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Intergenerational Transmission of Depressive Symptoms in Chinese Families: The Role of Mothers versus Fathers and Adolescent Perceptual Sensitivity. 中国家庭抑郁症状的代际传递:母亲、父亲和青少年知觉敏感性的作用。
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.S519632
Kexin Sun, Xinting Zhang, Ping Li, Cong Cao

Purpose: Depression is well-known to be transmitted across generations, whereas the focus has often been on mother-child dyads. Little is known about the role of fathers and some inherited temperaments of adolescents, especially in Chinese families. This study is the first to explore the moderated mediation transmission mechanism of depressive symptoms, in which (i) the role of fathers was compared to that of mothers, and (ii) how adolescent perceptual sensitivity worked was particularly elucidated.

Participants and methods: A total of 738 Chinese adolescents (M age = 12.80 ± 1.58 years; 47.2% girls) who were companied with one of their primary caregivers (mothers or fathers) were recruited, constituting two subsamples of mother-child (N = 508) versus father-child dyads (N = 230), respectively. Path models and the regions of significance approach were used to analyze the moderated mediation mechanisms.

Results: Mothers and fathers both transmitted depressive symptoms to adolescents via their rejection parenting (indirect effect = 0.14, SE = 0.02, p < 0.001). However, adolescent perceptual sensitivity moderated the second half path of this mediation pathway among mother-child dyads (b = 0.09, SE = 0.04, p = 0.011), but not among father-child dyads (b = -0.05, SE = 0.06, p = 0.348), and worked in a manner of diathesis-stress. Adolescent sex did not moderate this transmission mechanism (χ2 = 6.52, df = 3, p = 0.089).

Conclusion: These findings suggest similarities and differences in the roles of mothers and fathers in the transmission risk of depressive symptoms in contemporary Chinese families, and highlight a diathesis-stress like moderation effect of adolescent perceptual sensitivity.

目的:众所周知,抑郁症是代代相传的,而人们关注的焦点往往是母子二代。人们对父亲的角色和青少年的一些遗传气质知之甚少,尤其是在中国家庭中。本研究首次探讨了抑郁症状的调节中介传递机制,其中(i)父亲的角色与母亲的角色进行了比较,(ii)特别阐明了青少年知觉敏感性是如何工作的。参与者和方法:共有738名中国青少年(M年龄= 12.80±1.58岁;47.2%的女孩)被招募,她们的主要照顾者之一(母亲或父亲)陪同,分别构成母子(N = 508)和父子二人组(N = 230)两个子样本。采用路径模型和显著性区域方法分析了受调节的中介机制。结果:母亲和父亲均通过拒绝式养育方式将抑郁症状传递给青少年(间接效应= 0.14,SE = 0.02, p < 0.001)。然而,青少年知觉敏感性在母子二人组中调节了该中介通路的后半部分(b = 0.09, SE = 0.04, p = 0.011),而在父子二人组中没有调节作用(b = -0.05, SE = 0.06, p = 0.348),并以素质-压力的方式起作用。青少年性行为对这种传播机制没有调节作用(χ2 = 6.52, df = 3, p = 0.089)。结论:这些发现提示了当代中国家庭中母亲和父亲在抑郁症状传播风险中的作用的相似性和差异性,并突出了青少年知觉敏感性的素质应激调节作用。
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引用次数: 0
The Effect of Age Stereotype in Elderly Adults with the Mediation Role of Self-Esteem and Sense of Coherence. 老年人年龄刻板印象的影响:自尊和连贯感的中介作用。
IF 3.2 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-06-17 eCollection Date: 2025-01-01 DOI: 10.2147/PRBM.S508557
Abida Rasool, Barno Abdullaeva, Akmal Nazarov, Dilfuzakhon Kozokboeva, Rustam Abdullaev, Iroda Baydjanova, Nargiza Nuralieva

