cultural context into each.

Internet addiction and suicidal ideation in Chinese children with migrant parents: Mediating role of anxiety and moderating role of social support

INTRODUCTION

The prevalence of internet addiction among Chinese left-behind children, coupled with its potential to exacerbate anxiety and suicidal ideation, has become a critical issue. This study seeks to address the dearth of research on the psychological underpinnings of this phenomenon, particularly the mediating role of anxiety and the moderating effect of social support across different parental migration statuses. Understanding these relationships is crucial for developing targeted interventions and informing policy decisions.

METHODS

In a cross-sectional study, we administered Young's Internet Addiction Test, alongside scales for anxiety, social support, and suicidal ideation, to 2882 middle school students in China with diverse parental migration backgrounds. Utilizing an online survey approach, we ensured broad participation and participant anonymity. Advanced statistical analyses, including regression models for mediation and moderation effects, were employed to rigorously test our hypotheses.

RESULTS

Among all participants, a significant positive correlation was observed between Internet addiction and suicidal ideation. Anxiety mediated the relationship between Internet addiction and suicidal ideation across all groups, including those with mother-only migration (Effect = 0.383, 95%CI: 0.107,0.943), father-only migration (Effect = 0.806, 95%CI: 0.487-1.230), both-parent migration(Effect = 0.289, 95%CI: 0.105-0.521), and non-left-behind children (Effect = 0.469, 95%CI: 0.342-0.630). Particularly in families where only the mother was absent, the moderating role of social support was especially prominent (B = 1.174, t = 6.446, p < 0.001 for low social support), underscoring the importance of family structure in the context of Internet addiction.

CONCLUSION

Internet addiction has both direct and indirect effects on suicidal ideation, with anxiety playing a mediating role in the indirect effects. Social support moderates and alleviates the relationship between Internet addiction and anxiety specifically in the mother-only migration group. Therefore, clarifying these relationships helps in developing and implementing effective interventions to specifically improve the mental health and living conditions of left-behind children.

Prevalence and determinants of suspected developmental delays among 12-month-old children in northeast of Iran: a large-scale population-based study

BACKGROUND

Early identification of suspected developmental delays (SDDs) is crucial for planning early interventions. This study aimed to determine the prevalence of SDDs and the associated determinants in children aged 12 months in the northeast of Iran, using the Age and Stage Questionnaire-3 (ASQ-3) as the evaluative tool.

METHODS

This study conducted an analytical cross-sectional design to investigate all children who had completed the ASQ-3 screening form at 12 months of age within the time frame of 2016-2023 in the northeast of Iran. The necessary data were extracted from the electronic health record database associated with Mashhad University of Medical Sciences. To examine the factors associated with SDDs within each domain of the ASQ-3, a multiple logistic regression model was employed, and the results were presented using ORs along with 95% CIs.

RESULTS

Over 7 years, 236 476 children (96.74%) underwent routine ASQ-3 screening at 12 months. After excluding certain cases, 226 076 children (95.60%) were included. Among them, 51 593 children (22.82%) had a score below -1 SD, indicating SDD prevalence in at least one domain. The social-personal domain had the highest prevalence with 22 980 children (10.16%), while the gross motor domain had the lowest with 5650 children (2.50%). Logistic regression analysis identified strong predictors of SDDs, including hospitalisation at birth (OR=1.85, 95% CI:1.69 to 2.02), prematurity (OR=1.56, 95% CI: 1.37 to 1.79), urbanisation (OR=1.51, 95% CI: 1.45 to 1.57), boys (OR=1.36, 95% CI: 1.31 to 1.40) and lack of exclusive breast feeding until 6 months (OR=1.30, 95% CI: 1.25 to 1.34).

CONCLUSION

The prevalence of SDDs highlights the urgency for prompt action, while considering contributing factors. Policymakers can address modifiable risk factors associated with SDDs, including urbanisation risks, support programmes for immigrant families and the importance of exclusive breast feeding until 6 months. Additionally, it is recommended establishing gender-specific local standard cut-off points for the ASQ.

Does Grit Compensate for Family Background Disadvantage in Predicting Mental Health Difficulties? A Longitudinal Study of Chinese Migrant and Urban Children

The significant population of Chinese rural-to-urban migrant children has sparked considerable domestic and international concern regarding their disadvantaged family circumstances and their escalating prevalence of internalizing and externalizing problems. Derived from the resource substitution hypothesis, non-cognitive factors such as personality traits may act as "substitution" resources for educational outcomes of children from less privileged families. Yet, the compensatory role of personality traits as substitution resources in children's mental health has received limited attention, including that of migrant children. This study examined the interplay of trait-like grit and family SES on emotional and conduct problems among Chinese migrant and urban children. The current sample consisted of 770 migrant children (Mage = 10.45 and SDage = 0.68 years; 38.4% girls) and their 222 urban counterparts (Mage = 10.34 and SDage = 0.46 years; 45.5% girls). Moderated polynomial regressions with response surface analysis on a two-wave data with an interval of over six months showed that grit served as a "substitution" resource for the less socioeconomically advantaged children. The compensatory effect of perseverance of effort on urban children's emotional problems and that of consistency of interest on migrant children's conduct problems were visualized. Moreover, the two compensatory effects were found to be robust and unique, even after children's effortful control, a grit-related construct, was taken into account. These findings not only support the resource substitution hypothesis, but also underscore the protective role that grit plays in children under less privileged environments.

Positive Development Patterns in Left-Behind Adolescents: Do Resilience and Making Sense of Adversity Have Beneficial Effects?

Purpose

Despite increased attention to the positive development of left-behind adolescents, research findings remain inconclusive. Utilizing latent profile analysis, we identified various positive development profiles among the left-behind adolescents and explored the association between resilience and positive development profiles, alongside the mediating role of making sense of adversity.

Methods

A multi-stage cluster sampling procedure was employed, randomly selecting four provinces-Zhejiang, Guangdong, Henan, and Jiangxi-from the central and coastal regions. The sample comprised 718 left-behind adolescents recruited from primary and junior high schools across grades 4, 5, 7, and 8. Three scales were utilized, and analyses included latent profile analysis and mediation analysis.

Results

Three latent subgroups of positive development among left-behind adolescents were identified: low, moderate, and high. Those with higher resilience and positive perceptions of adversity tended to belong to the high group rather than the low (β = -0.45, p < 0.001; β = -0.09, p < 0.001) or moderate group (β = -0.23, p < 0.001; β = -0.04, p < 0.05). Left-behind adolescents with higher negative perceptions of adversity tended to belong to the high group rather than the moderate group (β = -0.07, p < 0.01). Mediation analysis revealed that resilience facilitated the development of positive appraisals of adversity, subsequently increasing the likelihood of being categorized into the high (95% CI of -0.09 to -0.03) or moderate group (95% CI of -0.05 to -0.01) rather than the low group.

