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Olivares-Guido CM, Tafoya SA, Aburto-Arciniega MB, Guerrero-López B, Diaz-Olavarrieta C. Problematic Use of Smartphones and Social Media on Sleep Quality of High School Students in Mexico City. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2024; 21:1177. [PMID: 39338060 PMCID: PMC11431134 DOI: 10.3390/ijerph21091177] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/05/2024] [Revised: 08/28/2024] [Accepted: 09/03/2024] [Indexed: 09/30/2024]
Abstract
BACKGROUND Smartphones, internet access, and social media represent a new form of problematic behavior and can affect how teens sleep. METHODS A cross-sectional design was employed to examine the prevalence and association of problematic internet use and problematic smartphone use with sleep quality in a non-probability sample of 190 high school students in Mexico. The internet-related experiences questionnaire (IREQ), the mobile-related experiences questionnaire (MREQ), and the Pittsburgh Sleep Quality Index (PSQI) were used. RESULTS The study revealed that 66% of participants exhibited some form of problematic internet use, primarily in the form of social media use; 68% had some form of problematic smartphone use, and 84% reported poor sleep quality. The PSQI score was most accurately predicted by problematic smartphone use (MREQ), followed by enrollment in the morning school shift, participation in sports, the father's education level, and knowledge that "smartphone use disturbs sleep", which together explained 23% of the variation in sleep quality. CONCLUSIONS Excessive smartphone use may negatively affect sleep quality in adolescents. We recommended that interventions be implemented to educate adolescents about appropriate and healthy use of technology, in parallel with the promotion of preventive sleep habits.
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Affiliation(s)
- Cristopher Martín Olivares-Guido
- Department of Psychiatry and Mental Health, Faculty of Medicine, National Autonomous University of Mexico, 3000 Ave. Universidad, Ciudad Universitaria, Coyoacán, Mexico City 04510, Mexico; (C.M.O.-G.); (S.A.T.); (B.G.-L.)
| | - Silvia Aracely Tafoya
- Department of Psychiatry and Mental Health, Faculty of Medicine, National Autonomous University of Mexico, 3000 Ave. Universidad, Ciudad Universitaria, Coyoacán, Mexico City 04510, Mexico; (C.M.O.-G.); (S.A.T.); (B.G.-L.)
| | - Mónica Beatriz Aburto-Arciniega
- Research Division, Faculty of Medicine, National Autonomous University of Mexico, 3000 Ave. Universidad, Ciudad Universitaria, Coyoacán, Mexico City 04510, Mexico;
| | - Benjamín Guerrero-López
- Department of Psychiatry and Mental Health, Faculty of Medicine, National Autonomous University of Mexico, 3000 Ave. Universidad, Ciudad Universitaria, Coyoacán, Mexico City 04510, Mexico; (C.M.O.-G.); (S.A.T.); (B.G.-L.)
| | - Claudia Diaz-Olavarrieta
- Department of Psychiatry and Mental Health, Faculty of Medicine, National Autonomous University of Mexico, 3000 Ave. Universidad, Ciudad Universitaria, Coyoacán, Mexico City 04510, Mexico; (C.M.O.-G.); (S.A.T.); (B.G.-L.)
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Zeng H, Wang B, Zhang R, Zhao L, Yang Y, Dong X, Gao Y, Gu C. Association of parent-child discrepancies in educational aspirations with physical fitness, quality of life and school adaptation among adolescents: a multiple mediation model. BMC Public Health 2024; 24:2135. [PMID: 39107725 PMCID: PMC11304611 DOI: 10.1186/s12889-024-19674-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2024] [Accepted: 08/01/2024] [Indexed: 08/10/2024] Open
Abstract
BACKGROUND The global public health issue of diminishing physical fitness among adolescents has gained increasing attention. The impact of parents' negative emotions or pressure regarding adolescents' educational aspirations may have a passive impact on the quality of life and adaptation of adolescents in and out of school, and ultimately harm their physical health. This study aims to explore whether parent-child discrepancies in educational aspirations influence physical fitness in adolescents through school adaptation and quality of life. METHODS Participants consisted of 9,768 students, males 4,753(48.7%), females 5,015(51.3%), aged 11-19 years, males 14.3 ± 1.92, females 14.4 ± 1.93. The educational aspirations were gauged using a six-point scale for expectation scores. Physical fitness assessments were based on criteria from the National Student Physical Fitness and Health Survey. School adaptation was evaluated using the School Social Behaviors Scale-2. Quality of life for adolescents was measured using Chinese version of the Quality of Life Scale for Children and Adolescents. To analyze the multiple mediating effects, structural equation models were used, and 95% confidence intervals were determined through bootstrap methods. RESULTS The results illustrated that school adaptation and quality of life played a significant mediating role in the effect of parent-child discrepancies in educational aspirations and physical fitness. There were three intermediary paths were confirmed: (1) discrepancies in educational aspirations → school adaptation → physical fitness (β=-0.088 SE = 0.021; p<0.01; 95% CI: -0.135, -0.05); (2) discrepancies in educational aspirations → quality of life → physical fitness (β=-0.025; SE = 0.011; p = 0.010; 95% CI: -0.050, -0.006); (3) discrepancies in educational aspirations → school adaptation→ quality of life → physical fitness (β=-0.032; SE = 0.014; p = 0.011; 95% CI: -0.061, -0.007). CONCLUSION This study suggests that parents should reduce negative emotions and pressure regarding adolescents' academic aspirations may help their children get better physical fitness.
