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The Protective Role of Social Inclusion: Loneliness as a Mediator Between Excessive Internet Use and Depressive Symptoms in Adolescents. 社会包容的保护作用:孤独感在青少年过度网络使用与抑郁症状之间的中介作用
IF 3.2 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-08-11 eCollection Date: 2025-01-01 DOI: 10.2147/PRBM.S532794
Jing Zhou, Ning Zhu, Katarzyna Suwada, Timo Toikko

Background: Excessive Internet Use (EIU) represents a significant concern among adolescents, with growing evidence linking it to adverse mental health outcomes, particularly depressive symptoms.

Purpose: This study aims to examine the relationship between EIU and depressive symptoms among adolescents, focusing on the mediating role of loneliness and the moderating effect of social inclusion.

Methods: Drawing on data from the Finnish School Health Promotion Study (N = 131,528), we employed validated measures to assess EIU, loneliness, depressive symptoms, and social inclusion. A moderated mediation model was conducted using PROCESS macro for SPSS to examine the direct and indirect associations between EIU and depressive symptoms. Social inclusion, defined as adolescent perceived sense of belonging, acceptance, and participation within their social environment, was tested as a buffering factor in both the direct and indirect pathways.

Results: EIU was significantly associated with increased depressive symptoms, and loneliness emerged as a significant mediator, accounting for 39.5% of the total effect. Social inclusion demonstrated a significant moderating effect, weakening both the direct path from EIU to depressive symptoms and the indirect path through loneliness. The buffering effect of social inclusion was particularly pronounced in reducing the impact of loneliness on depression, with stronger protective effects observed among adolescents reporting higher levels of social inclusion compared to those with lower levels.

Conclusion: These findings advance our theoretical understanding of how digital behavior impacts adolescent mental health and provide evidence-based insights for developing comprehensive interventions. Effective strategies to address EIU-related depressive symptoms should incorporate both loneliness reduction and social inclusion enhancement to promote adolescent well-being in the digital age.

背景:过度使用互联网(EIU)是青少年关注的一个重要问题,越来越多的证据表明它与不良的心理健康结果,特别是抑郁症状有关。目的:本研究旨在探讨EIU与青少年抑郁症状的关系,重点关注孤独感的中介作用和社会包容的调节作用。方法:利用芬兰学校健康促进研究(N = 131,528)的数据,我们采用有效的测量方法来评估EIU、孤独、抑郁症状和社会包容。使用SPSS的PROCESS宏进行了一个有调节的中介模型来检验EIU与抑郁症状之间的直接和间接关联。社会包容被定义为青少年在其社会环境中感知到的归属感、接受感和参与感,在直接和间接途径中作为缓冲因素进行了测试。结果:EIU与抑郁症状增加显著相关,孤独感成为显著中介,占总效应的39.5%。社会包容表现出显著的调节作用,削弱了从EIU到抑郁症状的直接路径和通过孤独的间接路径。社会包容的缓冲作用在减少孤独对抑郁的影响方面尤为明显,在报告社会包容水平较高的青少年中,与报告社会包容水平较低的青少年相比,观察到更强的保护作用。结论:这些发现促进了我们对数字行为如何影响青少年心理健康的理论理解,并为制定综合干预措施提供了基于证据的见解。解决eiu相关抑郁症状的有效策略应包括减少孤独感和增强社会包容,以促进数字时代青少年的福祉。
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引用次数: 0
Personality Traits and Social Support: Their Role in Postpartum Depression. 人格特质与社会支持在产后抑郁中的作用。
IF 3.2 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-08-10 eCollection Date: 2025-01-01 DOI: 10.2147/PRBM.S507701
Saumya Richa, Sumaila Parveen, Shahabe Saquib Abullais, Syed Esam Mahmood, Awad Alsamghan, Ayoub Ali Alshaikh

Introduction: Postpartum depression (PPD) is a significant mood disorder occurring within the first year after childbirth, characterized by persistent sadness, fatigue, and bonding difficulties. This study focuses on mothers in Aurangabad, Bihar-a region with limited health-care facilities, high poverty, low education, and strong cultural beliefs about motherhood and mental health. We hypothesized that positive Big Five personality traits correlate with lower PPD levels, and that social support enhances this protective effect.