Conclusion

These findings hold significant implications for intervention formulation. Educators should focus on strengthening resilience and fostering positive perceptions of adversity among the low group. For the moderate group, maintaining moderate negative perceptions of adversity may stimulate the intrinsic potential for positive development more effectively.

Association Between Parental Absence and Depressive Symptoms in Adolescence: Evidence From a National Household Longitudinal Survey

Longitudinal evidence demonstrating the association between parental absence and depressive symptoms in adolescence is limited. The present study aimed to explore this relationship in a Chinese national representative sample. This research was based on the China Family Panel Studies and included 1481 subjects. Depressive symptoms were assessed using the self-reported Center for Epidemiologic Studies Depression questionnaire. A multiple logistic regression model with a generalized estimating equation was used to test the association between parental absence and adolescent depressive symptoms. In the baseline year, 2012, 29.03% and 43.75% of adolescents had maternal and paternal absence, respectively. The prevalence of depressive symptoms increased from 23.23% to 28.12% in subsequent years. After controlling for covariates, maternal absence was positively associated with depressive symptoms (odds ratio 1.69, 95% confidence interval 1.06-2.68). Maternal absence led to depression in adolescents. It may be beneficial for adolescents with depression to spend more time with their mothers.

Research in China about the biological mechanisms that potentially link socioenvironmental changes and mental health: a scoping review

China's rapid socioeconomic development since 1990 makes it a fitting location to summarise research about how biological changes associated with socioenvironmental changes affect population mental health and, thus, lay the groundwork for subsequent, more focused studies. An initial search identified 308 review articles in the international literature about biomarkers associated with 12 common mental health disorders. We then searched for studies conducted in China that assessed the association of the identified mental health related-biomarkers with socioenvironmental factors in English-language and Chinese-language databases. We located 1330 articles published between 1 January 1990 and 1 August 2021 that reported a total of 3567 associations between 56 specific biomarkers and 11 socioenvironmental factors: 3156 (88·5%) about six types of environmental pollution, 381 (10·7%) about four health-related behaviours (diet, physical inactivity, internet misuse, and other lifestyle factors), and 30 (0·8%) about socioeconomic inequity. Only 245 (18·4%) of the papers simultaneously considered the possible effect of the biomarkers on mental health conditions; moreover, most of these studies assessed biomarkers in animal models of mental disorders, not human subjects. Among the 245 papers, mental health conditions were linked with biomarkers of environmental pollution in 188 (76·7%), with biomarkers of health-related behaviours in 48 (19·6%), and with biomarkers of socioeconomic inequality in 9 (3·7%). The 604 biomarker-mental health condition associations reported (107 in human subjects and 497 in animal models) included 379 (62·7%) about cognitive functioning, 117 (19·4%) about anxiety, 56 (9·3%) about depression, 21 (3·5%) about neurodevelopmental conditions, and 31 (5·1%) about neurobehavioural symptoms. Improved understanding of the biological mechanisms linking socioenvironmental changes to community mental health will require expanding the range of socioenvironmental factors considered, including mental health outcomes in more of the studies about the association of biomarkers with socioenvironmental factors, and increasing the proportion of studies that assess mental health outcomes in humans.

Quality of childcare and delayed child development in left-behind children in China

BACKGROUND

Inequalities in job opportunities and income prompts many Chinese parents to leave rural regions to work in urban regions. Their children are left behind in rural regions, subjected to worse quality of childcare that jeopardizes their development. This study aimed to examine the association between quality of childcare and delayed child development in under-three years children left behind in China.

METHODS

Cross-sectional national survey was conducted in children left behind in rural China in 2017. Exploratory and confirmatory factor analysis was used to develop a quality of childcare index. Mutlilevel analyses determined factors associated with quality of childcare and child development on a province and individual level.

RESULT

The largest population of at-risk children left behind were found in higher-GDP provinces. Children left behind had the lowest mean quality of childcare score. Multilevel analysis found that province level accounted for a great proportion of variance observed.

CONCLUSIONS

While migration to urban regions for work may improve household income, a trade-off in worse quality of childcare and developmental delays exists. With improving household income often being the greatest contributing factor for parental migration, policies to reduce inequalities in job opportunities and wealth between rural and urban regions are required.

IMPACT

Previous studies identified higher prevalence of developmental delays in children left behind in China. However, quality of childcare has not been examined. Based on WHO's Nurturing Care Framework, we developed a quality of childcare index to assess its association with child development in children left behind. Greatest proportion of children left behind at-risk of developmental delays resided in higher-GDP states, indicating a trade-off in worse quality of childcare and developmental delays. Since improving household income is the main factor for parental migration, policies to close inequalities in job opportunities and wealth between rural and urban regions are required.

The impact of a skipped-generation family structure on early child development in Khon Kaen Province: a prospective cohort study

Parenting in early childhood is related to child development. This study aimed to investigate the impact of a skipped-generation family structure on early child development. This prospective cohort study collected data on children aged 6 to 18 months from 132 non-skipped-generation families and 115 skipped-generation families from primary care units in Khon Kaen province for 1 year. The data were collected using a structured questionnaire administered through face-to-face interviews, as well as the Denver II instrument for assessing child development. Using multivariate logistic regression, the impact of a skipped-generation family structure on infant development was analysed, and adjusted relative risks (aRRs) are presented. We found that 19.83% (49/247) of the children had suspected delayed development in all domains. Most of these children resided in skipped-generation families, accounting for 27.82% of the sample (32/115). After adjusting for other factors, it was found that male children from skipped-generation families had a higher risk of suspected delayed language development (aRR = 14.56, 95% CI = 1.34 to 158.34, p = 0.028). In conclusion, the parental practices of skipped-generation families are suspected of causing delayed language development in boys. Models of early childhood development should be established for skipped-generation families.

Smartphone dependency and mental health among Chinese rural adolescents: the mediating role of cognitive failure and parent-child relationship

Background

With the widespread use of smartphones in daily life, smartphone dependency has become a global problem, especially among adolescents. Existing research studies have supported the association between smartphone dependency and the mental health of Chinese rural adolescents, but the underlying mechanism is still unclear.

Objective

The present study used a survey to test whether smartphone dependency may be associated with mental health in Chinese rural adolescents. The mediating role of cognitive failure and parent-child relationship was also examined.

Materials and methods

In total, 941 adolescents (45.91% male; mean age = 14.05, SD = 1.04) in rural areas of mainland China were recruited to complete four scales, including the Mobile Phone Dependence Scale (MPDS), Cognitive Failures Questionnaire (CFQ), Family Adaption and Cohesion Evaluation Scales (FACES), and Mental Health of Middle School Students Scale.

