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Liang L, Hu Y, Fei J, Yuan T, Gao R, Yue J, Song Q, Zhao X, Mei S. Association between burnout and post-traumatic stress disorder among frontline nurse during COVID-19 pandemic: A moderated mediation analysis. J Clin Nurs 2024; 33:1076-1083. [PMID: 38041239 DOI: 10.1111/jocn.16916] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2023] [Revised: 05/29/2023] [Accepted: 10/11/2023] [Indexed: 12/03/2023]
Abstract
AIMS AND OBJECTIVES The aim of this study was to investigate the relationship between burnout and post-traumatic stress disorder (PTSD) among frontline nurses who went to assist the epidemic situation in Wuhan, China, during the outbreak in 2020. The study also explored the mediating role of depression and the moderating role of age in the main relationship. BACKGROUND The relationship between burnout and PTSD in nurse has rarely been investigated in the context of the COVID-19 pandemic. Understand the relationship between these variables can provide empirical evidence for developing interventions and protocols that improve the health of nurses in future public health emergencies. DESIGN An online cross-sectional survey of targeted local 327 nurses who went to assist the COVID-19 epidemic situation in Wuhan during the initial outbreak. METHODS This study was conducted in August 2020, the burnout scale, the PTSD scale and the depression scale were used to survey participants. The moderated mediation model was used to test research hypotheses. RESULTS Burnout could affect the PTSD symptoms in nursing staffs and depression could mediate this relationship. Age moderated the relationship between burnout/depression and PTSD, and the effects was strong and significant among younger participants in the relationship between burnout and PTSD. CONCLUSIONS Burnout was identified as a core risk factor of PTSD in nurses. Depression and age played significant roles in the relationship between burnout and PTSD. RELEVANCE TO CLINICAL PRACTICE PTSD, as a symptom that manifests after experiencing a stressful event, should be a key concern among frontline healthcare professionals. This study suggests that PTSD in nurses can be further reduced by reducing burnout. Attention should also be paid to the PTSD status of nurses of different age groups. PATIENT OR PUBLIC CONTRIBUTION Patients and the public were not involved in the design and implementation of this study. Frontline nurses completed an online questionnaire for this study.
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Affiliation(s)
- Leilei Liang
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, Jilin Province, China
| | - Yuanchao Hu
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, Jilin Province, China
| | - Junsong Fei
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, Jilin Province, China
| | - Tongshuang Yuan
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, Jilin Province, China
| | - Ren Gao
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, Jilin Province, China
| | - Jingyi Yue
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, Jilin Province, China
| | - Qianqian Song
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, Jilin Province, China
| | - Xixi Zhao
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, Jilin Province, China
| | - Songli Mei
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, Jilin Province, China
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Niu Z, Liu L, Mei S, Li L. Latent profile and network analysis of risk perception among a sample of Chinese university students during the COVID-19 pandemic: a cross-sectional and longitudinal study. Front Public Health 2024; 11:1171870. [PMID: 38249407 PMCID: PMC10796724 DOI: 10.3389/fpubh.2023.1171870] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2023] [Accepted: 12/05/2023] [Indexed: 01/23/2024] Open
Abstract
Background The risk perception of contracting COVID-19 is an important topic for assessing and predicting COVID-19 infection and health education during the pandemic. However, studies that use latent profiles and network analysis together to measure the risk perception of COVID-19 are rare. Therefore, this study combined latent profile analysis and network analysis to measure risk perception toward COVID-19 among Chinese university students through a cross-sectional and longitudinal study. Methods A sample of 1,837 Chinese university students (735 males, 40%) completed the cross-sectional study with an eight-item risk perception questionnaire in January 2020, while 334 Chinese university students (111 males, 33.2%) completed the longitudinal study at three time points. Results A two-class model including a low risk perception class (n = 1,005, 54.7%) and a high risk perception class (n = 832, 45.3%) was selected for the cross-sectional study. Nodes rp6 ("Average people have chances of contracting COVID-19'') and rp7 ("Average people worry about catching COVID-19") had the strongest edge intensity (r = 0.491), while node rp5 ("The COVID-19 outbreak affects the whole country") had the highest strength centrality in the cross-sectional study. The risk perception of contracting COVID-19 decreased continuously at the three time points. Moreover, the network structures and global strengths had no significant differences in the longitudinal study. Conclusions The risk perception of contracting COVID-19 decreased continually during the COVID-19 pandemic, which indicated the importance of cultural influence and effective government management in China. In addition, university students displayed strong trust and confidence in the government's ability to fight COVID-19. The results indicate that the government should take strong measures to prevent and intervene in various risks and reinforce the public's trust through positive media communications.
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Affiliation(s)
- Zhimin Niu
- Department of Health Law, Gannan Medical University, Ganzhou, China
| | - Ligang Liu
- School of Economics and Management, Jiangxi University of Science and Technology, Ganzhou, China
| | - Songli Mei
- School of Public Health, Jilin University, Changchun, China
| | - Li Li
- School of Humanities and Social Sciences, Gannan Medical University, Ganzhou, China
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Mei S, Guo X, Meng C, Lv J, Fei J, Liang L, Hu Y, Hu Y. Psychological capital of petrochemical corporate employees during COVID-19 social isolation: a longitudinal analysis. PSYCHOL HEALTH MED 2024; 29:126-139. [PMID: 36529913 DOI: 10.1080/13548506.2022.2158350] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/08/2022] [Accepted: 12/05/2022] [Indexed: 12/23/2022]
Abstract
The COVID-19 pandemic is a major public health emergency and a significant stressor to most people. The objective of this study was to examine the mental health status and social support level of participants from 2019 to 2020. The study aimed to investigate the changes in people's psychological capital state due to the COVID-19 pandemic. A longitudinal study was performed to study the psychosocial predictors of mental health among a sample of 2,999 Chinese employees in 2019, and the follow-up survey was conducted one year later. Regression coefficients were visualized in a heatmap. Path analysis was performed base on the structural equation model (SEM) to measure the associations between study variables. The status of mental health, resilience, and optimism changed significantly during the pandemic (P < 0.05). The level of employee's social support in 2019 could significantly and positively predicted the level of employee's psychological capital in 2020, and the level of employee mental health in 2019 significantly and negatively predicted the level of employee psychological capital in 2020. The mental health of employees played an intermediary role between social support and psychological capital. These results highlight that the COVID-19 pandemic has a strong impact on the psychological capital of company employees. While demanding performance, corporations should ensure timely intervention in the mental health of their employees.
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Affiliation(s)
- Songli Mei
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Xinmeng Guo
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Cuicui Meng
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Jianping Lv
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Junsong Fei
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Leilei Liang
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Yueyang Hu
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Yuanchao Hu
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
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Zhuang M, Chen H, Li Y, Mei S, Liu J, Du B, Wang X, Wang X, Tang J. Laparoscopic posterior pelvic exenteration is safe and feasible for locally advanced primary rectal cancer in female patients: a comparative study from China PelvEx collaborative. Tech Coloproctol 2023; 27:1109-1117. [PMID: 37243857 DOI: 10.1007/s10151-023-02824-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/02/2023] [Accepted: 05/08/2023] [Indexed: 05/29/2023]
Abstract
PURPOSE Posterior pelvic exenteration (PPE) for locally advanced rectal cancer is a technical and challenging procedure. The safety and feasibility of laparoscopic PPE remain to be determined. This study aims to compare short-term and survival outcomes of laparoscopic PPE (LPPE) with open PPE (OPPE) in female patients. METHOD From January 2015 to December 2020, data from 105 female patients who underwent PPE at three institutions were retrospectively analyzed. The short-term and oncological outcomes between LPPE and OPPE were compared. RESULTS A total of 54 cases with LPPE and 51 cases with OPPE were enrolled. The operative time (240 vs. 295 min, p = 0.009), blood loss (100 vs. 300 ml, p < 0.001), surgical site infection (SSI) rate (20.4% vs. 58.8%, p = 0.003), urinary retention rate (3.7% vs. 17.6%, p = 0.020), and postoperative hospital stay (10 vs. 13 days, p = 0.009) were significantly lower in the LPPE group. The two groups showed no significant differences in the local recurrence rate (p = 0.296), 3-year overall survival (p = 0.129), or 3-year disease-free survival (p = 0.082). A higher CEA level (HR 1.02, p = 0.002), poor tumor differentiation (HR 3.05, p = 0.004), and (y)pT4b stage (HR 2.35, p = 0.035) were independent risk factors for disease-free survival. CONCLUSION LPPE is safe and feasible for locally advanced rectal cancers and shows lower operative time and blood loss, fewer SSI complications, and better preservation of bladder function without compromising oncological outcomes.
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Affiliation(s)
- M Zhuang
- Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China
| | - H Chen
- Department of General Surgery, Tianjin Fifth Central Hospital, Tianjin, 300450, China
| | - Y Li
- Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China
| | - S Mei
- Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China
| | - J Liu
- Department of General Surgery, Peking University First Hospital, Beijing, 100034, China
| | - B Du
- Department of Colorectal Surgery, Gansu Provincial Hospital, Lanzhou, 730000, China
| | - X Wang
- Department of General Surgery, Peking University First Hospital, Beijing, 100034, China
| | - Xishan Wang
- Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China.
| | - J Tang
- Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China.
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Liang L, Wang Z, Hu Y, Yuan T, Fei J, Mei S. Does workplace violence affect healthcare workers' turnover intention? Jpn J Nurs Sci 2023; 20:e12543. [PMID: 37312438 DOI: 10.1111/jjns.12543] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2023] [Revised: 04/14/2023] [Accepted: 05/11/2023] [Indexed: 06/15/2023]
Abstract
AIMS This study aimed to explore the association between workplace violence and turnover intention among Chinese healthcare workers and explore the role of gender as a moderator in this relation. METHODS A cross-sectional survey recruited 692 healthcare workers from a single center in a Chinese province. The content included a questionnaire regarding workplace violence, authoritarian leadership, and turnover intention. The moderated mediation effects were analyzed using the PROCESS tool in SPSS and bootstrap method was used to extract 5000 samples to estimate the 95% confidence interval of each effect. RESULTS The results indicated that the effect of workplace violence on turnover intention was mediated by authoritarian leadership. In addition, gender moderated the association between authoritarian leadership and turnover intention. CONCLUSIONS Healthcare worker managers should establish a workplace violence intervention system and change the leadership style of direct leaders to reduce healthcare workers' turnover intention.
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Affiliation(s)
- Leilei Liang
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Zhi Wang
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Yueyang Hu
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Tongshuang Yuan
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Junsong Fei
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Songli Mei
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
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Li L, Liu L, Niu Z, Zhong H, Mei S, Griffiths MD. Gender differences and left-behind experiences in the relationship between gaming disorder, rumination and sleep quality among a sample of Chinese university students during the late stage of the COVID-19 pandemic. Front Psychiatry 2023; 14:1108016. [PMID: 37215671 PMCID: PMC10196354 DOI: 10.3389/fpsyt.2023.1108016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/25/2022] [Accepted: 04/05/2023] [Indexed: 05/24/2023] Open
Abstract
Background and aims Studies have shown that gaming disorder (GD) is associated with rumination and poor sleep quality. However, the reciprocal relationship between GD, rumination and sleep quality is unclear. Moreover, the differences between gender and between left-behind experiences in the aforementioned relationship remain unknown. Therefore, the present study examined gender differences and left-behind experiences in the relationship between GD, rumination, and sleep quality among a sample of Chinese university students during the late stage of COVID-19 pandemic using a network analysis approach. Methods A cross-sectional online survey of 1,872 Chinese university students was conducted comprising demographic information (age, gender, and left-behind experience), gaming experience, gaming frequency, Gaming Disorder Test (GDT), Short Version of Rumination Response Scale (RRS), and Pittsburgh Sleep Quality Index (PSQI). Results Among Chinese university students, the prevalence of (i) GD was 3.5% and (ii) sleep disturbance was 14%. GD had positive and weak connection with rumination and sleep quality in the domain-level relational network. The network structures and global strengths both showed no significant differences between gender and between left-behind experiences. The nodes gd3 ("continuation or escalation of gaming") and gd4 ("gaming problems") had the strongest edge in the network. Conclusion The results suggest reciprocal relationships between GD, rumination, and sleep quality. Gender and left-behind experiences did not influence the reciprocal relationship between GD, rumination, and sleep quality during the late stage of COVID-19 pandemic. Using network analysis, the findings provide novel insights that rumination and sleep quality may have interacted with GD among Chinese students during the late stage of COVID-19 pandemic. Reducing or eliminating negative rumination may decrease GD and improve sleep quality. Moreover, good sleep quality contributes to positive rumination which may decrease the risk of GD among Chinese university students.