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Affiliation(s)
- Hui Zeng
- School of Physical Education, Shandong University, Jinan, 250061, China
| | - Bin Wang
- Shandong Provincial Institute of Education Science, Jinan, 250002, China
| | - Rui Zhang
- School of Physical Education, Shandong University, Jinan, 250061, China
- Jinan Licheng NO.2 High School, Jinan, 250109, China
| | - Liangyu Zhao
- School of Physical Education, Shandong University, Jinan, 250061, China
| | - Yuke Yang
- School of Physical Education, Shandong University, Jinan, 250061, China
| | - Xiaosheng Dong
- Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, 250012, China
| | - Yan Gao
- School of Physical Education, Shandong University, Jinan, 250061, China
| | - Chenguang Gu
- School of Education, Nanning University, Nanning, 530299, China.
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Calazans de Lira CT, Santiago LDCS, Henrique RDS, Rangel-Junior JFLB, Campello CP, Santos MAM. Examining the Effects of Strength Training with Load Progression on Sleep Parameters and Mental Health in College Students. Sleep Sci 2024; 17:e134-e142. [PMID: 38846591 PMCID: PMC11152631 DOI: 10.1055/s-0043-1777781] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2023] [Accepted: 08/02/2023] [Indexed: 06/09/2024] Open
Abstract
Objective To compare the effects of strength training with load progression after 4 weeks on sleep parameters and mental health in college students. Methods A total of 17 university students (11 women, 6 men), ranging from 18 to 21 years old, were randomized into a strength training group (STG) and a control group (CG). The Pittsburgh sleep quality index (PSQI), insomnia severity questionnaire, hospital anxiety and depression (HAD) scale, profile of mood states (POMS), and chronotype were used to evaluate the main outcomes. Training consisted of 60 minute·d -1 (2 times/week, for 4-weeks), with 3 sets of 10 to 12 repetitions, and a 1-minute rest interval between sets and exercises. Baseline and postintervention differences were analyzed using generalized estimating equations (GEE). Results After 4 weeks of ST, a significant time effect on the chronotype (β: 1.33; p < 0.05) was observed in the STG. Additionally, there was a significant time and group effect in the reduction of tension (β: 5.00; p < 0.05), depression (β: 15.41; p < 0.05), anger (β: 8.00; p < 0.05), and confusion (β: 6.50; p < 0.05). For fatigue (β: 2.66; p < 0.05), there was a significant time effect difference in its reduction. Vigor was meaningfully increased in the STG group (β: -1.75; p < 0.05). Furthermore, a significant positive relationship was observed between sleep quality and anxiety (r = 0.54; p = 0.03). Finally, insomnia was positively related with an increase in confusion (r = 0.70; p = 0.04) and anxiety (r = 0.52; p = 0.04), as well as with a decrease in vigor (r = -0.71; p = 0.03). Discussion Short-term strength training for 4 weeks was effective for improving mental health, helping achieve characteristics of a positive mood profile, that is, low values for negative factors and a high value for the positive factor.