Results

The results showed that both cognitive failure and parent-child relationship acted as mediators in the effect of smartphone dependency on mental health among Chinese rural adolescents, and smartphone dependency also affected parent-child relationship by influencing cognitive failure, thus affecting mental health among Chinese rural adolescents indirectly.

Conclusion

The present study suggests that improving parent-child relationships and reducing cognitive failure can reduce the impact of smartphone dependency on the mental health of Chinese rural adolescents.

Marital Conflict, Family Socioeconomic Status, and Depressive Symptoms in Migrant Children: A Moderating Mediational Model

The present study examines the roles of parent-child communication and peer attachment in the relationships between marital conflict, family socioeconomic status (SES), and depressive symptoms in migrant children. The present study was a cross-sectional design. A total of 437 children were selected from 2 public schools of migrant children, and they were assessed on measures of marital conflict, family SES, parent-child communication, peer attachment, and depressive symptoms. Results showed that peer attachment moderates the relationships between marital conflict, parent-child communication, and depressive symptoms. That is, for migrant children with high peer attachment, marital conflict influences depressive symptoms directly, but also indirectly through parent-child communication. For migrant children with low peer attachment, marital conflict only exerts a direct influence on depressive symptoms. In addition, parent-child communication mediates the relationship between family SES and depressive symptoms, although the mediating effects were not significant for groups with a high or a low level of peer attachment. Thus, parent-child communication serves as one critical pathway, linking marital conflict, or family SES, with depressive symptoms. Furthermore, peer attachment acts as a buffer against the negative effects of marital conflict on depressive symptoms.

Peer attachment and self-esteem mediate the relationship between family function and social anxiety in migrant children in China

BACKGROUND

Social anxiety is a frequently reported symptom in children and adolescents. The literature suggests that family function is related to symptoms of social anxiety in children. However, relatively little is known about the potential mechanisms underlying the relationship between family function and social anxiety. Thus, the purpose of the present study is to examine the roles of peer attachment and self-esteem in the relationship between family function and social anxiety in a sample of migrant children in China.

METHODS

A total of 437 participants (54.9% male; meanage  = 10.87 years) were selected from two public schools of migrant children in two areas of Hangzhou and Jiaxing, the major labor-importing cities in China, in May 2016. All participants completed four questionnaires assessing family function, peer attachment, self-esteem, and social anxiety.

RESULTS

The results showed that family function was bivariately and significantly related to symptoms of social anxiety. Additionally, self-esteem fully mediated the relationship between family function and social anxiety peer attachment. Moreover, the relationship between family function and social anxiety was fully mediated by peer attachment and self-esteem (in that order).

CONCLUSIONS

Peer attachment and self-esteem serve as critical pathways linking family function and social anxiety. Thus, tailored interventions should consider the roles of peer attachment and self-esteem to alleviate symptoms of social anxiety in migrant children.

Sex Differences in Patterns of Childhood Traumatic Experiences in Chinese Rural-To-Urban Migrant Children

BACKGROUND

Children and adolescents are likely to be exposed to various types of childhood traumatic experiences (CTEs) with gender-specific patterns. Rural-to-urban migrant children have been demonstrated a greater risk of CTE exposure than local children. However, no study has investigated sex differences in the patterns of CTEs and predictive factors among Chinese children.

METHODS

A large-scale questionnaire survey of rural-to-urban migrant children (N = 16,140) was conducted among primary and junior high schools in Beijing. Childhood trauma history, including interpersonal violence, vicarious trauma, accidents and injuries was measured. Demographic variables and social support were also examined. Latent class analysis (LCA) was utilized to examine patterns of childhood trauma, and logistic regression was used to examine predictors.

RESULTS

Four classes of CTEs were found among both boys and girls, labeled low trauma exposure, vicarious trauma exposure, domestic violence exposure, and multiple trauma exposure. The possibility of various CTEs in the four CTE patterns was higher among boys than girls. Sex differences also manifested in predictors of childhood trauma patterns.

CONCLUSIONS

Our findings shed light on sex differences in CTE patterns and predictive factors in Chinese rural-to-urban migrant children, suggesting that trauma history should be considered along with sex, and sex-specific prevention and treatment programs should be developed.

Parental migration and self-efficacy among rural-origin adolescents in China: Patterns and mechanisms

Large-scale rural-to-urban migration has shaped the socialization contexts of rural adolescents in China and can potentially impact their developmental outcomes. In this study, using data from the first wave of the China Education Panel Study collected in 2013, we focused on self-efficacy, an important but under-studied facet of noncognitive development, and assessed how it was influenced by family migration status. We also explored the mediating role of family and school resources. We compared three groups of rural-origin adolescents with different family migration statuses: rural left-behind children (LBC), rural not-left-behind children (NLBC), and rural-to-urban migrant children (MC). Structural equation modeling was performed to estimate the main effects of rural-origin groups on self-efficacy and the mediating effects of family income, family social capital, and school social capital for the significant group effects on self-efficacy. We found similar levels of self-efficacy among MC and NLBC, who in turn, exhibited greater self-efficacy than LBC. Discrepancies in family and school resources mediated the self-efficacy gaps between LBC and their MC and NLBC counterparts. Notably, when their disadvantages in family and school resources were controlled for, LBC were more efficacious than MC and NLBC, indicating LBC's resilience and the potential for promoting self-efficacy in LBC by providing adequate resources and support.

Global Diversity of Authors, Editors, and Journal Ownership Across Subdisciplines of Psychology: Current State and Policy Implications

Diversity is the fuel of innovation. Global diversity-geographical or international diversification-is indispensable for developing a true psychological science of human beings but remains poorly understood. We surveyed 68 top psychology journals in 10 subdisciplines and examined the global diversity of authors, editors (i.e., members of academic editorial teams), and journal ownership. Results show that (a) the global diversity of authorship, editorship, and ownership is low in top psychology journals, with the United States boasting outsized influences; (b) disparity intensifies along the hierarchy of authors, editors, and journal ownership and substantially differs between subdisciplines and journal types; (c) removing the United States markedly increases global diversity and eliminates differences in diversity between subdisciplines and between authorship and editorship; and (d) more authors and editors are from the journal's home country (vs. a foreign journal) and from the editor-in-chief's home country (vs. a journal with a foreign editor-in-chief), and the home-country biases are most pronounced in the United States-journals from the United States or with U.S. editors-in-chief have the lowest global diversity in authorship and editorship. These results provide substantial novel insights into the global diversity of psychology journals, with implications for a new diversity policy to stimulate the generation of variety and, by extension, innovation.

