Psychology Research and Behavior Management最新文献

Purpose: This study aimed to examine the impact of cyberbullying on non-suicidal self-injury (NSSI) among college students, and to explore the roles of ambivalence over emotional expression, psychological resilience, and positive illusion in this relationship. The goal was to identify potential pathways through which cyberbullying influences NSSI, to provide theoretical support for psychological intervention in college students.

Patients and methods: This study employed a cross-sectional design. A total of 683 college students from Yunnan Province, China were surveyed using the Cyberbullying Questionnaire, Ambivalence Over Emotional Expression Questionnaire, Conner Davidson Resilience Scale, Adolescent Non-Suicidal Self-Injury Assessment Questionnaire, and the College Students' Positive Illusion Questionnaire.

Results: (1) Positive illusion, cyberbullying victimization, ambivalence over emotional expression, and NSSI were positively correlated with each other, while psychological resilience was negatively correlated with all these variables. (2) Cyberbullying victimization directly predicted NSSI. (3) Cyberbullying victimization indirectly predicted NSSI through the mediating effects of ambivalence over emotional expression and psychological resilience, both separately and sequentially as a chain mediator. (4) Positive illusion moderated the effect of cyberbullying victimization on NSSI: individuals with higher levels of positive illusion showed a more pronounced increase in NSSI as cyberbullying victimization increased.

Conclusion: The pathway from cyberbullying victimization to non-suicidal self-injury is mediated by ambivalence over emotional expression and psychological resilience, while positive illusion exacerbates this process. These findings hold significant implications for the development of prevention and intervention strategies targeting non-suicidal self-injury among college students.

Background: Major depressive disorder affects over 300 million people worldwide, yet clinicians lack reliable biomarkers for early identification of at-risk individuals. Recent advances in computational neuroscience suggest that dynamic brain network reorganization during emotional challenges may provide objective indicators of depression vulnerability that could enhance clinical practice.

Objective: To determine whether individual differences in dynamic brain network flexibility can predict depression onset and inform personalized clinical interventions through comprehensive analysis of large-scale neuroimaging databases.

Methods: We conducted a comprehensive analysis of 14,376 adults aged 18-72 years from seven major international neuroimaging databases (UK Biobank, Human Connectome Project, ADNI, ABIDE, OpenfMRI, NITRC, and COINS) spanning 2018-2024. Participants underwent standardized emotion regulation tasks during functional MRI with concurrent EEG. We quantified brain network flexibility using advanced graph-theoretical approaches and employed machine learning to identify distinct phenotypic patterns. Depression outcomes were assessed using validated clinical instruments over 30-month follow-up periods available in longitudinal sub-cohorts.

Results: Unsupervised machine learning revealed four distinct brain network flexibility phenotypes with remarkable cross-database consistency. The Rigid-Inflexible phenotype (18.7% prevalence) was associated with 4.3-fold higher depression incidence compared to Adaptive-Flexible individuals (38.7% vs 8.9%, P<0.001). Network flexibility metrics predicted depression onset with 83.2% accuracy (AUC=0.89), significantly outperforming traditional risk models (AUC=0.69, P<0.001). Network flexibility moderated stress-depression relationships (β=-0.61, P<0.001), with flexible individuals maintaining psychological resilience under high stress conditions while rigid individuals showed steep symptom escalation.

Conclusion: Dynamic brain network biomarkers represent a promising advance toward predictive, personalized psychiatry, pending external validation. These findings provide a neurobiological foundation for early intervention strategies and suggest novel therapeutic targets for depression prevention. The consistency across diverse global populations indicates potential universality of these mechanisms, supporting further clinical translation efforts.

Objective: Major depressive disorder (MDD) significantly impairs college students' functioning. Inter-parental conflict (IPC) is a recognized risk factor for mental health issues, yet gender-specific mechanisms linking IPC to MDD in college students remain unclear. This study aimed to examine the association between IPC and new-onset MDD among Chinese university students, and to test whether this association differs by gender.

Methods: A retrospective controlled study was conducted between April 2018 and October 2019 among 8079 first-year students from two medical universities in Shandong Province, China, using cluster sampling.The Adolescent Self-rating Life Events Check List (ASLEC) assessed stressful life events, the lifetime severe traumatic events questionnaire evaluated traumatic experiences, the Egna Minnen Beträffande Uppfostran (EMBU) measured parenting styles, and the Composite International Diagnostic Interview (CIDI-3.0) diagnosed MDD based on DSM-IV criteria. With descriptive statistics computed by gender and logistic regression models employed to assess IPC's impact on MDD risk.

Results: The overall incidence of new-onset MDD was 2.4% (2.1% in males, 2.6% in females). Multivariate analysis revealed that occasional physical violence (OR=2.114, 95% CI:1.059-4.222) and chronic emotional neglect (OR=2.252, 95% CI:1.074-4.724) during IPC significantly increased MDD risk in male students. Among female students, seeking help from relatives during parental conflicts was independently associated with increased MDD risk (OR=2.14, 95% CI:1.09-4.20).