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Affiliation(s)
- Li Li
- School of Humanities and Social Sciences, Gannan Medical University, Ganzhou, China
| | - Ligang Liu
- School of Economics and Management, Jiangxi University of Science and Technology, Ganzhou, China
| | - Zhimin Niu
- School of Humanities and Social Sciences, Gannan Medical University, Ganzhou, China
| | - Huahua Zhong
- School of Humanities and Social Sciences, Gannan Medical University, Ganzhou, China
| | - Songli Mei
- School of Public Health, Jilin University, Changchun, China
| | - Mark D. Griffiths
- International Gaming Research Unit, Psychology Department, Nottingham Trent University, Nottingham, United Kingdom
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Li L, Niu Z, Song Y, Griffiths MD, Wen H, Yu Z, Mei S. Relationships Between Gaming Disorder, Risk Factors, and Protective Factors Among a Sample of Chinese University Students Utilizing a Network Perspective. Int J Ment Health Addict 2023:1-19. [PMID: 37363768 PMCID: PMC10127977 DOI: 10.1007/s11469-023-01049-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 03/24/2023] [Indexed: 06/28/2023] Open
Abstract
Research has demonstrated that some risk and protective factors of gaming disorder (GD) have been identified. However, the interaction of GD with risk and protective factors has rarely been examined from a network analysis perspective. Therefore, the present study examined the relationships between GD, risk factors (i.e., social anxiety and fear of missing out), and protective factors (i.e., resilience, authenticity, and family closeness) utilizing a network analysis approach among a sample of Chinese university students. A cross-sectional study with 1364 participants was performed using the Gaming Disorder Test, the short version of Social Interaction Anxiety Scale (SIAS), the Chinese Trait-State Fear of Missing Out Scale (T-SFoMOSC), the Brief Resilience Scale (BRS), the Authenticity Scale, and a single item assessing family closeness. Social anxiety, FoMO, and two factors of authenticity (i.e., self-alienation and accepting external influence) had positive relationship with GD, while resilience, authentic living, and family closeness had negative relationship with GD. Social anxiety was identified as the core node in the domain-level network. The item "continuation or escalation of gaming" (gd3) and the item "gaming problems" (gd4) constituted the highest edge weight in the facet-level network. The network comparison demonstrated there were no significant differences in relation to network structures and global strengths between gender. The findings suggest bivariate relationships among GD, risk factors (i.e., social anxiety and fear of missing out), and protective factors (i.e., resilience, authenticity, and family closeness). Interventions for GD must be considered through preventing risk factors and increasing protective factors including improving the gaming motivation and maladaptive cognition to decrease negative emotion (e.g., social anxiety and FoMO), enhancing resilience, authentic living and parent-child relationship, as well as decreasing self-alienation and accepting external influence. Supplementary Information The online version contains supplementary material available at 10.1007/s11469-023-01049-3.
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Affiliation(s)
- Li Li
- School of Humanities and Social Sciences, Gannan Medical University, Ganzhou, China
| | - Zhimin Niu
- School of Humanities and Social Sciences, Gannan Medical University, Ganzhou, China
| | - Yuting Song
- Teacher Training Department, Yogi Yoga College, Beijing, China
| | - Mark D. Griffiths
- International Gaming Research Unit, Psychology Department, Nottingham Trent University, Nottingham, UK
| | - Hu Wen
- School of Humanities and Social Sciences, Gannan Medical University, Ganzhou, China
| | - Zhao Yu
- School of Humanities and Social Sciences, Gannan Medical University, Ganzhou, China
| | - Songli Mei
- School of Public Health, Jilin University, Changchun, China
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Guo X, Qin Z, Meng C, Lv J, Hu Y, Fei J, Liang L, Li J, Yuan T, Mei S, Tong Q. Investigation of the Sleep Quality Among Hospitalized Cardiovascular Patients Using Regression Models and Qualitative Comparative Analysis. Clin Nurs Res 2023; 32:580-588. [PMID: 36633212 DOI: 10.1177/10547738221148150] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Abstract
This study aimed to explore the relationships between modifiable and non-modifiable factors that influence sleep quality in hospitalized patients with cardiovascular disease in China. This study design was cross-sectional and descriptive. This study involved a convenience sample of 242 patients hospitalized for cardiovascular issues. Hierarchical regression model and qualitative comparative analysis model were performed. Regression revealed that age and depression both had statistically significant effects on sleep quality. The combination of conditions with strongest predictive effect on sleep quality was male of younger age, high level of depression, high level of anxiety, and low level of social support. Other combinations with predictive power on sleep quality are as follows: (1) younger male patients (aged 47-63 years) with high level of anxiety, high level of social support, and low level of depression; (2) older male patients (aged 63-79 years) with high level of depression, high level of social support, and low levels of anxiety; and (3) older male patients with high level of anxiety and low level of social support. Nurses may promote primary and secondary prevention of cardiovascular health prior to hospitalization, through routine screening for depressive and anxious symptoms and assessment of the patient's social support network. It is unknown whether these findings are unique to hospitalized patients. Therefore, future work should assess the fit of the model to other more diverse groups of hospitalized patients.
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Affiliation(s)
- Xinmeng Guo
- School of Public Health, Jilin University, Changchun, Jilin Province, China
| | - Zeying Qin
- Vanke School of Public Health, Tsinghua University, Beijing, China
| | - Cuicui Meng
- School of Public Health, Jilin University, Changchun, Jilin Province, China
| | - Jianping Lv
- School of Public Health, Jilin University, Changchun, Jilin Province, China
| | - Yueyang Hu
- School of Public Health, Jilin University, Changchun, Jilin Province, China
| | - Junsong Fei
- School of Public Health, Jilin University, Changchun, Jilin Province, China
| | - Leilei Liang
- School of Public Health, Jilin University, Changchun, Jilin Province, China
| | - Jingyang Li
- First Hospital, Jilin University, Changchun, Jilin Province, China
| | - Tongshuang Yuan
- School of Public Health, Jilin University, Changchun, Jilin Province, China
| | - Songli Mei
- School of Public Health, Jilin University, Changchun, Jilin Province, China
| | - Qian Tong
- First Hospital, Jilin University, Changchun, Jilin Province, China
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Hu Y, Sun M, Fei J, Meng C, Yuan T, Lv J, Guo X, Kong Y, Zhang H, Mei S, Wu F. Health-Related Quality of Life Among Chinese Pregnant Women in the Third Trimester Based on Theory of Unpleasant Symptoms: A Complex Network Analysis. Clin Nurs Res 2023; 32:549-559. [PMID: 36633263 DOI: 10.1177/10547738221146052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Abstract
Health-related quality of life (HRQOL) is the result of complex interactions between many different factors. But few studies to date have explored the structure of HRQOL. This study aimed to investigate the complex inter-relationship between HRQOL and influencing factors using network analysis. In all, 624 Chinese pregnant women in third trimester were recruited through recruiting sampling. We used regularized network analysis to create a complex network. The relationship with mother-in-law was the most central node followed by relationship with partner. We found the comorbidity of anxiety and depressive symptoms using network analysis. Physical- and mental-related quality of life were a "bridge node" connecting psychological factors with physiologic factors. The present network analysis highlights the strong link between relationship with mother-in-law or partner and HRQOL, which is also a unique phenomenon under Chinese culture. This analysis provides key variables for future intervention or improvement of pregnant women' HRQOL.
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Affiliation(s)
- Yueyang Hu
- School of Public Health of Jilin University, Changchun, China
| | - Mengzi Sun
- School of Public Health of Jilin University, Changchun, China
| | - Junsong Fei
- School of Public Health of Jilin University, Changchun, China
| | - Cuicui Meng
- School of Public Health of Jilin University, Changchun, China
| | - Tongshuang Yuan
- School of Public Health of Jilin University, Changchun, China
| | - Jianping Lv
- School of Public Health of Jilin University, Changchun, China
| | - Xinmeng Guo
- School of Public Health of Jilin University, Changchun, China
| | - Yixi Kong
- Early Childhood Development Center, Changchun Obstetrics-Gynecology Hospital, Changchun, China
| | - Han Zhang
- School of Education, Linyi University, Shandong Province, China
| | - Songli Mei
- School of Public Health of Jilin University, Changchun, China
| | - Fuju Wu
- The Second Hospital of Jilin University, Changchun, China
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Fei J, Hu Y, Liang L, Meng C, Mei S. Exploring the Impact of Emotional and Cognitive Factors on Anxiety Symptoms of Chinese Adolescents: a Serial Mediation Study. Int J Ment Health Addict 2023:1-15. [PMID: 36688112 PMCID: PMC9838377 DOI: 10.1007/s11469-022-01004-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 12/27/2022] [Indexed: 01/11/2023] Open
Abstract
The onset age of anxiety is decreasing worldwide, yet the majority of the study conducted on anxiety were focused on adult populations. This study aimed to investigate the mediating effect of psychological capital and coping style tendency on the relationship between emotional intelligence and anxiety in Chinese adolescents and provide empirical evidence for research and prevention. A cross-sectional study recruited 5747 participants from 5 randomly selected middle schools in the northeast China. Study results showed that high emotional intelligence (P < 0.05), high level of psychological capital (P < 0.05), and positive coping style tendency (P < 0.05) were correlated to lower level of anxiety symptoms in adolescents. Psychological capital and coping style tendency performed partial and serial mediating effect on the relationship between emotional intelligence and anxiety. Teaching adolescents how to regulate emotions can strengthens their positive mentalities, promotes the use of positive coping strategies, and then attenuates the severity of anxiety symptoms in a nonadditive manner.
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Affiliation(s)
- Junsong Fei
- Department of Social Medicine and Health Management, Jilin University, Changchun, Jilin, 130021 China
| | - Yueyang Hu
- Department of Social Medicine and Health Management, Jilin University, Changchun, Jilin, 130021 China
| | - Leilei Liang
- Department of Social Medicine and Health Management, Jilin University, Changchun, Jilin, 130021 China
| | - Cuicui Meng
- Department of Social Medicine and Health Management, Jilin University, Changchun, Jilin, 130021 China
| | - Songli Mei
- Department of Social Medicine and Health Management, Jilin University, Changchun, Jilin, 130021 China
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Gao T, Mei S, Cao H, Liang L, Zhou C, Meng X. Parental Psychological Aggression and Phubbing in Adolescents: A Moderated Mediation Model. Psychiatry Investig 2022; 19:1012-1020. [PMID: 36588435 PMCID: PMC9806507 DOI: 10.30773/pi.2022.0142] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/29/2022] [Accepted: 09/30/2022] [Indexed: 12/24/2022] Open
Abstract
OBJECTIVE The present study aimed to examine the mediated moderation effect underlying the association between parental psychological aggression and phubbing, as well as the mediating role of anxiety and moderating role of sex and grade. METHODS Based on a cross-sectional study, a total of 758 Chinese junior high school students had completed measures on socio-demographic characteristics, parental psychological aggression, anxiety and phubbing. Structural equation modeling was adopted to examine the mediating effect of anxiety on the association between parental psychological aggression and phubbing. Multigroup analyses were conducted to explore whether the path coefficients differed by sex and grade. RESULTS Mediation analysis indicated that anxiety could mediate the association between parental psychological aggression and phubbing. The indirect effect of parental psychological aggression on phubbing via anxiety was 0.12. Multigroup analyses revealed that the higher mediation effect of anxiety was more likely to be reported by boys and students from grade eight. CONCLUSION Findings of the present study may inform prevention and intervention programs for phubbing in adolescents exposed to parental psychological aggression, by decreasing the anxiety and adopting selective strategies for different sex and grade groups.