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Affiliation(s)
- Camila Tenório Calazans de Lira
- Department of Physical Education, Associate Graduate Program in Physical Education, University of Pernambuco, Recife, Pernambuco, Brazil
- Department of Physical Education, Uninovo University Center, Olinda, Pernambuco, Brazil
| | - Ladyodeyse da Cunha Silva Santiago
- Department of Physical Education, Associate Graduate Program in Physical Education, University of Pernambuco, Recife, Pernambuco, Brazil
| | | | - João Francisco Lins Brayner Rangel-Junior
- Department of Dentistry, Graduate Hebiatrics Program: Health Determinants in Adolescence, University of Pernambuco, Recife, Pernambuco, Brazil
- Department of Physical Education, School of Physical Education, University of Pernambuco, Recife, Pernambuco, Brazil
| | - Camilla Porto Campello
- Department of Dentistry, Graduate Hebiatrics Program: Health Determinants in Adolescence, University of Pernambuco, Recife, Pernambuco, Brazil
- Department of Physical Education, Division of Research in Adolescents Mental Health and Sleep Problems, Institutional Project in Natural Disasters, Sanitary, and Social Emergencies, University of Pernambuco, Recife, Pernambuco, Brazil
- Department of Dentistry, Graduate Program in Global Health and Health Diplomacy, National School of Public Health Sérgio Arouca, Oswaldo Cruz Foundation, Fiocruz, Ministry of Health, Rio de Janeiro, Brazil
| | - Marcos André Moura Santos
- Department of Physical Education, Associate Graduate Program in Physical Education, University of Pernambuco, Recife, Pernambuco, Brazil
- Department of Dentistry, Graduate Hebiatrics Program: Health Determinants in Adolescence, University of Pernambuco, Recife, Pernambuco, Brazil
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Yang H, Luan L, Xu J, Xu X, Tang X, Zhang X. Prevalence and correlates of sleep disturbance among adolescents in the eastern seaboard of China. BMC Public Health 2024; 24:1003. [PMID: 38600538 PMCID: PMC11008010 DOI: 10.1186/s12889-024-18564-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2023] [Accepted: 04/10/2024] [Indexed: 04/12/2024] Open
Abstract
BACKGROUND Sleep disturbances are serious public health issues that warrant increased attention, especially in adolescents. The aim of this study was to investigate the prevalence and factors associated with sleep disorders among urban adolescents in China. METHODS This study utilized an online survey to assess the demographic characteristics and mental health status of secondary school students in Lianyungang City. The Patient Health Questionnaire-9 (PHQ-9) was used to evaluate sleep disturbances in adolescents. The seven-item Generalized Anxiety Disorder (GAD-7) assessed anxiety symptoms, and the Perceived Social Support Scale (PSSS) was used to measure perceived social support. RESULTS Among 3443 adolescents, the prevalence of sleep disorders were 10.8%, with significantly higher proportions of sleep disorders (13.7% VS 8.3%, P < 0.001) among female adolescents when compared to males. Binary regression analysis revealed that anxiety symptoms (OR = 1.305, 95% CI: 1.269-1.342, P < 0.001) was risk factor for sleep disturbances, and significant other support (OR = 0.944, 95% CI: 0.896-0.994, P = 0.028) and good annual household income (OR = 0.616, 95% CI: 0.394-0.963, P = 0.034) were protective factors. Furthermore, multinomial logistic regression analysis showed that age, sex, and anxiety symptoms were associated with an elevated risk of experiencing more frequent sleep disturbances (all P < 0.05). CONCLUSIONS We have found that 10.8% of adolescents experience sleep disorders, and it is evident that various factors can influence healthy sleeping. These results underscore the significance of addressing these factors to enhance sleep health among this population.
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Affiliation(s)
- Haidong Yang
- Department of Psychiatry, The Fourth People's Hospital of Lianyungang, The Affiliated KangDa College of Nanjing Medical University, 222003, Lianyungang, P.R. China
- Suzhou Psychiatric Hospital, Institute of Mental Health, The Affiliated Guangji Hospital of Soochow University, 215137, Suzhou, P.R. China
| | - Lingshu Luan
- Department of Psychiatry, The Fourth People's Hospital of Lianyungang, The Affiliated KangDa College of Nanjing Medical University, 222003, Lianyungang, P.R. China
- Xuzhou Medical University, 221004, Xuzhou, P.R. China
| | - Jiuli Xu
- Department of Psychiatry, The Fourth People's Hospital of Lianyungang, The Affiliated KangDa College of Nanjing Medical University, 222003, Lianyungang, P.R. China
- Xuzhou Medical University, 221004, Xuzhou, P.R. China
| | - Xingran Xu
- Department of Psychiatry, The Fourth People's Hospital of Lianyungang, The Affiliated KangDa College of Nanjing Medical University, 222003, Lianyungang, P.R. China
- Xuzhou Medical University, 221004, Xuzhou, P.R. China
| | - Xiaowei Tang
- Department of Psychiatry, Affiliated WuTaiShan Hospital of Medical College of Yangzhou University, 225003, Yangzhou, P. R. China.
| | - Xiaobin Zhang
- Suzhou Psychiatric Hospital, Institute of Mental Health, The Affiliated Guangji Hospital of Soochow University, 215137, Suzhou, P.R. China.