Methods: This cross-sectional survey involved 300 mothers of children aged 1-2 years, recruited via convenience sampling between February and April 2023. Data collection used face-to-face interviews with the Big Five Inventory (BFI), Multidimensional Scale of Perceived Social Support (MSPSS), and Edinburgh Postnatal Depression Scale (EPDS). Analyses included descriptive statistics, correlation analysis, moderation testing with PROCESS macro (SPSS v4.2), and Structural Equation Modeling (SEM).

Results: The average EPDS score was 7.9 (SD = 4.3), indicating generally low to moderate levels of PPD. Higher depression scores were significantly associated with neuroticism (r = 0.51, p < 0.01), lower extraversion, older mothers' age, and lower income. Perceived social support did not directly predict PPD but marginally moderated the relationship between personality traits and depression (interaction p = 0.0995), with reduced effect at higher levels of support (p = 0.2245). SEM supported partial indirect effects but did not indicate strong mediation.

Conclusion: Personality traits, particularly neuroticism, are key predictors of PPD in this population. While social support shows a limited moderating effect, it may offer modest protective benefits under certain conditions. The findings underscore the need for early psychological screening, especially for neuroticism, and tailored support interventions for new mothers. Given the cross-sectional design and sampling method, results should be interpreted cautiously. Longitudinal studies are recommended for further validation.

产后抑郁症(PPD)是发生在分娩后第一年的一种重要的情绪障碍,其特征是持续的悲伤、疲劳和联系困难。本研究的重点是比哈尔邦奥兰加巴德的母亲,该地区卫生保健设施有限,贫困程度高,受教育程度低,对母性和心理健康的文化信仰强烈。我们假设积极的五大人格特征与较低的产后抑郁症水平相关,而社会支持增强了这种保护作用。方法:采用方便抽样方法,于2023年2月至4月对300名1-2岁儿童的母亲进行横断面调查。数据收集采用面对面访谈,包括大五量表(BFI)、感知社会支持多维量表(MSPSS)和爱丁堡产后抑郁量表(EPDS)。分析包括描述性统计、相关分析、PROCESS宏(SPSS v4.2)的适度检验和结构方程模型(SEM)。结果:平均EPDS评分为7.9 (SD = 4.3),提示PPD普遍处于中低水平。抑郁得分越高,神经质程度越高(r = 0.51, p < 0.01),外向性越低,母亲年龄越大,收入越低。感知到的社会支持不能直接预测PPD,但会轻微调节人格特质与抑郁之间的关系(交互作用p = 0.0995),支持水平越高,影响越小(p = 0.2245)。扫描电镜支持部分间接影响,但没有显示强中介作用。结论:人格特征,特别是神经质,是该人群PPD的关键预测因素。虽然社会支持显示出有限的调节作用,但它可能在某些条件下提供适度的保护效益。研究结果强调了早期心理筛查的必要性,尤其是对神经质的筛查,以及为新妈妈量身定制的支持干预措施。考虑到截面设计和抽样方法,结果应谨慎解释。建议进行纵向研究以进一步验证。
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引用次数: 0
Assessing Impulsivity in Adolescents with Borderline Personality Features via an Emotional Contextual Go/NoGo Paradigm. 基于情感语境Go/NoGo范式评估边缘型人格特征青少年的冲动性。
IF 3.2 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-08-07 eCollection Date: 2025-01-01 DOI: 10.2147/PRBM.S514799
Qian Wang, Yizhou Chen, Jie Zhong

Purpose: This study examined the influence of emotional contexts and invalidating family environment on impulsivity, especially response inhibition function, in adolescents with borderline personality features.

Methods: 483 Chinese adolescents (52.2% females; Mage = 15.54 years) from a community sample completed the scales of McLean Screening Instrument for Borderline Personality Disorder and Chinese Invalidating Family Scale for Adolescents and the Go/NoGo task under positive, neutral, and negative emotional conditions. Repeated measures ANCOVAs were performed without and with invalidating family environment as a covariate to compare the behavioral outcomes of the Go/Nogo task between participants with different levels of borderline personality features under different emotions.

Results: Adolescents with high borderline personality features made significantly more commission errors in the Go/NoGo task only in positive emotional conditions, and the group differences in commission error rates became non-significant after controlling invalidating family environment.

Conclusion: The results suggest the impaired response inhibition function particularly under positive emotions of adolescents high in borderline personality features and its close association to invalidating family environment, pointing to more targeted diagnostic and treatment strategies for adolescent borderline personality disorder.