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Affiliation(s)
- Tingting Gao
- Center for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China.,NHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan, China.,School of Public Health, Jilin University, Changchun, China.,Department of Psychiatry, Faculty of Medicine and Health Sciences, McGill University, Montreal, Qc, Canada
| | - Songli Mei
- School of Public Health, Jilin University, Changchun, China
| | - Hua Cao
- School of Public Health, Jilin University, Changchun, China
| | - Leilei Liang
- School of Public Health, Jilin University, Changchun, China
| | - Chengchao Zhou
- Center for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China.,NHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan, China
| | - Xiangfei Meng
- Department of Psychiatry, Faculty of Medicine and Health Sciences, McGill University, Montreal, Qc, Canada.,Douglas Research Centre, Montreal, Qc, Canada
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Gao T, Liang L, Li M, Su Y, Mei S, Zhou C, Meng X. Latent transitions across perceived parental marital conflict and family cohesion profiles in high school students. Front Psychol 2022; 13:954825. [DOI: 10.3389/fpsyg.2022.954825] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2022] [Accepted: 10/18/2022] [Indexed: 11/18/2022] Open
Abstract
This study aimed to explore the latent profiles across perceived parental marital conflict and family cohesion, as well as the transition patterns within-person and within-sample profiles over time. We conducted a 1-year follow-up study with a sample of first-year high school students from China. A total of 453 participants were included in the present analysis. We identified the following three latent profiles: high parental conflict and poor family cohesion profile, moderate parental conflict and family cohesion profile, and low parental conflict and good family cohesion profile. Female students and those who not lived with parents together were more likely to perceive more parental marital conflict and less cohesion in the family. The majority of students with high transition probability remained in the same profiles over time. The counts of latent transition pattern also demonstrated that students remaining in the primary profile over time accounted for the large proportion. The present study advances empirical bases for confirming the family system theory’s notion that the family is not static, but dynamic. Findings provide the optimal timing of interventions toward healthy transition.
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Gao T, Liang L, Li M, Su Y, Mei S, Zhou C, Meng X. Changes in the comorbidity patterns of negative emotional symptoms and Internet addiction over time among the first-year senior high school students: A one-year longitudinal study. J Psychiatr Res 2022; 155:137-145. [PMID: 36029625 DOI: 10.1016/j.jpsychires.2022.08.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/21/2022] [Revised: 07/07/2022] [Accepted: 08/16/2022] [Indexed: 10/31/2022]
Abstract
BACKGROUND The comorbidity of psychiatric disorders and Internet addiction (IA) has been widely documented. However, changes and instability of the comorbidity between negative emotional symptoms and IA over time are not fully understood. METHODS A sample of 453 first-year senior high school students completed all measures three times across one-year period and were included in the current study. The sample consisted of 163 (36.0%) males and 290 (64.0%) females. At the baseline, the mean age of the participants was 15.07 ± 0.46 (range: 12-16) years old. Latent class analysis was used to identify the latent class pattern. Multinomial logistic regression analysis was utilized to examine the association between covariates and latent classes at baseline. Latent transition analysis was applied to explore the changes in latent classes of individuals over time. RESULTS Three subgroups of negative emotional symptoms, IA and their comorbidity were identified at all the three time points. Being Internet gamers, high average time of Internet use every day, peer exclusion, verbal and physical bullying experience, and poor self-rated health were found to be significant predictors of the high comorbidity symptom. Students were more likely to remain the same class rather than moving between the latent classes across time. CONCLUSIONS A better understanding of change characteristics in latent classes across time contributes to confirm an appropriate time for intervention targeted on students who converted from low symptom class to the high class.
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Affiliation(s)
- Tingting Gao
- Center for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China; NHC Key Lab of Health Economics and Policy Research, Shandong University, China; School of Public Health, Jilin University, Changchun, Jilin, China; Department of Psychiatry, Faculty of Medicine, McGill University, Montreal, Quebec, Canada; Douglas Mental Health University Institute, Montreal, Quebec, Canada
| | - Leilei Liang
- School of Public Health, Jilin University, Changchun, Jilin, China
| | - Muzi Li
- Department of Psychiatry, Faculty of Medicine, McGill University, Montreal, Quebec, Canada; Douglas Mental Health University Institute, Montreal, Quebec, Canada
| | - Yingying Su
- Department of Psychiatry, Faculty of Medicine, McGill University, Montreal, Quebec, Canada; Douglas Mental Health University Institute, Montreal, Quebec, Canada
| | - Songli Mei
- School of Public Health, Jilin University, Changchun, Jilin, China.
| | - Chengchao Zhou
- Center for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China; NHC Key Lab of Health Economics and Policy Research, Shandong University, China.
| | - Xiangfei Meng
- Department of Psychiatry, Faculty of Medicine, McGill University, Montreal, Quebec, Canada; Douglas Mental Health University Institute, Montreal, Quebec, Canada
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Liang L, Li C, Meng C, Guo X, Lv J, Fei J, Mei S. Psychological distress and internet addiction following the COVID-19 outbreak: Fear of missing out and boredom proneness as mediators. Arch Psychiatr Nurs 2022; 40:8-14. [PMID: 36064250 PMCID: PMC8934433 DOI: 10.1016/j.apnu.2022.03.007] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/30/2021] [Revised: 01/29/2022] [Accepted: 03/13/2022] [Indexed: 02/02/2023]
Abstract
COVID-19 has caused major changes in people's mental health and behavior. This study aimed to investigate whether boredom proneness and fear of missing out acted as mediators between psychological distress and Internet addiction (IA). A cross-sectional survey was conducted in 2020, including 552 youths aged 17-28 years. The recruited participants were asked to complete a series of self-reported questionnaires regarding psychological distress, fear of missing out, boredom proneness and IA. The results indicate that during the COVID-19 pandemic, the reporting rate of IA in young adults was 28.1%, and fear of missing out and boredom proneness played multiple mediation roles in the relationship between psychological distress and IA. Governments and education departments should focus on young people with psychological deficits to prevent them from succumbing to IA.
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Affiliation(s)
- Leilei Liang
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, No.1163 Xinmin Street, Changchun, Jilin Province 130021, China
| | - Chuanen Li
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, No.1163 Xinmin Street, Changchun, Jilin Province 130021, China
| | - Cuicui Meng
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, No.1163 Xinmin Street, Changchun, Jilin Province 130021, China
| | - Xinmeng Guo
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, No.1163 Xinmin Street, Changchun, Jilin Province 130021, China
| | - Jianping Lv
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, No.1163 Xinmin Street, Changchun, Jilin Province 130021, China
| | - Junsong Fei
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, No.1163 Xinmin Street, Changchun, Jilin Province 130021, China
| | - Songli Mei
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, No.1163 Xinmin Street, Changchun, Jilin Province 130021, China.
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15
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Liang L, Yuan T, Guo X, Meng C, Lv J, Fei J, Mei S. The path of depression among frontline nurses during COVID-19 pandemic: A fuzzy-set qualitative comparative analysis. Int J Ment Health Nurs 2022; 31:1239-1248. [PMID: 35727700 PMCID: PMC9350022 DOI: 10.1111/inm.13033] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 05/22/2022] [Indexed: 12/23/2022]
Abstract
This study aimed to explore the combination of different conditional variables that led to depressive symptoms among frontline nurses who were fought against COVID-19 during the outbreak in Wuhan City, Hubei Province of China. The study was conducted in August 2020, which included 331 frontline clinical nurses who supported Wuhan's fight against COVID-19. The age range was 21-57 years and included 315 female nurses and 16 male nurses. This study used the fuzzy-set qualitative comparative analysis research method to explore the path of depression among frontline nurses. This study generated nine different configurations for the path of depression among frontline nurses, and had a detailed demonstration for each configuration. Each configuration distinguishes the different effects of influencing factors. For example, in the first configuration, gender, sleep disorder and PTSD exist as core conditions, while social support exists as a core condition lack. This study was presented results which was different what linear regression model reports. It takes into consideration the combined effect of each conditional variable on the development of depression. Nurse managers should pay attention to the combination of multiple influencing factors, instead of focus on single factors.
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Affiliation(s)
- Leilei Liang
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Tongshuang Yuan
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Xinmeng Guo
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Cuicui Meng
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Jianping Lv
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Junsong Fei
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Songli Mei
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
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16
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Wang W, Mei S. Career Outcome Expectations of Chinese Medical Students: A Short‐Term Longitudinal Study
1. Jpn Psychol Res 2022. [DOI: 10.1111/jpr.12438] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- Wei Wang
- Changchun University of Chinese Medicine
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17
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Gao T, Mei S, Li M, Arcy CD, Meng X. Roles of Psychological Distress and Social Support in the Relationship Between Childhood Maltreatment and Perceived Needs for Mental Health Care. J Interpers Violence 2022; 37:NP14089-NP14116. [PMID: 33858262 DOI: 10.1177/08862605211006368] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Childhood maltreatment is a major public health issue worldwide. It increases a range of health-risk behaviors, psychological and physical problems, which are associated with an increased need for mental health services in adulthood. Identification of mediating factors in the relationship between maltreatment and seeking mental health care may help attenuate the negative consequences of childhood maltreatment and promote more appropriate treatment. This study aims to examine whether the relationship between childhood maltreatment and perceived need for mental health care is mediated by psychological distress and/or moderated by social support. Data from the Canadian Community Health Survey-Mental Health 2012 are analyzed. A total of 8,993 participants, who had complete information on childhood maltreatment and diagnoses of mental disorders or psychological distress, are included in this study. Structural equation modeling and the PROCESS macro were used to identify relationships among childhood maltreatment, perceived needs for mental health care, and psychological distress. Hierarchical linear regression was then used to verify the moderated mediation model. We found that psychological distress partially mediated the effect of childhood maltreatment on perceived needs for mental health care in adulthood. Social support played an important role in terms of moderating the relationship between maltreatment and perceived needs for care. For those with a history of childhood maltreatment, those who perceived a low level of social support were more likely to have higher levels of psychological distress and perceived need for mental health care. This is the first study to identify the separate and combined roles of psychological distress and social support in the relationship between childhood maltreatment and perceived need for mental health care. Selective prevention strategies should focus on social support to improve mental health services among people with a history of childhood maltreatment.
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Affiliation(s)
- Tingting Gao
- Jilin University, Changchun, China
- McGill University, Montreal, Canada
- Douglas Mental Health University Institute, Montreal, Canada
- Shandong University, Jinan, China
| | | | - Muzi Li
- McGill University, Montreal, Canada
- Douglas Mental Health University Institute, Montreal, Canada
| | | | - Xiangfei Meng
- McGill University, Montreal, Canada
- Douglas Mental Health University Institute, Montreal, Canada
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18
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Hu Y, Gao T, Cao R, Ren H, Qin Z, Li C, Liang L, Meng C, Guo X, Lv J, Mei S. Relationship of night sleep duration with health lifestyle, depressive symptoms, internet addiction in Chinese High school Students. Sleep Biol Rhythms 2022; 20:381-390. [PMID: 38469420 PMCID: PMC10899922 DOI: 10.1007/s41105-022-00382-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2020] [Accepted: 02/20/2022] [Indexed: 10/18/2022]
Abstract
This study aimed to explore effects of night sleep duration and its relationships with health lifestyle, depressive symptoms and Internet addiction among high school students. In this study, we used multistage stratified random cluster sampling method. A total of 2149 adolescents aged 14-18 years old were recruited in the study. Associations among sleep duration and demographic characteristics, health lifestyle, depressive symptoms and Internet addiction among Chinese students were analyzed by univariate analysis and binary logistic regression analysis. Then, the structural equation model (SEM) was used to study the relationships between sleep duration and other variables. The mean sleep duration was (6.56 ± 1.15) hours. Approximately 16.0% of all participants had short sleep duration, and 20.5% had long sleep duration. Binary logistic regression analysis revealed that having more high sugar drinks and fried foods were positively associated with short sleep duration. Depressive symptoms not only directly had a negatively impact on sleep duration, but also had an indirect effect on sleep duration through Internet addiction. Sleep problems are common within the population of adolescents. Depressive symptoms was an important factor in the prevention of abnormal sleep duration, and interventions that target Internet addiction is key to reduce inadequate sleep.
