Children and Youth Services Review最新文献_第8页

Dads Tuning in to Kids: Acceptability and appropriateness in a real-world dissemination trial 父亲对孩子的关注：现实世界传播试验中的可接受性和适当性

IF 1.7 2区社会学 Q1 FAMILY STUDIES

Children and Youth Services Review

Pub Date : 2026-02-01 Epub Date: 2025-12-20 DOI: 10.1016/j.childyouth.2025.108732

Nikki Boswell , Christiane E. Kehoe , Christina Ambrosi , Deborah Kane , Karl Andriessen , Sophie S. Havighurst

Fathers are underrepresented in parenting programs and experience inequitable access to parenting support. Dads Tuning in to Kids (TIK) is an evidence-based parenting program that has been designed to target the needs of fathers. While Dads TIK has been shown to be efficacious in research settings it is important to establish how the program works and is accepted when delivered by facilitators from different services to socio-culturally diverse fathers. This study was part of real-world dissemination trial. A concurrent nested mixed-method approach was used to examine facilitators (n = 33) and fathers’ (n = 157) perceptions of the acceptability and the appropriateness of the program. Quantitative data were analysed descriptively, while content analysis was used with the qualitative data. Integration of quantitative and qualitative data indicated that facilitators and fathers felt positively about the program, with results suggesting program concepts, materials and activities were suitable. Fathers described experiencing ‘lightbulb moments’ and profound impacts on their parenting, emotional awareness, wellbeing, and personal relationships. Fathers reported the program was helpful, they felt more confident as parents, and they regularly used program strategies. Having a program for fathers only provided them with a dedicated space where they could be vulnerable and share their experiences of fatherhood, form peer support networks, and redefine their perceptions of their role as parents. The Dads TIK program was acceptable among socio-culturally diverse fathers as a ‘safe’ space to engage in emotion-focused discussions.

父亲在育儿计划中的代表性不足，在获得育儿支持方面也不公平。“爸爸关注孩子”（TIK）是一个以证据为基础的育儿项目，旨在满足父亲们的需求。虽然Dads TIK已被证明在研究环境中是有效的，但重要的是要确定该计划如何运作，并在由来自不同服务机构的辅导员向社会文化不同的父亲提供服务时被接受。本研究是真实世界传播试验的一部分。采用并行嵌套混合方法来检查辅导员（n = 33）和父亲（n = 157）对计划的可接受性和适当性的看法。定量资料采用描述性分析，定性资料采用内容分析。定量和定性数据的整合表明，辅导员和父亲对该计划持积极态度，结果表明该计划的概念，材料和活动都是合适的。父亲们描述了这种“灵光一现的时刻”，这对他们的育儿、情感意识、幸福感和人际关系产生了深远的影响。父亲们报告说这个项目很有帮助，他们觉得作为父母更有信心，而且他们经常使用项目策略。为父亲们举办一个项目只是为他们提供了一个专门的空间，在那里他们可以脆弱地分享他们做父亲的经历，形成同伴支持网络，并重新定义他们作为父母的角色。Dads TIK项目被社会文化多样化的父亲们接受，因为它是一个“安全”的空间，可以进行以情感为中心的讨论。

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引用次数: 0

Parent–Adolescent communication during COVID-19 and adolescent Emotions: The role of parenting style COVID-19期间父母-青少年沟通与青少年情绪：父母教养方式的作用

IF 1.7 2区社会学 Q1 FAMILY STUDIES

Children and Youth Services Review

Pub Date : 2026-02-01 Epub Date: 2025-12-16 DOI: 10.1016/j.childyouth.2025.108730

Wonki Lee , Alice J. Kim

This study investigates how parent–adolescent communication during the COVID-19 stay-at-home period relates to adolescents’ emotional adjustment (i.e., aggression and depressive symptoms) and whether these associations are shaped by parenting style. Utilizing a nationally representative sample of South Korean adolescents (N = 2,285) from the Korean Children and Youth Panel Survey 2018 (KCYPS 2018), this study used cross-sectional regression analyses to examine both main and interaction effects. Adolescents reported a significant increase in parent–adolescent communication during the COVID-19 restrictions compared to the pre-pandemic period. Greater parent–adolescent communication was associated with lower levels of aggression and depressive symptoms. However, these protective effects were moderated by parenting practices, as rejecting, coercive, and inconsistent parenting weakened the benefits of increased communication. These findings suggest that the effect of parent–adolescent communication on adolescent emotional adjustment depends on the quality of parenting style.