目的:探讨情绪环境和无效化家庭环境对边缘型人格青少年冲动,尤其是反应抑制功能的影响。方法:483名中国青少年(女性52.2%;在积极、中性和消极情绪条件下完成麦克林边缘型人格障碍筛查量表和中国青少年无效家庭量表和Go/NoGo任务。采用重复测量ANCOVAs,比较不同边缘型人格特征水平的被试在不同情绪下的Go/Nogo任务行为结果。结果:高边缘型人格特征青少年在积极情绪条件下的“去/不去”任务错误率显著增加,控制无效化家庭环境后的错误率组间差异不显著。结论:高边缘型人格特征青少年的反应抑制功能受损,尤其是在积极情绪下的反应抑制功能受损,与家庭环境的无效化密切相关,为青少年边缘型人格障碍提供了更有针对性的诊断和治疗策略。
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引用次数: 0
The Critical Role and Effects of Patient-Centered Communication in Psychotherapy: A Narrative Review. 以病人为中心的沟通在心理治疗中的关键作用和效果:一个叙述性的回顾。
IF 3.2 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-08-05 eCollection Date: 2025-01-01 DOI: 10.2147/PRBM.S528343
Yaohong Niu, Jingbo Sun, Kerun Zhu, Bojun Xu, Yin-Ping Zhang, Min Peng

Patient-centered communication has emerged as a fundamental component of effective psychotherapy, significantly influencing the therapeutic process and outcomes. This narrative review examined 53 studies selected from PsycINFO, PubMed, and CINAHL databases published between 2010-2024, focusing on empirical and theoretical work on patient-centered communication in psychotherapy. A significant portion of this review is dedicated to analyzing the effects of patient-centered communication on therapeutic outcomes. The evidence consistently demonstrates that this approach enhances the therapeutic alliance, improves treatment adherence and engagement, increases patient satisfaction, and leads to better overall mental health outcomes. The review also examines how patient-centered communication is applied across different therapeutic modalities, including cognitive-behavioral therapy, psychodynamic approaches, and group therapy settings. Cultural considerations in patient-centered communication are thoroughly explored, highlighting the importance of adapting communication styles for diverse populations and addressing language barriers and cultural differences. The review discusses the impact of culturally sensitive patient-centered communication on therapeutic outcomes for minority groups, emphasizing its potential to reduce disparities in mental health care. This narrative review also provides valuable insights for mental health professionals, researchers, and policymakers, underscoring the importance of patient-centered communication in advancing the field of psychotherapy and improving mental health care delivery.

以患者为中心的沟通已经成为有效心理治疗的基本组成部分,显著影响治疗过程和结果。本文对2010-2024年间发表在PsycINFO、PubMed和CINAHL数据库中的53项研究进行了综述,重点关注心理治疗中以患者为中心的沟通的实证和理论工作。这篇综述的很大一部分致力于分析以患者为中心的沟通对治疗结果的影响。证据一致表明,这种方法增强了治疗联盟,提高了治疗依从性和参与度,提高了患者满意度,并导致更好的整体心理健康结果。本综述还探讨了以患者为中心的沟通如何在不同的治疗方式中应用,包括认知行为治疗、心理动力学方法和团体治疗设置。在以患者为中心的沟通中,文化因素被深入探讨,突出了适应不同人群的沟通方式和解决语言障碍和文化差异的重要性。这篇综述讨论了文化敏感的以病人为中心的交流对少数群体治疗结果的影响,强调了其减少精神卫生保健差异的潜力。这篇叙述性综述也为精神卫生专业人员、研究人员和政策制定者提供了有价值的见解,强调了以患者为中心的沟通在推进心理治疗领域和改善精神卫生保健提供方面的重要性。
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引用次数: 0
Assessing Work-Life Balance in Malta and Italy: A Cross-Cultural Investigation Using Exploratory Structural Equation Modelling (ESEM). 评估工作生活平衡在马耳他和意大利:一个跨文化的调查使用探索性结构方程模型(ESEM)。
IF 3.2 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-08-01 eCollection Date: 2025-01-01 DOI: 10.2147/PRBM.S529101
Rossella Bottaro, Katya De Giovanni, Palmira Faraci

Purpose: Work-life balance (WLB) represents a well-established construct in several fields. However, the post-pandemic period has prompted substantial re-evaluations of the boundaries between professional and personal life among the general population, highlighting a critical need for renewed theoretical frameworks and empirical updates in this field. Our research focuses on the procedure of effectively assessing WLB in different cultural contexts, grounded in well-established theoretical foundations and involving the testing of measurement quality. Thus, the present cross-cultural study aimed to provide new evidence about the dimensionality, validity, reliability, and cultural invariance of the Work-Life Balance Scale and its practical impact on employee well-being.