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Dos Santos AB, Prado WL, Tebar WR, Ingles J, Ferrari G, Morelhão PK, Borges LO, Ritti Dias RM, Beretta VS, Christofaro DGD. Screen time is negatively associated with sleep quality and duration only in insufficiently active adolescents: A Brazilian cross-sectional school-based study. Prev Med Rep 2024; 37:102579. [PMID: 38222306 PMCID: PMC10787249 DOI: 10.1016/j.pmedr.2023.102579] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2023] [Revised: 12/22/2023] [Accepted: 12/23/2023] [Indexed: 01/16/2024] Open
Abstract
Background Time spent on screen devices affects sleep quality and duration leading to several health impairments in youth. Although physical activity (PA) benefits sleep patterns and decreases screen time in adolescents, it is unclear whether the relationship between sleep quality/duration and screen time could be influenced by PA levels. Objective To analyze the association between sleep quality and duration with screen time in Brazilian adolescents according PA levels. Methods The sample included 1010 adolescents aged 13.2 ± 2.4 years (n = 556 females - 55 % of the sample). Sleep quality and sleep duration, and PA were assessed by Mini Sleep and Baecke questionnaires, respectively. Participants in the highest quartile were classified as physically active. Screen time was analyzed by the self-reported number of hours spent on different screen devices (i.e., television, computer, videogame, and cellphone/tablet). Participants in the highest tertile were classified as having high screen time. Sex, age, and body mass index were considered covariates in binary logistic regression models. Results Poor sleep quality was observed in 52.3 % of the sample, whereas 46.6 % reported sleeping less than eight hours/day. High screen time was associated with poor sleep quality (OR = 1.45; 95 %CI = 1.01-2.12) and insufficient sleep duration (OR = 1.52; 95 %CI = 1.01-2.03) in adolescents insufficiently active. There were no associations between screen time and sleep parameters in active adolescents. Conclusion High screen time was associated with poor sleep quality and insufficient sleep duration only in insufficiently active adolescents. These results suggest that high PA levels may contribute to improving sleep patterns in pediatric population.
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Affiliation(s)
- Amanda B Dos Santos
- São Paulo State University (Unesp), School of Technology and Sciences, Presidente Prudente, SP, Brazil
| | - Wagner L Prado
- California State University-San Bernardino, San Bernardino, USA
| | - William R Tebar
- São Paulo State University (Unesp), School of Technology and Sciences, Presidente Prudente, SP, Brazil
| | - Jared Ingles
- California State University-San Bernardino, San Bernardino, USA
| | - Gerson Ferrari
- Faculty of Health Sciences, Universidad Autónoma de Chile, Providencia 7500912, Chile
| | | | - Luan O Borges
- São Paulo State University (Unesp), School of Technology and Sciences, Presidente Prudente, SP, Brazil
| | | | - Victor S Beretta
- São Paulo State University (Unesp), School of Technology and Sciences, Presidente Prudente, SP, Brazil
| | - Diego G D Christofaro
- São Paulo State University (Unesp), School of Technology and Sciences, Presidente Prudente, SP, Brazil
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Lins-Filho ODL, Andrade-Lima A, Torres AD, Oliveira LM, Luiz do-Prado W, Ritti-Dias R, Christofaro DGD, Farah BQ. Association between Sleep Quality and Cardiac Autonomic Modulation in Adolescents: A Cross Sectional Study. Sleep Sci 2023; 16:e462-e467. [PMID: 38197026 PMCID: PMC10773521 DOI: 10.1055/s-0043-1776750] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2022] [Accepted: 04/06/2023] [Indexed: 01/11/2024] Open
Abstract
Objective To analyze the impact of sleep quality/duration on cardiac autonomic modulation on physically active adolescents with obesity. Materials and Methods The present cross-sectional study included 1,150 boys with a mean age of 16.6 ± 1.2 years. The assessment of cardiac functions included the frequency domain of heart rate variability (HRV; low frequency - LF; high frequency - HF; and the ratio between these bands -LF/HF -, defined as the sympathovagal balance), and each parameter was categorized as low / high . Physical activity levels and sleep quality/duration were obtained by questionnaires. Abdominal obesity was assessed and defined as waist circumference > 80 th percentile. Results Poor sleep quality resulted in lower HF (odds ratio [OR]: 1.8; 95% confidence interval [95%CI]: 1.01-3.21]) regardless of physical activity and abdominal obesity. Moreover, the study found no association between sleep duration and HRV parameters in adolescents. Conclusion Sleep quality, not sleep duration, reduces parasympathetic cardiac modulation apart from other factors such as physical activity and abdominal obesity in adolescents.