本研究调查了COVID-19在家期间父母与青少年的沟通如何与青少年的情绪调整（即攻击性和抑郁症状）相关，以及这些关联是否受到父母教养方式的影响。本研究利用2018年韩国儿童和青年小组调查（KCYPS 2018）中具有全国代表性的韩国青少年样本（N = 2285），使用横截面回归分析来检查主要和相互作用的影响。青少年报告说，与大流行前相比，在COVID-19限制期间，父母与青少年的沟通显著增加。更多的亲子交流与较低的攻击性和抑郁症状有关。然而，这些保护作用被父母的做法所缓和，因为拒绝、强迫和不一致的父母方式削弱了增加沟通的好处。研究结果表明，亲子沟通对青少年情绪调节的影响取决于父母教养方式的质量。

引用次数: 0

The role of income assistance, childcare, and informal social support in foster care entry 收入援助、儿童保育和非正式社会支持在寄养进入中的作用

IF 1.7 2区社会学 Q1 FAMILY STUDIES

Children and Youth Services Review

Pub Date : 2026-02-01 Epub Date: 2025-12-15 DOI: 10.1016/j.childyouth.2025.108726

Darejan Dvalishvili , Inga Saitadze , Yi Wang

Economic hardship, food insecurity, and limited access to essential resources such as childcare increase the risk of child maltreatment (CM) and the likelihood of foster care (FC) placement. Families facing these conditions often experience social isolation and a lack of support that could otherwise buffer the effects of poverty and child welfare involvement. This study examined the influence of income assistance, childcare access, and formal and informal social support on the risk of FC placement among families whose children remained at home following an initial CM investigation. Using longitudinal data from the second cohort of the National Survey of Child and Adolescent Well-Being (NSCAW-II), the sample included 1,963 children aged 0 to 6 residing with their biological or adoptive mothers. Results indicated that poverty and receipt of public assistance programs such as Temporary Assistance for Needy Families and Special Supplemental Nutrition Program for Women, Infants, and Children were associated with increased odds of FC placement. However, access to childcare, informal social support, and Child Protective Services −provided assistance with income and childcare services were linked to reduced risk. These findings highlight the importance of targeted economic and social supports in promoting family stability and reducing unnecessary FC placements among vulnerable, child welfare–involved families.

经济困难、粮食不安全以及获得儿童保育等基本资源的机会有限，增加了儿童遭受虐待的风险和被寄养的可能性。面临这些状况的家庭往往遭遇社会孤立和缺乏支持，而这些支持本来可以缓冲贫困和儿童福利参与的影响。本研究考察了收入援助、托儿机会、正式和非正式社会支持对儿童在初次CM调查后仍留在家中的家庭中安置FC风险的影响。使用来自全国儿童和青少年幸福感调查（NSCAW-II）第二队列的纵向数据，样本包括1963名0至6岁的儿童，他们与亲生母亲或养母一起生活。结果表明，贫困和接受公共援助计划（如贫困家庭临时援助和妇女、婴儿和儿童特殊补充营养计划）与FC安置的几率增加有关。然而，获得儿童保育、非正式社会支持和儿童保护服务（提供收入援助和儿童保育服务）与降低风险有关。这些发现强调了有针对性的经济和社会支持在促进家庭稳定和减少弱势儿童福利家庭中不必要的家庭福利安置方面的重要性。

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引用次数: 0

Pathways from parent substance misuse to child and adolescent trauma 从父母药物滥用到儿童和青少年创伤的途径

IF 1.7 2区社会学 Q1 FAMILY STUDIES

Children and Youth Services Review

Pub Date : 2026-02-01 Epub Date: 2025-12-15 DOI: 10.1016/j.childyouth.2025.108724

Kristen D. Seay

Objectives

Among families reported to child protective services (CPS), parental problematic alcohol and drug use are common concerns associated with negative child outcomes, including trauma. This paper examines the role of four mediators (exposure to violence, parental monitoring, harsh discipline, emotional maltreatment) in the pathways from problematic alcohol and drug use to child trauma.