Participants and methods: A sample of 362 employees (50% Maltese; 50% Italian), with a mean age of 43.36 (SD = 11.51) completed the WLBS in an online survey from March to April 2023. The cultural invariance was tested using the 13-model ESEM taxonomy of full measurement invariance. Moreover, through Network Analysis, the life satisfaction and optimism scales were administered to test the WLBS validity across countries.

Results: Results showed ESEM model good fit (X2=127.609, df = 63, CFI = 0.963, TLI = 0.939, RMSEA = 0.053 [0.040-0.066]) and less correlated latent factors than CFA. Tests of cultural invariance supported a weak invariance (ie, factor loadings and item uniqueness or factor variance/covariance matrix) across countries. Furthermore, the findings supported the validity and reliability of the scale.

Conclusion: In conclusion, new evidence about the WLBS theoretical framework and dimensionality was provided by using the ESEM as a challenging psychometric approach. Results from this study also supported its psychometric features and the cross-cultural applicability of the WLBS in two different European countries. The practical recommendations for government policy were discussed.

目的:工作与生活平衡(WLB)在多个领域都是一个成熟的概念。然而,大流行后时期促使人们对一般人群的职业和个人生活之间的界限进行了大量重新评估,突出表明迫切需要更新这一领域的理论框架和经验更新。我们的研究侧重于在不同文化背景下有效评估工作意愿的过程,以完善的理论基础为基础,并涉及测量质量的测试。因此,本跨文化研究旨在为工作与生活平衡量表的维度、效度、信度、文化不变性及其对员工幸福感的实际影响提供新的证据。参与者和方法:362名员工(50%为马耳他人;50%为意大利人),平均年龄43.36岁(SD = 11.51),于2023年3月至4月完成了在线调查。采用全测量不变性的13模型ESEM分类法检验文化不变性。此外,通过网络分析,使用生活满意度和乐观度量表来检验世界工作量表在各国的效度。结果:结果显示ESEM模型拟合良好(X2=127.609, df = 63, CFI = 0.963, TLI = 0.939, RMSEA = 0.053[0.040-0.066]),且与CFA模型相关的潜在因素较少。文化不变性测试支持各国之间的弱不变性(即因素负荷和项目唯一性或因素方差/协方差矩阵)。此外,研究结果支持了量表的效度和信度。结论:综上所述,ESEM作为一种具有挑战性的心理测量方法,为WLBS的理论框架和维度提供了新的证据。本研究的结果也支持了WLBS的心理测量特征和在两个不同欧洲国家的跨文化适用性。讨论了对政府政策的实际建议。
{"title":"Assessing Work-Life Balance in Malta and Italy: A Cross-Cultural Investigation Using Exploratory Structural Equation Modelling (ESEM).","authors":"Rossella Bottaro, Katya De Giovanni, Palmira Faraci","doi":"10.2147/PRBM.S529101","DOIUrl":"10.2147/PRBM.S529101","url":null,"abstract":"<p><strong>Purpose: </strong>Work-life balance (WLB) represents a well-established construct in several fields. However, the post-pandemic period has prompted substantial re-evaluations of the boundaries between professional and personal life among the general population, highlighting a critical need for renewed theoretical frameworks and empirical updates in this field. Our research focuses on the procedure of effectively assessing WLB in different cultural contexts, grounded in well-established theoretical foundations and involving the testing of measurement quality. Thus, the present cross-cultural study aimed to provide new evidence about the dimensionality, validity, reliability, and cultural invariance of the Work-Life Balance Scale and its practical impact on employee well-being.</p><p><strong>Participants and methods: </strong>A sample of 362 employees (50% Maltese; 50% Italian), with a mean age of 43.36 (<i>SD</i> = 11.51) completed the WLBS in an online survey from March to April 2023. The cultural invariance was tested using the 13-model ESEM taxonomy of full measurement invariance. Moreover, through Network Analysis, the life satisfaction and optimism scales were administered to test the WLBS validity across countries.</p><p><strong>Results: </strong>Results showed ESEM model good fit (X<sup>2</sup>=127.609, <i>df</i> = 63, CFI = 0.963, TLI = 0.939, RMSEA = 0.053 [0.040-0.066]) and less correlated latent factors than CFA. Tests of cultural invariance supported a weak invariance (ie, factor loadings and item uniqueness or factor variance/covariance matrix) across countries. Furthermore, the findings supported the validity and reliability of the scale.</p><p><strong>Conclusion: </strong>In conclusion, new evidence about the WLBS theoretical framework and dimensionality was provided by using the ESEM as a challenging psychometric approach. Results from this study also supported its psychometric features and the cross-cultural applicability of the WLBS in two different European countries. The practical recommendations for government policy were discussed.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"18 ","pages":"1637-1656"},"PeriodicalIF":3.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12323781/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144789833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Birth Order and Chinese Adolescent Mental Health within the Context of the Three-Child Policy: The Roles of Parenting Styles and Parental Company. 三孩政策背景下出生顺序与中国青少年心理健康:父母教养方式和父母陪伴的作用
IF 3.2 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-07-30 eCollection Date: 2025-01-01 DOI: 10.2147/PRBM.S527745
Yating Qi, Jiayue Qiu, Yunyi Zhang, Yaoyao Shi, Chenjia Xie, JingXuan Zhou, Youjia Wu, Yuexia Gao

