1.Social adaptation in the association between attitude towards parents with academic anxiety among middle school students
LI Zhanghong, ZHOU Yaning, YANG Tianye, ZHU Beibei, FENG Zhengzhi
Chinese Journal of School Health 2024;45(12):1738-1742
Objective:
To understand the social adaptation in the association between attitude towards parents with academic anxiety among middle school students in Chongqing, so as to provide a basis and thinking method for theoretical framework of family education and youth development.
Methods:
Convenient and clustering sampling method was used to select 34 097 middle school students aged 13-18 years during September to November 2023. All the participants were investigated with self designed questionnaire, Social Adaptability Scale and Mental Health Test. The mediating effect of social adaptability in the relationship between students attitudes towards their parents academic anxiety was evaluated by using Logistic regression analysis and structural equation model.
Results:
The proportion of high school students in Chongqing with academic anxiety was 48.80%. Academic anxiety differed significantly by sex, academic grade, attitude towards parents, and social adaptability ( χ 2=948.45, 173.92, 537.51, 4 770.04, P < 0.01). The results of Logistic regression analysis showed that positive attitudes towards parents were positively correlated with moderate academic anxiety ( OR=1.13, 95%CI =1.08-1.18) and high academic anxiety ( OR=1.14, 95%CI =1.09-1.19) ( P < 0.05 ). The results of the mediation effect analysis showed that positive attitude of middle school students towards their parents negatively predicted academic anxiety ( β= -0.12 , P <0.01), but when social adaptation ability was used as a control variable, the original negative relationship between the positive attitude towards parents and academic anxiety of middle school students changed ( β=0.02, P <0.01), and social adaptation ability played a masking effect in the relationship. The social adaptation ability of middle school students played a mediating role in the relationship between their positive attitudes towards their parents and academic anxiety, with a mediating effect of -0.63.
Conclusions
The attitude of middle school students towards their parents will directly affect academic anxiety, and also have an indirect impact on academic anxiety through social adaptability, but there is a cover effect. Pay more attention to family education and actively focus on students social adaptability can contribute to improve the mental health level of adolescents.
2.Implicit and explicit measures of loyalty assessment among military cadets
Xuerong LIU ; Yu ZHAN ; Wei LI ; Libin ZHANG ; Mengxue ZHAO ; Xinyan GAO ; Zhiyi CHEN ; Zhengzhi FENG
Journal of Army Medical University 2024;46(3):203-208
Objective To explore the relevant relationship and specificity between the implicit and explicit loyalty of military cadets in order to provide a theoretical basis and objective indicators for a more comprehensive and objective assessment for individual loyalty.Methods E-Prime 2.0,a classic implicit association paradigm was employed to construct an implicit association loyalty test for 64 military cadets.Simultaneously,an explicit loyalty measurement was conducted using the Chinese Military Personnel Loyalty Scale.Results ① Significant implicit effect was observed in the loyalty assessment of military cadets,indicating a general tendency to perceive higher levels of personal loyalty and lower levels of loyalty to external entities.② Explicit loyalty assessment revealed that the participants had the highest loyalty score towards the Party,the Nation,and the People(4.79±0.34),followed by the loyalty score to their profession(4.38±0.53),and the relatively lower loyalty score towards the unit and leaders(4.03±0.83).Among the 3 dimensions of loyalty,the normative loyalty score ranked highest,while continuance loyalty score took lower.③ There were no correlations among the scores of loyalty to the Party,the Nation,and the People(r=-0.030,P=0.823),to the profession(r=-0.047,P=0.728),to the unit(r=0.050,P=0.710),or to the leaders(r=0.043,P=0.749).Conclusion The implicit effect in the loyalty assessment is significant in military cadets,and there is no significant correlation between explicit and implicit loyalty measurements.Thus,we cannot rely solely on explicit measurements to assess their loyalty attitudes.
3.Progress and prospect of non-invasive military cognitive neural training
Journal of Army Medical University 2024;46(14):1593-1599
As cognitive neuroscience enters the era of technology application,military psychological training has evolved from traditional behavioral training to cognitive neural training based on neuroimaging,artificial intelligence,virtual reality,and other technologies.Cognitive neural training includes both invasive and non-invasive types,which can be used not only as an adjunct treatment for military occupation-related neuropsychiatric disorders,but also as preventive training that targets the brain to enhance cognitive ablity,regulate emotion,and shape behavior.In this article,we focused on non-invasive cognitive neural training,mainly sorting out the advanced literature concerning non-invasive brain stimulation represented by repetitive transcranial magnetic stimulation,transcranial direct current stimulation,and low-intensity focused ultrasound,as well as neurofeedback mediated by electroencephalography,functional magnetic resonance imaging,and functional near-infrared spectroscopy.We prospected the development trend of intelligent,personalized,multimodal,sensory and wearable neural training,and brought forward and discussed the problems that need our attention in the research and application of cognitive neural training in our army.
