BACKGROUND Low anterior resection syndrome(LARS)is a prevalent and debilitating complication following sphincter-preserving surgery for rectal cancer.Evidence-based interventions for the concurrent psychological burde...BACKGROUND Low anterior resection syndrome(LARS)is a prevalent and debilitating complication following sphincter-preserving surgery for rectal cancer.Evidence-based interventions for the concurrent psychological burden are limited.Electroacupuncture has been proposed as a potential adjunctive therapy,but its psychological benefits remain inadequately studied.AIM To investigate the therapeutic effect of electroacupuncture on emotional recovery and gastrointestinal function in patients with moderate to severe LARS,and to explore its potential advantages in psychologically vulnerable subgroups.METHODS We conducted a retrospective,controlled study involving 100 patients with moderate to severe LARS(LARS score≥21)treated at two tertiary hospitals in China between January 2022 and December 2024.Patients received either standard postoperative care alone(n=50)or in combination with a standardized 4-week electroacupuncture protocol(n=50).Psychological and functional outcomes were assessed using validated instruments including Hospital Anxiety and Depression Scale(HADS),Body Image Scale(BIS),General Self-Efficacy Scale,Perceived Social Support Scale(PSSS),LARS score,and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 at four time points.The primary endpoint was emotional remission,defined as a≥3-point reduction in HADS-Anxiety subscale(HADS-A).Analyses included repeated-measures comparisons,Kaplan-Meier survival curves,Cox regression models,and subgroup-interaction testing.RESULTS At baseline,demographic,surgical,and psychosocial characteristics were comparable among groups.By week 4,patients receiving electroacupuncture demonstrated significantly greater reductions in anxiety(HADS-A:4.8±2.6 vs 7.3±3.0;P<0.001),depression,and body-image disturbance(BIS:8.7±3.6 vs 11.9±4.2;P<0.001),alongside enhanced coping capacity(Brief Coping Orientation to Problems Experienced),perceived social support(PSSS),and bowel function(LARS score).Emotional remission-defined as a≥3-point HADS-A reduction-was achieved more rapidly in the electroacupuncture group,as confirmed by Kaplan-Meier analysis(log-rank P<0.001;odds ratio=4.7).Multivariate Cox regression identified higher baseline LARS and BIS scores as independent predictors of delayed emotional recovery.Subgroup analyses revealed significantly amplified treatment benefits in patients with high baseline anxiety(HADS-A≥8),elevated body-image disturbance(BIS≥12),or low perceived social support(PSSS<60),with consistent interaction effects(P for interaction<0.05 across subgroups).CONCLUSION Electroacupuncture may accelerate emotional recovery and improve functional and psychosocial outcomes in patients with LARS.Its integration into postoperative care may offer particular benefits for psychologically vulnerable subgroups.展开更多
BACKGROUND Traumatic injuries,such as falling,car accidents,and crushing mostly cause spinal fractures in young and middle-aged people,and>50%of them are thoracolumbar fractures.This kind of fracture is easily comb...BACKGROUND Traumatic injuries,such as falling,car accidents,and crushing mostly cause spinal fractures in young and middle-aged people,and>50%of them are thoracolumbar fractures.This kind of fracture is easily combined with serious injuries to peripheral nerves and soft tissues,which causes paralysis of the lower limbs if there is no timely rehabilitation treatment.Young patients with thoracolumbar fractures find it difficult to recover after the operation,and they are prone to depression,low self-esteem,and other negative emotions.AIM To investigate the association between anxiety,depression,and social stress in young patients with thoracolumbar spine fractures and the effect on rehabilitation outcomes.METHODS This study retrospectively analyzed 100 patients admitted to the orthopedic department of Honghui Hospital,Xi’an Jiaotong University who underwent thoracolumbar spine fracture surgery from January 2022 to June 2023.The general data of the patients were assessed with the Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD),life events scale,and social support rating scale(SSRS)to identify the correlation between anxiety,depression scores,and social stress and social support.The Japanese Orthopedic Association(JOA)was utilized to evaluate the rehabilitation outcomes of the patients and to analyze the effects of anxiety and