The Development of Emotion Understanding among Five- and Six-Year-Old Left-Behind Children in Rural China

The left-behind children (LBC), separated from their mother/father or parents for a long period of time, have long been discussed as a subject of concern in China. Existing research has concluded that rural children who did not migrate with parents are subject to emotional risks. In the present study, the purpose is to study the impact of parental migration on early emotional understanding. Purposeful sampling was used to recruit 180 children aged five to six years in rural areas of Guangdong province, including LBC and non-left-behind children (NLBC). Their level of emotional understanding (EU) was assessed by the emotional comprehension test (TEC) adapted to the Chinese context. The results showed that, on the three levels (External, Internal, Reflective) of emotional understanding, LBC aged five- to six- years old scored significantly lower than NLBC as counterparts. On the whole, the emotional comprehension ability of preschool LBC was significantly lower than that of NLBC. However, there were no significant differences within LBC nurtured by single parents, grandparents, and other relatives. This study confirmed that parental migration in early childhood considerably impacted rural LBC's emotional understanding and affectional adjustment, which provided a significant basis for increasing parental care and early childhood companionship in rural areas.

Longitudinal associations between emotion regulation strategies and subjective well-being in migrant and non-migrant adolescents in urban China

This study examined the long-term reciprocal impact of two key emotion regulation strategies, cognitive reappraisal and expressive suppression, on the subjective well-being of migrant and non-migrant adolescents in urban China. A total of 2397 middle school students from urban China (864 migrant, M_age  = 13.05 years, SD = 0.62, 41.7% girls; 1533 non-migrant, M_age  = 13.01 years, SD = 0.47, 50.1% girls) were followed from 2016 to 2017. Data on the two emotion regulation strategies (measured using the Chinese version of the Emotion Regulation Questionnaire) and subjective well-being (measured using the Subjective Well-Being Inventory) were collected. Although no differences were found in the use of cognitive reappraisal, migrant adolescents reported greater use of expressive suppression than non-migrant adolescents. Furthermore, a two-group cross-lagged panel analysis showed that cognitive reappraisal positively predicted subjective well-being among both migrant and non-migrant adolescents, whereas expressive suppression was positively related to subjective well-being in only migrant adolescents. Migrant adolescents with higher levels of subjective well-being jointly used cognitive reappraisal and expressive suppression, while non-migrant adolescents were prone to only using cognitive reappraisal. These findings indicate that group-level context influences both the utilisation and functionality of emotion regulation strategies among migrant and non-migrant adolescents in urban China.

Plight or light? Elucidating the main and interacting effects of parenting styles and BIS/BAS profiles on left-behind youth’s self-esteem

Today, many labor-aged adults worldwide work and live for a prolonged period outside of their places of origin in locations where the laborers’ school-aged children cannot migrate with their parents, creating a group known as left-behind youth. Empirical studies regarding the impact of parental migration (left-behind versus non-left-behind) on positive youth development, such as self-esteem, remain scarce, and the collective findings are divergent and controversial. Accordingly, the relational and individual correlates of self-esteem among those youth are largely underexplored. Two independent studies were conducted to fill these crucial knowledge gaps. In Study 1 (N = 738; Mage = 15.86; 54.6% girls), I compared the self-esteem of left-behind youth and their non-left-behind peers after adjusting for sociodemographic covariates and social desirability. In Study 2 (N = 1060; Mage = 13.05; 49.5% girls), I aimed to replicate the findings obtained from Study 1 but used a different measurement and another independent sample. Additionally, I extended Study 1 to investigate the main and interactive relationships between parenting styles (parental warmth and control) and the behavioral inhibition/activation system profiles with self-esteem. To clarify the commonality and specificity of these relationships, I also estimated the moderating role of left-behind status herein. Converging findings across both studies challenged the widely vulnerable image of left-behind youth and revealed that this group did not show significant differences in terms of self-esteem, as compared to non-left-behind peers. Interaction analyses also suggested that shy left-behind youth weaken the extent to which their self-esteem is detrimentally affected by low parental warmth/high parental control.

Preschool experiences and home learning environments of migrant children in urban China

Internal migration and urban expansion, hallmarks of rapid urbanization in China, have led to an increasing number of children with diverse backgrounds in cities. Cities now include migrants from rural and urban areas, and children from "urban villages" in addition to "urban locals". Parents of young children who migrate from rural to urban areas leave their children behind in rural areas ("left-behind" children) or take them along with them. In recent years, increasing parental migration from one urban area to another has also led to children being "left-behind" in urban areas. This study examined the preschool experiences and home learning environments of rural-origin migrants, urban-origin migrants, and rural-origin locals in comparison to urban locals, leveraging data from the nationally representative China Family Panel Studies (2012-2018) with 2,446 3- to 5-year-olds residing in urban areas. Regression model results indicated that children living in cities who held a rural household registration certificate (hukou) were less likely to attend publically funded preschools and experienced less stimulating home learning environments than urban local children. After controlling for family characteristics (i) rural-origin locals remained less likely to participate in preschool and experienced fewer home learning activities than urban locals; and (ii) there were no differences in preschool experiences and home learning environments between rural-origin migrants and urban locals. Mediation analyses suggested that the relation between hukou status and the home learning environment was mediated by parental absence. Implications of the findings are discussed.

Left-behind experience and language proficiency predict narrative abilities in the home language of Kam-speaking minority children in China

Introduction

Studies have documented that child experiences such as external/environmental factors as well as internal factors jointly affect acquisition outcomes in child language. Thus far, the findings have been heavily skewed toward Indo-European languages and children in the Western, educated, industrialized, rich and democratic (WEIRD) societies. By contrast, this study features an understudied minority language Kam, and a group of so-called left-behind children in China growing up in a unique social-communicative environment.

Methods

Fifty-five bilingual children aged 5-9 acquiring Kam as home language were assessed using the Multilingual Assessment Instrument for Narratives (LITMUS MAIN). Twenty-three "two parents-left" children (mean age = 6;8, range: 5;0-9;2) remained in rural areas while both parents went to cities for employment, and they were raised by their grandparents. Thirty-two were "one parent-left" peers (mean age = 7;3, range: 5;0-9;3) who also resided in rural areas but were raised by one parent. Oral narrative texts were analysed for macrostructure based on story structure (SS), story complexity (SC) and internal state terms (IS). The study examined whether and how narrative production is predicted by internal factors such as chronological age and linguistic proficiency of a child and an external factor such as left-behind experience. Four measures were scored as outcome measures: SS, SC, IS type, IS token. Four measures were taken as predictors: chronological age, left-behind experience, scores in a lexical production task, and scores in a sentence repetition task tapping expressive morphosyntactic competence.