This systematic review article considers the intertwinement of sense of coherence, self-esteem, and age stereotype among the heterogeneous aging population. Aging is multifaceted and complex, and older persons are a mosaic of values, experience, and psychological responses to society's perception of their age. Underpinning this portrayal is the understanding that aging is not unidimensional but rather a complex aggregate of processes, challenges, and psychological processes. The first half describes the interdependence between age stereotypes and age discrimination and calls for the struggle against ageism at the social, institutional, and individual levels. The second half explores the influence of negative aging stereotypes on the self-concept of the elderly in Poland. It is necessary to investigate these processes to develop interventions and support systems suitable for the specific needs of the aging population. The third part deals with the complex cluster of self-concepts of self-esteem. The variability of self-esteem of the elderly ranging from high self-worth and confidence to low self-esteem and doubtfulness and low self-worth. Intervention must be specialized in trying to construct self-esteem, considering the variability of values of the elderly. In the fourth part, we deal with resilience continuum and the connection with age. Sense of coherence, a construct of Antonovsky's psychology, is the centerpiece of resilience research on older individuals. Optimal sense of coherence enables individuals to manage old-age adversity and how lack of sense of coherence exposes them to the psychological impacts of stereotypes on old age. The dynamics of the aging population on the continuum, discussed in the problems of the fifth section, illustrate the response to age stereotypes and resilience and how these affect overall well-being.

这篇系统的综述文章探讨了在异质性老龄化人群中,连贯感、自尊和年龄刻板印象三者之间的相互关系。老龄化是多方面和复杂的,老年人是价值观、经验和对社会对其年龄认知的心理反应的马赛克。支撑这一描述的是对衰老不是单维的理解,而是一个复杂的过程、挑战和心理过程的集合。前半部分描述了年龄刻板印象和年龄歧视之间的相互依存关系,并呼吁在社会、机构和个人层面上与年龄歧视作斗争。第二部分探讨了消极的老龄化刻板印象对波兰老年人自我概念的影响。有必要对这些过程进行调查,以制定适合老龄化人口具体需求的干预措施和支持系统。第三部分探讨自尊的复杂自我概念群。老年人自尊的变异性从高自尊、自信到低自尊、怀疑、低自我价值。考虑到老年人价值观的变化,干预必须专门用于试图建立自尊。第四部分探讨心理弹性连续体及其与年龄的关系。连贯感是安东诺夫斯基心理学的一个概念,是老年人适应力研究的核心。最佳连贯感使个体能够管理老年逆境,以及缺乏连贯感如何使他们暴露于刻板印象对老年的心理影响。人口老龄化在连续体上的动态,在第五部分的问题中讨论,说明了对年龄刻板印象和弹性的反应,以及它们如何影响整体福祉。
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引用次数: 0
Mental Health Workforce Inequities Across Income Levels: Aligning Global Health Indicators, Policy Readiness, and Disease Burden. 跨收入水平的精神卫生人力不平等:调整全球卫生指标、政策准备和疾病负担。
IF 2.8 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-06-17 eCollection Date: 2025-01-01 DOI: 10.2147/PRBM.S532912
Mónica Patricia Acuña-Rodríguez, Ornella Fiorillo-Moreno, Kevin Fernando Montoya-Quintero, Foday Tejan Mansaray

Despite growing recognition of mental health as a global priority, a critical knowledge gap persists regarding how workforce availability aligns with the burden of mental disorders across income levels. This perspective addresses that gap by comparing mental health workforce indicators and disease burden metrics from the World Health Organization and United Nations datasets, stratified by country income level. The findings reveal a striking misalignment: low- and lower-middle-income countries report the highest disability-adjusted life years due to depression, bipolar disorder, and suicide, yet possess the lowest density of psychiatrists, psychologists, nurses, and social workers per 100,000 population. Conversely, high-income countries demonstrate stronger alignment between disease burden and workforce capacity, supported by greater policy readiness and financial allocation. Importantly, this analysis identifies not only a quantitative shortfall in human resources but also a qualitative gap in policy implementation, including limited enforcement, weak integration into primary care systems, and insufficient accountability mechanisms. Even where national mental health plans exist, compliance and execution remain limited, particularly in low-income settings. These inequities compromise efforts toward universal health coverage and Sustainable Development Goal 3.4 on mental well-being. These findings highlight urgent global priorities for mental health investment and system reform to close the persistent treatment gap and advance the Sustainable Development Goals. This evidence may guide investment decisions, inform global health diplomacy, and support policy reforms aimed at closing the persistent mental health treatment gap.