Conclusion: IPC is significantly associated with new-onset MDD among Chinese college students, and this relationship is moderated by gender. While male students show vulnerability to physical conflict and emotional neglect, female students face increased risk when involving relatives in conflict resolution. The findings support the development of gender-specific intervention strategies to mitigate familial risk and promote student mental health.

Adolescence is a critical developmental stage with increased risk for mental health problems, where family dynamics and parental involvement play key protective roles. Family-based prevention emerges as a key approach to addressing adolescent needs by preventing the onset and escalation of mental health difficulties, particularly in at-risk but often non-clinical populations. This scoping review systematically synthesizes evidence to examine the roles, characteristics, and reported outcomes of family-based prevention interventions for adolescent mental health across different prevention levels. A comprehensive search was undertaken in multiple scholarly databases, including PubMed, ScienceDirect, Scopus, EBSCOhost, SAGE Journals, Wiley Online Library, and Taylor & Francis Online, and 16 studies were included in the review. The included studies spanned universal, selective, and indicated prevention, as well as programmes framed as primary, secondary, and tertiary prevention. The review identified four primary themes characterizing the interventions of family-based prevention, including parenting skill training programs, family therapy and communication enhancement interventions, risk-specific targeted interventions, and socioeconomic and self-directed family interventions. These thematic strategies highlight different pathways to impact, from strengthening parenting practices and family communication to addressing risk-specific vulnerabilities and socioeconomic stressors. Most studies reported improvements in at least one adolescent mental health or behavioural outcome, although effect sizes and study quality varied and were not formally appraised. The findings reinforce that families remain a powerful context for preventive interventions. Family-based strategies show promise in enhancing adolescent mental health outcomes in various worldwide contexts. Future research should integrate approaches, such as combining parenting skills with economic support or family therapy with digital resources, and address carer well-being to conceptualise the family as a unit of care. In practice, these findings may inform stakeholders seeking to prioritise and refine family-based prevention strategis for adolescent mental health.

Background: The Depression Anxiety Stress Scale for Youth (DASS-Y) is a psychometric tool designed to assess internalizing problems, including depression, anxiety, and stress in adolescents. This study evaluated the validity and reliability of the Indonesian version of the DASS-Y.

Methods: Using a mixed-methods approach with an exploratory sequential design, the DASS-Y was translated into Bahasa Indonesia through forward-backward translation and administered to 31 adolescents for the cognitive debriefing. The Rasch model was applied to assess psychometric properties in 355 adolescents.

Results: The Indonesian version of the DASS-Y indicated good-to-excellent reliability for the total scale (Cronbach's α = 0.94, item reliability = 0.98, person reliability = 0.84) and robust construct validity (explained variance = 50.1%, unexplained variance = 6.4%). No misfitting items were identified (infit = 0.78-1.41, outfit = 0.61-1.96, point-measure correlation = 0.47-0.72). Differential item functioning (DIF) analysis revealed minimal bias across demographic factors.

Conclusion: The Indonesian DASS-Y is a valid and reliable instrument for assessing internalizing problems in Indonesian adolescents aged 10-18 years.

While China's "Double Reduction Policy" has expanded children's out-of-school time, research has predominantly focused on STEM and sports extracurricular activities, often overlooking the specific cognitive and academic role of the visual arts. Addressing this gap, this systematic review synthesizes 11 eligible studies to explore the association between out-of-school visual art activities and academic performance in Chinese children, while identifying key moderating factors. Conducted according to the PRISMA 2021 guidelines, the review finds that visual art engagement strengthens spatial reasoning, working memory, and creative problem-solving, thereby improving standardized test scores and school readiness. However, the benefits are not linear; they are shaped by a threshold model, in which excessive participation diminishes returns, and are moderated by socioeconomic access, parental involvement, and gender. Theoretically, this review underscores the novelty of this nonlinear relationship within the Chinese context. These findings highlight the need for policies that ensure equitable access to arts education and guide parents in fostering balanced, high-quality artistic engagement to support holistic cognitive development. Future research should investigate long-term effects and expand methodological and geographical scopes.

Purpose: Previous studies have identified depression as a risk factor for social pain. However, few studies have explored the underlying mechanisms. Therefore, this study employed the four-way decomposition method integrating mediation and interaction effects to investigate the potential role of cognitive reappraisal between depression and social pain.

Methods: This study utilized convenience sampling to survey university students from three higher education institutions in Daqing City. Correlation analysis and Linear regression analysis was conducted using SPSS 29.0 to examine the relationships among depression, cognitive reappraisal, and social pain. Four-way decomposition analysis was performed using SAS to investigate the mediation and interaction effects of cognitive reappraisal between depression and social pain.