Results

Results showed that left-behind experience consistently predicted all four outcome measures, where the "two parents-left" children scored significantly lower than their "one parent-left" peers. Expressive vocabulary scores predicted three measures: SS, SC, and IS Token. Expressive morphosyntactic scores predicted SS and SC. Age, by contrast, did not predict any outcome measure.

Discussion

These findings suggested that being left-behind by both parents may be a negative prognostic indicator for the development and maintenance of heritage language abilities in ethnic minority children. We further discussed the conceptual significance of what it means for a child to be left-behind, by relating to more basic external factors in language development, including caregiver educational level, and amount of home language and literacy support by the caretakers.

Unsociability and social adjustment of Chinese preschool migrant children: The moderating role of resilience

OBJECTIVES

The present study examined the moderating effect of children's resilience on the relations between unsociability and social adjustment (i.e., prosocial behaviors, peer exclusion, interpersonal skills, internalizing problems) in Chinese preschool migrant children.

METHODS

Participants were N = 148 children (82 boys, M _age = 62.32 months, SD = 6.76) attending two public kindergartens in Shanghai, People's Republic of China. Mothers provided ratings of children's unsociability and resilience; teachers assessed children's social adjustment outcomes, and children reported their receptive vocabulary.

RESULTS

Unsociability was positively associated with peer exclusion and internalizing problems, and negatively associated with prosocial behaviors and interpersonal skills among Chinese preschool migrant children. Moreover, children's resilience significantly moderated the relationship between unsociability and social adjustment. Specifically, among children with lower levels of resilience, unsociability was significantly and positively associated with peer exclusion and internalizing problems, while among children with higher levels of resilience, unsociability was not associated with social adjustment difficulties.

CONCLUSION

The current findings inform us of the importance of improving children's resilience to buffer the negative adjustment among Chinese migrant unsociable young children. The findings also highlight the importance of considering the meaning and implication of unsociability for preschool migrant children in Chinese culture.

Urban-rural disparities in the healthy ageing trajectory in China: a population-based study

Purpose

The aim of this study is to measure the trajectory of healthy ageing among Chinese middle-aged and older population, and explore the disparity of the trajectory, as well as contributing factors, between urban and rural areas in China.

Methods

A total of 9402 respondents aged 45 years and older interviewed in four waves (2011, 2013, 2015 and 2018) were selected from the China Health and Retirement Longitudinal Study. Healthy ageing score was calculated through item response theory. A latent growth mixture model (LGMM) was applied to distinguish the trajectory of healthy aging. A multinomial logistics regression model (MLRM) was used to explore the relationship between urban-rural areas and healthy aging trajectories, and further to explore associated factors in rural and urban areas separately.

Results

The healthy ageing score was lower in rural areas than urban areas in each survey wave. Five classes (“continuing-low”, “continuing-middle”, “continuing-middle-to-high”, “significantly-declining”, “continuing-high”) were grouped through LGMM. The MLRM results showed that urban living was significantly associated with a higher likelihood of being healthy (for [continuing-low/continuing-high]: β = − 1.17, RRR = 0.31, P < 0.001, 95% CI = 0.18–0.53; and for [continuing-middle/continuing-high]: β = − 0.53, RRR = 0.59, P < 0.001, 95% CI = 0.49–0.71).

Conclusion

Healthy ageing is a prominent objective in the development of a country, and rural-urban disparities are an essential obstacle to overcome, with the rural population more likely to develop a low level of healthy ageing trajectory. Prevention and standardized management of chronic diseases should be enhanced, and social participation should be encouraged to promote healthy ageing. The policy inclination and resource investment should be enhanced to reduce disparity in healthy ageing between urban and rural areas in China.

Intergenerational continuity of parent-child separation among mother-offspring dyads: Implication for child cognitive development in rural China

The labor migration in China often leads to parent-child separation. Research to date has primarily focused on understanding mental and cognitive outcomes for children exposed to parent-child separation, with little consideration for the cumulative effects of intergenerational continuity of parent-child separation. A total of 2729 children between the ages of 4 and 6, along with one parent (primarily mothers, 86.2%) and/or one primary caregiver (if the child is separated from both parents), were recruited in the rural area of Anhui Province, China. A unique subsample of children (n = 249) with persistent experience of parent-child separation or whose mother reported being left behind by her parents during early childhood were enrolled for cognitive assessment. A total of 239 age-, gender- and residence-matched children without any parent-child separation experience were selected as the control group. Child cognitive performance was examined with the Chinese version of the Wechsler Preschool and Primary Scale of Intelligence, Fourth edition (WPPSI-IV). The association between intergenerational continuity of parent-child separation and child cognition was described using multivariate OLS regression models. Compared to mother-offspring dyads without any history of parent-child separation, girls (n = 236/450, 52.4%) who experienced the intergenerational continuity of parent-child separation showed a significant decrease of 5.73 points (95% CI: -9.83, -1.62; p = 0.006) on full-scale intelligence quotient (FSIQ) and a decrease of 5.71 points (95% CI: -9.80, 1.63; p = 0.006) on verbal comprehension index. No similar result was observed in boys. The cumulative effects of parent-child separation among mother-offspring dyads on child cognitive development highlight the need for effective early intervention to break the intergenerational cycle of disadvantage. Sex differences and possible epigenetic mechanisms underlying the intergenerational effects of parent-child separation warrant further investigation.

Social Support and Loneliness among Chinese Rural-to-Urban Migrant Children: A Moderated Mediation Analysis of the Roles of Social Competence and Stress Mindset

Social support has been an important social-contextual protective factor against loneliness. However, how individual-level protective factors, such as social competence and a positive stress mindset, may jointly influence the relationship between social support and loneliness is less known. This study examined to what extent the link between social support and loneliness would be mediated by social competence and moderated by stress mindset among migrant children. In total, 198 rural-to-urban migrant children aged 10-14 years (56.1% girls) in Beijing, China, completed a set of self-reported questionnaires. A moderated mediation analysis was performed. We found that perceived social support was associated with a lower level of loneliness, and this association was significant only for migrant children holding a positive stress mindset (indicated by a high ratio of the stress-is-a-challenge mindset to the stress-is-a-threat mindset). Notably, across children with different stress mindsets, perceived social support was indirectly related to a lower level of loneliness through greater social competence. Our findings suggest that social competence and a stress-is-a-challenge mindset are important individual-level protective factors for migrant children to overcome loneliness. Social competence can carry the effect of social support, and a stress-is-a-challenge mindset can optimize the effect of environmental resources on mental health.

Aggressive behaviors and associated factors in Chinese left-behind adolescents: a cross-sectional study

BACKGROUND

To examine whether the levels of aggressive behaviors and other individual and contextual variables differ between left-behind adolescents (LBA) and not left-behind adolescents (NLBA) and explore associations between aggression and other constructs among them.