尽管人们日益认识到精神卫生是一项全球优先事项,但在劳动力供应如何与不同收入水平的精神障碍负担相一致方面,仍然存在严重的知识差距。这一观点通过比较世界卫生组织和联合国数据集中按国家收入水平分层的精神卫生人力指标和疾病负担指标,解决了这一差距。研究结果揭示了一个惊人的偏差:低收入和中低收入国家报告的因抑郁症、双相情感障碍和自杀导致的残疾调整生命年最高,但每10万人中精神病医生、心理学家、护士和社会工作者的密度最低。相反,高收入国家在更充分的政策准备和财政拨款的支持下,疾病负担与劳动力能力之间表现出更强的一致性。重要的是,该分析不仅确定了人力资源数量上的不足,而且还确定了政策执行方面的质量差距,包括执行有限、与初级保健系统的整合不力以及问责机制不足。即使有国家心理健康计划,遵守和执行仍然有限,特别是在低收入环境中。这些不公平现象损害了实现全民健康覆盖和关于精神健康的可持续发展目标3.4的努力。这些发现突出了全球精神卫生投资和制度改革的紧迫优先事项,以缩小持续存在的治疗差距并推进可持续发展目标。这些证据可以指导投资决策,为全球卫生外交提供信息,并支持旨在缩小持续存在的精神卫生治疗差距的政策改革。
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引用次数: 0
Clinical Utility of Long-Acting Injectable Risperidone in Schizophrenia and Bipolar I Disorder: A Review of Clinical Studies. 长效注射利培酮在精神分裂症和双相I型障碍中的临床应用:临床研究综述
IF 2.8 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-06-17 eCollection Date: 2025-01-01 DOI: 10.2147/PRBM.S474513
Francesco Bartoli, Daniele Cavaleri, Ilaria Riboldi, Chiara Alessandra Capogrosso, Giuseppe Carrà

Risperidone was the first second-generation antipsychotic to be developed as a long-acting injectable (LAI). In the early 2000s, a risperidone microsphere formulation, intramuscularly administered every 2 weeks (BW-RLAI), was introduced. To date, five different risperidone LAI formulations have been marketed - including a second biweekly microsphere injection (LY03004), a newer monthly intramuscular formulation using in situ microparticles (ISM) technology that does not require an oral risperidone run-in, and two subcutaneous formulations (RBP-7000 and TV-46000). Understanding the advantages and limitations of each option is essential for tailoring treatment regimens based on clinical needs and patient preferences. In this review, with the aim of offering insights for clinical practice and future research, we provide a comprehensive synthesis of the currently available risperidone LAI formulations, examining their efficacy and safety for the treatment of schizophrenia and bipolar I disorder. While evidence supporting the efficacy, tolerability, and safety of risperidone LAI for schizophrenia is available for all marketed formulations to date, advantages for newer formulations, such as longer dosing intervals without oral supplementation, are also reviewed. In addition, although the Food and Drug Administration approved the biweekly LAIs for bipolar I disorder, there is no data on effectiveness of the other risperidone LAI formulations for this indication so far. The variety of the available risperidone LAI options is likely to enable a more personalized treatment approach. To facilitate this, healthcare providers should develop a comprehensive understanding of these formulations to select the most suitable option. While risperidone ISM, RBP-7000, and TV-46000 may enhance treatment feasibility and adherence, further research is needed to build an evidence base comparable to that available for BW-RLAI, particularly in the treatment of BD.

利培酮是第一个被开发为长效注射(LAI)的第二代抗精神病药。在21世纪初,引入了利培酮微球制剂,每2周肌肉注射一次(BW-RLAI)。迄今为止,已有五种不同的利培酮LAI制剂上市,包括第二种双周微球注射剂(LY03004),一种使用原位微颗粒(ISM)技术的较新的每月肌内制剂,不需要口服利培酮磨制,以及两种皮下制剂(RBP-7000和电视-46000)。了解每种选择的优点和局限性对于根据临床需要和患者偏好定制治疗方案至关重要。在这篇综述中,为了为临床实践和未来的研究提供见解,我们提供了目前可用的利培酮LAI配方的综合,检查其治疗精神分裂症和双相I型障碍的有效性和安全性。虽然迄今为止所有已上市的利培酮LAI治疗精神分裂症的有效性、耐受性和安全性都有证据支持,但也回顾了新制剂的优势,例如较长的给药间隔,无需口服补充。此外,尽管美国食品和药物管理局(fda)批准了双相I型双相情感障碍的双周LAI,但迄今为止还没有关于其他利培酮LAI制剂对该适应症有效性的数据。各种可用的利培酮LAI选项可能使更个性化的治疗方法成为可能。为了促进这一点,医疗保健提供者应该对这些配方有一个全面的了解,以选择最合适的方案。虽然利培酮ISM、RBP-7000和TV-46000可以提高治疗的可行性和依从性,但需要进一步的研究来建立与BW-RLAI相当的证据基础,特别是在治疗双相障碍方面。
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引用次数: 0
Sense of Coherence and Caregiver Burden Among Informal Caregivers of People with Dementia in China: The Mediating Role of Coping Strategies. 中国痴呆患者非正式照顾者的协调感与照顾者负担:应对策略的中介作用
IF 2.8 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-06-17 eCollection Date: 2025-01-01 DOI: 10.2147/PRBM.S518799
Dechao Long, Yanhong Gu, Yang Wang

