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The Relationship Between Childhood Trauma and Non-Suicidal Self-Injury Behavior in Adolescents with Depression: The Mediating Role of Rumination 抑郁症青少年童年创伤与非自杀性自伤行为之间的关系:反刍的中介作用
Pub Date : 2024-04-01 DOI: 10.2147/PRBM.S448248
Wenxian Fu, Xinyi Li, Sifan Ji, Tingting Yang, Lu Chen, Yaru Guo, Kongliang He
Objective Non-suicidal self-injury (NSSI) behavior is very common in adolescents with depression, and childhood trauma is considered one of the distal risk factors for its exacerbation. Rumination caused by adverse traumatic experiences, which can be transferred through NSSI behavior, can alleviate symptoms of depression in adolescents. The current research focuses on the relationship between the three, further exploring whether rumination is a mediator in the relationship between childhood trauma and NSSI behavior on the basis of previous studies, and provides some suggestions for future early intervention for adolescents with depression. Methods A total of 833 adolescent patients with depression who met the DSM-5 criteria for depressive episode were recruited from 12 hospitals in China. The Chinese version of the Function Assessment of Self-mutilation, Childhood Trauma Questionnaire, and Rumination Inventory were used as research tools. Results The scores of childhood trauma and rumination in adolescents with depression in the NSSI group were higher than those in the non-NSSI group. A Pearson’s correlation analysis showed that childhood trauma was positively correlated with rumination (r=0.165, P<0.01), different types of childhood trauma were significantly positively correlated with rumination and its three factors, and these results were statistically significant. Rumination partially mediated the relationship between childhood trauma and NSSI behavior in depressed adolescent patients (effect size=0.002), and the effect in female participants (effect size=0.003), was greater than that in male participants (effect size=0.002). Conclusion Childhood trauma and rumination were key factors for NSSI behavior in adolescents with depression. Childhood trauma not only has a direct effect on NSSI behavior in adolescent depression, but also plays an indirect effect on NSSI behavior through rumination.
非自杀性自伤(NSSI)行为在患有抑郁症的青少年中非常常见,而童年创伤被认为是导致抑郁症恶化的远端风险因素之一。不良创伤经历引起的反思可通过 NSSI 行为转移,从而缓解青少年的抑郁症状。本研究主要关注三者之间的关系,在以往研究的基础上进一步探讨反刍是否是童年创伤与NSSI行为之间关系的中介因素,并为今后对青少年抑郁症患者的早期干预提供一些建议。方法 从国内12家医院共招募了833名符合DSM-5抑郁发作标准的青少年抑郁症患者。采用中文版自残功能评估、童年创伤问卷和反刍量表作为研究工具。结果 NSSI组抑郁症青少年的童年创伤和反刍得分均高于非NSSI组。皮尔逊相关分析表明,童年创伤与反刍呈正相关(r=0.165,P<0.01),不同类型的童年创伤与反刍及其三个因子呈显著正相关,这些结果均有统计学意义。反刍在一定程度上介导了青少年抑郁症患者的童年创伤与 NSSI 行为之间的关系(效应大小=0.002),且女性参与者的效应(效应大小=0.003)大于男性参与者(效应大小=0.002)。结论 童年创伤和反刍是抑郁症青少年 NSSI 行为的关键因素。童年创伤不仅直接影响青少年抑郁症患者的 NSSI 行为,还通过反刍间接影响 NSSI 行为。
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引用次数: 0
Elderly’s Homesickness: Development of Elderly Homesickness Questionnaire 老年人的思乡之情:开发老年人思乡问卷
Pub Date : 2024-04-01 DOI: 10.2147/PRBM.S451960
Zeming Deng, Yuehong Qiu, Xueer Xiao, Can Jiao
Introduction Homesickness is a result of migration, and is related to adjustment difficulties and health problems, as well as clinical disorders. The aim of this study was to measure and explore the homesickness of Chinese elderly. Methods A total of 355 non-local Chinese elderly in Shenzhen were recruited to measure demographic information and homesickness. and tested for reliability and validity. Patterns and influences of homesickness among Chinese elderly were explored through latent profile analysis and One-way ANOVA on the basis of EHQ. Results A three-factor structure was verified in the 19-item elderly homesickness questionnaire (EHQ), namely “positive contact”, “refusal to separate” and “homesickness behavior”. The EHQ reports high validity and reliability. Chinese elderly had a high degree of homesickness, and homesickness among Chinese elderly varied significantly across variables such as age, occupation, and education level. Four homesickness patterns were found in Chinese elderly, named low homesick group, moderate homesick group, middle-high homesick group, and high homesick group. Coming from rural/urban areas and living with grandchildren are factors that affect classification. Conclusion The present study reveals the high validity and reliability of the EHQ among Chinese elderly. The Chinese elderly reported high levels of homesickness, which varied significantly across levels of demographic factors. Four patterns of homesickness were found among the Chinese elderly, coming from rural/urban areas and living with grandchildren are the factors that affect classification. There may be a masking of the male contribution to the main effect due to the larger female sample.