Purpose: The implementation of the three-child policy brings about changes to family structures and resource distributions. However, little research has explored the effects of birth order on adolescent mental health in this context. This study aims to bridge the gap by investigating the relationship between birth order and mental health and discovering the underlying factors.

Patients and methods: In this cross-sectional study, 3581 adolescents from 42 schools across 17 cities in China were recruited. Data on mental health (the adapted Chinese version of the Strengths and Difficulties Questionnaire, SDQ), parenting styles (the Parenting Styles Scale), birth order, duration of parental company, and demographic characteristics were assessed. Hierarchical multiple regression analysis analyzes the relationships among these factors.

Results: Compared with only-child adolescents, first-borns had higher scores of total SDQ (β= 0.74, p<0.01), emotional symptoms (β= 0.22, p<0.05), conduct symptoms (β= 0.18, p<0.01), and peer relationship symptoms (β= 0.29, p<0.001). They experienced less emotionally warm (β= -0.54, p<0.001) and trust-encouraged (β= -0.34, p<0.01) parenting styles, with shorter durations of parental company (β= -0.26, p<0.001). Middle-born adolescents had higher peer relationship symptoms scores and more neglectful parenting styles. Last-born adolescents were more likely to receive spoiled parenting styles.

Conclusion: This study elucidates the effects of birth order on adolescent mental health in the three-child policy era, revealing that parenting styles vary by birth order. First-borns may experience suboptimal parenting styles and shorter parental company, increasing mental health risks. Middle-borns may encounter neglectful parenting styles, while last-borns experience spoiled parenting styles. These findings emphasize the need for tailored support from parents and schools to address each child's unique needs and foster better psychological development. Limitations include reliance on self-reported data and the cross-sectional design that restricts causal inference. Future research should adopt longitudinal designs and explore cultural and regional variations.

目的:三孩政策的实施带来了家庭结构和资源分配的变化。然而,在这种情况下,很少有研究探讨出生顺序对青少年心理健康的影响。本研究旨在探讨出生顺序与心理健康之间的关系,并发现其潜在的影响因素。患者和方法:在这项横断面研究中,来自中国17个城市42所学校的3581名青少年被招募。评估心理健康(SDQ)、父母教养方式(父母教养方式量表)、出生顺序、父母陪伴时间和人口统计学特征等数据。层次多元回归分析分析了这些因素之间的关系。结果:与独生子女青少年相比,第一胎的总SDQ得分更高(β= 0.74, pβ= 0.22, pβ= 0.18, pβ= 0.29, pβ= -0.54, pβ= -0.34, pβ= -0.26, p)。结论:本研究揭示了三孩政策时代出生顺序对青少年心理健康的影响,揭示了不同出生顺序的父母教养方式的差异。长子长女可能经历不理想的养育方式和较短的父母陪伴,增加心理健康风险。中间的孩子可能会遇到被忽视的父母方式,而最后的孩子则会遇到被宠坏的父母方式。这些发现强调了家长和学校需要量身定制的支持,以满足每个孩子的独特需求,促进更好的心理发展。局限性包括依赖于自我报告的数据和限制因果推理的横断面设计。未来的研究应采用纵向设计,探索文化和地域差异。
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引用次数: 0
Causal Relationship Between Depression, Sleep Disorders, and Constipation: A Mendelian Randomization and Mediation Analysis. 抑郁、睡眠障碍和便秘之间的因果关系:孟德尔随机化和中介分析。
IF 3.2 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-07-22 eCollection Date: 2025-01-01 DOI: 10.2147/PRBM.S529521
Jun-Xi Wang, Kai-Yan Wei, Wei Lin, Yi-Juan Liu