Background: This study aimed to explore the relationship between SOC, coping strategies, and caregiver burden, and analyze the mediating role of coping strategies in the relationship between SOC and caregiver burden.

Methods: A cross-sectional study was carried out, involving 230 informal caregivers of people with dementia in Shanghai, China. The data collection period is May 21, 2024, to December 31, 2024. This study involved participants who filled out various questionnaires, encompassing demographic data, Sense of Coherence Scale (SOC-13), Brief COPE inventory, and Zarit Burden Interview (ZBI). Adoption of SPSS 27.0 for statistical analysis and Hayes' PROCESS (Model 4), and the mediating effect was validated by the bias-corrected nonparametric percentile bootstrap method.

Results: The caregiver burden was found at a moderate to severe level with the average score of 58.14(12.84). There was a negative correlation between SOC and caregiver burden (r = -0.655, P<0.05), a positive correlation between SOC and emotion-focused coping strategies (r = 0.397, P<0.05), and a negative correlation between SOC and dysfunctional coping strategies (r = -0.513, P<0.05). However, there was no significant correlation between SOC and problem-focused coping strategies. The relationship between SOC and caregiver burden was partially mediated by emotion-focused strategies and dysfunctional coping strategies.

Conclusion: Significant relationship was found that SOC correlated with caregiver burden; To some extent, emotion-focused and dysfunctional coping strategies moderated the relationship between SOC and caregiver burden. Future interventions could focus on adapting and optimizing the coping behaviors of informal caregivers, using mediating mechanisms as entry points, with the aim of achieving more precise and effective care support.

背景:本研究旨在探讨家庭心理素质、应对策略和照顾者负担之间的关系,并分析应对策略在家庭心理素质和照顾者负担之间的中介作用。方法:对中国上海230名痴呆症患者的非正式护理人员进行横断面研究。数据采集周期为2024年5月21日~ 2024年12月31日。本研究要求参与者填写各种问卷,包括人口统计数据、连贯性感量表(SOC-13)、简要COPE量表和Zarit Burden访谈(ZBI)。采用SPSS 27.0进行统计分析,采用Hayes’PROCESS(模型4),采用偏差校正的非参数百分位bootstrap方法验证中介效应。结果:照顾者负担处于中度至重度,平均得分为58.14分(12.84分)。SOC与照顾者负担呈负相关(r = -0.655, p)。结论:SOC与照顾者负担呈显著相关;情绪聚焦和功能失调应对策略在一定程度上调节了SOC与照顾者负担的关系。未来的干预应以适应和优化非正式照护者的应对行为为重点,以中介机制为切入点,以实现更精确、更有效的照护支持。
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引用次数: 0
Relationship Between Cross-Generational Coalitions and Depression Among Chinese College Students: The Chain Mediating Roles of Self-Differentiation and Interpersonal Adaptation. 大学生跨代联盟与抑郁的关系:自我分化和人际适应的链式中介作用
IF 2.8 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-06-13 eCollection Date: 2025-01-01 DOI: 10.2147/PRBM.S525764
Cong Peng, Yan Shen, Zhenyun Zhang, Hongqun Chen, Shasha Ye, Yuanyuan Li, Ying Zhang, Qingqing Ren

Background: Research has demonstrated a significant association between cross-generational coalitions and children's emotional well-being. However, the mechanisms underlying this relationship remain unclear, and prior studies have predominantly treated cross-generational coalitions as a singular construct, neglecting the varied impacts and pathways of different types of cross-generational coalitions on college students' depression.