4.Effect of military operation types on dual factors of mental health in Chinese veterans:mediating role of psychological quality
Yuanyuan LI ; Yan WANG ; Xingya LIAO ; Xiaoling ZHANG ; Ke XIONG ; Shujuan SUN ; Zhengzhi FENG
Journal of Army Medical University 2024;46(14):1600-1608
Objective To explore the effects of military operation types on the mental health of Chinese veterans and the mediating role of psychological quality based on a dual-factor model of mental health.Methods Cross-sectional study design was adopted in this study.Self-designed demographic information questionnaire,patient health questionnaire depression module-9 item(PHQ-9),general anxiety disorder-7(GAD-7),satisfaction with life scale and psychological quality questionnaire were used to survey on 3 027 Chinese veterans.Results ① Compared to the one-factor model and the two-factor models with other indicators,the dual-factor model of mental health,with anxiety symptoms as a negative indicator and life satisfaction as a positive indicator,fitted better(Chi-square/df=8.927,GFI=0.974,AGFI=0.962,RMSEA=0.051,NNFI=0.985,IFI=0.988,CFI=0.988).②Taking the subjects who did not participate in war/non-war military operations as the reference,psychological quality showed significant relatively mediating effects between war and life satisfaction,and between war and anxiety symptoms(P<0.05),while no such significances were observed in the corresponding ones for non-war military operations.③ War could decrease veterans'life satisfaction through full mediation of cognitive,adaptive and personality dimensions of psychological quality,and increase anxiety symptoms through partial mediation of the personality dimension of psychological quality.Conclusion The dual-factor model of mental health is applicable to Chinese veteran population,and psychological quality plays a mediating role between war and mental health.
5.Characteristics and influencing factors for family resilience among Chinese Army personnel
Shujuan SUN ; Dongxia LIU ; Pingmei LI ; Chengjun DU ; Ke XIONG ; Mengxue ZHAO ; Zhengzhi FENG
Journal of Army Medical University 2024;46(14):1609-1617
Objective To explore the characteristics and influencing factors of family resilience among Chinese PLA Army personnel.Methods A total of 8 094 military personnel subjected with cluster sampling were surveyed with family resilience scale(FRS)and self-designed questionnaire for basic information on military families.Independent sample t test,one-way analysis of variance and step-up regression analysis were employed to analyze the family resilience.Results ① The results of demographic variable analysis showed that there were significant differences in family resilience among the personnel with different marital status,from one-child family or not,birth in rural/urban areas,personnel category,age and education level(P<0.05).② Family factors analysis indicated that different family structure,different family relationships,family rearing styles,recent separation from family members,and frequency of contacting family members had certain effects on family resilience(P<0.05).③ When family relationship,family rearing styles,frequency of contacting family members,birth place,recent separation from family,personnel category,from one-child family,and education level entered the regression equation,the resilience level of army personnel'families was increased by 8.197 for every 1 unit increase in family relationship,and the level of family resilience was increased by 4.688 for every 1 unit increase in family contact frequency(F=202.168,P<0.05).Conclusion The overall level of family resilience of army personnel is good.The risk factors for family resilience are recent separation from their families for ≥1 year,officers,not from only-children family,and the protective factors are harmonious relationship with their families,democratic family rearing style,contacting with their families weekly,urban birth,and bachelor degree or above.
