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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。
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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
Why Do Migrant Children Have Poorer Mental Health Compared to Urban Children? A Network Analysis Approach. 为什么流动儿童的心理健康状况比城市儿童差?网络分析方法。
IF 2.8 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-07-10 eCollection Date: 2025-01-01 DOI: 10.2147/PRBM.S519806
Juanjuan Sun, Kemeng Yao, Jinghui Zhang, Yan Li

Introduction: Although mobility has been identified as a significant risk factor adversely affecting mental health and well-being, the mechanisms underlying this association remain insufficiently understood. Unlike traditional linear regression approaches, this study applies network analysis to systematically explore how multiple family risk factors collectively affect problem behaviors in migrant and urban preschoolers.

Methods: A total of 1,469 children (500 urban, 959 migrant) and their parents were recruited. Network analysis examined interrelationships among family risk factors and compared risk networks between migrant and urban children. Latent profile analysis identified general and high-risk migrant groups based on problem behaviors, and network analysis explored unique risk patterns in high-risk migrant children.

Results: Three key factors-household chaos, maternal punishment, and maternal executive function-proved central in shaping both internalizing and externalizing problems. Importantly, paternal influences played a more significant role within migrant families, while maternal influences were more salient in urban families. Furthermore, among migrant families, high-risk children exhibited risk networks that were densely clustered around mother- and father-centered "risk networks" independently, yet demonstrated lower overall network connectivity, suggesting a more fragmented pattern of family risk dynamics.

Discussion: These findings highlight the importance of parental roles, differing social contexts, and cumulative risk in understanding child subjective well-being.

导言:虽然流动性已被确定为对心理健康和福祉产生不利影响的重要风险因素,但这种关联的潜在机制仍未得到充分了解。与传统的线性回归方法不同,本研究采用网络分析方法系统地探讨了多种家庭风险因素如何共同影响流动儿童和城市学龄前儿童的问题行为。方法:共招募1469名儿童(市区500名,外地959名)及其父母。网络分析检查了家庭风险因素之间的相互关系,并比较了流动儿童和城市儿童之间的风险网络。基于问题行为的潜在特征分析确定了一般和高风险移民群体,网络分析探索了高风险移民儿童的独特风险模式。结果:三个关键因素——家庭混乱、母亲惩罚和母亲执行功能——被证明是形成内化和外化问题的核心因素。重要的是,父亲的影响在流动家庭中发挥了更显著的作用,而母亲的影响在城市家庭中更为突出。此外,在流动家庭中,高风险儿童的风险网络以母亲和父亲为中心,独立地密集聚集在“风险网络”周围,但整体网络连通性较低,表明家庭风险动态格局更加碎片化。讨论:这些发现强调了父母角色、不同的社会背景和理解儿童主观幸福感的累积风险的重要性。
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引用次数: 0
Implicit Attitudes and Addictive Behaviors Among Methamphetamine Users: The Moderation of Depression. 甲基安非他命使用者的内隐态度与成瘾行为:抑郁症的调节作用。
IF 2.8 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-07-07 eCollection Date: 2025-01-01 DOI: 10.2147/PRBM.S512321
Cheng-Fang Yen, Yi-Chun Yeh, Chih-Yao Hsu, Peng-Wei Wang

Introduction: Methamphetamine use disorder is a major mental health issue worldwide. An implicit attitude is a potential way to understand the paradoxical behavior of substance use and has not been fully investigated for methamphetamine users. Depression is a common comorbidity for methamphetamine users. Little is known about the moderating effects of depression on the associations between implicit attitudes and addictive behavior in methamphetamine users. The aims of this study were to examine the associations of implicit attitudes with methamphetamine-dependent behavior and the moderation of depression in these associations.

Methods: One-hundred and fifty methamphetamine users were enrolled. Epidemiological data, methamphetamine dependence severity, and implicit attitudes were collected.