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Affiliation(s)
- Ozeas de Lima Lins-Filho
- Department of Medicine, Post-Graduate Program in Health Sciences, Universidade de Pernambuco, Recife, PE, Brazil
| | - Aluisio Andrade-Lima
- Department of Physical Education, Universidade Federal do Sergipe, Aracaju, SE, Brazil
| | - Auguste Daniel Torres
- Department of Kinesiology, California State University, San Bernardino, San Bernardino, CA, United States of America
| | - Luciano Machado Oliveira
- Post-Graduate Program in Physical Education, Department of Physical Education, Universidade Federal de Pernambuco, Recife, PE, Brazil
- Post-graduate programa in Nutrition, Physical Activity, and Phenotypic Plasticity, Department of Physical Education, Centro Acadêmico de Vitória, Universidade Federal de Pernambuco, Vitória de Santo Antão, PE, Brazil
| | - Wagner Luiz do-Prado
- Department of Kinesiology, California State University, San Bernardino, San Bernardino, CA, United States of America
| | - Raphael Ritti-Dias
- Post-Graduate Program in Rehabilitation Sciences, Department of Physical Education, Universidade Nove de Julho, São Paulo, SP, Brazil
| | | | - Breno Quintella Farah
- Post-Graduate Program in Physical Education, Department of Physical Education, Universidade Federal de Pernambuco, Recife, PE, Brazil
- Department of Physical Education, Universidade Federal Rural de Pernambuco, Recife, PE, Brazil
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Zhou H, Zhu Z, Feng X, Zhang R. Low mindfulness is related to poor sleep quality from middle adolescents to emerging adults: a process model involving resilience and emotional dysfunction. BMC Psychiatry 2023; 23:626. [PMID: 37641001 PMCID: PMC10463593 DOI: 10.1186/s12888-023-05092-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/22/2023] [Accepted: 08/08/2023] [Indexed: 08/31/2023] Open
Abstract
OBJECTIVES Transitions from middle adolescence into merging adulthood, a life stage between age 15-25, has a high prevalence of sleep problems. Mindfulness is a trait defined as being attentive to the present moment which positively relates to sleep quality. In this study, we aimed to investigate how resilience and emotional dysfunction may influence the relationship between trait mindfulness and sleep quality. METHODS The Five Facet Mindfulness Questionnaire, Connor-Davidson Resilience Scale, Pittsburgh Sleep Quality Index and Depression Anxiety Stress Scales were used to measure the key variables through an online survey of 497 participants between middle adolescence and emerging adults (317 females, mean age 18.27 ± 0.76 years). A process model was built to investigate the mediating roles of resilience and emotional dysfunction in the impact of trait mindfulness on sleep quality, together with the relationships between their specific components. RESULTS We found a positive association between mindfulness and sleep quality through resilience and through emotional dysfunction, and through the sequential pathway from resilience to emotional dysfunction. Of note, acting with awareness (mindfulness facet) showed significant indirect effects on sleep quality, mediated by resilience and emotional dysfunction. CONCLUSIONS Our findings may unveil the underlying mechanisms of how low mindfulness induces poor sleep quality. The findings indicate that conceiving mindfulness as a multifaceted construct facilitates comprehension of its components, relationships with other variables, and underscores its potential clinical significance given its critical implications for mental health.
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Affiliation(s)
- Huaiyuan Zhou
- Cognitive Control and Brain Healthy Laboratory, Department of Psychology, School of Public Health, Southern Medical University, Guangzhou, China
| | - Ziqing Zhu
- Cognitive Control and Brain Healthy Laboratory, Department of Psychology, School of Public Health, Southern Medical University, Guangzhou, China
| | - Xiangang Feng
- Cognitive Control and Brain Healthy Laboratory, Department of Psychology, School of Public Health, Southern Medical University, Guangzhou, China.
- Department of Psychiatry, Zhujiang Hospital, Southern Medical University, Guangzhou, China.
| | - Ruibin Zhang
- Cognitive Control and Brain Healthy Laboratory, Department of Psychology, School of Public Health, Southern Medical University, Guangzhou, China.
- Department of Psychiatry, Zhujiang Hospital, Southern Medical University, Guangzhou, China.
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