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Affiliation(s)
- Yueyang Hu
- Jilin University School of Public Health, Changchun, China
| | - Tingting Gao
- Jilin University School of Public Health, Changchun, China
| | - Ruilin Cao
- Jilin University School of Public Health, Changchun, China
| | - Hui Ren
- Jilin University School of Public Health, Changchun, China
| | - Zeying Qin
- Jilin University School of Public Health, Changchun, China
| | - Chuanen Li
- Jilin University School of Public Health, Changchun, China
| | - Leilei Liang
- Jilin University School of Public Health, Changchun, China
| | - Cuicui Meng
- Jilin University School of Public Health, Changchun, China
| | - Xinmeng Guo
- Jilin University School of Public Health, Changchun, China
| | - Jianping Lv
- Jilin University School of Public Health, Changchun, China
| | - Songli Mei
- Jilin University School of Public Health, Changchun, China
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Li L, Niu Z, Griffiths MD, Mei S. The Smartphone Addiction Scale: Psychometric Properties, Invariance, Network Perspective, and Latent Profile Analysis Among a Sample of Chinese University Students. Int J Ment Health Addict 2022. [DOI: 10.1007/s11469-022-00857-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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20
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Lv J, Ren H, Guo X, Meng C, Fei J, Mei H, Mei S. Nomogram predicting bullying victimization in adolescents. J Affect Disord 2022; 303:264-272. [PMID: 35176341 DOI: 10.1016/j.jad.2022.02.037] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/18/2021] [Revised: 01/10/2022] [Accepted: 02/13/2022] [Indexed: 10/19/2022]
Abstract
OBJECTIVE The purpose of this study was to construct a cross-sectional study to predict the risk of bullying victimization among adolescents. METHODS The study recruited 17,365 Chinese adolescents using stratified random cluster sampling method. The classical regression methods (logistic regression and Lasso regression) and machine learning model were combined to identify the most significant predictors of bullying victimization. Nomogram was built based on multivariable logistic regression model. The discrimination, calibration and generalization of nomogram were evaluated by the receiver operating characteristic curves (ROC), the calibration curve and a high-quality external validation. RESULTS Grade, gender, peer violence, family violence, body mass index, family structure, depressive symptoms and Internet addiction, recognized as the best combination, were included in the multivariable regression. The nomogram established based on the non-overfitting multivariable model was verified by internal validation (Area Under Curve: 0.749) and external validation (Area Under Curve: 0.755), showing decent prediction of discrimination, calibration and generalization. CONCLUSION Comprehensive nomogram constructed in this study was a useful and convenient tool to evaluate the risk of bullying victimization of adolescents. It is helpful for health-care professionals to assess the risk of bullying victimization among adolescents, and to identify high-risk groups and take more effective preventive measures.
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Affiliation(s)
- Jianping Lv
- Department of Social Medicine and Health Management, School of Public Health of Jilin University, No. 1163 Xinmin Street, Changchun 130021, China
| | - Hui Ren
- the First Hospital of Jilin University, Changchun 130021, China
| | - Xinmeng Guo
- Department of Social Medicine and Health Management, School of Public Health of Jilin University, No. 1163 Xinmin Street, Changchun 130021, China
| | - Cuicui Meng
- Department of Social Medicine and Health Management, School of Public Health of Jilin University, No. 1163 Xinmin Street, Changchun 130021, China
| | - Junsong Fei
- Department of Social Medicine and Health Management, School of Public Health of Jilin University, No. 1163 Xinmin Street, Changchun 130021, China
| | - Hechen Mei
- School of Foreign Language Education of Jilin University, Changchun 130021, China
| | - Songli Mei
- Department of Social Medicine and Health Management, School of Public Health of Jilin University, No. 1163 Xinmin Street, Changchun 130021, China.
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Wang W, Mei S. Effect of Psychological Intervention on Perceived Stress and Positive Psychological Traits Among Nursing Students: Findings During the COVID-19 Pandemic. J Psychosoc Nurs Ment Health Serv 2022; 60:39-48. [PMID: 35412878 DOI: 10.3928/02793695-20220325-03] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
High levels of perceived stress and deterioration of positive psychological traits concomitant with the coronavirus disease 2019 pandemic have endangered the health and academic achievement of nursing students. Effective intervention research in this area should be performed as soon as possible. In the current study, a 15-month trial involving nursing students recruited from a medical university was conducted, in which an experimental group (n = 126) received the Three Good Things exercise based on social network groups. Two follow ups were performed. There was no intervention in the control group. During the intervention period, there were significant differences in perceived stress, self-efficacy, resilience, and optimism between the two groups (p < 0.05). Perceived stress in the experimental group was significantly reduced throughout the follow-up period (p < 0.001). Postintervention analysis of optimism showed maintenance of the improvement trend over a 3-month period (p < 0.01). There was no significant difference in hope between groups. The Three Good Things exercise had a short-term effect on decreasing perceived stress and increasing optimism among nursing students. [Journal of Psychosocial Nursing and Mental Health Services, xx(xx), xx-xx.].
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22
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Mei S, Meng C, Hu Y, Guo X, Lv J, Qin Z, Liang L, Li C, Fei J, Cao R, Hu Y. Relationships Between Depressive Symptoms, Interpersonal Sensitivity and Social Support of Employees Before and During the COVID-19 Epidemic: A Cross-lag Study. Front Psychol 2022; 13:742381. [PMID: 35345636 PMCID: PMC8957086 DOI: 10.3389/fpsyg.2022.742381] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2021] [Accepted: 02/01/2022] [Indexed: 11/13/2022] Open
Abstract
This study examined the correlation between depressive symptoms, interpersonal sensitivity, and social support before and during the COVID-19 pandemic and verified causal relationships among them. The study used Social Support Scale and Symptom Self-Rating Scale to investigate relevant variables. A total of 1,414 employees from company were recruited for this longitudinal study, which a follow up study was conducted on the same group of participants 1 year later. Paired sample t-test results showed that significant differences were only found in social support, not in depressive symptoms or interpersonal sensitivity. The results of correlation analysis showed that social support, depressive symptoms, and interpersonal sensitivity were significantly correlated between wave 1 and wave 2. The cross-lag autoregressive pathway showed that employees’ social support level, depressive symptoms, and interpersonal sensitivity all showed moderate stability. Crossing paths showed that wave 1 social support could significantly predict wave 2 depressive symptoms (β = −0.21, p < 0.001) and wave 2 interpersonal sensitivity (β = −0.21, p < 0.001). Wave 1 depressive symptoms (β = −0.10, p < 0.01) could significantly predict wave 2 social support, while wave 1 interpersonal sensitivity (β = 0.07, p = 0.10) could not predict wave 2 social support. Social support can be considered as a protective factor against mental health problems.
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Affiliation(s)
- Songli Mei
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Cuicui Meng
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Yueyang Hu
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Xinmeng Guo
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Jianping Lv
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Zeying Qin
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Leilei Liang
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Chuanen Li
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Junsong Fei
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Ruilin Cao
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Yuanchao Hu
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
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Mei S, Lv J, Ren H, Guo X, Meng C, Fei J, Yuan T, Yue J, Gao R, Song Q, Zhao X, Ao Y, Li Y. Lifestyle Behaviors and Depressive Symptoms in Chinese Adolescents Using Regression and fsQCA Models. Front Public Health 2022; 10:825176. [PMID: 35392470 PMCID: PMC8980354 DOI: 10.3389/fpubh.2022.825176] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2021] [Accepted: 02/14/2022] [Indexed: 11/13/2022] Open
Abstract
The study was to compare the performance of the regression models and fuzzy set qualitative comparative analysis (fsQCA) models in analyzing the possible effects of sociodemographic variables (age and sex) and lifestyle behaviors (physical activity, sedentary time, sleep duration, physical education class and screen time) on depressive symptoms in adolescents. This cross-sectional surgery was conducted among 726 adolescents in Jilin Province of China, selected by random cluster sampling. The regression model showed that age, physical education (PE) class and sleep duration were associated with depressive symptoms. Meanwhile, the fsQCA models showed that shorter physical activity, PE class and sleep duration as well as longer sedentary and screen time were related to higher levels of depressive symptoms. Both regression and fsQCA models indicated that promoting lifestyle behaviors could affect depressive symptoms. Considering the differences between the two methods, they are not superior to the other method, but complementary and should be used in other studies at the same time.
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Affiliation(s)
- Songli Mei
- Department of Social Medicine and Health Management, School of Public Health of Jilin University, Changchun, China
| | - Jianping Lv
- Department of Social Medicine and Health Management, School of Public Health of Jilin University, Changchun, China
| | - Hui Ren
- Nursing Department, The First Hospital of Jilin University, Changchun, China
| | - Xinmeng Guo
- Department of Social Medicine and Health Management, School of Public Health of Jilin University, Changchun, China
| | - Cuicui Meng
- Department of Social Medicine and Health Management, School of Public Health of Jilin University, Changchun, China
| | - Junsong Fei
- Department of Social Medicine and Health Management, School of Public Health of Jilin University, Changchun, China
| | - Tongshuang Yuan
- Department of Social Medicine and Health Management, School of Public Health of Jilin University, Changchun, China
| | - Jingyi Yue
- Department of Social Medicine and Health Management, School of Public Health of Jilin University, Changchun, China
| | - Ren Gao
- Department of Social Medicine and Health Management, School of Public Health of Jilin University, Changchun, China
| | - Qianqian Song
- Department of Social Medicine and Health Management, School of Public Health of Jilin University, Changchun, China
| | - Xixi Zhao
- Department of Social Medicine and Health Management, School of Public Health of Jilin University, Changchun, China
| | - Yu Ao
- Department of Pediatric Intensive Care Unit, The First Hospital of Jilin University, Changchun, China
- *Correspondence: Yu Ao
| | - Yumei Li
- Department of Pediatric Intensive Care Unit, The First Hospital of Jilin University, Changchun, China
- Yumei Li
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Li L, Niu Z, Mei S, Griffiths MD. A network analysis approach to the relationship between fear of missing out (FoMO), smartphone addiction, and social networking site use among a sample of Chinese university students. Computers in Human Behavior 2022. [DOI: 10.1016/j.chb.2021.107086] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
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Cao R, Gao T, Ren H, Hu Y, Qin Z, Liang L, Li C, Mei S. Unique and cumulative effects of lifestyle-related behaviors on depressive symptoms among Chinese adolescents. Int J Soc Psychiatry 2022; 68:354-364. [PMID: 33622084 DOI: 10.1177/0020764021996739] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND It is well known that some lifestyle-related behaviors are related to depressive symptoms, but the unique and cumulative effects of lifestyle-related behaviors on depressive symptoms among Chinese adolescents are still controversial. AIMS The aims of this study were to examine the unique and cumulative effects of lifestyle-related behaviors on depressive symptoms among Chinese adolescents, and explored the potential influences of gender difference on these associations. METHODS We conducted a cross-sectional study among 3967 Chinese adolescents aged 11 to 19 from Jilin, China during September and October of 2018. Students reported their lifestyle factors including sleep duration, time spent on computer, time spent on television, time spent on homework, eating breakfast, smoking, drinking, physical activity, and outdoor activity. Depressive symptoms were measured using the Center for Epidemiologic Studies Depression Scale (CES-D). RESULTS The prevalence of depressive symptoms was 28.2% among Chinese adolescents. Multivariate logistic regression analysis revealed that sleep duration <8 hour/day, time spent on homework ⩾3 hour/day, skipping breakfast, alcohol use, physical activity <3 days/week, and outdoor activity <2 hour/day were positively associated with depressive symptoms in both girls and boys. Time spent on computer ⩾2 hour/day was an independent risk predictor for depressive symptoms in males, while smoking only showed higher risk of depressive symptoms in females. There was an additive relationship between the lifestyle risk index scores and the risk of depressive symptoms for both genders, the relationship being strongest among females. CONCLUSION The important role of lifestyle factors should be taking into consideration when create intervention programs to prevent and reduce depressive symptoms among adolescents. In addition, preventive interventions may need to focus on gender-informed approaches when targeting multiple lifestyle factors.