Results: The results showed that participants have positive implicit attitudes toward methamphetamine and that the implicit attitude is positively related to dependence severity. Depressive methamphetamine users have greater levels of positive implicit attitudes and dependence severity. Furthermore, depression positively moderates the relationships between implicit attitudes and use behavior.

Conclusion: These results highlight the importance of implicit attitudes and depression for methamphetamine dependence and indicate that depression can strengthen the relationship between implicit attitudes and methamphetamine-use behavior. Therefore, both implicit attitudes and depression are areas to be addressed in the treatment of methamphetamine use disorder.

甲基苯丙胺使用障碍是世界范围内的一个主要精神卫生问题。内隐态度是理解物质使用的矛盾行为的一种潜在方法,但尚未对甲基苯丙胺使用者进行充分调查。抑郁症是甲基苯丙胺使用者的常见合并症。在甲基苯丙胺使用者中,抑郁症对内隐态度和成瘾行为之间的关联的调节作用知之甚少。本研究的目的是探讨内隐态度与甲基苯丙胺依赖行为的关系,以及在这些关系中抑郁的调节。方法:纳入150名甲基苯丙胺使用者。收集流行病学资料、甲基苯丙胺依赖严重程度和内隐态度。结果:被试对甲基苯丙胺有积极的内隐态度,内隐态度与依赖程度正相关。抑郁的甲基苯丙胺使用者有更高水平的积极内隐态度和依赖严重程度。此外,抑郁正调节内隐态度与使用行为之间的关系。结论:这些结果突出了内隐态度和抑郁对甲基苯丙胺依赖的重要性,表明抑郁可以加强内隐态度与甲基苯丙胺使用行为的关系。因此,在治疗甲基苯丙胺使用障碍时,内隐态度和抑郁都是需要解决的问题。
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引用次数: 0
The Interplay of Non-Verbal Intelligence and Cognitive Functions in Understanding Emotions in Preschool Children. 非言语智力与认知功能在学龄前儿童情绪理解中的相互作用。
IF 2.8 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-06-30 eCollection Date: 2025-01-01 DOI: 10.2147/PRBM.S525241
Morteza Charkhabi, Margarita Gavrilova, Kristina Tarasova, Elena Chichinina, Frederic Dutheil

Objective: Emotions are known to play a vital role in the lives of children; however, not all children possess an equal understanding of emotions. This suggests the influence of cognitive abilities and functions on the development of emotion understanding during different developmental phases. This study aims to explore the link between non-verbal intelligence and emotion understanding in children. Also, it examines a mediation model to assess the extent to which cognitive functions mediate this link. Finally, it aims to compare the strength of mediation paths between boys and girls through testing a moderated mediation model.

Methods: To test the research hypotheses, a sample of 272 children (M = 63.40 months, SD = 3.74) including 81 boys and 138 girls was recruited. The parents of the remaining 53 children chose not to specify their children's gender. Participants responded to scales on non-verbal intelligence, executive cognitive functions and emotion understanding.

Results: The results suggested that there is a statistically positive relationship between non-verbal intelligence and emotion understanding. Also, the executive cognitive functions were positively associated with both non-verbal intelligence and emotion understanding. The results of multiple mediation analysis revealed that only the inhibition mediated the link between non-verbal intelligence and emotion understanding.

Conclusion: These findings suggest that not all executive cognitive functions can explain the underlying mechanism between non-verbal intelligence and emotion understanding, however, inhibition emerged as the stronger mediator in this relationship.