Purpose: Grounded in family systems theory, this study investigates the relationships and distinct underlying mechanisms linking three forms of cross-generational coalitions (coalition with fathers, coalition with mothers, and unstable coalition) to depression among college students, focusing on the chain mediating roles of self-differentiation and interpersonal adaptation.

Methods: A total of 493 Chinese college students aged 17-25 years (55.2% male) completed anonymous questionnaires. The PROCESS macro Model 6 and bootstrap methods were employed to analyze the chain mediating effects of self-differentiation and interpersonal adaptation between cross-generational coalitions and college students' depression.

Results: Each type of cross-generational coalition exhibited a significant indirect association with depression via the chain mediation of self-differentiation and interpersonal adaptation. Moreover, while all coalition types impacted college students' depression through the mediating effect of self-differentiation, only stable coalition with fathers influenced depression through the mediating effect of interpersonal adaptation.

Conclusion: This study highlights that three types of cross-generational coalitions can affect college students' depression through the chain mediation of self-differentiation and interpersonal adaptation. Notably, in comparison to coalition with mothers and unstable coalitions, coalition with fathers reveal distinct indirect pathways influencing depression. The study revealed the differential impacts of father-child and mother-child coalitions in a collectivist society, which significantly extend Bowenian family systems theory and attachment theory by elucidating the nuanced pathways through which cross-generational coalitions influence depression in college students. These findings deepen our understanding of how various forms of cross-generational coalitions serve as familial factors impacting the emotional well-being of Chinese college students.

背景:研究表明,跨代联盟与儿童情绪健康之间存在显著关联。然而,这种关系的机制尚不清楚,先前的研究主要将跨代联盟视为一个单一的结构,而忽视了不同类型的跨代联盟对大学生抑郁的不同影响和途径。目的:本研究以家庭系统理论为基础,探讨三种跨代联盟(父亲联盟、母亲联盟和不稳定联盟)与大学生抑郁的关系及其不同的内在机制,重点探讨自我分化和人际适应的连锁中介作用。方法:对493名17-25岁的中国大学生(男性55.2%)进行匿名问卷调查。采用PROCESS宏观模型6和bootstrap方法分析了自我分化和人际适应在跨代联盟与大学生抑郁之间的链式中介效应。结果:各类型的跨代联盟均通过自我分化和人际适应的连锁中介与抑郁存在显著的间接关联。各联盟类型均通过自我分化的中介效应影响大学生抑郁,但只有与父亲的稳定联盟通过人际适应的中介效应影响大学生抑郁。结论:本研究强调三种类型的跨代联盟可以通过自我分化和人际适应的连锁中介影响大学生抑郁。值得注意的是,与与母亲的联盟和不稳定的联盟相比,与父亲的联盟揭示了影响抑郁的独特间接途径。本研究通过阐释跨代联盟影响大学生抑郁的微妙途径,揭示了集体主义社会中父亲-子女联盟和母亲-子女联盟的差异影响,显著扩展了鲍温的家庭系统理论和依恋理论。这些发现加深了我们对不同形式的跨代联盟如何作为家庭因素影响中国大学生情感健康的理解。
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引用次数: 0
Understanding Pathways from Cognitive Biases to the Risk of Psychosis: A Network Analysis Approach. 理解从认知偏差到精神病风险的途径:网络分析方法。
IF 2.8 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-06-13 eCollection Date: 2025-01-01 DOI: 10.2147/PRBM.S523666
Chang Xi, Song Wang

Purpose: Although the linkage between cognitive biases and psychotic-like experiences (PLEs) is well established, the knowledge of potential mechanisms of this relationship is still unknown. The aim of the present study was to better understand the structure of connections between cognitive biases and PLEs by considering at the same time the role of childhood trauma and depressive symptoms in a non-clinical adolescent sample (aged 14-19 years).

Methods: PLEs were measured using the Community Assessment of Psychic Experiences (CAPE-P15), cognitive biases were assessed with the Davos Assessment of Cognitive Biases Scale-42 (DACOBS-42), depressive symptoms were evaluated using the Patient Health Questionnaire-9 (PHQ-9) and exposure to childhood traumatic life events was measured using the Childhood Trauma Questionnaire (CTQ-SF). A network analysis was conducted to examine the interrelationships between these variables.