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Affiliation(s)
- Ruilin Cao
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Tingting Gao
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Hui Ren
- Department of Gastrointestinal Colorectal and Anal Surgery, The First Hospital of Jilin University, Changchun, China
| | - Yueyang Hu
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Zeying Qin
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Leilei Liang
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Chuanen Li
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Songli Mei
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
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Yuan T, Liang L, Ren H, Hu Y, Qin Z, Fei J, Cao R, Li C, Mei S. Age moderates the effect of work-family conflict on life satisfaction among Chinese female employees: A propensity score matching method. Personality and Individual Differences 2022. [DOI: 10.1016/j.paid.2021.111279] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
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27
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Mei S, Hu Y, Wu X, Cao R, Kong Y, Zhang L, Lin X, liu Q, Hu Y, Li L. Health Risks of Mobile Phone Addiction Among College Students in China. Int J Ment Health Addict 2022. [DOI: 10.1007/s11469-021-00744-3] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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28
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Qin Z, Liu C, Guo X, Meng C, Gao J, Lv J, Hu Y, Yuan T, Liang L, Li C, Fei J, Zou L, Zhang H, Mei S. The influence of subjective well-being on mental health in nursing students: the role of student cynicism. PSYCHOL HEALTH MED 2022; 28:1358-1367. [PMID: 35016579 DOI: 10.1080/13548506.2021.2019807] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
Previous studies have reported high rates of poor mental health among nursing students, but few studies focused on the internal pathway of mental health. This cross-sectional study was conducted at a vocational medical school and investigated 384 nursing students. Symptom Check List-90, Index of Well-Being Scale and Cynical Attitudes Toward College Scale were used to test mental health, subjective well-being (SWB) and cynicism of nursing students, respectively. Academic cynicism, social cynicism and institutional cynicism were negatively related to mental health. SWB not only directly had positive effect on mental health, but had an indirect effect on mental health through academic cynicism, social cynicism and institutional cynicism.
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Affiliation(s)
- Zeying Qin
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Chunping Liu
- Health Development Research Center, National Health Commission, Beijing, China
| | - Xinmeng Guo
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Cuicui Meng
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Jinglei Gao
- Health Development Research Center, National Health Commission, Beijing, China
| | - Jianping Lv
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Yueyang Hu
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Tongshuang Yuan
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Leilei Liang
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Chuanen Li
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Junsong Fei
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Lianyu Zou
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Huiying Zhang
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Songli Mei
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
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Gao T, Mei S, Li M, O'Donnell K, Caron J, Meng X. Impulsivity mediates the relationship between childhood maltreatment and quality of life: Does social support make it different? Personality and Individual Differences 2022. [DOI: 10.1016/j.paid.2021.111208] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
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Li L, Niu Z, Griffiths MD, Mei S. Relationship Between Gaming Disorder, Self-Compensation Motivation, Game Flow, Time Spent Gaming, and Fear of Missing Out Among a Sample of Chinese University Students: A Network Analysis. Front Psychiatry 2021; 12:761519. [PMID: 34790137 PMCID: PMC8591052 DOI: 10.3389/fpsyt.2021.761519] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/20/2021] [Accepted: 10/05/2021] [Indexed: 11/13/2022] Open
Abstract
Background and Aims: In previous correlational research, the relationship between gaming disorder (GD), compensation motivation, game flow, time spent gaming, and fear of missing out (FoMO) has been examined. However, network analysis has rarely been applied to explore the relationship between GD, self-compensation motivation, game flow, time spent gaming, and FoMO. Therefore, the present study used network analysis to examine the relationship between the aforementioned variables among a sample of gamers. Methods: The present study comprised gamers (N = 1,635) recruited from three Chinese universities, who completed an online survey including the Gaming Disorder Test, Self-Compensation Motivation Questionnaire, Game Flow Questionnaire, and Trait-State Fear of Missing Out Scale, as well as four items related to time spent gaming. Results: Self-compensation motivation, game flow, time spent gaming, and FoMO were all significantly and positively associated with GD. In the domain-level and facet-level networks, weekday gaming hours and weekend gaming hours had the strongest edge intensity. The domain-level, facet-level, and item-level networks analysis also showed that GD was connected with self-compensation motivation, game flow, time spent gaming, and FoMO. The network structure demonstrated a significant difference between males and females (2.33 vs. 2.81, p = 0.001) using the domain-level network comparison test (NCT). Conclusions: The results suggest that GD is closely associated with self-compensation motivation, game flow, time spent gaming, and FoMO. FoMO and gaming motivation (i.e., self-compensation and game flow) may increase time spent gaming and facilitate GD. Therefore, interventions that decrease game immersion and time spent gaming are likely to decrease GD.
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Affiliation(s)
- Li Li
- School of Humanities and Social Sciences, Gannan Medical University, Ganzhou, China
| | - Zhimin Niu
- School of Humanities and Social Sciences, Gannan Medical University, Ganzhou, China
| | - Mark D. Griffiths
- International Gaming Research Unit, Psychology Department, Nottingham Trent University, Nottingham, United Kingdom
| | - Songli Mei
- School of Public Health, Jilin University, Changchun, China
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Hu Y, Xu Q, Shi J, Lin X, Fei J, Hu Y, Mei S, Wu X. Poor Uncorrected Visual Acuity and Association With Sleep Duration and Screen Time: A Dose-Response Relationship Study. Dose Response 2021; 19:15593258211042161. [PMID: 34658684 PMCID: PMC8511927 DOI: 10.1177/15593258211042161] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2021] [Accepted: 08/05/2021] [Indexed: 11/25/2022] Open
Abstract
Background We aimed to investigate the prevalence of poor uncorrected visual acuity and
the difference among students with different ages and residential areas in
the Northeast of China. The relationships between screen time, nighttime
sleep duration, and poor uncorrected visual acuity would be explored. Methods It was a cross-sectional study using multi-stage stratified random sampling
method to recruit participants. 2149 students have completed questionnaires
and underwent visual acuity examinations. The dose–response curve method was
applied to examine the non-linear associations between sleep duration and
poor uncorrected visual acuity under different screen time subgroups. Results The overall prevalence of poor uncorrected visual acuity and severe poor
uncorrected visual acuity was 84.7% and 63.3%, respectively. The
dose–response curve showed the odds ratios (ORs) of sleep duration for the
poor uncorrected visual increased relatively slowly when screen time
<1 hour, then increased dramatically in screen time ≥1 hours. The ORs of
sleep time and poor uncorrected visual acuity showed a U-shaped change trend
among students with 2 or more hours of screen time every day. Conclusion We found associations between nighttime sleep duration and poor uncorrected
visual acuity in adolescents. However, these associations were not
consistent across all screen time categories.
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Affiliation(s)
- Yueyang Hu
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Qiaoyi Xu
- School of Public Health, Fudan University, Shanghai, China
| | - Jikang Shi
- Department of Epidemiology and Health Statistics, School of Public Health, Jilin University, Changchun, China
| | - Xinli Lin
- Department of Women and Children Health, School of Public Health, Jilin University, Changchun, China
| | - Junsong Fei
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Yuanchao Hu
- Department of Women and Children Health, School of Public Health, Jilin University, Changchun, China
| | - Songli Mei
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Xiaogang Wu
- Department of School Health, Center for Disease Control and Prevention in Jilin Province, Changchun, China
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Mei S, Yuan T, Liang L, Ren H, Hu Y, Qin Z, Fei J, Cao R, Li C, Hu Y. Effect of family stress on life satisfaction among female workers during the COVID-19 epidemic in China: Exploring the roles of anxiety symptoms and age. J Health Psychol 2021; 27:1484-1497. [PMID: 34658282 DOI: 10.1177/13591053211044824] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023] Open
Abstract
The study aimed to investigate the level of life satisfaction (LS) among Chinese female workers after resuming work during the COVID-19 epidemic, and to further explore the potential mediating and moderating roles in the association between family stress and LS. Self-reported questionnaires were completed by 10,175 participants. Results showed that the level of LS decreased. The family stress had a negative effect on LS, and the effect was mediated by anxiety symptoms. Additionally, age moderated the direct and indirect effects within this relationship. Interventions aiming to improve LS should consider these aspects and younger workers should be given special attention.
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Affiliation(s)
| | | | | | - Hui Ren
- Jilin University, Jilin Province, China.,The First Hospital of Jilin University, Changchun, China
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33
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Niu Z, Li L, Li H, Mei S, Jiang H, Deng Z, Xin J. Latent Profile Analysis of Perceptions and Attitudes Towards COVID-19 in a Sample of Chinese People. Front Public Health 2021; 9:727242. [PMID: 34646804 PMCID: PMC8502915 DOI: 10.3389/fpubh.2021.727242] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2021] [Accepted: 08/31/2021] [Indexed: 12/24/2022] Open
Abstract
Background: The novel coronavirus-2019 (COVID-19) disease has spread quickly throughout China and around the world, endangering human health and life. Individuals' perceptions and attitudes as well as related health education measures may affect disease progression and prognosis during the COVID-19 outbreak. To promote and implement health education, research must focus on the perceptions and attitudes towards COVID-19 among Chinese people. The present study aimed to examine the profiles and predictive factors of the perceptions and attitudes towards COVID-19 in a sample of Chinese people. Methods: A sample of 2,663 Chinese people comprising medical staff and members of the general public completed an online survey on Wenjuanxing. The survey measured demographic variables (e.g., gender, age, education level, and place of residence) and perceptions and attitudes towards COVID-19. Results: Two profiles of perceptions and attitudes towards COVID-19 (positive and negative perceptions and attitudes) were identified in the sample. Place of residence during the COVID-19 pandemic and first response to COVID-19 were found to be independent predictive factors for COVID-19 related perceptions and attitudes. Conclusion: In addition to drug therapy and mental health services, the perceptions and attitudes of Chinese people towards COVID-19 should be considered when promoting health education during the COVID-19 pandemic.
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Affiliation(s)
- Zhimin Niu
- School of Humanities and Social Sciences, Gannan Medical University, Ganzhou, China
| | - Li Li
- School of Humanities and Social Sciences, Gannan Medical University, Ganzhou, China
| | - Hongying Li
- The First Affiliated Hospital, Soochow University, Suzhou, China
| | - Songli Mei
- School of Public Health, Jilin University, Changchun, China
| | - Hui Jiang
- Zhangzhou Affiliated Hospital of Fujian Medical University, Zhangzhou, China
| | - Zhiyong Deng
- First People Hospital of Kunshan, Kunshan, China
| | - Jun Xin
- Suzhou Municipal Party School, Suzhou, China
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34
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Li L, Niu Z, Li H, Griffiths MD, Mei S, Jiang H, Deng Z, Xin J. Latent profile analysis of mental health among Chinese healthcare staff during the COVID-19 pandemic. PSYCHOL HEALTH MED 2021; 27:1963-1976. [PMID: 34619996 DOI: 10.1080/13548506.2021.1990364] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
The mental health of individuals has become increasingly important during the novel coronavirus-2019 (COVID-19) pandemic. Given the number of healthcare staff that are helping to treat the victims of COVID-19 all over the world, there is a lack of research concerning the mental health of healthcare staff, and of the prior studies carried out, the research has been relatively descriptive and has not used more sophisticated types of analyses (e.g. latent profile analysis [LPA]). The aim of the present study was to investigate profiles of mental health among Chinese healthcare staff during the COVID-19 pandemic. The sample comprised of 456 healthcare staff, and participants completed an online survey including individual information and their working status during the COVID-19 pandemic. The survey included the Chinese Mental Health Scale (MHS-C), Self-Rating Anxiety Scale (SAS), and Self-Rating Depression Scale (SDS). Utilizing the LPA, two profiles of mental health (good mental health and poor mental health) were identified for Chinese healthcare staff during the COVID-19 pandemic. Compared to those with a good mental health profile, those with poor mental health profile had significantly higher scores on SAS and SDS. Female healthcare staff had higher mental health disturbances than males. Taking care and protecting the mental health of healthcare staff is very important in the fight against COVID-19. The need for employers to implement positive and effective measures among mental healthcare staff is likely to help them to cope better with mental health issues and improve mental health, as well as enhance resilience. Healthcare staff with good mental health can dedicate themselves to better nursing practice and nursing education during the COVID-19 epidemic.