METHODS

A cross-sectional study was conducted and 4530 school adolescents aged 9-18 years in north and south of China were randomly selected. The levels of aggressive behavior, personality and family and classroom environment were compared between LBA and NLBA and also the associated factors of aggression.

RESULTS

The total scores of aggressive behaviors were 6.33 ± 6.35 (Mean ± SD) in LBA and 5.78 ± 6.16 (Mean ± SD) in NLBA. Multiple linear regression models revealed that neuroticism and psychoticism were positively associated with aggressive behaviors for LBA with similar results of NLBA. Cohesion was negatively associated with aggressive behaviors, and conflict and achievement had positive effects in NLBA. Organization had a negative effect in LBA. Uncertainty and dissatisfaction had positive effects on aggression both in LBA and NLBA.

CONCLUSION

This study found a slightly higher level of aggressive behaviors in LBA comparing with NLBA. Personality was the mainly associated factor of aggression, but class-based interventions were more practical for aggressive behaviors in Chinese LBA.

“Parents are gone”: Understanding the unique and interactive impacts of affective and cognitive empathy on left-behind youth’s academic engagement

Although several studies have shown that left-behind adolescents are vulnerable regarding emotional and behavioral functions, much less research has focused on this group’s academic engagement. The relationship between distinct empathy subcomponents and academic engagement in left-behind youth (versus non-left-behind youth) is therefore largely unknown. To fill these knowledge gaps, the current study compared the academic engagement between left-behind and non-left-behind youth. This study subsequently examined the unique and interactive relationships among affective empathy, cognitive empathy, and left-behind status with academic engagement in a combined sample of left-behind and non-left-behind youth. In total, 323 left-behind youth and 737 non-left-behind youth (Mage = 13.05; 49.5% females) participated in this study. Findings, after adjusting for participants’ sociodemographic characteristics, revealed that left-behind youth did not differ significantly in academic engagement compared to non-left-behind youth. A four-step hierarchical regression analysis showed that both empathy components were positively related to academic engagement. Interaction analyses further exhibited a cross-over effect of affective and cognitive empathy for left-behind youth. Specifically, left-behind youth with high cognitive empathy seemed more susceptible to the influence of affective empathy on academic engagement, for better and for worse. In the presence of high affective empathy, left-behind youth with higher cognitive empathy reported the highest academic engagement, whereas the youth with higher cognitive empathy, in the presence of low affective empathy, reported the lowest. The current study highlights the unique and interactive roles of affective and cognitive empathy in left-behind youth’s academic engagement, including important conceptual and practical implications.

The roles of gratitude and mindfulness between cyberbullying perpetration and depression among children in rural China: A moderated mediation model

Previous literature suggests that gratitude and mindfulness-based intervention could effectively abate stressful life events, while the associations with cyberbullying perpetration have not been investigated. Little is known about the mechanisms of this association, especially for children who lack sufficient parental protection. The current study aimed to examine the roles of mindfulness and gratitude in the relationship between cyberbullying perpetration and depression among children and adolescents. This study employed data from a school-based survey conducted in 2018, in which 1298 students aged 9-16 years were randomly selected from three elementary and middle schools in China. The moderated mediation effects of gratitude and mindfulness on the relationship between cyberbullying perpetration and depression were examined through PROCESS model. Results showed that mindfulness mediated the relationship between cyberbullying perpetration and depression, while gratitude moderated and weakened the relationship. The findings may offer insights into the awareness and intervention programs regarding positive psychological mechanisms to reduce cyberbullying perpetration among children and adolescents in China.

Relative deprivation and depressive symptoms among Chinese migrant children: The impacts of self-esteem and belief in a just world

Background

Studies have shown that relative deprivation is a risk factor for depressive symptoms, but the underlying mechanisms are not yet clarified. Thus, this study formulated a moderated mediation model to investigate the mediating role of self-esteem and the moderating role of belief in a just world between relative deprivation and depressive symptoms among rural-to-urban migrant children.

Methods

A sample of 1,076 Chinese migrant children (M _age = 12.25 years, SD = 1.66) completed measurements of relative deprivation, self-esteem, belief in a just world, and depressive symptoms. Furthermore, the mediating mechanism and moderating effect of the study were explored with the SPSS PROCESS macro (Models 4 and 7).

Results

The results showed a significant positive association between relative deprivation and depressive symptoms, with self-esteem partially mediating this association. Moreover, belief in a just world moderated the association between relative deprivation and self-esteem. Namely, the indirect effect of self-esteem was moderated by belief in a just world. Specifically, the mediating effect was stronger for migrant children with higher levels of belief in a just world.

Conclusion

These findings broaden our knowledge of how and when relative deprivation influences depressive symptoms among migrant children. Therefore, appropriate measures should be taken to prevent and manage migrant children' depression and provide them with corresponding guidance. Some measures could be taken by schools and educators to help migrant children with high relative deprivation in improving their self-esteem and belief in a just world, such as self-reference tasks and psychological intervention programs.

Left-Behind Children's Subtypes of Antisocial Behavior: A Qualitative Study in China

As a result of the recent decades of urbanization and industrialization, millions of people have migrated to cities in search of better work opportunities in China. Meanwhile, their children have often been left behind in the care of other family members. To classify the subtypes of antisocial behavior of the left-behind children, this qualitative study interviewed a total of 71 participants, including five groups: left-behind children, parents, teachers, principals and community workers. The findings showed that left-behind children's antisocial behavior is manifested as the type of limited adolescent antisocial behavior, and the three subtypes of left-behind children's antisocial behavior were rule-breaking behavior, delinquent behavior and criminal behavior. In addition, the development of children's antisocial behavior could range from general violations to delinquent behaviors and even to criminal behaviors.

To assess and compare the mental health of current-left-behind children, previous-left-behind children with never-left-behind children

The study's goal was to compare the mental health of children who are now left-behind (current-LBC) to children who have never been left-behind (never-LBC). Recruits were culled from rural Chinese schools. The Strengths and Difficulties Questionnaire (SDQ) and the Parent-Adolescent Communication Scale (PACS) were used to examine participants' migratory status, mental health, and parent-child communication (PACS). A total of 2,000 current-, 500 previous-, and 300 never-LBCs in had complete data readily accessible for research and analysis. A number of mental health issues, such as emotional symptoms, conduct, and hyperactivity issues as well as overall challenges were considerably increased when all confounding factors were taken into account in the analysis. Our findings also showed a substantial link between children's overall issues and their inability to effectively communicate with parents. Children suffer long-term consequences as a result of their parents' frequent moves. The mental health of children is closely linked to the quality of communication between parents and children. Migrant parents' ability to comprehend and communicate with their children is critical to their children's development, according to the findings of this study.