Methods

Using data from the National Survey of Child and Adolescent Well-Being II (NSCAW II), path analysis models were conducted using a NSCAW II subset where children remained in the home following a CPS investigation. A random half-sample was drawn to conduct separate models for problematic alcohol use and drug use. Results were confirmed on the second sample half. Mplus 7.0 analyses accounted for stratification, clustering, and weighting.

Results

Parental monitoring and exposure to violence fully mediated the pathway from problematic alcohol use to child trauma at 18-month follow-up. However, fit and asymmetrical confidence intervals for the single mediator model through parental monitoring was stronger than for the model through exposure to violence. There were no significant pathways from problematic drug use to child trauma.

Conclusions

Results partially supported the hypothesized relationships. Higher levels of self-reported parental problematic alcohol use were associated with increased exposure to violence which was associated with increased child trauma. The pathway through parental monitoring did not support the hypothesis. As problematic alcohol use increased then parental monitoring increased resulting in less child trauma. Future research should explore the association between alcohol use and increased monitoring in child welfare samples.

在向儿童保护服务机构（CPS）报告的家庭中，父母酗酒和吸毒问题是与儿童负面结果（包括创伤）相关的常见问题。本文探讨了四种媒介（暴露于暴力、父母监控、严厉的纪律、情感虐待）在从有问题的酒精和药物使用到儿童创伤的途径中的作用。方法使用来自全国儿童和青少年福祉调查II （NSCAW II）的数据，使用NSCAW II子集进行路径分析模型，其中儿童在CPS调查后留在家中。随机抽取一半样本，对有问题的酒精使用和药物使用进行单独的模型。结果在第二个样品一半上得到了确认。Mplus 7.0分析考虑了分层、聚类和加权。结果在18个月的随访中，父母监测和暴力暴露完全介导了从问题酒精使用到儿童创伤的途径。然而，通过父母监测的单一中介模型的拟合和不对称置信区间比暴露于暴力的模型更强。从有问题的药物使用到儿童创伤没有明显的途径。结论：研究结果部分支持上述假设。父母自我报告的问题酒精使用水平越高，与暴力接触的增加有关，而暴力接触与儿童创伤的增加有关。通过父母监控的途径不支持这一假设。随着酗酒问题的增加，父母的监督也随之增加，从而减少了儿童的创伤。未来的研究应该在儿童福利样本中探索酒精使用与加强监测之间的关系。

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引用次数: 0

Psychodrama for children and adolescents: A systematic review of therapeutic effects, changes and underlying processes 儿童和青少年的心理剧：对治疗效果、变化和潜在过程的系统回顾

IF 1.7 2区社会学 Q1 FAMILY STUDIES

Children and Youth Services Review

Pub Date : 2026-02-01 Epub Date: 2025-12-27 DOI: 10.1016/j.childyouth.2025.108733

Marij Berghs , Cécile Henquet , Constance Vissers , Susan van Hooren

In clinical practice, psychodrama is applied to children and adolescents with psychosocial problems. Psychodrama is an experiential approach grounded in theatrical methods and underlying processes of encounter, spontaneity and creativity, aimed at fostering psychological growth. Although psychodrama has been successfully applied in clinical settings, little is known about its specific therapeutic effects and changes and what in psychodrama contributes to these results. A systematic narrative review was performed to obtain more insight into therapeutic effects and changes and underlying processes. Eight databases were systematically searched, yielding 4393 studies, of which twenty-two were included. Five studies used a randomized controlled design, twelve studies a non-controlled design, and five studies applied pre-and posttest design. We identified therapeutic effects and changes, psychodrama means, attitudes, and supposed underlying processes. Positive therapeutic effects and changes were reported on overall psychosocial problems, internalizing and externalizing problems, emotional functioning, cognitions, identity, and social functioning. Thirteen categories of processes which were supposed to contribute to the therapeutic effects and changes were identified, such as process of becoming aware, gaining interpersonal experiences, gaining and modifying insight, emotional processing and acting out, (non)verbal expression, reflection, learning and applying new copings skills, and rescripting. Most studies used the warm-up, action, sharing phases of psychodrama. Some positive outcomes were inconsistent across studies. Recommendations for future research and guidelines for providing a detailed description of psychodrama intervention has been provided.

