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Longitudinal impact of mental health mindsets on self-stigma and well-being among individuals with mental disorders 心理健康心态对精神障碍患者自我耻辱感和幸福感的纵向影响
IF 3.6 2区 心理学 Q1 PSYCHOLOGY, APPLIED Pub Date : 2025-09-29 DOI: 10.1111/aphw.70076
Kevin Ka Shing Chan, Jack Ka Chun Tsui

This study examined whether adopting growth mindsets regarding mental health is associated with decreased levels of self-stigma and, consequently, increased levels of well-being among individuals with mental disorders. A total of 235 individuals with mental disorders provided questionnaire data at two time points (i.e., T1 and T2) over the course of one year. Path analyses revealed that growth mindsets at T1 were linked to lower self-stigma and, in turn, better well-being at T2, as indicated by higher levels of positive emotions, engagement, relationships, meaning, and accomplishment. Bootstrap analyses further showed that growth mindsets had indirect effects on promoting well-being through self-stigma reduction. Theoretically, our findings illustrate the beneficial effects of growth mindsets in alleviating self-stigma and enhancing well-being among individuals with mental disorders. The longitudinal nature of these effects underscores that early adoption of growth mindsets can have lasting positive impacts. Practically, our results suggest that fostering growth-oriented beliefs about mental health can effectively reduce self-stigma and promote well-being. Mental health organizations should offer evidence-based interventions and create systemic environments that nurture growth mindsets among individuals with mental disorders.

本研究考察了在心理健康方面采用成长型思维模式是否与降低自我耻辱感水平相关,从而提高精神障碍患者的幸福感水平。共有235名精神障碍患者在1年的时间点(即T1和T2)提供了问卷调查数据。通径分析显示,T1阶段的成长型心态与较低的自我耻辱感有关,进而与T2阶段更好的幸福感有关,这体现在更高水平的积极情绪、参与度、人际关系、意义和成就感上。Bootstrap分析进一步表明,成长心态通过减少自我耻辱感对促进幸福感有间接影响。从理论上讲,我们的研究结果说明了成长心态在减轻精神障碍患者的自我耻辱感和提高幸福感方面的有益作用。这些影响的纵向性质强调了早期采用成长型思维方式可以产生持久的积极影响。实际上,我们的研究结果表明,培养以成长为导向的心理健康信念可以有效地减少自我耻辱感,促进幸福感。精神卫生组织应该提供基于证据的干预措施,并创造系统的环境,在精神障碍患者中培养成长型心态。
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引用次数: 0
End of exercise, end of benefits? A meta-analysis of optimal physical exercise parameters for brain volume 运动结束,收益结束?脑容量最佳运动参数的荟萃分析。
IF 3.6 2区 心理学 Q1 PSYCHOLOGY, APPLIED Pub Date : 2025-09-29 DOI: 10.1111/aphw.70079
Geng Li, Yang Liu, Chengzhen Liu, Antao Chen

Brain volume is closely linked to cognitive function, and its reduction is a key biomarker for neurodegenerative disease risk. Despite extensive research, uncertainties remain regarding the overall effects and optimal prescriptions of physical exercise on brain volume, as well as whether these changes translate into cognitive improvements. This preregistered systematic review and multilevel meta-analysis synthesized data from 59 randomized controlled trials (RCTs) involving 5099 participants. Physical exercise had a significant effect on brain volume (Hedges' g = 0.10), though the majority of effect sizes did not reach the minimal clinically important difference (MCID). Improvements that reached the MCID were observed among subgroups meeting World Health Organization (WHO) physical activity guidelines—particularly those practicing mind–body exercises, following “weekend warrior” patterns, or assessed at follow-up. Meta-regression revealed a significant association between exercise-induced brain volume changes and cognitive improvements (β = 0.20). These findings offer evidence-based guidance for optimizing interventions aimed at improving brain and cognitive health.