Results: A total of 773 college students participated in the survey, with females accounting for 74.26% (n=574) and males 25.74% (n=199). Linear regression analyses revealed significant positive associations between depression and social pain (β = 0.30, p < 0.001). Cognitive reappraisal demonstrated negative correlations with both depression (β = -0.20, p < 0.001) and social pain (β = -0.63, p < 0.001). Four-way decomposition analysis revealed that cognitive reappraisal plays a dual role in the relationship between depression and social pain. The total mediation effect accounted for 54.20% of the total effect, while the total interaction effect reached -263.92%, with the eliminable proportion of cognitive reappraisal calculated as -221.43%.

Conclusion: This study elucidates the underlying mechanisms through which depression and cognitive reappraisal influence social pain among college students, providing a novel perspective for improving their mental health.

Background: Characterizing variability in youth mental health trajectories from risk to resilience is crucial for elucidating the heterogeneity present within clinical populations. Limited knowledge exists regarding the intergenerational associations of resilience factors. The present study aimed to examine the associations between resilience factors and psychopathology in youth referred for outpatient psychiatric evaluation and their parents.

Methods: Dyads of children and their parents (N=99; 99 children and 99 parents) treated in a child and adolescent psychiatry outpatient clinic completed assessments for resilience factors and internalizing psychopathology. Internalizing symptoms were assessed using the Patient Health Questionnaire-9 (PHQ-9) and the Generalized Anxiety Disorder 7-item scale (GAD-7); resilience factors were measured using the Risk and Resilience (R&R) battery, focusing on self-reliance and emotion regulation.

Results: Youth's emotion regulation and self-reliance demonstrated inverse associations with their anxiety and depressive composite score, derived by averaging standardized PHQ-9 and GAD-7 scores to represent internalizing symptoms (β=-0.5, p <0.0001; β=-0.27, p = 0.001 respectively). Parental emotion regulation was inversely associated with parental anxiety and depressive symptoms (β=-0.70, p <0.0001), but parental self-reliance was not (β=0.04, p=0.67). No intergenerational correlation was identified between parent-child anxiety and depressive symptoms (P-values>0.38) nor between resilience factors (P-values>0.47). Lastly, multivariate analyses revealed no association for parental anxiety and depressive symptoms or resilience factors with child symptoms.

Conclusion: These findings contribute to the growing body of evidence on the relationship between the resilience factors of emotional regulation and self-reliance and anxiety-depression symptoms in youth. However, no intergenerational associations were observed between of resilience factors and internalizing psychopathology in both parents and youth.

Attachment-based interventions represent a key strategy for improving the well-being of children in foster and adoptive care. These interventions are designed to strengthen parent-child relationships, as demonstrated by measurable outcomes such as increased attachment security, improved psychosocial adjustment, and enhanced parenting effectiveness. This systematic review synthesizes research on the effectiveness of widely implemented programs, including Attachment and Biobehavioral Catch-up (ABC), Video-Feedback Intervention to Promote Positive Parenting (VIPP), and Parent-Child Interaction Therapy (PCIT). The evidence suggests that these interventions consistently enhance caregiver sensitivity, reduce behavioral difficulties in children, and promote caregiver mental health. However, the long-term effects of these interventions, particularly regarding placement stability and sustained child well-being, remain unclear. This highlights the need for additional longitudinal research to clarify enduring outcomes and address current gaps. Based on these findings, future work should prioritize evaluating long-term effects and tailoring interventions to individual child and caregiver circumstances to maximize effectiveness and sustainability.

Background: Breast cancer diagnosis and subsequent modified radical mastectomy represent a profound psychological threat for young and middle-aged patients, potentially serving as a catalyst for post-traumatic growth. However, the subjective lived experience of post-traumatic growth in this specific population remains poorly understood, limiting the development of targeted psychosocial support.

Purpose: To explore the lived experience of post-traumatic growth in young and middle-aged breast cancer patients after modified radical mastectomy, providing a reference for individualized nursing interventions in clinical practice.

Patients and methods: Using phenomenological research methods, semi-structured interviews were conducted with 13 young and middle-aged breast cancer patients after modified radical mastectomy. The results were organized and analyzed using Colaizzi's phenomenological data analysis method, and themes were extracted.

Results: The refined themes can be divided into three main themes and six subthemes: traumatic experiences (disease burden, psychological burden), psychological adaptation (multifaceted social support, proactive self-coping), and self-growth (positive transformation, planning for a bright future).

Conclusion: Our findings reveal that post-traumatic growth in young and middle-aged breast cancer patients after modified radical mastectomy is dynamic, influenced by multiple factors. This necessitates personalized, stage-specific nursing interventions and robust social support to facilitate psychological adjustment and promote growth.