Objective: The study aims to investigate the causal relationship between depression, sleep disorders, and constipation using multivariable Mendelian randomization (MR) and mediation MR analysis. Additionally, the potential mediating effects of sleep disorders in the association between depression and constipation were evaluated.

Methods: Genome-wide association study (GWAS) data were utilized to identify genetic variants associated with depression, sleep disorders, and constipation as instrumental variables (IVs). The inverse-variance weighted (IVW) method was applied as the primary analytical approach. The mediating role of sleep disorders was assessed through multivariable MR and mediation MR analysis, and sensitivity analyses were conducted to assess the robustness of the findings.

Results: Depression was associated with a significantly increased risk of constipation (OR 1.26, 95% CI 1.11-1.44, P = 0.00034, IVW). Reverse MR analysis did not demonstrate a significant effect of constipation on depression (P = 0.086). According to mediation MR analysis, sleep disorders significantly mediated the causal association between depression and constipation, with a mediation rate of 13%. Sensitivity analyses supported the consistency and robustness of the findings.

Conclusion: Findings from this study provide evidence of a causal relationship between depression and constipation, with sleep disorders serving as a partial mediator. These findings offer novel insights into the mechanisms of depression-related constipation, highlighting the potential role of sleep disturbances as a therapeutic target.

目的:采用多变量孟德尔随机化(Mendelian randomization, MR)和中介MR分析探讨抑郁、睡眠障碍和便秘之间的因果关系。此外,还评估了睡眠障碍在抑郁和便秘之间的潜在中介作用。方法:利用全基因组关联研究(GWAS)数据确定与抑郁、睡眠障碍和便秘相关的遗传变异作为工具变量(IVs)。采用反方差加权(IVW)法作为主要分析方法。通过多变量MR和中介MR分析评估睡眠障碍的中介作用,并进行敏感性分析以评估研究结果的稳健性。结果:抑郁与便秘风险显著增加相关(OR 1.26, 95% CI 1.11-1.44, P = 0.00034, IVW)。反向磁共振分析未显示便秘对抑郁有显著影响(P = 0.086)。根据中介MR分析,睡眠障碍显著介导抑郁与便秘之间的因果关系,中介率为13%。敏感性分析支持研究结果的一致性和稳健性。结论:本研究的发现为抑郁和便秘之间的因果关系提供了证据,睡眠障碍是部分中介。这些发现为抑郁症相关便秘的机制提供了新的见解,强调了睡眠障碍作为治疗靶点的潜在作用。
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引用次数: 0
Effects of Character Strengths on Depression in Military College Students: The Chain Mediating Role of Positive Emotions and Life Satisfaction in a Cross-Sectional Study. 军人大学生性格优势对抑郁的影响:积极情绪与生活满意度的连锁中介作用
IF 2.8 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-07-19 eCollection Date: 2025-01-01 DOI: 10.2147/PRBM.S531785
Yan Zhang, Zhe Yang, Shengjun Wu

Purpose: Depression is one of the significant factors affecting the mental health of military college students. This study aims to explore the influencing mechanisms of depression in military college students.

Methods: This study employed a convenience sampling method to recruit 813 participants and collected data through online questionnaires administered via Wenjuanwang. The questionnaires comprised sections on demographic information, character strengths, positive affect, satisfaction with life, and depression scales. For data analysis, t-tests were conducted for intergroup comparisons, and Pearson's correlation analysis was utilized to evaluate the relationships between variables, and regression analysis combined with structural equation modeling was applied to investigate the chain mediating effects.