目的:众所周知,情绪在儿童的生活中起着至关重要的作用;然而,并不是所有的孩子都对情感有同样的理解。这表明认知能力和功能在不同发育阶段对情绪理解发展的影响。本研究旨在探讨儿童非语言智力与情绪理解之间的关系。此外,它还检验了一个中介模型,以评估认知功能介导这种联系的程度。最后,通过测试一个有调节的中介模型,比较男孩和女孩之间的中介路径的强度。方法:为检验研究假设,选取272名儿童(M = 63.40个月,SD = 3.74),其中男童81名,女童138名。其余53名孩子的父母选择不透露孩子的性别。参与者对非语言智力、执行认知功能和情绪理解进行了测试。结果:非语言智力与情绪理解之间存在显著正相关。此外,执行认知功能与非语言智力和情绪理解呈正相关。多重中介分析结果表明,非言语智力与情绪理解之间的联系只有抑制起中介作用。结论:并非所有的执行认知功能都能解释非言语智力与情绪理解之间的潜在机制,而抑制在这一关系中起着更强的中介作用。
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引用次数: 0
Resilience and Affiliate Stigma Among Parents of Children with Autism Spectrum Disorder: The Mediating Role of Life Satisfaction and the Moderating Role of Ostracism. 自闭症谱系障碍儿童父母的心理弹性与附属污名:生活满意度的中介作用和排斥的调节作用。
IF 2.8 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-06-28 eCollection Date: 2025-01-01 DOI: 10.2147/PRBM.S524580
Hanyu Chen, Ying Ding, Dongchen Xu, Zhiheng Xiong

Purpose: Parents of children with autism spectrum disorder (ASD) often encounter multifaceted challenges when addressing their children's special needs. While existing studies have examined the relationship between parental resilience and mental health in this population, the underlying mechanisms governing this association remain poorly understood. The present study aims to investigate the association between parental resilience and affiliate stigma, examine the mediating role of life satisfaction in this relationship, and assess the moderating effect of ostracism on these pathways.

Methods: This study employed a cross-sectional design to examine the relationship between resilience and affiliate stigma among parents of children with ASD, as well as the underlying mechanism. A total of 380 caregivers were recruited from autism intervention centers in Jiangsu Province, mainland China. Participants voluntarily completed questionnaires including the Brief Resilience Scale, the Affiliate Stigma Scale, the Satisfaction With Life Scale, and the Ostracism Short Scale.

Results: (1) Resilience of parents of children with autism negatively predicted affiliate stigma; (2) Life satisfaction partially mediated the relationship between resilience and affiliate stigma; and (3) Ostracism significantly moderated the relationship between life satisfaction and affiliate stigma.

Conclusion: This study reveals the complex relationship between resilience, affiliate stigma, life satisfaction, and ostracism among parents of children with ASD. It highlights the significance of enhancing parental resilience, improving life satisfaction, and reducing ostracism in alleviating the stress of affiliate stigma in families of children with autism. In the family support system for children with ASD, it is necessary to build an inclusive social environment and provide resources for psychological interventions to enhance parents' resilience in the face of challenges.

目的:自闭症谱系障碍(ASD)儿童的父母在解决孩子的特殊需求时经常遇到多方面的挑战。虽然现有的研究已经调查了这一人群中父母弹性和心理健康之间的关系,但控制这种联系的潜在机制仍然知之甚少。本研究旨在探讨父母心理弹性与亲属耻辱感之间的关系,考察生活满意度在这一关系中的中介作用,并评估被排斥对这些途径的调节作用。方法:本研究采用横断面设计,探讨自闭症儿童父母心理弹性与附属污名的关系及其潜在机制。从中国大陆江苏省的自闭症干预中心招募了380名护理人员。被试自愿完成问卷调查,包括短期弹性量表、附属污名量表、生活满意度量表和排斥短期量表。结果:(1)孤独症儿童父母的心理弹性负向预测伴随病耻感;(2)生活满意度在心理弹性与归属感污名的关系中起部分中介作用;(3)排斥显著调节了生活满意度与归属感污名的关系。结论:本研究揭示了自闭症儿童父母心理弹性、附属污名、生活满意度和排斥之间的复杂关系。它强调了增强父母弹性、提高生活满意度和减少排斥在减轻自闭症儿童家庭附属污名压力方面的重要性。在ASD儿童的家庭支持系统中,需要建立一个包容的社会环境,为心理干预提供资源,以增强家长面对挑战的弹性。
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引用次数: 0
Fear-Pleasure Paradox in Recreational Fear: Neural Correlates and Therapeutic Potential in Depression. 娱乐性恐惧中的恐惧-快乐悖论:抑郁症的神经关联及其治疗潜力。
IF 2.8 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-06-27 eCollection Date: 2025-01-01 DOI: 10.2147/PRBM.S529004
Yuting Zhan, Xu Ding