脑容量与认知功能密切相关,其减少是神经退行性疾病风险的关键生物标志物。尽管进行了广泛的研究,但关于体育锻炼对脑容量的总体影响和最佳处方,以及这些变化是否转化为认知能力的提高,仍存在不确定性。这项预注册的系统评价和多水平荟萃分析综合了59项随机对照试验(rct)的数据,涉及5099名参与者。体育锻炼对脑容量有显著影响(Hedges' g = 0.10),尽管大多数效应量没有达到最小临床重要差异(MCID)。在符合世界卫生组织(WHO)身体活动指南的亚组中,特别是那些进行身心锻炼、遵循“周末战士”模式或在随访中进行评估的亚组中,观察到达到MCID的改善。meta回归显示运动引起的脑容量变化与认知改善之间存在显著关联(β = 0.20)。这些发现为优化旨在改善大脑和认知健康的干预措施提供了循证指导。
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引用次数: 0
Positive living with dialysis: The effect of a positive psychology intervention in patients receiving maintenance hemodialysis 积极的透析生活:积极心理干预对维持性血液透析患者的影响。
IF 3.6 2区 心理学 Q1 PSYCHOLOGY, APPLIED Pub Date : 2025-09-24 DOI: 10.1111/aphw.70078
Jiaxin Liu, Jinjie Liu, Raoping Wang, Marques, Shek Nam, Ng, Xiaochun Wu, Jieling Chen

Patients undergoing maintenance hemodialysis often exhibit a low level of positive affect and poor mental health, which can adversely affect their physical health and well-being. This cluster-randomized controlled trial aimed to implement a 4-week PERMA-based positive psychology intervention tailored for patients undergoing hemodialysis and evaluate its efficacy on improving positive affect, negative affect, depressive symptoms, post-traumatic growth, and self-management. From September 2023 to January 2024, a total of 80 patients were recruited and randomly assigned to either the control group or the intervention group. The control group received usual psychological nursing care along with health messages. The intervention group, in addition, received a 4-week positive psychology intervention that consisted of weekly 30-minute bedside interviews, supplemented by home exercises. Outcome variables were assessed pre-intervention, post-intervention, and 1-month follow-up. The results revealed that the 4-week PERMA-based positive psychology intervention significantly improved positive affect among patients undergoing hemodialysis. Compared to the control group, the intervention group showed better dietary management and more active participation in physical and psychosocial activities. However, no significant intervention effects were observed for negative affect, depressive symptoms, or post-traumatic growth. Further research is recommended to investigate the potential benefits of a longer intervention duration for patients experiencing clinical psychological symptoms.

接受维持性血液透析的患者往往表现出低水平的积极影响和不良的心理健康,这可能对他们的身体健康和福祉产生不利影响。本集群随机对照试验旨在实施针对血液透析患者的为期4周的基于permaar的积极心理干预,并评估其在改善积极情绪、消极情绪、抑郁症状、创伤后成长和自我管理方面的效果。从2023年9月至2024年1月,共招募80例患者,随机分为对照组和干预组。对照组接受常规的心理护理和健康信息。此外,干预组接受了为期4周的积极心理学干预,包括每周30分钟的床边访谈,辅以家庭练习。评估干预前、干预后和1个月随访的结果变量。结果显示,为期4周的积极心理干预显著提高了血液透析患者的积极情绪。与对照组相比,干预组表现出更好的饮食管理,更积极地参与身体和心理社会活动。然而,在负面情绪、抑郁症状或创伤后成长方面,没有观察到显著的干预效果。建议进一步研究,以调查较长的干预时间对出现临床心理症状的患者的潜在益处。
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引用次数: 0
Psychological risk factors and resources for low back pain intensity and back health in daily life: An ecological momentary assessment study 日常生活中腰痛强度与背部健康的心理危险因素及资源:一项生态瞬时评估研究
IF 3.6 2区 心理学 Q1 PSYCHOLOGY, APPLIED Pub Date : 2025-09-22 DOI: 10.1111/aphw.70080
Karolina Kolodziejczak-Krupp, Lea O. Wilhelm, Lotte-Eleonora Diering, Valerie Zipper, Jana Maas, Thomas Schäfer, Matthias Pumberger, Hendrik Schmidt, Christoph Stein, Lena Fleig