导言:思乡是迁徙的结果,与适应困难、健康问题以及临床疾病有关。本研究旨在测量和探讨中国老年人的思乡情绪。方法 在深圳共招募了 355 名非本地华裔老人,测量他们的人口统计学信息和思乡情绪,并对其进行信度和效度检验。在 EHQ 的基础上,通过潜变量分析和单因素方差分析探讨中国老年人思乡的模式和影响因素。结果 19 个项目的老年人思乡问卷(EHQ)验证了三因素结构,即 "积极联系"、"拒绝分离 "和 "思乡行为"。该问卷具有较高的效度和信度。中国老年人的思乡程度较高,不同年龄、职业和受教育程度的中国老年人的思乡行为有显著差异。中国老年人的思乡模式有四种,分别为低度思乡组、中度思乡组、中度思乡组和高度思乡组。来自农村/城市和与孙辈生活在一起是影响分类的因素。结论 本研究揭示了 EHQ 在中国老年人中的高度有效性和可靠性。中国老年人的思乡程度较高,而且不同人口学因素之间存在显著差异。在中国老人中发现了四种思乡模式,来自农村/城市地区和与孙辈生活在一起是影响分类的因素。由于女性样本较多,男性对主效应的贡献可能会被掩盖。
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引用次数: 0
An Exploration of Depression and Aggression Among Patients with Schizophrenia in China Rural Community 中国农村社区精神分裂症患者的抑郁和攻击行为探究
Pub Date : 2024-04-01 DOI: 10.2147/PRBM.S453891
Shaofei Zhang, Ouyang Xu, Kefei Yang, Yunyun Shen, Siyuan Zheng, Ruoqi Wang, Xuanlian Sheng, Meng-Hua Ge, Meng Yang, Xiaoqin Zhou
Purpose In schizophrenia, aggressive conduct is frequent. And depressed mood can also contribute to the occurrence of aggressive behaviors. The aim of this study was to investigate the risk factors for the occurrence of aggression in stable schizophrenia patients in rural China, mainly to investigate the role of depressed mood in the occurrence of aggression in schizophrenia patients. Patients and Methods This is a cross-sectional study conducted in the townships surrounding Chaohu City, Anhui Province, China. Patients’ depressive mood was evaluated using the PHQ-9 (The 9-item Patient Health Questionnaire). Patients’ aggressiveness was evaluated using the Modified Overt Aggression Scale (MOAS). A score of ≥4 was used as a threshold and divided into aggressive and non-aggressive groups. Results This study comprised a total of 821 schizophrenia patients. Among them, the prevalence of having aggressive behavior was 18.8%. After correcting for confounders, logistic regression analysis showed that low education level (OR=0.470, 95% CI 0.254–0.870; p=0.016), living with family (OR=0.383, 95% CI 0.174–0.845; p=0.017) depressed mood (OR=1.147, 95% CI 1.112–1.184; p<0.001) was significantly associated with the risk of aggressive behavior in patients with schizophrenia. Multivariate linear regression indicated that higher levels of aggression were linked with lower levels of education and higher depressive mood. Conclusion This study suggests that aggression is more common in patients with stable schizophrenia, and lower levels of education and higher levels of depression are associated risk factors for its occurrence. Living alone may be helpful in reducing the likelihood of aggression.
目的 精神分裂症患者经常会有攻击行为。而抑郁情绪也会导致攻击行为的发生。本研究旨在探讨中国农村稳定期精神分裂症患者攻击行为发生的危险因素,主要研究抑郁情绪在精神分裂症患者攻击行为发生中的作用。患者和方法 这是一项在中国安徽省巢湖市周边乡镇进行的横断面研究。使用 PHQ-9(9 项患者健康问卷)评估患者的抑郁情绪。患者的攻击性采用改良攻击性量表(MOAS)进行评估。以得分≥4分为临界值,分为攻击性组和非攻击性组。结果 本研究共纳入 821 名精神分裂症患者。其中,攻击性行为的发生率为 18.8%。校正混杂因素后,逻辑回归分析表明,低教育程度(OR=0.470,95% CI 0.254-0.870; p=0.016)、与家人同住(OR=0.383,95% CI 0.174-0.845; p=0.017)、抑郁情绪(OR=1.147,95% CI 1.112-1.184; p<0.001)与精神分裂症患者出现攻击行为的风险显著相关。多变量线性回归表明,较高的攻击行为水平与较低的教育水平和较高的抑郁情绪有关。结论 本研究表明,攻击行为在病情稳定的精神分裂症患者中更为常见,而较低的教育水平和较高的抑郁情绪是发生攻击行为的相关风险因素。独居可能有助于降低攻击行为发生的可能性。
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引用次数: 0
Diabetes Distress Among Patients Undergoing Surgery for Diabetic Retinopathy and Associated Factors: A Cross-Sectional Survey [Letter] 接受糖尿病视网膜病变手术患者的糖尿病困扰及其相关因素:一项横断面调查 [信函]
Pub Date : 2024-04-01 DOI: 10.2147/prbm.s474111
Song Wang, Jing Song, Xiaolian Jiang
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引用次数: 0
The Relationship Between Overparenting and Social Avoidance Among Emerging Adults: Mediating Role of Peer Attachment and Gender Differences 过度养育与青少年社交回避之间的关系:同伴依恋和性别差异的中介作用
Pub Date : 2024-04-01 DOI: 10.2147/PRBM.S373292