Results: The most central nodes in the network were the cognitive bias items "belief inflexibility", "safety behaviors", and "subjective cognitive problems". Shortest path analyses revealed that depressive symptoms played a significant mediating role between cognitive biases and PLEs. Specifically, the shortest pathways from cognitive biases item "subjective cognitive problems" to PLEs items P7 (subjective cognitive problems), P8 (thought own), and P11 (control force) involved depressive symptoms, including items related to "guilt", "concentration", "motor", and " suicide".

Conclusion: Our findings highlight the central role of cognitive distortions and emotional symptoms within the psychosis-risk network. Depressive symptom nodes serve as critical mediators between subjective cognitive problems and PLEs, underscoring their pivotal function in driving the development of PLEs among adolescents with cognitive biases. These results suggest a tight interconnection between emotional and cognitive processes in psychosis vulnerability, emphasizing the need for integrated interventions targeting both domains.

目的:虽然认知偏差和类精神体验之间的联系已经确立,但这种关系的潜在机制仍然未知。本研究的目的是通过同时考虑儿童创伤和抑郁症状在非临床青少年样本(14-19岁)中的作用,更好地理解认知偏差与ple之间的联系结构。方法:采用社区心理体验评估量表(CAPE-P15)测量幸福感,采用达沃斯认知偏差评估量表-42 (DACOBS-42)评估认知偏差,采用患者健康问卷-9 (PHQ-9)评估抑郁症状,采用儿童创伤问卷(CTQ-SF)评估童年创伤生活事件暴露。进行网络分析以检验这些变量之间的相互关系。结果:网络中心节点以“信念不灵活性”、“安全行为”和“主观认知问题”三项认知偏差项最多。最短路径分析显示,抑郁症状在认知偏差与幸福指数之间起着显著的中介作用。具体而言,从认知偏差项目“主观认知问题”到认知偏差项目P7(主观认知问题)、P8(思想自己)和P11(控制力)的最短路径涉及抑郁症状,包括与“内疚”、“集中”、“运动”和“自杀”相关的项目。结论:我们的研究结果强调了认知扭曲和情绪症状在精神病风险网络中的核心作用。抑郁症状节点在主观认知问题与ple之间起着重要的中介作用,强调其在推动认知偏见青少年ple发展中的关键作用。这些结果表明,在精神病易感性的情感和认知过程之间存在紧密的联系,强调需要针对这两个领域进行综合干预。
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引用次数: 0
Mediating Effects of Financial Resilience Between Family Economic Adversity and Mental Health: Population Heterogeneity in Multiple Subgroups. 金融弹性在家庭经济逆境与心理健康之间的中介作用:多亚组的人口异质性。
IF 2.8 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-06-12 eCollection Date: 2025-01-01 DOI: 10.2147/PRBM.S517706
Zewei Liu, Ji-Kang Chen

Purpose: Family economic adversity is important for predicting mental health. Stress process theory elucidates how stressors, particularly in the socioeconomic domain, impair health and well-being. Resilience theory further identifies various mediating and counteractive factors in the stress-coping process. Previous literature has primarily focused on the psychological aspect of resilience, neglecting the importance of financial coping capabilities and resources. As a specific financial capability for coping with emergencies and crises, financial resilience is perceived to improve health and well-being. However, the roles of financial resilience in family processes from economic adversity to mental health and how these paths are relevant to different populations have been understudied, particularly regarding outcomes like psychological distress, subjective happiness, and life satisfaction.

Methods: This study used data from the China Family Panel Studies with a sample of 3,710 household heads to conduct path analyses to examine the roles of financial resilience between family economic adversity and mental health. Multi-group analyses were used to explore population heterogeneity in the proposed model.

Results: The full sample results reveal that financial resilience significantly mediated the effects of family economic adversity on psychological distress, subjective happiness, and life satisfaction after controlling for socioeconomic covariates in income, education, employment, and subjective socioeconomic status. The model applied to different sexes, migrant status subgroups, residence region subgroups, and younger generations, while showing nonsignificant results amongst older adults over 65.