Chronic low back pain (cLBP) is a highly prevalent and disabling health condition. Identifying risk factors and resources for low back pain (LBP) and back health in everyday life is crucial for its prevention and management. This study examined moment-to-moment fluctuations in pain intensity and perceived back health and their associations with fear of movement, pain self-efficacy, and leisure-time physical activity in individuals with (n = 128) and without (n = 94) cLBP. Data were collected five times per day for 14 days (nmeasurements = 13,292). Participants with cLBP reported experiencing LBP in 45% of all measurements, with a mean intensity of 3.16 (range: 1–9), whereas participants without cLBP reported LBP in 6.9% of measurements (Mintensity = 2.38). Multilevel analyses including participants with and without cLBP showed that greater momentary fear of movement, lower momentary pain self-efficacy, and higher momentary levels of leisure-time physical activity were associated with higher pain intensity (β = .05, p = .042, β = −.15, p < .001, and β = .04, p = .001). Greater momentary fear of movement and lower momentary pain self-efficacy were associated with poorer back health (β = −.07, p = .004 and β = .16, p < .001). The observed within-person associations highlight the potential for ecological momentary interventions targeting modifiable psychological factors related to cLBP in daily life, particularly pain self-efficacy.

慢性腰痛(cLBP)是一种非常普遍和致残的健康状况。识别日常生活中腰痛和背部健康的危险因素和资源对其预防和管理至关重要。本研究调查了cLBP患者(n = 128)和非cLBP患者(n = 94)疼痛强度和感知背部健康的瞬间波动,以及它们与运动恐惧、疼痛自我效能和休闲时间体育活动的关联。每天收集5次数据,持续14天(nmeasurements = 13,292)。在所有测量中,有cLBP的参与者报告了45%的LBP,平均强度为3.16(范围:1-9),而没有cLBP的参与者报告了6.9%的LBP(强度= 2.38)。包括有和没有cLBP的参与者在内的多水平分析显示,更大的瞬时运动恐惧、更低的瞬时疼痛自我效能和更高的休闲时间体育活动水平与更高的疼痛强度相关(β =。05, p =。042, β =−。15、p <;001, β =。04, p = .001)。较大的瞬时运动恐惧和较低的瞬时疼痛自我效能感与较差的背部健康相关(β =−)。07, p =。004和β =。16, p < .001)。观察到的人体内关联强调了针对日常生活中与cLBP相关的可改变心理因素的生态瞬时干预的潜力,特别是疼痛自我效能。
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引用次数: 0
Birdsongs and audio-guided mindful breathing: Comparable sadness-reducing effects in the lab 鸟鸣和音频引导的正念呼吸:在实验室中有类似的减少悲伤的效果
IF 3.6 2区 心理学 Q1 PSYCHOLOGY, APPLIED Pub Date : 2025-09-22 DOI: 10.1111/aphw.70081
Xuanyi Wang, Tian Lu, Wanlin Chen, Jing Zheng, Hang Chen, Shulin Chen