6.Effect of perceived stress on sleep quality in military personnel serving in plateau:regulatory effect of occupational stress
Ke XU ; Mengxue ZHAO ; Jia WANG ; Jingxuan ZHANG ; Fan XIA ; Juan JIANG ; Zhengzhi FENG
Journal of Army Medical University 2024;46(14):1618-1625
Objective To explore the features of sleep quality and its relationship with perceived stress and occupational stress in military personnel serving in high-altitude regions.Methods Cross-sectional study design was adopted in this study.In February 2023,self-designed demographic data questionnaire,Pittsburgh sleep quality index(PSQI),perceived stress scale(PSS-10)and job content questionnaire(JCQ)were applied to survey 3 784 soldiers from a unit stationing in plateau subjected by cluster sampling.Results The total score of PSQI was 5.37±2.78 in the participants,and the total score and the scores of each dimension of PSQI were significantly higher than the national norms for Chinese(P<0.001).There were significant differences in PSQI scores among different age,length of military service,nationality,length of stationing in plateau,education level and family structure(P<0.001).The low perceived stress group had significantly lower PSQI scores than the high perceived stress group(t=-12.108,P<0.001).Regulatory effect analysis showed that the length of stationing in plateau,work autonomy,work psychological requirements,and social support in the work environment could modulate the relationship between perceived stress and sleep quality(t=8.326,-3.788,-2.145,-6.656,P<0.05),and explained 14.6%,7.6%,7.0%and 7.9%of the variance of sleep quality,respectively.Conclusion The military personnel serving in high-altitude regions have a poor sleep quality.Age,time of military service,time of stationing in plateau,nationality,family structure,education level,perceived stress,and occupational stress are important factors affecting their sleep quality.The length of stationing in plateau time and occupational stress,can modulate the relationship between perceived stress and sleep quality.
7.Revision of the Physical Courage at Work Scale
Jia WANG ; Huizhong WANG ; Juan JIANG ; Wei LAI ; Haiping TAO ; Zhengzhi FENG
Journal of Environmental and Occupational Medicine 2022;39(1):36-40
Background According to China's Labor Statistics Yearbook 2020, there were 113293 work-related injuries and 25092 work-related deaths in 2019. It is of great significance to enhance the courage quality of high-risk workers for the maintenance of personal health and the effectiveness of organizational work. Objective To revise the Physical Courage at Work Scale (PCWS) for its application in Chinese employees exposed to high-risk workplace. Methods A total of 1280 high-risk workers completed the revised PCWS for Chinese employees. Item analysis and exploratory factor analysis were used to analyze the scale's construction validity. Confirmatory factor analysis was used to verify the results of exploratory factor analysis, Cronbach's α coefficient was used to verify the reliability of the scale, Pearson correlation analysis of the scale with Mental Quality Questionnaire for Armymen (MQQA) and Norton Courage Measure (CM) was used to verify the validity of the revised PCWS, and Pearson correlation analysis was used to determine the discrimination for each factor of the revised PCWS. Results The results of item analysis showed that the correlation coefficients between the scores of all items and the total score of the revised PCWS were greater than 0.4. The exploratory analysis indicated that there were five factors including immediate danger,providing for family, confronting other's aggression, reporting violations, and contributing to society in the revised version. The confirmatory analysis indicated the five-factor model fitted well (minimum fit function Chi-square/degree of freedom, CMIN/DF=4.60; normed fit index, NFI=0.93; comparative fit index, CFI=0.95; incremental fit index, IFI=0.93; standardized root mean square residual, SRMR=0.05; root mean square error of approximation, RMSEA=0.07). The internal consistency coefficient of the revised PCWS was α=0.95. The correlation coefficients of the revised PCWS with MQQA and CM ranged from 0.11 to 0.28 (P<0.01), and the correlation coefficients between factors of the revised scale ranged from 0.35 to 0.72 (P<0.01). Conclusion The revised PCWS has good reliability and validity in Chinese employees.
8.Impact of Diagnosis Disclosure/Non-disclosure on Quality of Life of Patients with Early and Middle Stage Liver Cancer
Bin JIE ; Yan QIU ; Feng XIA ; Kuangsheng MA ; Zhengzhi FENG
Chinese Medical Ethics 2022;35(10):1060-1067
It is common that families of cancer patients ask physicians to non-disclose the diagnosis from the patients for purpose of protecting their emotion and quality of life (QOL), but it is conflicted with patients’ increasing demands for right to know in China. Therefore, it is urgent to verify whether non-disclosure (or disclosure) of the diagnosis is more beneficial to patients’ QOL, and provide research evidence for solving the dilemma of non-disclosure or disclosure in medical decision-making. 300 hospitalized patients with early/middle stage liver cancer were recruited, including 162 patients in the disclosure group and 138 patients in the non-disclosure group. The patients’ QOL scale were evaluated at the time of admission, 1 month, 3 months, and 6 months after discharge. The social support scale, trait coping style and trait anxiety/depression scale were assessed at admission. The results showed that 91.30% of the patients in the non-disclosure group knew of the diagnosis of liver cancer by their own way after discharge. The scores of emotional functioning and overall QOL were significantly higher in the disclosure group than those in the non-disclosure group at first month after discharge (P<0.01). At six months after discharge, among the 52 patients with cancer recurrence, the scores of emotional functioning and overall QOL were higher in the disclosure group than those in the non-disclosure group (P<0.05). Additionally, the multivariate analysis showed that, in the presence of age, trait anxiety/depression, social support and other influencing factors, disclosure of diagnosis was positively correlated with the overall QOL at 1 and 6 months after discharge (P<0.05). It indicated that disclosure of cancer diagnosis during hospitalization is more beneficial to improve the QOL of patients with early and middle stage cancer.