Unintentional injuries and risk behaviours of internal migrant children in southern China: A cross-sectional study

The purpose of this study was to estimate the prevalence of unintentional injuries and to identify factors mediating the risk of unintentional injuries among internal migrant children in southern China using self-reported data collected between April 2016 and March 2017. Logistic regression models were used to identify significant risk factors for unintentional injuries among the internal migrant children. The prevalence of self-reported unintentional injuries among internal migrant children in this study was 19.15%. Internal migrant children exhibiting antisocial (antisocial behaviour vs. no behaviour problems, OR = 2.162, 95% CI: 1.194-3.915, p = .011) and neurotic behaviours (neurotic behaviour vs. no behaviour problems, OR = 2.064, 95% CI: 1.098-3.880, p = .024) were more likely to report unintentional injuries. There was a positive correlation between the number of risk behaviours and the prevalence of unintentional injuries among non-migrant and internal migrant children. Children's behavioural problems were closely related to unintentional injuries and may be useful as predictors of unintentional injuries in children.

Effects of structural-economic and socio-relational exclusion on well-being of Chinese migrant children

Social exclusion is a widely accepted risk factor for child well-being, but relatively little is known about its dynamics and effect on multiple well-being domains. This study aims to extend prior research by examining the influencing mechanisms of structural-economic and socio-relational exclusion on the physical, psychological, behavioural and educational well-being of Chinese migrant children. Multi-stage cluster random sampling is used to recruit a sample of migrant children (N = 484; M_age  = 11.65 years; 52.9% girls) in Kunming, China, and structural equation modelling is used for data analysis. Results indicate that a high level of structural-economic exclusion predicts a high level of socio-relational exclusion, which, in turn, leads to low levels of physical, psychological, behavioural and educational well-being among migrant children. This study not only contributes to the understanding of the dynamic effects of social exclusion but also provides practical implications for social policy and interventions to reduce social exclusion and improve the well-being of Chinese migrant children.

Positive affect decreases the negative association between social mobility belief and physical health among Chinese rural-to-urban migrant adolescents

OBJECTIVE

The belief in upward social mobility promotes the mental health and social adaptation of disadvantaged adolescents. However, efforts for upward mobility may facilitate psychosocial adaptation while undermining physical health for minority youth from disadvantaged backgrounds. Therefore, we aimed to examine how social mobility belief is associated with mental and physical health among Chinese rural-to-urban migrant adolescents and explore whether positive affect acts as a protective factor moderating these relationships.

METHOD

A total of 158 rural-to-urban migrant adolescents aged 10-14 completed a self-report questionnaire and underwent medical examination.

RESULTS

Social mobility belief and positive affect were positively related to mental health (general self-efficacy). Positive affect interacted with social mobility belief in predicting physical health (self-rated health and allostatic load). For migrant adolescents with low levels of positive affect, strong belief in social mobility was associated with poor self-rated health and high allostatic load. For migrant adolescents with high levels of positive affect, their physical health was better and not associated with social mobility belief.

CONCLUSIONS

Social mobility belief showed a double-edged sword effect; it was positively associated with mental adaptation while negatively associated with physical health among Chinese rural-to-urban migrant adolescents. Positive affect acted as a protective factor for decreasing the negative association between social mobility belief and physical health.

Behavioral Strengths and Difficulties and Their Associations with Academic Performance in Math among Rural Youth in China

Behavioral strengths and difficulties among children and adolescents may be significantly associated with their academic performance; however, the evidence on this issue for rural youth in developing contexts is limited. This study explored the prevalence and correlates of mental health from three specific dimensions—internalizing problems, externalizing problems, and prosocial behavior—measured by the Strengths and Difficulties Questionnaire (SDQ), and the association of these dimensions with academic performance in math among a sample of 1500 students in rural China. Our findings indicated that students in rural China had worse behavioral difficulties and poorer prosocial skills when compared to most past studies conducted inside and outside of China. In addition, total difficulties and prosocial scores on the SDQ were significantly associated with student math test scores, as students whose externalizing, internalizing, and prosocial scores were in the abnormal range scored lower in math by 0.35 SD, 0.23 SD, and 0.33 SD, respectively. The results add to the growing body of empirical evidence related to the links between social environment, mental health, and academic performance in developing countries, highlighting the importance of students’ mental health for their academic performance, and of understanding risk factors in the social environment among rural youth in developing countries.

Exploring Family Backgrounds of Chinese Adolescents Who Are Vulnerable to Victimization and Repeated Victimization

There is abundant evidence in the literature to show that victimization has a series of adverse consequences on child victims' physical and mental health. However, some studies detailed whether the family correlates of repeat victims differ from those who are victimized only once. This study fills this gap by describing the probabilities that children who fit certain profiles will be repeat victims and implies that it is possible to identify and screen individual and family factors who are at high risk of repeated victimization. Using the 2009-2010 Child Victimization Survey, we analyzed data from 14,564 Chinese adolescents aged 14-18 years from five major cities in China. We employed a multinomial logit regression model, using child victimization as the dependent variable and demographic factors as independent variables. We identified the top 1% of the most vulnerable cases and summarized their demographic characteristics. Our analysis revealed that older boys with siblings in the same household whose mothers' education was below average were the most vulnerable to one-time victimization. Further, boys with siblings whose parents were less-educated than average, unemployed, and unmarried were the most vulnerable to repeated victimization. This study has vast practical implications, including different ways to confront the problem of repeated child victimization (both practically and in the literature), develop a quick screening tool, and apply cost-effective prevention and interventions in China.

Analysis on the Cognitive Impact of Social Mobile Games on Left-Behind Children in the Era of Big Data

The popularity of mobile gaming has become a common sight in rural areas, and the problem of left-behind children's mobile gaming has become the biggest challenge faced by rural education, and has become a hot topic in the education sector and society. The stage of left-behind children is the golden period of learning and growth. However, this stage is also the period when they have the greatest fluctuations in their ideology due to various factors such as guardians and youths. With the development of big data, it has been applied to various aspects of people's life. This article is mainly based on qualitative research, with the interview and observation as the main methods, supplemented by a questionnaire survey method. In the empirical analysis part, this article has a certain degree of expansion in data selection and research methods. Compared with previous studies, we increased the scale of the research data, making the research results more meaningful. In the research method, the ordinary least squares method (OLS), the propensity score matching method (PSM) and the two-stage least square method (2SLS) are used, and multiple control variables are selected. The factor analysis of the original scores of the historical knowledge test and the original scores of the two-dimensional cultural value evaluation are carried out to obtain the factor scores of cognitive ability. The emotion of the child is expressed by the depression score, and factor analysis is also performed on the depression score. Cognitive abilities refer to reasoning or thinking, processing speeds, and one's ability to solve problems in novel situations, independent of acquired knowledge. OLS regression results show that left-behind children are inferior to non-left-behind ones in cognitive ability. Moreover, left-behind children are more likely to be emotionally depressed. And whether the children are accompanied by migrant or rural parents, there is no significant difference in their cognitive ability and emotions. Because there are unobservable factors that affect whether children are left-behind and children's cognitive abilities and emotions, the sample may have a self-selection bias. This research focuses on the phenomenon of left-behind children's mobile gaming, revealing the compromised cognitive abilities of these marginalized children groups. Our study might put a wake-up for authorities on the education in rural areas.

