1.A qualitative study of school-refusing adolescents' perceptions of helpful intervention in family-doctor-school meetings
Liang LIU ; Xudong ZHAO ; Yanbo WANG
Chinese Mental Health Journal 2025;39(10):862-867
Objective:To explore school-refusing adolescents'subjective experience of helpful interventions in family-doctor-school meetings.Methods:Semi-structured interviews were conducted with 12 school-refusing ado-lescents after they participated in family-doctor-school meetings to understand the psychological interventions they perceived.Thematic analysis was used to analyze the transcripts and construct a thematic framework of useful inter-ventions.Results:Six themes were identified by thematic analysis:fairness and restraint of doctors,emotions and demands being heard,negotiate based on facts,proper science popularization,helping us check resources and vie-wing things more three-dimensionally.Conclusion:Family-doctor-school meeting facilitate effective communication between home and school,providing a supportive environment that helps school-refusing adolescents express their e-motions and demands and prepare for returning to school.
2.Effects of trait anxiety and embodied emotions priming on attention bias in college students
Wenyi CHEN ; Lijun MA ; Huiyuan HUANG ; Jiabao LIN ; Bingqing JIAO
Chinese Mental Health Journal 2025;39(10):922-928
Objective:To explore the characteristics of attention bias and the role of embodied emotion prim-ing in college students with different traits of anxiety.Methods:From 2 310 college students,28 from low trait anxi-ety group and 30 from high trait anxiety group were selected based on the scores of the Trait Anxiety Scale.The at-tention bias index,attention orientation index and attention detachment difficulty index were calculated by point de-tection experiment.By asking two groups of subjects to change their body posture to induce embodied emotion,and then responding to the location of the detection point,the effects of embodied emotion priming on the attention bias of college students with different traits of anxiety were investigated.Results:The point detection experiment found that the attention detachment difficulty index of negative emotional faces in the high trait anxiety group was signifi-cantly greater than 0,and the attention orientation index of positive emotional faces in the low trait anxiety group was significantly greater than 0(Ps<0.05).The attention bias index for positive emotional faces in low trait anxie-ty group was significantly higher than that in high trait anxiety group(P<0.05).Under embodied negative prim-ing,the attention bias index of negative emotional faces in low trait anxiety group was significantly greater than 0(P<0.05).The attention orientation indices of negative emotional faces were significantly higher than that of posi-tive emotional faces in both groups(P<0.05).Conclusion:College students with high trait anxiety have difficulty in escaping attention to negative faces,while those with low trait anxiety have accelerated attention orientation to positive emotional faces.Embodied negative priming may have a greater impact onattention bias of towards negative emotional faces in students with low trait anxiety.
3.Mendelian randomization analysis of causal association between schizophrenia and lung cancer
Kangming HUO ; Minghu CUI ; Zhongwen ZHANG
Chinese Mental Health Journal 2025;39(10):868-874
Objective:To evaluate the association between schizophrenia and risk of lung cancer using Mende-lian randomization approach.Methods:Select instrumental variables from the genome-wide association study of the Psychiatric Genomics Consortium and the UK Biobank.Two-sample Mendelian randomization of the selected in-strumental variables was performed using the inverse variance weighted method as the primary method of analysis,with the weighted median method and the MR Egger method as complementary methods of analysis.Cochran Q test was applied to analyze the heterogeneity,and MR-Egger intercept analysis and leave-one-out method were applied for pleiotropy test to assess the reliability of the analysis results.Results:For the data on schizophrenia and lung cancer,the inverse variance weighted method assessed that the risk(OR)of lung cancer in patients with schizophre-nia was 1.001 times(95%CI:1.000-1.002,P<0.01)higher than that of the general population.Both the weighted median method and the MR Egger method of assessments also indicated an increased risk of lung cancer in individuals with schizophrenia.Conclusion:Our findings suggest a potential causal association between schizo-phrenia and lung cancer.
4.A cross-lagged analysis of relationships between cyberbullying perpetration,anxiety,and depression in college students
Xiaolyu LIU ; Xianglian BAO ; Jinqing ZHANG ; Mingkun OUYANG
Chinese Mental Health Journal 2025;39(11):1001-1006
Objective:To examine the dynamic interactive relationships between cyberbullying perpetration,anxiety,and depression in college students.Methods:A total of 4 148 college students from a comprehensive uni-versity in Guangxi Zhuang Autonomous Region completed self-report measures including Cyberbullying Scale(CS),Self-Rating Anxiety Scale(SAS),and Self-Rating Depression Scale(SDS)at two time points,18-month a-part.Results:Correlation analysis showed significant concurrent(r=0.11-0.17,Ps<0.001)and lagged(r=0.06-0.44,Ps<0.001)positive associations among CS,SAS,and SDS scores.Cross-lagged analysis,controlling for gender and age,indicated that T1 CS scores were positively associated with T2 SAS and SDS scores(β=0.13,0.14,Ps<0.001).Additionally,SAS scores at T1 and SDS scores at T1 were positively associated CS scores at T2,respectively(β=0.07,0.05,Ps<0.001).Conclusion:Cyberbullying perpetration,anxiety,and depression in-fluence each other over time among college students,suggesting a reinforcing negative cycle.