Background: Recreational fear, voluntary exposure to frightening stimuli in safe contexts (eg, horror films), elicits both distress and pleasure. Although paradoxical enjoyment of fear has been documented in healthy populations, its neural and psychological mechanisms, and potential therapeutic value for depression, remain unclear.

Methods: In a mixed-methods design, Study 1 (N = 216) assessed psychological and physiological responses to standardized fear stimuli across a continuum of depressive symptoms, using heart rate variability, salivary cortisol, and validated self-report measures. Study 2 (N = 84) employed functional MRI to characterize brain activation during and after exposure to the same stimuli in individuals with mild-to-moderate depression.

Results: An inverted-U-shaped curve linked fear intensity to enjoyment, with depression severity significantly moderating this relationship (β = -0.42, p <0.001): higher symptom levels required stronger stimuli for peak pleasure. Depressed participants showed greater ventromedial prefrontal cortex activation and attenuated amygdala responses, suggesting enhanced engagement of regulatory circuits. fMRI analyses also revealed transient normalization of default-mode and salience-network connectivity following fear exposure (t(83) = 3.87, p <0.001, d = 0.84).

Conclusion: Controlled recreational fear may transiently engage emotion-regulatory networks and modify maladaptive connectivity patterns in depression, offering a novel adjunctive strategy. These findings are preliminary and correlational; future studies should examine causal effects and long-term clinical impact.

背景:娱乐性恐惧,即在安全环境中自愿暴露于令人恐惧的刺激(如恐怖电影),会引起痛苦和快乐。尽管在健康人群中发现了对恐惧的矛盾享受,但其神经和心理机制以及对抑郁症的潜在治疗价值仍不清楚。方法:在混合方法设计中,研究1 (N = 216)评估了对标准化恐惧刺激的心理和生理反应,采用心率变异性、唾液皮质醇和有效的自我报告测量。研究2 (N = 84)采用功能性MRI来表征轻度至中度抑郁症患者在暴露于相同刺激期间和之后的大脑激活。结果:恐惧强度与享受之间呈倒u型曲线,抑郁严重程度显著调节了这种关系(β = -0.42, p t(83) = 3.87, p d = 0.84)。结论:控制性娱乐恐惧可能会短暂参与抑郁症患者的情绪调节网络并改变其适应不良的连接模式,为抑郁症患者提供了一种新的辅助策略。这些发现是初步的和相关的;未来的研究应检查因果关系和长期临床影响。
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引用次数: 0
The Post-Traumatic Growth Experience in Family Caregivers of People with Dementia: A Descriptive Qualitative Study. 失智症患者家庭照护者创伤后成长经验:一项描述性质的研究。
IF 2.8 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-06-26 eCollection Date: 2025-01-01 DOI: 10.2147/PRBM.S525683
Yang Wang, Yanhong Gu, Ruxia Qiu, Dechao Long, Na Sun

Purpose: To explore and illuminate the post-traumatic growth experience among family caregivers of people with dementia.

Patients and methods: Descriptive qualitative research was conducted using purposive sampling. Between June and October 2024, 19 family caregivers of dementia patients were selected from an outpatient clinic for memory disorders and a mental health center in Shanghai. The NVivo 20.0 software was used to organize and code the interview data, and the data were analyzed and thematically condensed using the directed content analysis method.