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Affiliation(s)
- Li Li
- School of Humanities and Social Sciences, Gannan Medical University, Ganzhou, China
| | - Zhimin Niu
- School of Humanities and Social Sciences, Gannan Medical University, Ganzhou, China
| | - Hongying Li
- The First Affiliated Hospital, Soochow University, Suzhou, China
| | - Mark D Griffiths
- International Gaming Research Unit, Nottingham Trent University, Nottingham, UK
| | - Songli Mei
- School of Public Health, Jilin University, Changchun, China
| | - Hui Jiang
- Zhangzhou Affiliated Hospital, Fujian Medical University, Zhangzhou, China
| | - Zhiyong Deng
- Department of Science and Technology Administration, First People Hospital of Kunshan, Kunshan, China
| | - Jun Xin
- Department of Law and Culture, Suzhou Municipal Party School, Suzhou, China
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35
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Mei S, Liang L, Ren H, Hu Y, Qin Z, Cao R, Li C, Fei J, Yuan T, Meng C, Guo X, Lv J, Hu Y. Association Between Perceived Stress and Post-Traumatic Stress Disorder Among Medical Staff During the COVID-19 Epidemic in Wuhan City. Front Public Health 2021; 9:666460. [PMID: 34395359 PMCID: PMC8356076 DOI: 10.3389/fpubh.2021.666460] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2021] [Accepted: 05/21/2021] [Indexed: 12/23/2022] Open
Abstract
Objective: The study aimed to examine the relationship between perceived stress and post-traumatic stress disorder (PTSD) among frontline medical staff during the lockdown in Wuhan city, China, due to the COVID-19 outbreak. Methods: The study was conducted in August 2020, which included 516 medical staff between 21 to 65 years. The PTSD Checklist-Civilian, Perceived Stress Scale, Insomnia Severity Index, and Compassion Fatigue Short Scale were used. Results: The results indicated that 10.5% of the medical staff experienced PTSD symptoms, and insomnia severity mediated the effect of perceived stress on PTSD. In addition, compassion fatigue moderated the association between perceived stress and PTSD. Conclusion: The study elucidated the mechanisms underlying the association between perceived stress and PTSD. Moreover, it emphasized the importance of long-term monitoring of the mental health status of frontline medical staff who supported Wuhan. The results can serve as reference for relevant medical and health departments to formulate active interventions and preventive measures against PTSD for unsung heroes who put their lives on the line during difficult times.
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Affiliation(s)
- Songli Mei
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Leilei Liang
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Hui Ren
- The First Hospital of Jilin University, Changchun, China
| | - Yueyang Hu
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Zeying Qin
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Ruilin Cao
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Chuanen Li
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Junsong Fei
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Tongshuang Yuan
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Cuicui Meng
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Xinmeng Guo
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Jianping Lv
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Yuanchao Hu
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
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Qin Z, Mei S, Gao T, Liang L, Li C, Hu Y, Guo X, Meng C, Lv J, Yuan T, Fei J, Tong Q, Yang Y. Self-Esteem as a Mediator between Life Satisfaction and Depression among Cardiovascular Disease Patients. Clin Nurs Res 2021; 31:115-121. [PMID: 34259087 DOI: 10.1177/10547738211030002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
This study explores the association between life satisfaction and depression among patients with cardiovascular diseases and whether this association is mediated by self-esteem. A cross-sectional study was conducted in a third-grade hospital. We examined 300 patients with cardiovascular diseases with a mean age of 62.00 years (females, 133). Life satisfaction was associated with depression. Adding self-esteem to the model weakened the strength of the association between the two. Moreover, 34.2% of the effect of life satisfaction on depression could be explained by self-esteem. We found that self-esteem could totally explain the effect of life satisfaction on depression among patients with cardiovascular diseases.
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37
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Qin Y, Liu Y, Jiang Y, Mei S, Liu Y, Feng J, Guo L, Du J, Graves DT, Liu Y. Cigarette Smoke Exposure Inhibits Osteoclast Apoptosis via the mtROS Pathway. J Dent Res 2021; 100:1378-1386. [PMID: 33978516 PMCID: PMC8723169 DOI: 10.1177/00220345211009471] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
It is widely known that smoking is a risk factor for bone loss and plays a key role in osteopenia. Despite this well-known association, the mechanisms by which smoking affects bone have not been definitively established. Since smoking increases bone loss and potentially affects bone resorption in response to mechanical force, we investigated the impact of cigarette smoke on osteoclast numbers and underlying mechanisms in a mouse model of orthodontic tooth movement (OTM). The experimental group was exposed to once-daily cigarette smoke while the control group was not, and tooth movement distance and osteoclast numbers were assessed. In addition, the effect of cigarette smoke extract (CSE) on osteoclast precursor proliferation and osteoclast apoptosis was assessed in vitro. We found that cigarette smoke exposure enhanced bone remodeling stimulated by mechanical force and increased osteoclast numbers in vivo. Also, CSE increased the number of osteoclasts by inhibiting osteoclast apoptosis via the mitochondrial reactive oxygen species/cytochrome C/caspase 3 pathway in vitro. Moreover, exposure of mice to cigarette smoke affected bone marrow cells, leading to increased formation of osteoclasts in vitro. This study identifies a previously unknown mechanism of how smoking has a detrimental impact on bone.
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Affiliation(s)
- Y Qin
- Laboratory of Tissue Regeneration and Immunology and Department of Periodontics, Beijing Key Laboratory of Tooth Regeneration and Function Reconstruction, School of Stomatology, Capital Medical University, Beijing, China
| | - Y Liu
- Laboratory of Tissue Regeneration and Immunology and Department of Periodontics, Beijing Key Laboratory of Tooth Regeneration and Function Reconstruction, School of Stomatology, Capital Medical University, Beijing, China
| | - Y Jiang
- Laboratory of Tissue Regeneration and Immunology and Department of Periodontics, Beijing Key Laboratory of Tooth Regeneration and Function Reconstruction, School of Stomatology, Capital Medical University, Beijing, China
| | - S Mei
- Department of Stomatology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
| | - Y Liu
- Laboratory of Tissue Regeneration and Immunology and Department of Periodontics, Beijing Key Laboratory of Tooth Regeneration and Function Reconstruction, School of Stomatology, Capital Medical University, Beijing, China
| | - J Feng
- Laboratory of Tissue Regeneration and Immunology and Department of Periodontics, Beijing Key Laboratory of Tooth Regeneration and Function Reconstruction, School of Stomatology, Capital Medical University, Beijing, China
| | - L Guo
- Department of Orthodontics School of Stomatology, Capital Medical University, Beijing, China
| | - J Du
- Laboratory of Tissue Regeneration and Immunology and Department of Periodontics, Beijing Key Laboratory of Tooth Regeneration and Function Reconstruction, School of Stomatology, Capital Medical University, Beijing, China
| | - D T Graves
- Department of Periodontics, School of Dental Medicine, University of Pennsylvania, Philadelphia, PA, USA
| | - Y Liu
- Laboratory of Tissue Regeneration and Immunology and Department of Periodontics, Beijing Key Laboratory of Tooth Regeneration and Function Reconstruction, School of Stomatology, Capital Medical University, Beijing, China
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Gao T, Qin Z, Hu Y, Fei J, Cao R, Liang L, Li C, Mei S, Meng X. Trajectories of depression and anxiety in Chinese high school freshmen: Associations with Internet addiction. J Affect Disord 2021; 286:180-186. [PMID: 33730662 DOI: 10.1016/j.jad.2021.02.074] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/04/2020] [Revised: 01/21/2021] [Accepted: 02/28/2021] [Indexed: 10/22/2022]
Abstract
BACKGROUND Most previous studies focused on the associations of depression and anxiety with Internet addiction (IA) have used variable-centered approaches. This study aims to explore the distinct developmental trajectories of depression and anxiety, and their association with IA based on person-centered approaches. METHODS A total of 437 Chinese high school freshmen at the baseline were followed across one year. Latent class growth analysis (LCGA) and growth mixture modeling (GMM) were used to identify the heterogeneity of individual trajectories of depression and anxiety. RESULTS For depression, there were three distinct trajectories identified, namely, the escalating group (n=60, 13.7%), recovery group (n=31, 7.1%), and the low-stable group (n=346, 79.2%). For anxiety, the subgroups consisted of the escalating group (n=50, 11.4%), the recovery group (n=34, 7.8%), and the low-stable group (n=353, 80.8%). The probability of IA in the depression low-stable group was significantly smaller compared to those in either the recovery group (χ2=10.794, P=0.001) or the escalating group (χ2=19.314, P<0.001). The probability of IA in the anxiety low-stable group was found to be significantly smaller than that in the recovery group (χ2=17.359, P<0.001) and the escalating group (χ2=7.752, P=0.005). LIMITATIONS The sample was limited to students from one specific high school and had a one-year follow-up. CONCLUSIONS The findings of the study suggest the necessity of early prevention and intervention strategies for those students with depression and anxiety, which are at elevated risk of developing IA.
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Affiliation(s)
- Tingting Gao
- School of Public Health, Jilin University, Changchun, Jilin Province, 130021, China; Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, 250012, China
| | - Zeying Qin
- School of Public Health, Jilin University, Changchun, Jilin Province, 130021, China
| | - Yueyang Hu
- School of Public Health, Jilin University, Changchun, Jilin Province, 130021, China
| | - Junsong Fei
- School of Public Health, Jilin University, Changchun, Jilin Province, 130021, China
| | - Ruilin Cao
- School of Public Health, Jilin University, Changchun, Jilin Province, 130021, China
| | - Leilei Liang
- School of Public Health, Jilin University, Changchun, Jilin Province, 130021, China
| | - Chuanen Li
- School of Public Health, Jilin University, Changchun, Jilin Province, 130021, China
| | - Songli Mei
- School of Public Health, Jilin University, Changchun, Jilin Province, 130021, China.
| | - Xiangfei Meng
- Department of Psychiatry, Faculty of Medicine, McGill University, Montreal, Quebec, Canada; Douglas Mental Health University Institute, Montreal, Quebec, Canada
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Mei S, Hu Y, Sun M, Fei J, Li C, Liang L, Hu Y. Association between Bullying Victimization and Symptoms of Depression among Adolescents: A Moderated Mediation Analysis. Int J Environ Res Public Health 2021; 18:3316. [PMID: 33806969 PMCID: PMC8005068 DOI: 10.3390/ijerph18063316] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/20/2021] [Revised: 03/06/2021] [Accepted: 03/19/2021] [Indexed: 12/26/2022]
Abstract
BACKGROUND Bullying victimization and its effect on symptoms of depression have received attention from researchers, but few studies have considered the potential mechanism. The aim of this study was to examine a moderated mediation model for the association between bullying victimization and depressive symptoms in terms of it being mediated by social anxiety, and investigated whether sleep duration would show moderating effects in this relationship. METHODS In this study, there were 2956 students, who completed three questionnaires, including a bullying victimization scale, as well as a social anxiety and epidemiologic studies depression scale. RESULTS Bullying victimization's effects on depressive symptoms were mediated by social anxiety. Furthermore, sleep duration moderated the relationship between bullying victimization and depressive symptoms. CONCLUSIONS The research contributes by clarifying the mechanisms underlying the relationship between bullying victimization and depressive symptoms.