5.Post-traumatic growth and its associated factors in patients with liver cancer undergoing interventional therapy
Chinese Mental Health Journal 2025;39(10):875-879
Objective:To understand the post-traumatic growth status and related factors of patients with liver cancer undergoing interventional therapy.Methods:A total of 160 patients with liver cancer receiving interventional therapy in a third-class first-class hospital in Xuzhou were assessed using the Self-designed General Information Questionnaire,Post Traumatic Growth Inventory(PTGI),Medical Coping Modes Questionnaire(MCMQ)and Quality of Life for Liver Cancer(QOL-LC).Results:The PTGI total score was(53.8±10.1).Multiple regression analysis showed that the average monthly family income(β=0.11),face-to-face scores(β=0.28)and the total QOL-LC scores(β=0.16)were positively correlated with the PTGI scores,whereas advanced disease stages(β=-0.14),number of interventional therapy sessions(β=-0.06)and avoidance scores(β=-0.27)were negative-ly correlated with PTGI scores.Conclusion:The post-traumatic growth of patients with liver cancer treated by inter-ventional therapy is at a moderate-to-low level.Post-traumatic growth is related to family income per capita,disease stages,times of interventional therapy,medical coping style and quality of life.
6.A case report of online mindfulness-based cognitive therapy for an outpatient with depression
Jinjun LIU ; Zeping XIAO ; Yanru WU
Chinese Mental Health Journal 2025;39(10):856-861
Objective:To report the therapeutic effectiveness of Mindfulness-Based Cognitive Therapy(MBCT)for one outpatient with depression.Methods:A pre-and post-intervention design was used to evaluate a 10-week online MBCT intervention for case W.The Symptom Check List-90(SCL-90),Defense Style Question-naire(DSQ),Mindful Attention Awareness Scale(MAAS),Self-Acceptance Questionnaire(SAQ),and NEO-Five Factor Inventory(NEO-FFI)were conducted one week before MBCT(baseline),five weeks during MBCT,one week after the end of MBCT,and two years after the end of MBCT.A semi-structured interview was conducted with W five months after the end of MBCT.Results:Quantitative results showed that no matter one week or 2 years after the end of MBCT,W's depression,anxiety,immature defense mechanisms,mindfulness levels,self-acceptance levels,and extroversion/agreeableness all showed reliable improvement compared to baseline(|RCI|>1.96).Qualitative analysis showed that in W's narrative,psychiatric drugs,enhancing awareness,avoiding thinking biases,promoting self-acceptance and care,and stable treatment alliances were the factors that W could benefit from MBCT.Conclusion:Online MBCT could effectively improve the symptoms and psychological function of this out-patient with depression.
7.Attentional processing of verbal emotional information in college students with subclinical depression
Yutong LI ; Siwen ZHENG ; Xueli WANG ; Xin YUE
Chinese Mental Health Journal 2025;39(11):988-993
Objective:To examine the attentional processing of verbal emotional information in college students with subclinical depression.Methods:Fifty college students were recruited(24 with subclinical depression group and 26 in the control group)were recruited from a university in Liaoning Province to investigate the atten-tional bias of subclinically depressed college students towards verbal emotional information(experiment 1).In addi-tion,48 college students(20 with subclinical depression and 28 in the control group)were recruited to investigate the attention disengagement of subclinically depressed college students from verbal emotional information(experi-ment 2).In experiment 1,two groups passively viewed words and recorded the eye movement data of emotional words.In experiment 2,two groups were asked to watch the emotional word-neutral word pair.When color borders were presented around neutral words,the attention disengagement latency that was the time taken by the eye saccade from emotional words to neutral words was recorded.Results:The results of experiment 1 showed that the total fix-ation duration of negative words in the subclinical depression group was longer than that in the control group(P<0.01).The results of experiment 2 showed that attention disengagement latency of negative words in the subclinical depression group was longer than that in the control group(P<0.05).Conclusion:College students with subclini-cal depression exhibit attentional bias towards negative verbal information and difficulties in attentional disengage-ment.