Results: Four themes were identified, along with eleven sub-themes associated with them: cognitive-behavioral shift (transitioning family roles, recognizing disease characteristics, focusing on health management, and responding positively and effectively); personal strength enhancement (enhancing coping capacity, increased psychological resilience and increased responsibility); improved relationships with others (harmonizing in family relations and benefiting from social interactions); and changes in life perceptions (reshaping of values, and reconstructing the meaning of life).

Conclusion: Family caregivers of people with dementia experience multifaceted post-traumatic growth after a traumatic event of disease diagnosis and patient caregiving. It is necessary to focus on positive psychological resources for family caregivers to improve the burden of caregiving. Future research should take measures to promote family caregivers' positive perceptions, explore their own potential and strengths, and help them make full use of family and social support to enhance their post-traumatic growth.

目的:探讨和阐明痴呆患者家庭照顾者的创伤后成长体验。患者及方法:采用有目的抽样进行描述性定性研究。在2024年6月至10月期间,从上海一家记忆障碍门诊和一家精神卫生中心选择了19名痴呆症患者的家庭照顾者。采用NVivo 20.0软件对访谈数据进行整理编码,采用定向内容分析法对访谈数据进行分析和主题化浓缩。结果:确定了四个主题,以及与之相关的十一个子主题:认知行为转变(转变家庭角色,认识疾病特征,关注健康管理,积极有效地应对);个人力量增强(应对能力增强、心理弹性增强、责任感增强);改善与他人的关系(使家庭关系和谐并从社会交往中受益);人生观念的改变(价值观的重塑,人生意义的重构)。结论:痴呆症患者的家庭照护者经历了创伤性事件后疾病诊断和患者照护的多方面创伤后成长。重视家庭照顾者的积极心理资源,以减轻照顾负担。未来的研究应采取措施,促进家庭照顾者的积极认知,挖掘其自身的潜力和优势,帮助其充分利用家庭和社会支持,促进创伤后成长。
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引用次数: 0
Clinical Traits of Adult Depression with ADHD Comorbidity. 成人抑郁症伴ADHD合并症的临床特征。
IF 2.8 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-06-23 eCollection Date: 2025-01-01 DOI: 10.2147/PRBM.S526615
Liping Dong, Ting Sun, Ping Tong, Xiaoyan Ke

Background: Comorbidity between attention-deficit/hyperactivity disorder (ADHD) and depression in adults is frequently observed and is associated with more complex clinical presentations and poorer prognoses. Greater emphasis is therefore warranted on identifying the distinguishing clinical characteristics of this comorbid condition.

Objective: To examine the clinical differences between adults diagnosed with depression with and without comorbid ADHD.

Methods: A cross-sectional comparative analysis was conducted involving patients with MDD, with and without comorbid ADHD. Sociodemographic and clinical variables were collected. Multivariate logistic regression analysis was performed to identify factors independently associated with ADHD comorbidity.

Results: A total of 197 patients were included in the final analysis. Significant differences in both sociodemographic and clinical variables were observed between the two groups. Multivariate logistic regression revealed that earlier age of onset (OR = 1.86, 95% CI: 1.25-7.31), lower educational attainment (OR = 0.43, 95% CI: 0.22-0.86), higher PHQ-9 scores (OR = 2.31, 95% CI: 1.58-6.52), poor emotional impulsivity control (OR = 4.55, 95% CI: 2.58-8.01), and maladaptive emotion regulation strategies (OR = 3.24, 95% CI: 2.07-7.45) were significantly associated with the presence of ADHD in patients with depression.

Conclusion: Adults with comorbid depression and ADHD demonstrate distinct clinical features compared to those with depression alone. Key predictive factors include earlier onset of depression, lower levels of education, more severe depressive symptoms, greater difficulties in emotional impulsivity control, and the use of maladaptive emotion regulation strategies. These findings underscore the need for comprehensive assessment of emotion regulation in depressive patients, as such difficulties may signal the presence of comorbid ADHD. Interventions targeting emotional regulation may enhance diagnostic accuracy and improve treatment outcomes in this population.