Natural sounds have shown potential for emotion regulation, with birdsong often identified as a salient and meaningful element. This study investigated the psychophysiological effects of birdsong on sadness, using audio-guided mindful breathing as an active control among participants with and without depressive symptoms. The study included 187 participants (Mage = 21.47, 66.3% female), categorized into 4 groups based on depression levels (depressed, non-depressed) and intervention type (birdsong, mindful breathing). Emotional responses were assessed after each phase (baseline, sadness induction, and birdsong/mindful breathing intervention). Heart rate variability (HRV) indices were used to measure physiological changes. Results show that (1) each stage elicited the target emotions, with hit rates exceeding 75%; (2) sadness induction was effective; (3) both birdsong and mindful breathing interventions effectively reduced sadness, as evidenced by the reversal of sadness effects in both groups; (4) subtle differences in the effects of birdsong and mindful breathing were observed in valence and short-term fluctuations in HRV; (5) no other significant differences were found between the groups. The findings indicate that birdsong has been shown to alleviate sadness similarly to mindful breathing. Although mindful breathing was more effective in enhancing valence, birdsong offered greater benefits for physiological recovery in depressed individuals.

自然的声音显示出情绪调节的潜力,鸟鸣通常被认为是一个突出而有意义的元素。本研究调查了鸟鸣对悲伤的心理生理影响,在有抑郁症状和没有抑郁症状的参与者中,使用音频引导的正念呼吸作为主动控制。该研究包括187名参与者(性别= 21.47,66.3%为女性),根据抑郁程度(抑郁、非抑郁)和干预类型(鸟鸣、正念呼吸)分为4组。在每个阶段(基线、悲伤诱导和鸟鸣/正念呼吸干预)后评估情绪反应。心率变异性(HRV)指标用于测量生理变化。结果表明:(1)每个阶段都能激发目标情绪,成功率超过75%;(2)悲伤诱导有效;(3)鸟鸣和正念呼吸干预均能有效减少悲伤情绪,两组的悲伤情绪效果均出现逆转;(4)鸟鸣和正念呼吸对HRV效价和短期波动的影响存在细微差异;(5)各组间无其他显著差异。研究结果表明,鸟鸣已经被证明可以缓解悲伤,就像有意识的呼吸一样。虽然正念呼吸在提高效价方面更有效,但鸟鸣对抑郁症患者的生理恢复有更大的好处。
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引用次数: 0
Growing together or growing apart? The dyadic effects of self-expansion from two sources on personal and relational well-being among Chinese Newlywed Couples 一起成长还是分开成长?中国新婚夫妇自我扩展对个人和关系幸福感的双重影响
IF 3.6 2区 心理学 Q1 PSYCHOLOGY, APPLIED Pub Date : 2025-09-13 DOI: 10.1111/aphw.70068
Ziyuan Chen, Qingyin Li, Xiaoyi Fang

This study tested the dyadic effects of self-expansion from partners (relational self-expansion, RSE) and others (personal self-expansion, PSE) on their relational well-being (RWB, e.g., marital satisfaction) and personal well-being (PWB, e.g., life satisfaction) one year later among 289 Chinese newlyweds. Self-expansion and well-being were measured using self-reported scales. Actor-partner interdependence Models (APIM) and dyadic response surface analyses (DRSA) were adopted to examine the dyadic effects of RSE and PSE on RWB and PWB. The results of the APIM supported the positive actor effect of RSE on RWB and PWB one year later for both husbands and wives, as well as a positive partner effect of wives' RSE on husbands' RWB. Furthermore, the results from DRSA supported that both partners were satisfied with their relationships and personal lives when they scored high on RSE or increased in it over time. For PSE, both partners' increase in it was associated with their high PWB, and congruent changes between partners were associated with higher levels of later RWB for both partners.