在临床实践中，心理剧被应用于有社会心理问题的儿童和青少年。心理剧是一种以戏剧手法为基础，以偶遇、自发性和创造性为基础的体验性方法，旨在促进心理成长。虽然心理剧已经成功地应用于临床，但人们对其具体的治疗效果和变化以及心理剧对这些结果的贡献知之甚少。进行系统的叙述性回顾，以获得对治疗效果、变化和潜在过程的更多见解。系统地检索了8个数据库，得到4393项研究，其中包括22项研究。5项研究采用随机对照设计，12项研究采用非对照设计，5项研究采用前后测试设计。我们确定了治疗效果和变化、心理剧手段、态度和假定的潜在过程。总体心理社会问题、内化和外化问题、情感功能、认知、身份和社会功能均有积极的治疗效果和改变。研究确定了13种有助于治疗效果和改变的过程，如意识的过程、获得人际经验的过程、获得和修改洞察力的过程、情绪处理和表现的过程、（非）语言表达的过程、反思的过程、学习和应用新的应对技巧的过程、以及重新描述的过程。大多数研究使用了心理剧的热身、动作、分享阶段。一些积极的结果在研究中是不一致的。对未来的研究提出了建议，并提供了详细描述心理剧干预的指导方针。

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引用次数: 0

Tabletop role playing games as a way forward with structurally marginalized youth: A narrative review 桌面角色扮演游戏在结构上被边缘化的年轻人中扮演着重要角色

IF 1.7 2区社会学 Q1 FAMILY STUDIES

Children and Youth Services Review

Pub Date : 2026-02-01 Epub Date: 2025-12-21 DOI: 10.1016/j.childyouth.2025.108739

Devyn Rorem Colquhoun , Mark Melenberg , Jacqueline Pei

Tabletop roleplaying games (TTRPGs) are experiencing a remarkable surge in popularity, with sales of Dungeons and Dragons™ more than tripling during the COVID-19 pandemic. Once a stigmatized pastime, TTRPGs have evolved into inclusive community spaces for structurally marginalized youth. Alongside this cultural transformation, there is growing recognition of TTRPGs not only as tools for healthy psychological development but also as promising vehicles for delivering psychosocial interventions. This review seeks to bridge the gap between the TTRPG community and mental health clinicians and researchers, demonstrating that gaming can serve as more than recreational activity. It can offer a powerful, youth-driven space for growth and engagement. For structurally marginalized youth, particularly those who have been harmed by systems and may be resistant to traditional interventions, TTRPGs provide a strengths-based, interest-driven approach that meets them where they are at. We begin by defining structural marginalization and its impact on adolescent development, then explore the evolution of TTRPGs into inclusive environments, review emerging evidence supporting their use as interventions, and conclude with practical recommendations and directions for future research. Special attention is given to the unique ways in which TTRPGs can support trans and gender non-conforming youth, particularly in the context of escalating anti-trans rhetoric and diminishing access to gender-affirming spaces and care.

桌面角色扮演游戏（ttrpg）正经历着令人瞩目的人气飙升，在2019冠状病毒病疫情期间，《龙与地下城™》的销量增长了两倍多。ttrpg曾经是一种被污名化的消遣，现在已经演变成面向结构上被边缘化的年轻人的包容性社区空间。随着这种文化转型，人们越来越认识到ttrpg不仅是健康心理发展的工具，而且是提供社会心理干预的有希望的工具。这篇综述试图弥合TTRPG社区与心理健康临床医生和研究人员之间的差距，证明游戏不仅仅是娱乐活动。它可以提供一个强大的、由青年驱动的成长和参与空间。对于结构上被边缘化的青年，特别是那些受到体制伤害并可能抗拒传统干预措施的青年，ttrpg提供了一种基于优势、利益驱动的方法，可以满足他们的需求。我们首先定义了结构性边缘化及其对青少年发展的影响，然后探讨了ttrpg在包容性环境中的演变，回顾了支持其作为干预措施的新证据，最后提出了未来研究的实用建议和方向。特别关注ttrpg以独特的方式支持跨性别和性别不符合标准的年轻人，特别是在反跨性别言论不断升级和性别肯定空间和护理机会减少的背景下。

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引用次数: 0

Longitudinal relationship between perceived stress and Chinese adolescent aggressive behavior: The mediating role of impulse control and the moderating role of social connectedness 知觉压力与青少年攻击行为的纵向关系：冲动控制的中介作用和社会联系的调节作用