Relationship Between Family Socioeconomic Status and Learning Burnout of College Students: The Mediating Role of Subjective Well-Being and the Moderating Role of Resilience

Objective

Learning burnout affects the positive development of college students. The present study aimed to investigate the relationship between family socioeconomic status (FSES) and learning burnout, as well as the mediation effect of subjective well-being and the moderation effect of resilience in this relation.

Methods

A total of 550 Chinese college students from Yunnan completed a questionnaire measuring the research variables in this study.

Results

(1) After controlling for participants' gender and age, FSES negatively, and significantly predicted learning burnout; (2) subjective well-being partially mediated the relationship between FSES and learning burnout; and (3) the direct effect of FSES on learning burnout and the mediation effect of subjective well-being was moderated by resilience. The level of learning burnout of individuals with low resilience increased significantly with the decrease of FSES, and the level of learning burnout of individuals with high resilience decreased significantly with the increase in subjective well-being.

Conclusion

The present findings support the moderated mediation model underlying the relationship between FSES and learning burnout. This also has significant implications for formulating prevention and intervention measures on learning burnout among college students.

Limitations

First of all, this study used the cross-sectional study design, which cannot make a causal inference. In addition, the sample in this study is university students from Kunming, which may affect the popularity of the results.

Parenting centers and caregiver mental health: Evidence from a large-scale randomized controlled trial in China

This study conducts an exploratory analysis of the impacts of a center-based early childhood development intervention on the mental health of caregivers, using data from a cluster-randomized controlled trial of 1664 caregivers (M_age  = 36.87 years old) of 6- to 24-month-old children in 100 villages in rural China. Caregivers and children in 50 villages received individual parenting training, group activities and open play space in village parenting centers. The results show no significant overall change in caregiver-reported mental health symptoms after 1 year of intervention. Subgroup analyses reveal heterogeneous effects by caregiver socioeconomic status and identity (mother vs. grandmother). Findings suggest that early childhood development interventions without targeted mental health components may not provide sufficient support to improve caregiver mental health.

Bullying victimization and depression among left-behind adolescents in China: Mediating role of self-esteem

We explored the mediating role of self-esteem in the relationship between bullying victimization and depression among left-behind adolescents in China. The Delaware Bullying Victimization Scale, the Center for Epidemiologic Studies Depression Scale, and the SelfEsteem Scale were used in a survey conducted with 1,204 students at four middle schools in Shandong Province, China, including 619 leftbehind adolescents and 585 non-left-behind adolescents. A significant difference was observed between these two groups: Left-behind adolescents scored significantly higher than did non-left-behind adolescents on bullying victimization and depression, and significantly lower on self-esteem. There were significant correlations between bullying victimization, self-esteem, and depression among the leftbehind adolescents. Self-esteem played a partial mediating role between bullying victimization and depression among the left-behind adolescents. The results of this study could be used as a reference for staff of schools and family members in efforts to reduce depression of left-behind adolescents.

Openness to Experience Moderates the Association of Warmth Profiles and Subjective Well-Being in Left-Behind and Non-Left-Behind Youth

Crouched in the socioecological framework, the present research compared the subjective well-being of left-behind youth with their non-left-behind peers. Furthermore, this research investigated the association of parental warmth and teacher warmth using a person-centered approach with adolescents’ subjective well-being on the whole sample, and examined its conditional processes by ascertaining the moderating role of openness to experience and left-behind status in this association. A total of 246 left-behind youth (53.6% girls; M_age = 15.77; SD = 1.50) and 492 socio-demographically matched, non-left-behind peers (55.1% girls; M_age = 15.91; SD = 1.43) was involved in this study. During school hours, these adolescents were uniformly instructed to complete a set of self-report questionnaires. The results from ANCOVA exhibited no significant differences in subjective well-being between these two groups of youth. Moreover, four warmth profiles were revealed: congruent low, congruent highest, congruent lowest, and incongruent moderate, and youth within the congruent highest profile were more likely than the other three profiles to report higher subjective well-being. Additionally, moderation analyses demonstrated that high openness was one protective factor for subjective well-being, when left-behind youth perceived the lowest levels of parental warmth and teacher warmth congruently. These findings indicate that left-behind youth may not be psychologically disadvantaged in terms of positive psychosocial outcomes, such as subjective well-being, and school activities or social initiatives emphasizing openness to experience would be essential for them to facilitate positive adaptive patterns after parental migration.

Health Status and Association With Interpersonal Relationships Among Chinese Children From Urban Migrant to Rural Left-Behind

Background

To date, numerous studies have examined the health status of Chinese left-behind children and migrant children. However, the impact of children's diverse migration/left-behind experiences on their health is still unclear.

Methods

A cross-sectional survey was conducted in 2020 in Nanling country (Anhui province) and Kaihua country (Zhejiang province) in China. School children from grade 5 to 8 reported their socio-demographic, interpersonal relationships, self-rated health, suicidal ideation, and depression. Participants were divided into four groups based on their migrant patterns, namely rural left-behind children with previous migration experience (ME-LBC), rural children with previous migration experience (ME-NLBC), rural left-behind children without migration experience (LBC), and rural children without migration experience (NLBC).

Results

Among 2,323 participants included in the present study, there were 336 ME-LBC (14.5%), 283 ME-NLBC (12.2%), 561 LBC (24.1%) and 1,143 NLBC (49.2%). Compared with NLBC, ME-LBC reported significantly poorer self-rated health (OR = 0.72, 95% CI [0.53-0.97], p < 0.05), higher risk of depression (β = 0.90, 95% CI [0.02-1.77], p < 0.05) with adjustment of socio-demographic and interpersonal relationships. There was no significant difference in suicidal ideation among different groups of children. The better interpersonal relationship was associated with a better self-rated health, and lower prevalence of depression and suicidal intention.

Conclusions

Compared to ordinary rural children, ME-LBC tended to experience higher levels of depression and poorer self-rated health. These research findings imply developing intervention programs about psychological adjustment tailored to different migrant patterns of Chinese rural children. The keys might be to strengthen the relationships with peer and teacher in school and improve the quality of parent-child communication in family for LBC.