本研究以289对中国新婚夫妇为研究对象,考察了伴侣自我扩展(关系自我扩展,RSE)和他人自我扩展(个人自我扩展,PSE)对一年后夫妻关系幸福感(RWB,如婚姻满意度)和个人幸福感(PWB,如生活满意度)的双重影响。自我扩展和幸福感是用自我报告的量表来测量的。采用行动者-伙伴相互依赖模型(APIM)和二元响应面分析(DRSA)研究了RSE和PSE对RWB和PWB的二元影响。APIM的结果支持一年后丈夫和妻子的RSE对RWB和PWB的积极行动者效应,以及妻子的RSE对丈夫的RWB的积极伴侣效应。此外,DRSA的结果表明,当夫妻双方的RSE得分较高或随着时间的推移而增加时,他们对自己的关系和个人生活都很满意。对于PSE而言,双方在这方面的增加都与他们的高PWB有关,而伴侣之间的一致性变化与双方更高水平的后期RWB有关。
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引用次数: 0
What (not) to eat: Exploring weight-loss and dietary intentions in representative samples from Germany and Austria 吃什么(不吃):在德国和奥地利的代表性样本中探索减肥和饮食意图
IF 3.6 2区 心理学 Q1 PSYCHOLOGY, APPLIED Pub Date : 2025-09-13 DOI: 10.1111/aphw.70077
Alea Ruf, Laura M. König

Despite significant health risks associated with high body weight and poor diet, little is known about the prevalence and targets of weight-loss and dietary intentions. This information could, however, help tailor behaviour change interventions. Therefore, the present study described weight-loss and dietary intentions and their co-occurrence in a representative sample (N = 1,510; 50.40% women; Mage = 48.55, SDage = 16.68; MBMI = 26.89, SDBMI = 5.92) from Germany (n = 1,006) and Austria (n = 504). Weight-loss (57%) and dietary avoidance intentions (i.e., intention to eat less of certain foods; 59%) were more prevalent than dietary approach intentions (i.e., intention to eat more of certain foods; 34%). A discrepancy between weight-loss intention and indication (i.e., meeting BMI criteria for weight-loss recommendation: BMI ≥ 25) was found for 27% of individuals. Most common target foods were ‘snacks high in sugar, fat, and/or salt’ (24%), ‘meat’ (12%) and ‘sugar/foods high in sugar’ (11%) for avoidance and ‘fruits and vegetables’ (27%) and ‘protein/foods high in protein’ (3%) for approach intentions. These findings indicate that individuals might benefit from enhanced awareness of body weight recommendations and a less avoidance-centered perspective on eating, as approach strategies might be more effective in changing behaviour.

尽管与高体重和不良饮食有关的重大健康风险,但人们对减肥的流行程度和目标以及饮食意图知之甚少。然而,这些信息可以帮助量身定制行为改变干预措施。因此,本研究在德国(N = 1006)和奥地利(N = 504)的代表性样本(N = 1510; 50.40%女性;Mage = 48.55, SDage = 16.68; MBMI = 26.89, SDBMI = 5.92)中描述了减肥和饮食意图及其共存情况。减肥(57%)和饮食避免意图(即,打算少吃某些食物;59%)比饮食方法意图(即,打算多吃某些食物;34%)更为普遍。27%的人发现减肥意图与指征(即符合减肥推荐的BMI标准:BMI≥25)之间存在差异。最常见的目标食物是“高糖、高脂肪和/或高盐的零食”(24%),“肉类”(12%)和“糖/高糖食物”(11%),以及“水果和蔬菜”(27%)和“蛋白质/高蛋白质食物”(3%)。这些发现表明,个人可能会从提高对体重建议的认识和减少以避免为中心的饮食观点中受益,因为方法策略可能在改变行为方面更有效。
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引用次数: 0
Challenging the golden mean: Testing the inverted U-shaped relationship between trait self-control and subjective well-being among Chinese adolescents 挑战中庸:中国青少年特质自我控制与主观幸福感的倒u型关系检验
IF 3.6 2区 心理学 Q1 PSYCHOLOGY, APPLIED Pub Date : 2025-09-09 DOI: 10.1111/aphw.70070
Yanru Liu, Yifan Wang, Ruibo Kong, Yalun Zhang, Xingbo Wang, Yajun Zhao, Jingguang Li