IF 1.7 2区社会学 Q1 FAMILY STUDIES

Children and Youth Services Review

Pub Date : 2026-02-01 Epub Date: 2025-12-22 DOI: 10.1016/j.childyouth.2025.108741

Xiaoya Yin , Haiyun Peng , Junjie Gao , Sufei Xin

Early adolescence is a period of high incidence of individual problematic behaviors. This study explores the relationship between perceived stress and aggressive behavior among adolescents (aged 12–15) and its underlying mechanism based on the I³ model. A total of 1,164 Chinese adolescents were surveyed at three time points (Time 1 = T1, Time 2 = T2, Time 3 = T3) with a 6-month interval using the Perceived Stress Scale, the Social Connectedness Scale, the Impulse Control Scale, and the Aggression Questionnaire. The results showed that: (1) Perceived stress at T1 positively predicted aggressive behavior at T3; (2) Impulse control at T2 played a longitudinal mediating role between perceived stress and aggressive behavior; (3) Social connectedness at T3 moderated the direct effect of perceived stress at T1 on aggressive behavior at T3; (4) The moderated mediation model revealed no gender differences: While the longitudinal mediating effect of impulse control was significant for all adolescents, the moderating effect of social connectedness was not significant for either boys or girls. The study reveals the underlying mechanism and gender differences of the impact of perceived stress on aggressive behavior among adolescents and emphasizes the importance of social connectedness and impulse control ability in the intervention of adolescent aggressive behavior.

青少年早期是个体问题行为高发的时期。本研究基于I3模型探讨了12-15岁青少年感知压力与攻击行为的关系及其机制。采用压力感知量表、社会连通性量表、冲动控制量表和攻击行为问卷，在时间1 = T1、时间2 = T2、时间3 = T3三个时间点（间隔6个月）对1164名青少年进行了问卷调查。结果表明：(1)T1时的应激感知正向预测T3时的攻击行为；(2) T2冲动控制在应激感知与攻击行为之间起纵向中介作用；(3)社会联系调节了应激感知对攻击行为的直接影响；(4)有调节的中介模型不存在性别差异：冲动控制的纵向中介效应在所有青少年中都显著，而社会联系的纵向中介效应在男孩和女孩中都不显著。本研究揭示了应激感知对青少年攻击行为影响的机制和性别差异，强调了社会连通性和冲动控制能力在青少年攻击行为干预中的重要性。

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引用次数: 0

“Between challenges and opportunities”: needs and preferences in the psychosocial support of multi-challenged families with children – a scoping review “在挑战与机遇之间”：有子女的多重困难家庭的心理社会支持需求和偏好——范围审查

IF 1.7 2区社会学 Q1 FAMILY STUDIES

Children and Youth Services Review

Pub Date : 2026-02-01 Epub Date: 2025-12-20 DOI: 10.1016/j.childyouth.2025.108737

Sandra Liliana Teixeira , Pedro F.S. Rodrigues , Ana Paula Caetano , Ana Bártolo

This scoping review synthesizes the self-reported needs, preferences, and experiences of multi-challenged families with children regarding psychosocial support interventions. Using the Population–Concept–Context (PCC) framework and Arksey and O’Malley’s methodology, a systematic search was conducted in Scopus, PubMed, ProQuest, and ERIC for peer-reviewed studies from 2013 to 2025. Eligible studies focused on families facing multiple long-term difficulties with children up to 18 years old and explored family perspectives on psychosocial care. The review followed PRISMA-ScR guidelines for transparency and rigor. Ten studies met inclusion criteria. Thematic analysis identified insights across three domains: intervention content, delivery approaches, and intervention context and structure. Key findings highlight the importance of contextual factors, especially home-based care, valued for accessibility, personalization, and support of daily routines. Results emphasize the need for coordinated, flexible, strengths-based support that respects family agency and addresses contextual barriers. Engaging children directly with age-appropriate, playful methods enhances their participation and expression. Training families in assertiveness, communication, and problem-solving emerged as essential for empowerment and intervention success. These findings underscore aligning professional practices with the lived realities and voices of multi-challenged families. Future research should prioritize participatory methodologies involving both families and children in the co-design and evaluation of interventions to enhance relevance, responsiveness, and effectiveness.