Results: Character strengths negatively predict depression among military academy students, with a mediating effect of -0.169 (95% CI: -0.323 to -0.050). Life satisfaction partially mediates this relationship (mediating effect: -0.074, 95% CI: -0.323 to -0.050). Positive emotions do not significantly mediate this relationship (β = -0.045, 95% CI: -0.154 to 0.057). Character strengths also indirectly influence depression via the sequential mediation of positive emotions and life satisfaction (mediating effect: -0.163, 95% CI: -0.398 to -0.199, p < 0.05).

Conclusion: Educators in military college may consider designing comprehensive intervention programs to cultivate character strengths, which could potentially enhance positive emotions and life satisfaction, and possibly prevent depression or reduce its level.

目的:抑郁症是影响军校学生心理健康的重要因素之一。本研究旨在探讨军人大学生抑郁的影响机制。方法:本研究采用方便抽样法,共招募813名研究对象,通过问卷调查网发放在线问卷。问卷包括人口统计信息、性格优势、积极影响、生活满意度和抑郁量表。数据分析采用t检验进行组间比较,采用Pearson相关分析评价变量间关系,采用回归分析结合结构方程模型考察连锁中介效应。结果:性格优势负向预测军校学生抑郁,中介效应为-0.169 (95% CI: -0.323 ~ -0.050)。生活满意度部分中介了这种关系(中介效应:-0.074,95% CI: -0.323 ~ -0.050)。积极情绪没有显著调节这种关系(β = -0.045, 95% CI: -0.154至0.057)。性格优势还通过积极情绪和生活满意度的顺序中介间接影响抑郁(中介效应:-0.163,95% CI: -0.398 ~ -0.199, p < 0.05)。结论:军事院校教育工作者可考虑设计综合干预方案,培养人格优势,提高积极情绪和生活满意度,有可能预防或降低抑郁水平。
{"title":"Effects of Character Strengths on Depression in Military College Students: The Chain Mediating Role of Positive Emotions and Life Satisfaction in a Cross-Sectional Study.","authors":"Yan Zhang, Zhe Yang, Shengjun Wu","doi":"10.2147/PRBM.S531785","DOIUrl":"10.2147/PRBM.S531785","url":null,"abstract":"<p><strong>Purpose: </strong>Depression is one of the significant factors affecting the mental health of military college students. This study aims to explore the influencing mechanisms of depression in military college students.</p><p><strong>Methods: </strong>This study employed a convenience sampling method to recruit 813 participants and collected data through online questionnaires administered via Wenjuanwang. The questionnaires comprised sections on demographic information, character strengths, positive affect, satisfaction with life, and depression scales. For data analysis, <i>t</i>-tests were conducted for intergroup comparisons, and Pearson's correlation analysis was utilized to evaluate the relationships between variables, and regression analysis combined with structural equation modeling was applied to investigate the chain mediating effects.</p><p><strong>Results: </strong>Character strengths negatively predict depression among military academy students, with a mediating effect of -0.169 (95% CI: -0.323 to -0.050). Life satisfaction partially mediates this relationship (mediating effect: -0.074, 95% CI: -0.323 to -0.050). Positive emotions do not significantly mediate this relationship (β = -0.045, 95% CI: -0.154 to 0.057). Character strengths also indirectly influence depression via the sequential mediation of positive emotions and life satisfaction (mediating effect: -0.163, 95% CI: -0.398 to -0.199, p < 0.05).</p><p><strong>Conclusion: </strong>Educators in military college may consider designing comprehensive intervention programs to cultivate character strengths, which could potentially enhance positive emotions and life satisfaction, and possibly prevent depression or reduce its level.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"18 ","pages":"1595-1609"},"PeriodicalIF":2.8,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12285894/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144699351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Role of Perceived Social-Emotional Competence in Adolescents' Mental Health: The Longitudinal Mediating Effect of Peer Relationship and Teacher-Student Relationship. 知觉社会情绪能力在青少年心理健康中的作用:同伴关系和师生关系的纵向中介作用。
IF 2.8 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-07-15 eCollection Date: 2025-01-01 DOI: 10.2147/PRBM.S531612
Ping Zhou, Sidan Yan, Lulu Hou

Introduction: Perceived social-emotional competence (PSEC) has been identified as a critical factor influencing adolescent mental health. However, limited research has explored the underlying mechanisms linking PSEC to both psychological distress and subjective well-being.