Conclusion: This study enriches mainstream psychological theories of resilience in stress-health nexuses and family processes by providing novel evidence of financial resilience. It provides practical implications for socioeconomic empowerment and health promotion in the face of adversity and uncertainty. Future research is suggested to explore unique population subgroups in health and family economic issues.

目的:家庭经济逆境是预测心理健康的重要因素。压力过程理论阐明了压力源,特别是社会经济领域的压力源是如何损害健康和幸福的。弹性理论进一步确定了应激应对过程中的各种中介和反作用因素。以前的文献主要集中在心理方面的弹性,忽视了财务应对能力和资源的重要性。作为应对紧急情况和危机的一种特定财务能力,金融复原力被认为可以改善健康和福祉。然而,财务弹性在从经济逆境到心理健康的家庭过程中的作用,以及这些途径与不同人群的关系,特别是心理困扰、主观幸福感和生活满意度等结果,一直没有得到充分研究。方法:本研究利用中国家庭面板研究的数据,对3,710户户主进行路径分析,以检验家庭经济逆境与心理健康之间的财务弹性作用。采用多组分析来探讨模型中的群体异质性。结果:在控制了收入、教育、就业和主观社会经济地位等社会经济协变量后,金融弹性显著调节了家庭经济逆境对心理困扰、主观幸福感和生活满意度的影响。该模型适用于不同性别、移民身份亚组、居住地亚组和年轻一代,而在65岁以上的老年人中结果不显著。结论:本研究为金融弹性提供了新的证据,丰富了心理弹性在压力-健康关系和家庭过程中的主流心理学理论。面对逆境和不确定性,它为社会经济赋权和促进健康提供了实际意义。未来的研究建议探索健康和家庭经济问题的独特人口亚群。
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引用次数: 0
From East to West: Regional Disparities in Depressive and Anxious Symptoms Among Chinese Adolescents. 从东方到西方:中国青少年抑郁和焦虑症状的地区差异。
IF 2.8 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-06-12 eCollection Date: 2025-01-01 DOI: 10.2147/PRBM.S527697
Rui Yang, Xing-Jie Yang, Jin-Ling Wan, Lei-Lei Wang, Hu Deng, Jing-Xu Chen, Shuang-Jiang Zhou

Background: To explore the prevalence and determinants of depressive and anxious symptoms among adolescents in China, focusing on regional disparities, cognitive function, psychological resilience, and family functioning.

Methods: A total of 39854 adolescents, aged 12-18 years, participated in this survey. Data were collected using SoJump software between January 8 and January 25, 2023. The Patient Health Questionnaire-9, Generalized Anxiety Disorder Questionnaire-7, Cognitive Deficits Questionnaire-5, Connor-Davidson Resilience Scale-10, and Family APGAR Questionnaire were completed. Statistical analyses, including descriptive statistics, correlation analysis, and multivariate linear regression, were conducted to explore the relationships between variables.

Results: Significant regional differences were observed in depression (6.16 ± 6.16 versus [vs] 5.18 ± 5.77; P < 0.001) and anxiety symptoms (4.15 ± 5.18 vs 3.34 ± 4.82, P < 0.001), with adolescents in the western regions exhibiting higher scores. Depressive symptoms were positively correlated with cognitive function (r = 0.577, P < 0.05), as were anxious symptoms (r = 0.533, P < 0.05). Both depressive (r = -0.339, P < 0.05) and anxious symptoms (r = -0.321, P < 0.05) were negatively correlated with psychological resilience, as well as with family functioning (r = -0.302 and r = -0.284, respectively; P < 0.05). In addition, compared to adolescents who lived with their parents, those who lived with others had more severe depressive and anxious symptoms.

Conclusion: Our study revealed significant regional disparities in depressive and anxious symptoms among Chinese adolescents, with higher levels observed in Western China. Cognitive function showed a positive association, while psychological resilience and family functioning were negatively linked to these symptoms. By comprehending and targeting these factors through specific interventions and policies, we can ease the mental health burden on this vulnerable population.