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Affiliation(s)
- Songli Mei
- Department of Child and Adolescent Health, School of Public Health, Jilin University, NO. 1163 Xinmin Street, Changchun 130012, China;
| | - Yueyang Hu
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, NO. 1163 Xinmin Street, Changchun 130012, China; (Y.H.); (J.F.); (C.L.); (L.L.)
| | - Mengzi Sun
- Department of Epidemiology and Statistics, School of Public Health, Jilin University, NO. 1163 Xinmin Street, Changchun 130012, China;
| | - Junsong Fei
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, NO. 1163 Xinmin Street, Changchun 130012, China; (Y.H.); (J.F.); (C.L.); (L.L.)
| | - Chuanen Li
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, NO. 1163 Xinmin Street, Changchun 130012, China; (Y.H.); (J.F.); (C.L.); (L.L.)
| | - Leilei Liang
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, NO. 1163 Xinmin Street, Changchun 130012, China; (Y.H.); (J.F.); (C.L.); (L.L.)
| | - Yuanchao Hu
- Department of Child and Adolescent Health, School of Public Health, Jilin University, NO. 1163 Xinmin Street, Changchun 130012, China;
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Li L, Griffiths MD, Mei S, Niu Z. The Mediating Role of Impulsivity and the Moderating Role of Gender Between Fear of Missing Out and Gaming Disorder Among a Sample of Chinese University Students. Cyberpsychol Behav Soc Netw 2021; 24:550-557. [PMID: 33739873 DOI: 10.1089/cyber.2020.0283] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
The role of fear of missing out (FoMO) in addictive behaviors has recently attracted growing attention. In view of negative effects of gaming disorder (GD) among adolescents and emerging adults, research examining the relationship between FoMO and GD is needed, alongside the roles of impulsivity and gender in the relationship between FoMO and GD. This study examined whether impulsivity as a mediator and gender as a moderator impacted on the relationship between FoMO and GD among a sample of Chinese university students. A sample of 1,288 Chinese university students from three universities completed an online survey through the Wenjuanxing platform. The Chinese Trait-State Fear of Missing Out Scale, the Barratt Impulsiveness Scale-Brief, and the Chinese Gaming Disorder Scale were used in this study. The model results indicated that impulsivity partially mediated the relationship between FoMO and GD, and that there was a larger effect size between impulsivity and GD among males. High levels of FoMO among individuals may impact on executive functions leading to more impulsivity, and are associated with GD. Gender may moderate the relationship between impulsivity and GD. This study deepens the understanding of the relationship between FoMO and GD, and provides new perspectives for practitioners to incorporate into health prevention programs to help regulate emotion, control impulsivity, and decrease GD.
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Affiliation(s)
- Li Li
- School of Humanities and Social Sciences, Gannan Medical University, Ganzhou, China
| | - Mark D Griffiths
- International Gaming Research Unit, Nottingham Trent University, Nottingham, United Kingdom
| | - Songli Mei
- School of Public Health, Jilin University, Changchun, China
| | - Zhimin Niu
- School of Humanities and Social Sciences, Gannan Medical University, Ganzhou, China
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Zheng X, Wang YC, Zhu N, Cai DY, Gong XK, Mei S, Chen WJ, Chen T, Ruan JW. Downregulation of GNAS inhibits osteogenesis of bone marrow mesenchymal stem cells and promotes osteoporosis through the Wnt pathway. Eur Rev Med Pharmacol Sci 2021; 24:2886-2892. [PMID: 32271406 DOI: 10.26355/eurrev_202003_20652] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
OBJECTIVE This study aims to explore the role of GNAS in accelerating the progression of osteoporosis by inhibiting osteogenesis of BMSCs by the Wnt pathway. PATIENTS AND METHODS GNAS levels in OP tissues and BMSCs undergoing osteogenesis for different time points were detected. Regulatory effects of GNAS on osteogenesis-related gene expressions, ALP activity, capability of mineralization, and activation of the Wnt pathway in BMSCs were assessed through a series of functional experiments. At last, rescue experiments were performed to further verify the significance of the Wnt pathway during GNAS-mediated osteogenesis development. RESULTS GNAS was downregulated in OP tissues relative to normal bone tissues. With the prolongation of osteogenesis, GNAS level gradually increased in BMSCs. Knockdown of GNAS downregulated expression levels of ALP and RUNX2, and attenuated ALP activity and capability of mineralization in BMSCs. GNAS was able to activate the Wnt pathway in BMSCs. Notably, overexpression of Wnt3a could reverse the regulatory effects of GNAS on osteogenesis-related gene expressions, ALP activity, and capability of mineralization in BMSCs. CONCLUSIONS Downregulation of GNAS suppresses osteogenesis of BMSCs through the Wnt pathway, thus aggravating the progression of osteoporosis.
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Affiliation(s)
- X Zheng
- Department of Orthopedics, Taizhou Municipal Hospital, Taizhou, Zhejiang Province, China.
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Li L, Griffiths MD, Niu Z, Mei S. Fear of Missing Out (FoMO) and Gaming Disorder among Chinese University Students: Impulsivity and Game Time as Mediators. Issues Ment Health Nurs 2020; 41:1104-1113. [PMID: 32634040 DOI: 10.1080/01612840.2020.1774018] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
BACKGROUND AND AIMS Research into the fear of missing out (FoMO) has greatly increased in recent years. Given the negative consequences of gaming disorder (GD) among a small minority of individuals, there is an increasing need for research examining the impact of FoMO on GD. However, little is known about the roles of impulsivity and gaming time as mediators in the relationship between FoMO and GD. The present study examined whether impulsivity and gaming time mediated the relationship between FoMO (trait-FoMO and state-FoMO) and GD among Chinese university students, as well as the prevalence of GD. METHODS A total of 1127 university students completed an online survey including the Chinese Trait-State Fear of Missing Out Scale (T-SFoMOS-C), the Barratt Impulsiveness Scale-Brief (BIS-Brief), gaming time survey, and the Chinese Gaming Disorder Scale (CGDS). RESULTS The prevalence of GD was 6.4% among Chinese university students. Trait-FoMO was found to indirectly impact GD via impulsivity and gamine time, whereas the direct effect of trait-FoMO on GD and the mediation effects of gaming time were not confirmed. State-FoMO impacted on GD both directly, and indirectly via the mediation effects of impulsivity as well as impulsivity and gaming time. CONCLUSION Trait-FoMO on GD was fully mediated via impulsivity and gaming time, whereas state-FoMO on GD was partly mediated via impulsivity and gaming time. Individuals with high levels of FoMO were more likely to show impulsivity and spend a longer time gaming, and these factors were associated with GD. These findings provide insights to incorporate into health prevention programs to help regulate emotion, control impulsivity, and decrease GD.
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Affiliation(s)
- Li Li
- School of Humanities and Social Sciences, Gannan Medical University, Ganzhou, China
| | - Mark D Griffiths
- International Gaming Research Unit, Nottingham Trent University, Nottingham, UK
| | - Zhimin Niu
- School of Humanities and Social Sciences, Gannan Medical University, Ganzhou, China
| | - Songli Mei
- School of Public Health, Jilin University, Changchun, China
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Cao R, Gao T, Hu Y, Qin Z, Ren H, Liang L, Li C, Mei S. Clustering of lifestyle factors and the relationship with depressive symptoms among adolescents in Northeastern China. J Affect Disord 2020; 274:704-710. [PMID: 32664005 DOI: 10.1016/j.jad.2020.05.064] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/03/2020] [Revised: 04/23/2020] [Accepted: 05/13/2020] [Indexed: 11/27/2022]
Abstract
BACKGROUND Previous studies have showed the independent associations between screen time, physical activity (PA), sleep duration, and depressive symptoms, but little is known about the influence of lifestyles on depressive symptoms. This study aimed to identify clustering patterns of health-related behavior in Chinese adolescents and their association with depressive symptoms. METHODS The sample consisted of 4178 adolescent students. Screen time, physical activity, and sleep time were self-reported. The level of depressive symptoms was measured using the Center for Epidemiologic Studies Depression Scale. A two-step cluster analysis was conducted to identify lifestyle patterns. Univariate and multivariate logistic regression were used to examine the associations between clusters and depressive symptoms. RESULTS About 28.1% of participants reported depressive symptoms. Four lifestyle clusters were identified: (1) active pattern (n = 865 [20.7%]); (2) high sleep duration pattern (n = 1263 [30.2%]); (3) high screen time pattern (n = 665 [15.9%]); and (4) low physical activity-low sleep duration pattern (n = 1385[33.1%]). Cluster 1 and 2 were relatively healthy groups. Cluster 3 and 4 were at a higher risk of developing depressive symptoms than cluster 1. LIMITATIONS This was a cross-sectional study, and causal relations could not be identified. Self-reported questionnaire instruments were used to collect data, which might have led to some recall bias. CONCLUSIONS Clusters of lifestyle behaviors were identified, and differences in depressive symptoms were found among clusters. Public mental illness prevention strategies should expand their capacity to focus on lifestyle patterns.
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Affiliation(s)
- Ruilin Cao
- School of Public Health, Jilin University, No. 1163 Xinmin Street, Changchun, Jilin Province, 130021, China.
| | - Tingting Gao
- School of Public Health, Jilin University, No. 1163 Xinmin Street, Changchun, Jilin Province, 130021, China.
| | - Yueyang Hu
- School of Public Health, Jilin University, No. 1163 Xinmin Street, Changchun, Jilin Province, 130021, China.
| | - Zeying Qin
- School of Public Health, Jilin University, No. 1163 Xinmin Street, Changchun, Jilin Province, 130021, China.
| | - Hui Ren
- School of Public Health, Jilin University, No. 1163 Xinmin Street, Changchun, Jilin Province, 130021, China.
| | - Leilei Liang
- School of Public Health, Jilin University, No. 1163 Xinmin Street, Changchun, Jilin Province, 130021, China.
| | - Chuanen Li
- School of Public Health, Jilin University, No. 1163 Xinmin Street, Changchun, Jilin Province, 130021, China.
| | - Songli Mei
- School of Public Health, Jilin University, No. 1163 Xinmin Street, Changchun, Jilin Province, 130021, China.
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Li L, Griffiths MD, Niu Z, Mei S. The trait-state fear of missing out scale: Validity, reliability, and measurement invariance in a Chinese sample of university students. J Affect Disord 2020; 274:711-718. [PMID: 32664006 DOI: 10.1016/j.jad.2020.05.103] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/18/2020] [Revised: 04/19/2020] [Accepted: 05/16/2020] [Indexed: 02/06/2023]
Abstract
BACKGROUND Research into the 'fear of missing out' (FoMO) has greatly increased in recent years. In Asia, many university students frequently use social networking sites (SNSs) via their smartphone. There has also been some studies examining problematic social media use, but there are few Chinese studies concerning FoMO. This may be partly due to the lack of standardized measurement tools for assessing FoMO. Therefore, the present study psychometrically validated the Chinese version of the Trait-State Fear of Missing Out Scale (T-SFoMOS-C) and tested its reliability, validity and measurement invariance among Chinese university students. METHODS A total of 2,017 university students (aged 17 to 25 years) completed an online survey including the Chinese Trait-State Fear of missing Out Scale (T-SFoMOS-C), the Social Network Site Intensity Scale (SNSIS), and the International Positive and Negative Affect Scale short-form (I-PANAS-SF). RESULTS Item analysis and exploratory factor analysis was carried out on the T-SFoMOS-C. Confirmatory factor analysis (χ2 = 177.49, df = 50, p < .01; TLI = 0.959; CFI = 0.960; SRMR = 0.038; RMSEA = 0.050) and measurement invariance showed that the T-SFoMOS-C for university students had good construct validity among different groups. The internal consistency of the T-SFoMOS-C (0.81), the test-retest reliability (0.81), and the composite reliability of state-FoMO and trait-FoMO (0.76 and 0.80) were also good. The T-SFoMOS-C was significantly correlated with the SNSIS (0.40) and the Negative Affect (NA) (0.26), respectively. CONCLUSIONS The T-SFoMOS-C is relatively reliable and valid among different groups, supporting its utility among Chinese university students.