Self-control (SC) is a robust predictor of subjective well-being (SWB), and a positive linear relationship between them is often taken as the default assumption. However, some perspectives suggest that excessive SC may diminish SWB, implying an inverted U-shaped relationship. This study examined this inverted U-shaped hypothesis among Chinese adolescents, who are raised in a culture emphasizing moderation. We analyzed five samples (total N = 25,936), including four cross-sectional samples, two of which were nationally representative, and a three-wave longitudinal sample collected over two years. Participants ranged from middle school to university students, with SC assessed via self- and parent-report, and SWB through multiple indicators including positive and negative affect, life satisfaction, and one-item happiness assessment. Quadratic regression analyses and Simonsohn's two-lines test found no inverted U-shaped relationship between SC and SWB in five samples. Instead, SC consistently correlated positively with SWB across samples, regardless of measurement methods or whether data were cross-sectional or longitudinal. These findings reinforce the notion that higher SC contributes to greater SWB, with no indication of an inverted U-shape in Chinese culture. Encouraging the development of SC in adolescents might be a beneficial approach to enhancing long-term well-being, without concerns about unintended negative consequences.

自我控制(SC)是主观幸福感(SWB)的一个强有力的预测因子,它们之间的正线性关系通常被作为默认假设。然而,一些观点认为,过度的SC可能会减少SWB,暗示一种倒u型关系。这项研究在中国青少年中检验了这一倒u型假设,他们在强调节制的文化中长大。我们分析了五个样本(总N = 25,936),包括四个横截面样本,其中两个具有全国代表性,以及一个两年内收集的三波纵向样本。研究对象从中学生到大学生,通过自我报告和家长报告来评估主观幸福感,通过积极影响和消极影响、生活满意度和单项幸福感等多个指标来评估主观幸福感。二次回归分析和Simonsohn的双线检验发现,5个样本的SC与SWB之间没有倒u型关系。相反,无论测量方法如何,也无论数据是横断面还是纵向的,SC始终与SWB呈正相关。这些发现强化了高SC对高SWB的贡献,没有迹象表明在中国文化中是倒u形的。鼓励青少年SC的发展可能是一种有益的方法,以提高长期福祉,而不必担心意外的负面后果。
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引用次数: 0
Bidirectional relationship between burnout and perceived work ability: Evidence from a two-wave study among teachers 职业倦怠与感知工作能力的双向关系:来自教师两波研究的证据
IF 3.6 2区 心理学 Q1 PSYCHOLOGY, APPLIED Pub Date : 2025-09-09 DOI: 10.1111/aphw.70075
Petr Hlado, Tomáš Lintner, Libor Juhaňák, Klara Harvankova

Burnout and perceived work ability (PWA) are critical factors influencing teachers' professional well-being and effectiveness. The potential bidirectional relationship between these constructs remains underexplored, particularly in primary and lower secondary school teachers. This study examines the reciprocal relationship between burnout and PWA among teachers over time, using the job demands-resources (JD-R) model and the conservation of resources (COR) theory. A two-wave longitudinal study was conducted among 853 Czech primary and lower secondary school teachers. Data were collected via web-based questionnaires at two time points. Bayesian cross-lagged panel modeling (CLPM) was applied to analyze the bidirectional effects of burnout and PWA while controlling demographic variables. Burnout significantly predicted lower PWA, supporting the JD-R model's health impairment process. Contrary to expectations, higher PWA was associated with increased burnout, suggesting that PWA may not function as a protective factor in the teaching context, but rather as a risk factor increasing vulnerability to strain. Post hoc analyses indicated that burnout's detrimental influence on PWA emerged through several coherent facet-to-facet pathways, while in the reverse direction, only higher PWA in the teaching organization predicted later physical exhaustion. The study clarifies the directionality of associations between burnout and PWA, contributing to theory development and offering implications for interventions.