Yifu Chen, Yu Xia, Menghao Ren, Wei Zheng, Xiao Wang, Feng Gao
Purpose We aim to explore the relationship between overparenting and social avoidance among emerging adults, and the mediating effects of peer attachment and gender differences. Participants and Methods A total of 1161 Chinese college students completed the questionnaire. The structural equation model was established to validate the main effect model and the mediation model. Results The results found that both paternal and maternal overparenting positively predicted social avoidance among emerging adults. Both attachment avoidance and attachment anxiety played a significant mediating role in the relationship between paternal overparenting and social avoidance. Attachment anxiety played a significant mediating role in the relationship between maternal overparenting and social avoidance, while, the mediating effect of attachment avoidance was not significant. In addition, gender differences were found in the mediating effects of peer attachment. The mediating effect of attachment anxiety in males’ families had an opposite-gender matching effect, while in females’ families, the mediating effect of attachment avoidance had an opposite-gender matching effect. Conclusion This study contributes to the understanding of the effects of overparenting on emerging adults, enriching empirical research in related fields.
目的 我们旨在探讨新兴成人中过度养育与社交回避之间的关系,以及同伴依恋和性别差异的中介效应。参与者和方法 共有 1161 名中国大学生填写了问卷。建立结构方程模型来验证主效应模型和中介模型。结果 研究发现,父方和母方的过度养育都能正向预测新成人的社交回避。依恋回避和依恋焦虑在父亲过度养育和社交回避之间的关系中起着重要的中介作用。依恋焦虑在母亲过度养育与社交回避之间的关系中起着重要的中介作用,而依恋回避的中介作用不显著。此外,朋辈依恋的中介效应也存在性别差异。在男性家庭中,依恋焦虑的中介效应具有相反的性别匹配效应,而在女性家庭中,依恋回避的中介效应具有相反的性别匹配效应。结论 本研究有助于理解过度养育对新成人的影响,丰富相关领域的实证研究。
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引用次数: 0
The Impact of Social Media on Users’ Self-Efficacy and Loneliness: An Analysis of the Mediating Mechanism of Social Support 社交媒体对用户自我效能感和孤独感的影响:社会支持的中介机制分析
Pub Date : 2024-02-01 DOI: 10.2147/prbm.s449079
Wei Jia, Lei Liu, Gang Peng
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引用次数: 0
Factors Influencing Occupational Stress Perceived by Emergency Nurses During Prehospital Care: A Systematic Review 影响急诊护士在院前护理过程中感受到的职业压力的因素:系统回顾
Pub Date : 2024-02-01 DOI: 10.2147/prbm.s455224
Diego José Montero-Tejero, Nerea Jiménez-Picón, Juan Gómez-Salgado, Elena Vidal-Tejero, Javier Fagundo-Rivera
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引用次数: 0
The Misprediction of Helpers in Comforting Situations and Its Mechanism 安慰情境中求助者的错误预测及其机制
Pub Date : 2024-02-01 DOI: 10.2147/prbm.s442519
Ruochen Wang, Li Li, Jiqiang He
{"title":"The Misprediction of Helpers in Comforting Situations and Its Mechanism","authors":"Ruochen Wang, Li Li, Jiqiang He","doi":"10.2147/prbm.s442519","DOIUrl":"https://doi.org/10.2147/prbm.s442519","url":null,"abstract":"","PeriodicalId":509992,"journal":{"name":"Psychology Research and Behavior Management","volume":"49 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139686385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Double-Edged Sword Effect of Illegitimate Tasks on Employee Creativity: Positive and Negative Coping Perspectives 非法任务对员工创造力的双刃剑效应:积极和消极的应对视角
Pub Date : 2024-02-01 DOI: 10.2147/prbm.s444960
Xinwen He, Yunjian Zheng, Ye Wei
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引用次数: 0
The Double-Edged Sword Effect of Illegitimate Tasks on Employee Creativity: Positive and Negative Coping Perspectives 非法任务对员工创造力的双刃剑效应:积极和消极的应对视角
Pub Date : 2024-02-01 DOI: 10.2147/prbm.s444960
Xinwen He, Yunjian Zheng, Ye Wei
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引用次数: 0
期刊
Psychology Research and Behavior Management
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