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Affiliation(s)
- Li Li
- School of Humanities and Social Sciences, Gannan Medical University, Ganzhou, China.
| | - Mark D Griffiths
- International Gaming Research Unit, Nottingham Trent University, Nottingham, UK.
| | - Zhimin Niu
- School of Humanities and Social Sciences, Gannan Medical University, Ganzhou, China
| | - Songli Mei
- School of Public Health, Jilin University, Changchun, China
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Abstract
The purposes of this study was to assess the youth mental health after the coronavirus disease 19 (COVID-19) occurred in China two weeks later, and to investigate factors of mental health among youth groups. A cross-sectional study was conducted two weeks after the occurrence of COVID-19 in China. A total of 584 youth enrolled in this study and completed the question about cognitive status of COVID-19, the General Health Questionnaire(GHQ-12), the PTSD Checklist-Civilian Version (PCL-C) and the Negative coping styles scale. Univariate analysis and univariate logistic regression were used to evaluate the effect of COVID-19 on youth mental health. The results of this cross-sectional study suggest that nearly 40.4% the sampled youth were found to be prone to psychological problems and 14.4% the sampled youth with Post-traumatic stress disorder (PTSD) symptoms. Univariate logistic regression revealed that youth mental health was significantly related to being less educated (OR = 8.71, 95%CI:1.97-38.43), being the enterprise employee (OR = 2.36, 95%CI:1.09-5.09), suffering from the PTSD symptom (OR = 1.05, 95%CI:1.03-1.07) and using negative coping styles (OR = 1.03, 95%CI:1.00-1.07). Results of this study suggest that nearly 40.4% of the youth group had a tendency to have psychological problems. Thus, this was a remarkable evidence that infectious diseases, such as COVID-19, may have an immense influence on youth mental health. Therefor, local governments should develop effective psychological interventions for youth groups, moreover, it is important to consider the educational level and occupation of the youth during the interventions.
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Affiliation(s)
- Leilei Liang
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, No.1163 Xinmin Street, Changchun, 130021, Jilin Province, China
| | - Hui Ren
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, No.1163 Xinmin Street, Changchun, 130021, Jilin Province, China.,Department of the First Hospital, Jilin University, No.71 Xinmin Street, Changchun, 130021, Jilin Province, China
| | - Ruilin Cao
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, No.1163 Xinmin Street, Changchun, 130021, Jilin Province, China
| | - Yueyang Hu
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, No.1163 Xinmin Street, Changchun, 130021, Jilin Province, China
| | - Zeying Qin
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, No.1163 Xinmin Street, Changchun, 130021, Jilin Province, China
| | - Chuanen Li
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, No.1163 Xinmin Street, Changchun, 130021, Jilin Province, China
| | - Songli Mei
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, No.1163 Xinmin Street, Changchun, 130021, Jilin Province, China.
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Mei S, Qin Z, Yang Y, Gao T, Ren H, Hu Y, Cao R, Liang L, Li C, Tong Q. Influence of Life Satisfaction on Quality of Life: Mediating Roles of Depression and Anxiety Among Cardiovascular Disease Patients. Clin Nurs Res 2020; 30:215-224. [PMID: 32757768 DOI: 10.1177/1054773820947984] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The present study aimed to determine the mediating effects of depression and anxiety on the association between life satisfaction and quality of life. We used the Patient Health Questionnaire (PHQ-9), Generalized Anxiety Disorder Scale (GAD-7), and EuroQol Five Dimensions Questionnaire (EQ-5D) to measure depression, anxiety, and quality of life, respectively. A single question was used to measure the life satisfaction of participants. Life satisfaction was significantly related with depression (r = -0.17), anxiety (r = -0.18), and quality of life (r = 0.19). Depression and anxiety were also related to quality of life. Depression and anxiety had full mediating effects (β = -0.274; β = -0.208) on the association between life satisfaction and quality of life. For those with poor life satisfaction, people were more likely to have high level of depression and anxiety, which in turn experienced poor quality of life.
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Affiliation(s)
- Songli Mei
- School of Public Health, Jilin University, Changchun, Jilin Province, China
| | - Zeying Qin
- School of Public Health, Jilin University, Changchun, Jilin Province, China
| | - Yang Yang
- First Hospital, Jilin University, Changchun, Jilin Province, China
| | - Tingting Gao
- School of Public Health, Jilin University, Changchun, Jilin Province, China
| | - Hui Ren
- First Hospital, Jilin University, Changchun, Jilin Province, China
| | - Yueyang Hu
- School of Public Health, Jilin University, Changchun, Jilin Province, China
| | - Ruilin Cao
- School of Public Health, Jilin University, Changchun, Jilin Province, China
| | - Leilei Liang
- School of Public Health, Jilin University, Changchun, Jilin Province, China
| | - Chuanen Li
- School of Public Health, Jilin University, Changchun, Jilin Province, China
| | - Qian Tong
- First Hospital, Jilin University, Changchun, Jilin Province, China
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Liang L, Gao T, Ren H, Cao R, Qin Z, Hu Y, Li C, Mei S. Post-traumatic stress disorder and psychological distress in Chinese youths following the COVID-19 emergency. J Health Psychol 2020; 25:1164-1175. [PMID: 32627606 PMCID: PMC7342938 DOI: 10.1177/1359105320937057] [Citation(s) in RCA: 70] [Impact Index Per Article: 17.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022] Open
Abstract
This study aims to explore the relationship between psychological distress and post-traumatic stress disorder among Chinese participants as the result of COVID-19 outbreak. This study was conducted within 1 month after COVID-19 appeared in China, it included 570 participants age from 14 to 35. The results indicated that 12.8% of all participants with the symptoms of post-traumatic stress disorder and the effects of psychological distress on post-traumatic stress disorder was mediated by negative coping style. Gender moderated the direct effect between psychological distress and post-traumatic stress disorder, which is a significant discovery for relevant departments to take further measures.
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Dempsey DE, Cronin SJ, Mei S, Kempa-Liehr AW. Automatic precursor recognition and real-time forecasting of sudden explosive volcanic eruptions at Whakaari, New Zealand. Nat Commun 2020; 11:3562. [PMID: 32678107 PMCID: PMC7367339 DOI: 10.1038/s41467-020-17375-2] [Citation(s) in RCA: 45] [Impact Index Per Article: 11.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2020] [Accepted: 06/29/2020] [Indexed: 11/23/2022] Open
Abstract
Sudden steam-driven eruptions strike without warning and are a leading cause of fatalities at touristic volcanoes. Recent deaths following the 2019 Whakaari eruption in New Zealand expose a need for accurate, short-term forecasting. However, current volcano alert systems are heuristic and too slowly updated with human input. Here, we show that a structured machine learning approach can detect eruption precursors in real-time seismic data streamed from Whakaari. We identify four-hour energy bursts that occur hours to days before most eruptions and suggest these indicate charging of the vent hydrothermal system by hot magmatic fluids. We developed a model to issue short-term alerts of elevated eruption likelihood and show that, under cross-validation testing, it could provide advanced warning of an unseen eruption in four out of five instances, including at least four hours warning for the 2019 eruption. This makes a strong case to adopt real-time forecasting models at active volcanoes. In this study, the authors investigate the predictability of sudden eruptions, motivated by the 2019 eruption at Whakaari (White Island), New Zealand. The paper proposes a machine learning approach that is able to identify eruption precursors in data streaming from a single seismic station at Whakaari.
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Affiliation(s)
- D E Dempsey
- University of Auckland, Private Bag 92019, Auckland, 1142, New Zealand.
| | - S J Cronin
- University of Auckland, Private Bag 92019, Auckland, 1142, New Zealand
| | - S Mei
- University of Auckland, Private Bag 92019, Auckland, 1142, New Zealand
| | - A W Kempa-Liehr
- University of Auckland, Private Bag 92019, Auckland, 1142, New Zealand
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Cao R, Gao T, Ren H, Hu Y, Qin Z, Liang L, Mei S. The relationship between bullying victimization and depression in adolescents: multiple mediating effects of internet addiction and sleep quality. PSYCHOL HEALTH MED 2020; 26:555-565. [PMID: 32479131 DOI: 10.1080/13548506.2020.1770814] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Various studies have found that bullying victimization is an important factor affecting depression. However, few studies have explored the underlying mechanism of this effect. The purpose of this study was to examine the effects of bullying victimization on depression, as well as the mediating roles of internet addiction and sleep quality. The participants were 2022 Chinese junior high school students who completed questionnaires regarding bullying victimization, internet addiction, sleep quality and depression. Correlation analysis indicated that bullying victimization, poor sleep quality, internet addiction, and depression have significant, positive correlations with each other. Hayes' PROCESS macro revealed that internet addiction and sleep quality played multiple mediation roles in the relationship between bullying victimization and depression. These results suggested that effective strategies focusing on improving problematic internet use along with sleep quality may contribute to reducing the negative effect of bullying victimization on depressive symptoms.
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Affiliation(s)
- Ruilin Cao
- School of Public Health, Jilin University, Changchun, Jilin Province, China
| | - Tingting Gao
- School of Public Health, Jilin University, Changchun, Jilin Province, China
| | - Hui Ren
- School of Public Health, Jilin University, Changchun, Jilin Province, China
| | - Yueyang Hu
- School of Public Health, Jilin University, Changchun, Jilin Province, China
| | - Zeying Qin
- School of Public Health, Jilin University, Changchun, Jilin Province, China
| | - Leilei Liang
- School of Public Health, Jilin University, Changchun, Jilin Province, China
| | - Songli Mei
- School of Public Health, Jilin University, Changchun, Jilin Province, China
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Ren H, Ding Y, Hu H, Gao T, Qin Z, Hu Y, Cao R, Liang L, Li C, Mei S. Relationships among economic stress, social support, age and quality of life in patients with chronic wounds: A moderated mediation model. J Adv Nurs 2020. [PMID: 32400891 DOI: 10.1111/jan.14413] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2019] [Revised: 04/10/2020] [Accepted: 04/28/2020] [Indexed: 12/01/2022]
Abstract
AIMS The aims of this study were as follows: (a) to determine if social support mediates the relationship between economic stress and quality of life; and (b) to explore whether participants' ages would moderate the indirect relationship between economic stress and quality of life through social support. DESIGN A questionnaire-based, cross-sectional study. METHODS From January 2015-June 2016, a total of 300 patients with chronic wounds were recruited from three hospitals. Data regarding economic stress, social support and quality of life were collected through survey questionnaires. The moderated mediation analysis was examined using the Hayes' PROCESS macro modelling tool, based on the bias-corrected bootstrapping method. RESULTS Economic stress was negatively correlated with quality of life and social support. The indirect effect of economic stress on quality of life through social support was negative. Furthermore, age moderated the relationship between economic stress and quality of life, as well as the relationship between economic stress and social support. CONCLUSION Reducing economic stress and improving social support are important strategies for improving quality of life in patients with chronic wounds, especially for younger patients. IMPACT Patients with chronic wounds experience considerable economic stress and severely impaired quality of life; however, little is known about the inner mechanisms of this relationship. This study emphasized the importance of providing social support in coping with the damage that economic stress causes to health. Clinical nurses should strengthen the comprehensive assessment of the socioeconomic status of patients and adjust nursing plans timely, to reduce the economic burden of patients based on the rational use of wound care materials. Moreover, when nursing for patients with chronic wounds, especially the elders, caregivers should strengthen the evaluation of social support and develop interventions to improve social support.
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Affiliation(s)
- Hui Ren
- School of Public Health, Jilin University, Changchun, China.,The First Hospital of Jilin University, Changchun, China
| | - Yanming Ding
- Peking University First Hospital, Beijing, China
| | - Haiyan Hu
- The First Hospital of Jilin University, Changchun, China
| | - Tingting Gao
- School of Public Health, Jilin University, Changchun, China
| | - Zeying Qin
- School of Public Health, Jilin University, Changchun, China
| | - Yueyang Hu
- School of Public Health, Jilin University, Changchun, China
| | - Ruilin Cao
- School of Public Health, Jilin University, Changchun, China
| | - Leilei Liang
- School of Public Health, Jilin University, Changchun, China
| | - Chuanen Li
- School of Public Health, Jilin University, Changchun, China
| | - Songli Mei
- School of Public Health, Jilin University, Changchun, China
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