职业倦怠和感知工作能力(PWA)是影响教师专业幸福感和效能的重要因素。这些构念之间潜在的双向关系仍未得到充分探讨,特别是在小学和初中教师中。本研究运用工作需求-资源(JD-R)模型和资源守恒(COR)理论,考察了教师职业倦怠与工作主动性之间的相互关系。对853名捷克中小学教师进行了两波纵向研究。在两个时间点通过网络问卷收集数据。在控制人口学变量的情况下,采用贝叶斯交叉滞后面板模型(CLPM)分析了职业倦怠和职业倦怠的双向影响。职业倦怠显著预测较低的PWA,支持JD-R模型的健康损害过程。与预期相反,较高的PWA与倦怠增加有关,这表明PWA可能不是教学环境中的保护因素,而是增加易受压力影响的风险因素。事后分析表明,倦怠对PWA的不利影响是通过几个连贯的面-面通路出现的,而相反的方向是,只有教学组织中较高的PWA预示着后来的身体衰竭。本研究阐明了职业倦怠与工作焦虑之间关系的方向性,有助于理论的发展,并为干预提供启示。
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引用次数: 0
Patterns of adversity childhood experiences from family, peers, and teachers in Chinese adolescents and emerging adults 来自家庭、同伴和老师的逆境童年经历在中国青少年和初成人中的模式
IF 3.6 2区 心理学 Q1 PSYCHOLOGY, APPLIED Pub Date : 2025-09-05 DOI: 10.1111/aphw.70074
Mingxiao Liu, Aiyi Liu, Xiaoqing Yu, Xinchun Wu

Family, peers, and teachers are significant influences in the lives of most individuals. This study examines the differential associations of adversity childhood experiences from family, peers, and teachers with complex posttraumatic stress disorder (CPTSD) symptoms and posttraumatic growth (PTG) in Chinese adolescents and emerging adults. This study involved a total of 5,477 adolescents and 3,995 emerging adults in China, surveyed on two occasions. Participants completed questionnaires assessing family adversity, peer victimization, and teacher maltreatment at T1, as well as CPTSD symptoms and PTG at T2. Four distinct profiles were identified among adolescents: “low risk,” “family adversity,” “peer adversity,” and “multiple adversities,” while four profiles emerged among emerging adults: “low risk,” “family adversity,” “teacher-peer adversity,” and “multiple adversities.” Both adolescents and emerging adults in the “low risk” group reported the lowest levels of CPTSD symptoms and the highest levels of PTG. Conversely, among adolescents, the “multiple adversities” and “peer adversity” groups showed the highest CPTSD symptoms, while the “family adversity” group reported the lowest PTG. Among emerging adults, the “multiple adversities” had the highest CPTSD symptoms, and both “multiple adversities” and “family adversity” groups showed the lowest PTG. The study highlights the differential impact of distinct adversity childhood experience sources on CPTSD symptoms and PTG in Chinese adolescents and emerging adults.

家庭、同伴和老师对大多数人的生活都有重要的影响。本研究探讨了中国青少年和初成人中来自家庭、同伴和老师的逆境童年经历与复杂创伤后应激障碍(CPTSD)症状和创伤后成长(PTG)的差异关系。这项研究共对中国5477名青少年和3995名初成成人进行了两次调查。参与者在T1完成了家庭逆境、同伴受害和老师虐待的问卷调查,在T2完成了CPTSD症状和PTG的问卷调查。在青少年中发现了四种不同的特征:“低风险”、“家庭逆境”、“同伴逆境”和“多重逆境”,而在新兴成年人中发现了四种特征:“低风险”、“家庭逆境”、“老师-同伴逆境”和“多重逆境”。“低风险”组的青少年和刚成年的人都报告了最低水平的CPTSD症状和最高水平的PTG。相反,在青少年中,“多重逆境”和“同伴逆境”组表现出最高的CPTSD症状,而“家庭逆境”组报告的PTG最低。在初生成人中,“多重逆境”组的CPTSD症状最高,“多重逆境”组和“家庭逆境”组的PTG最低。本研究强调了不同逆境童年经历来源对中国青少年和初成人CPTSD症状和PTG的差异影响。
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