这一范围审查综合自我报告的需求，偏好，和经验的多重挑战家庭的孩子关于社会心理支持干预。使用人口-概念-上下文（PCC）框架和Arksey和O 'Malley的方法，在Scopus， PubMed， ProQuest和ERIC中进行了系统搜索，以获取2013年至2025年的同行评议研究。符合条件的研究侧重于在照顾18岁以下儿童方面面临多重长期困难的家庭，并探讨了家庭对心理社会护理的看法。审查遵循PRISMA-ScR透明度和严谨性的指导方针。10项研究符合纳入标准。专题分析确定了三个领域的见解：干预内容、交付方法、干预背景和结构。主要研究结果强调了环境因素的重要性，特别是家庭护理，其可及性、个性化和对日常生活的支持受到重视。结果强调需要协调、灵活、基于优势的支持，尊重家庭的能动性并消除背景障碍。直接用适合孩子年龄的、有趣的方法来吸引孩子，可以增强他们的参与和表达能力。对家庭进行自信、沟通和解决问题的培训，对于赋权和干预的成功至关重要。这些发现强调了将专业实践与生活现实和多重挑战家庭的声音结合起来。未来的研究应在共同设计和评估干预措施时优先考虑涉及家庭和儿童的参与性方法，以提高相关性、响应性和有效性。

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引用次数: 0

The direct and indirect pathways through which gender norms influences decision-making autonomy among young women and men in Southern Uganda. A mediation analysis 性别规范影响乌干达南部青年男女决策自主权的直接和间接途径。中介分析

IF 1.7 2区社会学 Q1 FAMILY STUDIES

Children and Youth Services Review

Pub Date : 2026-02-01 Epub Date: 2025-12-16 DOI: 10.1016/j.childyouth.2025.108729

Josephine Nabayinda , Fred M. Ssewamala , Samuel Kizito , Proscovia Nabunya , Phionah Namatovu , Torsten B. Neilands , Mary M. Mckay

Restrictive gender norms shape the lives of young women and men, constraining their ability to make decisions that affect multiple aspects of their well-being. While women are often confined to balancing domestic and reproductive roles with limited economic opportunities, men face pressures to conform to traditional expectations as breadwinners and primary decision-makers. Prior research has extensively documented the constraints faced by women; less is known about how these norms simultaneously affect young men. Using data from 614 participants in the Bridges R2 study in Southern Uganda, we examined the mediating roles of asset ownership and self-esteem, as well as the moderating role of sex, in the relationship between restrictive gender norms and decision-making autonomy. Structural equation modeling in Mplus was employed to estimate direct, indirect, and total effects of gender norms on decision-making autonomy. Results showed a significant direct effect of gender norms on decision-making autonomy (β = 0.065 [95 % CI: 0.006, 0.125], p = 0.032) and a specific indirect effect mediated through asset ownership (β = -0.033 [95 % CI: −0.057, −0.008], p = 0.008). Sex moderated the effect of gender norms on decision-making autonomy (β = -0.894 [95 % CI: −1.203, −0.586], p < 0.001) and asset ownership (β = -0.433 [95 % CI: −0.490, −0.376], p < 0.001). These findings highlight the dual impact of restrictive gender norms: limiting women’s autonomy and economic resources, while simultaneously constraining men through rigid expectations of masculinity. Interventions that challenge entrenched gender norms and expand equitable access to assets and psychosocial resources are critical to improving autonomy and well-being for both young women and men.

The study is registered at ClinicalTrials.gov under trial # NCT01447615 (link)

限制性的性别规范塑造了青年男女的生活，限制了他们作出影响其福祉多个方面的决定的能力。妇女往往被限制在经济机会有限的情况下平衡家务和生育角色，而男子则面临着作为养家者和主要决策者遵守传统期望的压力。先前的研究广泛记录了女性面临的限制；对于这些规范如何同时影响年轻男性，人们知之甚少。利用来自南乌干达Bridges R2研究的614名参与者的数据，我们检验了资产所有权和自尊在限制性性别规范和决策自主之间的关系中的中介作用，以及性别的调节作用。采用Mplus中的结构方程模型来估计性别规范对决策自主性的直接、间接和总影响。结果显示，性别规范对决策自主性有显著的直接影响（β = 0.065 [95% CI: 0.006, 0.125], p = 0.032），并通过资产所有权介导了特定的间接影响（β = -0.033 [95% CI: - 0.057, - 0.008], p = 0.008）。性别调节了性别规范对决策自主权（β = -0.894 [95% CI: - 1.203, - 0.586], p < 0.001）和资产所有权（β = -0.433 [95% CI: - 0.490, - 0.376], p < 0.001）的影响。这些发现突出了限制性性别规范的双重影响：限制了女性的自主权和经济资源，同时通过对男性气概的刻板期望来限制男性。挑战根深蒂固的性别规范和扩大公平获得资产和社会心理资源的干预措施，对于提高青年男女的自主性和福祉至关重要。该研究已在ClinicalTrials.gov注册，试验编号NCT01447615（链接）