9.Development and reliability, validity analysis of overgeneral autobiographical memory questionnaire
Wen JIANG ; Keyu LIU ; Zhengzhi FENG
Chinese Journal of Behavioral Medicine and Brain Science 2020;29(9):847-853
Objective:To develop overgeneral autobiographical memory questionnaire(OGMQ) and test its reliability and validity.Methods:Through literature search, expert opinions and group discussion the initial items of the questionnaire were formed. A random cluster method was adopted to select 1 911 college students for the preliminary test.Totally 1 840 valid questionnaires were obtained, and 920 of which were assessed for exploratory factor analyses and 920 of which were assessed for confirmatory factor analyses and reliability and validity analysis. Thirty subjects with depression and 30 normal subjects were selected to test its criterion validity.Results:The questionnaire consisted of 19 items, two dimensions (construction, elaboration) and four factors (spatial-temporal factor, control factor, context factor, emotion factor). Exploratory analysis extracted 4 factors and 19 items, KMO (Kaiser-Meyer-Olkin) = 0.905, Bartlett test: χ 2=4 728.134, df=171, P<0.001.Confirmatory analysis showed that the factor loads of spatio-temporal factor and control factor in the construction dimension were 0.770 and 0.539 respectively, while the factor loads of context factor and emotional factor in the elaboration dimension were 0.911 and 0.800 respectively. The questionnaire had good internal consistency reliability (Cronbach α=0.870), structural validity (χ 2/ df=3.550, RMSEA=0.053, GFI=0.944, CFI=0.970, NFI=0.958, IFI=0.970) and criterion validity ( r(OGMQ, AMT)=0.870, r(OGMQ, BDI)=0.507), and it was able to effectively distinguish between depressed and normal groups (AUC=0.795). Conclusion:The OGMQ has satisfactory validity and reliability, and meets the needs of psychometrics, which can be used in depression-related research and practice.
10.The revision of behavioral activation/inhibition scales in military population and the examination of psychometric properties
Xiaoxia WANG ; Rui ZHANG ; Xiao CHEN ; Keyu LIU ; Lifei WANG ; Jin ZHANG ; Xiao LIU ; Zhengzhi FENG
Chinese Journal of Behavioral Medicine and Brain Science 2018;27(1):78-84
Objective To examine the adaptability of Carver and White' s behavioral activation/in-hibition scales(BIS/BAS Scales)in a large sample of Chinese military-man,and to revise the instrument and validate its factor structure. Methods A total of 2 921 Chinese military-men completed four subscales:one for the Behavioral Inhibition System,and three for the Behavioral Approach System(drive,reward re-sponsiveness,fun seeking).Data were analyzed using exploratory and confirmatory factor analysis.The internal consistency of the subscales and the complete scale were examined. Results The findings did not support Carver and White's 4-factor structure which was validated in a sample of Chinese college students.A 3-factor structure(behavioral inhibition,reward responsiveness,drive)in Chinese military-man were extracted and validated using confirmatory factor analysis(CFA)(KMO=0.87,CFI=0.94,RMSEA=0.06).The Cronbach α of behavioral inhibition,drive and reward responsiveness were 0.78,0.71 and 0.67 respectively.The internal consistencies of behavioral inhibition and drive were higher than four-factor model of Chinese college students and the internal consistencies of drive and reward responsiveness were less than American young adults.Be-havioral inhibition and drive positively predicted depressive symptoms(βBIS=0.332,βDrive=0.076,P<0.001),and reward responsiveness negatively predicted depressive symptoms(βRRS=-0.140,P<0.001). Conclusion The BIS/BAS Scales(revised Chinese military version)has acceptable reliability and validi-ty,and can be utilized as a measurement tool for assessing the approach/avoidance motivation of Chinese ser-vicemen.


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