8.Relationship between meaning in life,aggression and negative emotions in male prisoners
Jiacheng YU ; Huijuan LIU ; Meng ZHANG
Chinese Mental Health Journal 2025;39(10):910-916
Objective:To explore the relationship between latent categories of meaning in life and aggression among male prisoners,and analyze the mediating role of negative emotions.Methods:Five hundred and thirty-seven male prisoners were selected and assessed with the Meaning in Life Questionnaire(MLQ),Chinese version of Buss& Perry Aggression Questionnaire(AQ-CV),and Depression-Anxiety-Stress Scale(DASS-21).Latent profile anal-ysis was used to explore the potential categories of meaning in life,as well as to test the mediating role of negative emotions using relative mediation analysis.Results:Four categories of meaning in life were identified,namely nega-tive meaning in life(20.3%),low experiential-high seeking(28.3%),high experiential-low seeking(16.0%),and positive meaning in life(35.4%)types were present among the prisoners.The scores of aggression decreased sequentially from the negative meaning in life type to the low experiential-high seeking type,and then to the high experiential-low seeking type(Ps<0.05).Compared to the negative meaning in life type,the mediating role of the high experiential-low seeking type(β=-0.59,95%CI=-0.75--0.43)and the positive meaning in life type in aggression through negative emotions was statistically significant(β=-0.56,95%CI=-0.71--0.42).Conclusion:The study suggests that male prisoners with a higher meaning in life tend to exhibit lower aggression,and that individuals with a higher experiential meaning in life have lower aggression through diminished negative e-motions,compared to those with a negative meaning in life type.
9.Development and validation of the Online Fraud Susceptibility Scale
Haoyu WANG ; Dan WANG ; Chen YANG
Chinese Mental Health Journal 2025;39(11):981-987
Objective:To develop and validate the Online Fraud Susceptibility Scale(OFSS).Methods:The construct of online fraud susceptibility was defined through qualitative interviews(n=14)and expert evaluations(n=6).Based on prior literature,an initial item pool was generated.A sample of 805 adults completed the preliminary scale for item analysis and exploratory factor analysis(EFA).Another sample of 491 adults completed the formal scale for confirmatory factor analysis(CFA),criterion validity,and internal consistency analysis.Of these,233 par-ticipants were retested after four months.The Vulnerability to Fraud Questionnaire(VFQ)and the Susceptibility to Persuasion-Ⅱ Scale(StP-Ⅱ)were used as criterion measures.Results:The 25-item OFSS consisted of 5 factors,na-rely monetary motivation,heuristic processing,financial risk-seeking,anti-fraud knowledge,and susceptibility to so-cial influence,explaining 51.94%of the total variance.The factor loadings ranged from 0.52 to 0.80.The 5-factor model showed an acceptable structural fit(x2/df=2.39,CFI=0.86,TLI=0.84,CFI=0.86,RMSEA=0.05).The OFSS scores were positively correlated with the scores of VFQ and StP-Ⅱ(r=0.51,0.47,Ps<0.001).The inter-nal consistency reliabilities of the total score and 5 factors ranged from 0.64 to 0.80,and the retest reliabilities(ICC)of the total score and 5 factors ranged from 0.53 to 0.78.Conclusion:The Online Fraud Susceptibility Scale demonstrates satisfactory psychometric properties providing a practical tool to assess the vulnerability to online fraud.
10.Information processing characteristics of intertemporal decision-making among college students with different levels of procrastination
Caini PENG ; Zhuoran LYU ; Junyuan PENG ; Qian MENG ; Xi FAN
Chinese Mental Health Journal 2025;39(11):994-1000
Objective:To examine the information processing patterns of college students with high and low procrastination in intertemporal decision-making.Methods:A total of 29 high procrastination college students[Irra-tional Procrastination Scale(IPS)score>27]and 29 low procrastination college students(IPS score≤27)were recruitted.A 2(group:high/low procrastination)×2(amount:¥100,¥1 000)×5(delay:10/30/90/180/360 days)mixed experimental design was employed.Behavioral measures(delay discounting rates,Payne index)and eye-tracking measures(option/dimension fixation time ratios)were collected.Results:The delay discounting rate had the main effects of group,amount and delay(F=6.62,25.38,121.31,Ps<0.05).The delay discounting rates were higher in the high procrastination group than in the low procrastination group.The delay discounting rates were higher for a amount of 1 000 yuan than 100 yuan.The delay discounting rate was the highest when the delay was 10 days.The option fixation time ratios were higher in the high procrastination group than in the low procrastination group(P<0.01),and there were interaction effects between group and amount and between group and delay(F=5.67,2.52,Ps<0.05).The dimension fixation time ratios were lower for a amount of 1 000 yuan than 100 yuan(P<0.01).Conclusion:College students with high procrastination exhibit a higher delay discounting rate and stronger attentional bias toward immediate options during intertemporal decision-making.However,both groups pri-oritized the monetary dimension in their information processing strategies.

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