背景:成人注意缺陷/多动障碍(ADHD)和抑郁症的共病经常被观察到,并且与更复杂的临床表现和较差的预后相关。因此,更大的重点是确定这种合并症的显著临床特征。目的:探讨成人抑郁症合并和不合并ADHD的临床差异。方法:对伴有和不伴有ADHD的MDD患者进行横断面比较分析。收集社会人口学和临床变量。进行多变量logistic回归分析以确定与ADHD合并症独立相关的因素。结果:共纳入197例患者。两组之间的社会人口学和临床变量均有显著差异。多因素logistic回归显示,发病年龄较早(OR = 1.86, 95% CI: 1.25-7.31)、受教育程度较低(OR = 0.43, 95% CI: 0.22-0.86)、PHQ-9评分较高(OR = 2.31, 95% CI: 1.58-6.52)、情绪冲动控制不良(OR = 4.55, 95% CI: 2.58-8.01)、情绪调节策略不良(OR = 3.24, 95% CI: 2.07-7.45)与抑郁症患者存在ADHD显著相关。结论:与单纯抑郁症患者相比,成人抑郁症合并ADHD患者表现出明显的临床特征。关键的预测因素包括抑郁症发病早、受教育程度低、抑郁症状更严重、情绪冲动控制更困难以及使用适应不良的情绪调节策略。这些发现强调了对抑郁症患者的情绪调节进行全面评估的必要性,因为这种困难可能预示着ADHD共病的存在。针对情绪调节的干预措施可能会提高诊断的准确性,并改善这一人群的治疗结果。
{"title":"Clinical Traits of Adult Depression with ADHD Comorbidity.","authors":"Liping Dong, Ting Sun, Ping Tong, Xiaoyan Ke","doi":"10.2147/PRBM.S526615","DOIUrl":"10.2147/PRBM.S526615","url":null,"abstract":"<p><strong>Background: </strong>Comorbidity between attention-deficit/hyperactivity disorder (ADHD) and depression in adults is frequently observed and is associated with more complex clinical presentations and poorer prognoses. Greater emphasis is therefore warranted on identifying the distinguishing clinical characteristics of this comorbid condition.</p><p><strong>Objective: </strong>To examine the clinical differences between adults diagnosed with depression with and without comorbid ADHD.</p><p><strong>Methods: </strong>A cross-sectional comparative analysis was conducted involving patients with MDD, with and without comorbid ADHD. Sociodemographic and clinical variables were collected. Multivariate logistic regression analysis was performed to identify factors independently associated with ADHD comorbidity.</p><p><strong>Results: </strong>A total of 197 patients were included in the final analysis. Significant differences in both sociodemographic and clinical variables were observed between the two groups. Multivariate logistic regression revealed that earlier age of onset (OR = 1.86, 95% CI: 1.25-7.31), lower educational attainment (OR = 0.43, 95% CI: 0.22-0.86), higher PHQ-9 scores (OR = 2.31, 95% CI: 1.58-6.52), poor emotional impulsivity control (OR = 4.55, 95% CI: 2.58-8.01), and maladaptive emotion regulation strategies (OR = 3.24, 95% CI: 2.07-7.45) were significantly associated with the presence of ADHD in patients with depression.</p><p><strong>Conclusion: </strong>Adults with comorbid depression and ADHD demonstrate distinct clinical features compared to those with depression alone. Key predictive factors include earlier onset of depression, lower levels of education, more severe depressive symptoms, greater difficulties in emotional impulsivity control, and the use of maladaptive emotion regulation strategies. These findings underscore the need for comprehensive assessment of emotion regulation in depressive patients, as such difficulties may signal the presence of comorbid ADHD. Interventions targeting emotional regulation may enhance diagnostic accuracy and improve treatment outcomes in this population.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"18 ","pages":"1471-1480"},"PeriodicalIF":2.8,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12204094/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144529436","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}
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Psychology Research and Behavior Management
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