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引用次数: 0

Unveiling the interplay: network analysis of childhood trauma, perceived social support, and comorbid depression, anxiety, and smartphone addiction in Chinese young adults 揭示相互作用：中国年轻人童年创伤、感知社会支持和共病抑郁、焦虑和智能手机成瘾的网络分析

IF 1.7 2区社会学 Q1 FAMILY STUDIES

Children and Youth Services Review

Pub Date : 2026-02-01 Epub Date: 2025-12-27 DOI: 10.1016/j.childyouth.2025.108744

Yilin Ma , Quanxi Hu , You Wang , Xueling Yang

Introduction

Prior research has largely explored childhood abuse/neglect (CAN) subtypes, social support sources, depression, anxiety and smartphone addiction (SAS) in isolation; few studies have integrated these domains at the symptom level to reveal the network structure, and cultural differences in support sources remain understudied.

Method

To address the gap, this study employed network analysis to integrate the complex interplay between CAN, perceived social support (PSS), depression, anxiety, and SAS in Chinese young adults. A cross-sectional survey of 1106 undergraduate medical students (aged 18–22) in Guangdong, China, assessed CAN, PSS, depression (PHQ-9), anxiety (GAD-7), and SAS (Smartphone Addiction Scale-Short Version; SAS-SV).

Results

Network analysis revealed “emotional abuse” (EA) and “emotional neglect” (EN) as central CAN nodes, suggesting their potential to trigger broader mental health difficulties. Emotional neglect exhibited a stronger negative association with support from authority figures (e.g., teachers, elders) than with peer support, highlighting the cultural significance of such relationships in China. “restlessness”(GAD5) and “difficulty concentrating” (PHQ7) emerged as bridge symptoms, potentially representing common pathways underlying their comorbidity.

Conclusion

These findings underscore the interconnectedness of childhood experiences, social relationships, and mental health outcomes in Chinese young adults. Early interventions targeting central symptoms like EA and EN, as well as bridge symptoms like GAD5 and PHQ7, may be crucial for disrupting negative cycles and promoting well-being. Understanding the unique role of support from authority figures in Chinese culture can inform the development of culturally sensitive support programs for youth facing adversity, ultimately contributing to more equitable mental health outcomes.

先前的研究主要探讨了儿童虐待/忽视（CAN）亚型，社会支持来源，抑郁，焦虑和智能手机成瘾（SAS）孤立；很少有研究将这些领域整合到症状水平以揭示网络结构，支持来源的文化差异仍未得到充分研究。方法本研究采用网络分析的方法，对中国青年CAN、感知社会支持（PSS）、抑郁、焦虑和SAS之间的复杂相互作用进行整合，以弥补这一空白。对广东省1106名18-22岁的医科本科生进行横断面调查，评估CAN、PSS、抑郁（PHQ-9）、焦虑（GAD-7）和SAS（智能手机成瘾量表-短版；SAS- sv）。结果网络分析显示，“情绪虐待”（EA）和“情绪忽视”（EN）是CAN的中心节点，表明它们有可能引发更广泛的心理健康问题。情感忽视与权威人物（如老师、长辈）的支持比与同伴支持表现出更强的负相关，突出了这种关系在中国的文化意义。“躁动”（GAD5）和“注意力难以集中”（PHQ7）作为桥状症状出现，可能代表其合并症的共同途径。结论：这些发现强调了中国年轻人的童年经历、社会关系和心理健康结果之间的相互联系。针对EA和EN等中心症状以及GAD5和PHQ7等桥接症状的早期干预措施，可能对破坏恶性循环和促进健康至关重要。了解中国文化中权威人物支持的独特作用，可以为面临逆境的青少年制定具有文化敏感性的支持计划提供信息，最终有助于实现更公平的心理健康结果。

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