Methods: This longitudinal study investigated the associations among PSEC, psychological distress, and subjective well-being, as well as the potential mediating roles of peer relationships and teacher-student relationships. A sample of 452 adolescents (aged 16-19 years) participated in the study. Structural equation modeling was employed to examine the hypothesized mediation pathways.

Results: Correlational analyses showed significant associations among PSEC, subjective well-being, psychological distress, peer relationships, and teacher-student relationships. Longitudinal mediation analyses revealed that the relationship between PSEC and psychological distress was fully mediated by peer relationships. In contrast, the effects of PSEC on subjective well-being were explained by both direct effects and the mediating roles of peer and teacher-student relationships.

Discussion: These findings underscore the importance of supportive interpersonal relationships in adolescent mental health. The results suggest that enhancing peer and teacher-student relationships may be a valuable target for interventions aimed at strengthening the positive impact of PSEC.

认知社会情绪能力(PSEC)被认为是影响青少年心理健康的重要因素。然而,有限的研究探索了PSEC与心理困扰和主观幸福感之间的潜在机制。方法:采用纵向研究的方法,探讨心理焦虑、心理困扰和主观幸福感的关系,以及同伴关系和师生关系的潜在中介作用。452名青少年(16-19岁)参与了这项研究。采用结构方程模型对假设的中介途径进行检验。结果:心理安全与主观幸福感、心理困扰、同伴关系、师生关系呈显著相关。纵向中介分析表明,同伴关系完全中介了PSEC与心理困扰的关系。与此相反,PSEC对主观幸福感的影响可以通过同伴关系和师生关系的直接作用和中介作用来解释。讨论:这些发现强调了支持性人际关系在青少年心理健康中的重要性。结果表明,加强同伴关系和师生关系可能是旨在加强PSEC积极影响的干预措施的一个有价值的目标。
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引用次数: 0
The Effects of Social Media Addiction, Academic Stress, and Sleep Quality on Anxiety Symptoms: A Cross-Sectional Study of Chinese Vocational Students. 社交媒体成瘾、学业压力和睡眠质量对中国高职学生焦虑症状的影响:一项横断面研究
IF 3.2 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-07-14 eCollection Date: 2025-01-01 DOI: 10.2147/PRBM.S522652
GuangFeng Zheng, HaoYan Peng

Purpose: While prior research has predominantly examined the direct effects of social media addiction, academic stress, and sleep quality on anxiety symptoms, the role of underlying mechanisms remains insufficiently explored. This study seeks to systematically investigate how social media addiction, academic stress, and sleep quality influence anxiety symptoms through the mediating mechanism of self-efficacy.

Methods: This study employed a cross-sectional survey design, using stratified random sampling to recruit 469 Chinese adolescents aged 12-18. Various tools were used for measurement, including the Social Media Addiction Scale, the Academic Stress Scale, the Pittsburgh Sleep Quality Index, the Generalized Anxiety Disorder-7 Scale, and the General Self-Efficacy Scale. Correlation analysis and mediation effect analysis were conducted using SPSS 26.0.

Results: After controlling for covariates such as gender, the results indicated significant correlations between social media addiction, academic stress, sleep quality, and anxiety symptoms in adolescents. Self-efficacy played a crucial mediating role in this process.

Conclusion: These findings provide new insights into the causes of anxiety symptoms among Chinese adolescents and offer a theoretical basis for future psychological health intervention strategies.

目的:虽然之前的研究主要是研究社交媒体成瘾、学业压力和睡眠质量对焦虑症状的直接影响,但潜在机制的作用仍未得到充分探索。本研究旨在系统探讨社交媒体成瘾、学业压力和睡眠质量如何通过自我效能感的中介机制影响焦虑症状。方法:本研究采用横断面调查设计,采用分层随机抽样的方法,对469名12-18岁的中国青少年进行调查。使用了各种工具进行测量,包括社交媒体成瘾量表、学业压力量表、匹兹堡睡眠质量指数、广泛性焦虑障碍-7量表和一般自我效能量表。采用SPSS 26.0进行相关分析和中介效应分析。结果:在控制性别等协变量后,结果显示社交媒体成瘾、学业压力、睡眠质量和青少年焦虑症状之间存在显著相关性。自我效能感在这一过程中起着至关重要的中介作用。结论:本研究结果为了解中国青少年焦虑症状的成因提供了新的思路,并为制定心理健康干预策略提供了理论依据。
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引用次数: 0
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Psychology Research and Behavior Management
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