背景:探讨中国青少年抑郁和焦虑症状的患病率及其影响因素,重点关注地区差异、认知功能、心理弹性和家庭功能。方法:共39854名12 ~ 18岁的青少年参与调查。数据在2023年1月8日至1月25日期间使用SoJump软件收集。完成患者健康问卷-9、广泛性焦虑障碍问卷-7、认知缺陷问卷-5、Connor-Davidson弹性量表-10和家庭APGAR问卷。统计分析包括描述性统计、相关分析、多元线性回归等,探讨变量之间的关系。结果:抑郁症的区域差异显著(6.16±6.16 vs 5.18±5.77;P < 0.001)和焦虑症状(4.15±5.18 vs 3.34±4.82,P < 0.001),西部地区青少年得分较高。抑郁症状与认知功能呈正相关(r = 0.577, P < 0.05),焦虑症状与认知功能呈正相关(r = 0.533, P < 0.05)。抑郁症状(r = -0.339, P < 0.05)、焦虑症状(r = -0.321, P < 0.05)与心理弹性、家庭功能呈负相关(r = -0.302、r = -0.284);P < 0.05)。此外,与与父母同住的青少年相比,与他人同住的青少年有更严重的抑郁和焦虑症状。结论:我们的研究揭示了中国青少年抑郁和焦虑症状的显著地区差异,在中国西部观察到更高的水平。认知功能显示出正相关,而心理弹性和家庭功能与这些症状呈负相关。通过具体的干预措施和政策了解并针对这些因素,我们可以减轻这一弱势群体的心理健康负担。
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引用次数: 0
Association Between Anxiety Disorders and English Academic Writing Performance Among College Students: The Chain Mediating Role of Learning Motivation and Metacognitive Strategies. 焦虑障碍对大学生英语学术写作成绩的影响:学习动机和元认知策略的链式中介作用
IF 2.8 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-06-11 eCollection Date: 2025-01-01 DOI: 10.2147/PRBM.S520923
Qianqian Xu, Zhiyong Xu, Aihua Tan, Zhikai Yu

Background: Anxiety disorders have been a challenging problem across all age groups, especially for college students, and they can have detrimental effects on students' academic performance, especially for English learning. However, the underlying mechanisms about the association between anxiety disorders and English writing performance remain undetermined. Based on theoretical and empirical researches, this study develops a chain mediating model to test whether learning motivation and metacognitive strategies mediate the relationship between anxiety disorders and English academic writing performance among college students.

Methods: A cross-sectional study with a sample consisting of 2804 college students was carried out. They all completed a self-report questionnaire with demographic information, anxiety disorders, learning motivation, metacognitive strategies and English academic writing performance. SPSS26 and Mplus8.3 were used to analyze the data.

Results: Anxiety disorders were found to negatively predict English academic writing performance, as well as learning motivation and metacognitive strategies. Both learning motivation and metacognitive strategies mediated the relationship between anxiety disorders and English academic writing performance, separately. Moreover, learning motivation and metacognitive strategies together had a chain mediating effect on this relationship.

Conclusion: Anxiety disorders take a toll on learning motivation and metacognitive strategies, which can eventually lead to poorer English academic writing performance. These findings contribute to the understanding of the potential pathway of how anxiety disorders influence English academic writing performance and provide practical implications for the prevention and intervention of mental health among college students.

背景:焦虑症在所有年龄段都是一个具有挑战性的问题,尤其是对大学生来说,它会对学生的学习成绩产生不利影响,尤其是对英语学习。然而,焦虑障碍与英语写作表现之间联系的潜在机制仍未确定。本研究在理论研究和实证研究的基础上,建立了一个链式中介模型,以检验学习动机和元认知策略是否在大学生焦虑障碍与英语学术写作成绩之间起中介作用。方法:采用横断面研究方法,对2804名大学生进行抽样调查。他们都完成了一份自我报告问卷,包括人口统计信息、焦虑障碍、学习动机、元认知策略和英语学术写作表现。采用SPSS26和Mplus8.3对数据进行分析。结果:焦虑障碍对英语学术写作成绩、学习动机和元认知策略均有负向预测作用。学习动机和元认知策略分别在焦虑障碍与英语学术写作成绩之间起中介作用。学习动机和元认知策略共同在此关系中起链式中介作用。结论:焦虑症会影响学习动机和元认知策略,最终导致英语学术写作成绩下降。这些发现有助于理解焦虑障碍影响英语学术写作的潜在途径,并为大学生心理健康的预防和干预提供实践意义。
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引用次数: 0
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Psychology Research and Behavior Management
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