depression scores on rehabilitation.RESULTS According to the scores of HAMD and HAMA in all patients,the prevalence of depression in patients was 39%(39/100),and the prevalence of anxiety was 49%(49/100).Patients were categorized into non-depression(n=61)and depression(n=39),non-anxiety(n=51),and anxiety(n=49)groups.Statistically significant differences in gender,occupation,Pittsburgh Sleep Quality Index(PSQI)score,and monthly family income were observed between the non-depression and depression groups(P<0.05).A significant difference in occupation and PSQI score was found between the non-anxiety and anxiety groups.Both depression(r=0.207,P=0.038)and anxiety scores(r=0.473,P<0.001)were significantly and positively correlated with negative life events.The difference in negative life event scores as well as SSRS total and item scores was statist-ically significant between patients in the non-depression and depression groups(P<0.05).The difference between the non-anxiety and anxiety groups was statistically significant(P<0.05)in the negative life event scores as well as the total SSRS scores.Additionally,JOA scores were significantly lower in both anxious and depressed patients.CONCLUSION Young patients with thoracolumbar fractures are prone to anxiety and depression.Patients’anxiety and depression are closely associated with social pressure,which reduces the life pressure of young patients with thoracolumbar fractures,enhances social support,and improves the psychology of anxiety and depression.,which affects patients’recovery.展开更多
Treatment adherence among people living with human immunodeficiency virus(PLWH)is a critical determinant of viral suppression and improved quality of life.Medication literacy,as a key factor influencing adherence,is i...Treatment adherence among people living with human immunodeficiency virus(PLWH)is a critical determinant of viral suppression and improved quality of life.Medication literacy,as a key factor influencing adherence,is itself shaped by various psychosocial variables.Existing studies suggest that human immunodeficiency virus(HIV)-related stigma,self-efficacy,and trust in healthcare providers serve as significant mediators in the relationship between health literacy and treatment adherence.This review systematically explores how medication literacy affects treatment adherence in PLWH through intermediary psychosocial mechanisms such as depression,anxiety,and social support.By synthesizing current evidence,we aim to inform the development of targeted psychosocial interventions to enhance treatment outcomes and quality of life for this population.Our findings provide an evidence-based foundation for nursing practice and support innovative strategies in comprehensive HIV care.展开更多
BACKGROUND Patients with gastric cancer(GC)frequently experience notable psychological distress,which often manifests as anxiety and depression.Identifying key contributing factors is essential for developing effectiv...BACKGROUND Patients with gastric cancer(GC)frequently experience notable psychological distress,which often manifests as anxiety and depression.Identifying key contributing factors is essential for developing effective interventions to improve mental health outcomes.AIM To investigate the relationships between anxiety/depression,self-efficacy,and social support in patients with GC and identified significant risk factors.METHODS We enrolled 124 patients with GC undergoing treatment at Chongqing University Cancer Hospital between May 2021 and May 2024.Information regarding the patients’anxiety and depression evaluated by the hospital anxiety and depression scale(HADS),[including a subscale for anxiety(HADS-A)and a separate subscale for depression(HADS-D)]self-efficacy,measured by the general self-efficacy scale(GSES),and social support,assessed by the perceived social support scale(PSSS),was gathered.Relationships among HADS,GSES,and PSSS scores were determined through Pearson correlation analysis.Risk factors for anxiety and depression among patients with GC were identified using univariate and multivariate analyses,specifically binary logistic regression.RESULTS The obtained data demonstrated mild psychological distress(mean HADS-A:8.74±3.70;mean HADS-D:10.26±3.84),suboptimal self-efficacy levels(GSES:17.81±5.45),and moderate social support(PSSS:56.27±11.28).Correlational analysis revealed significant inverse relationships between psychological distress(anxiety and depression)and both social support and self-efficacy(P<0.01),with self-efficacy showing a strong positive association with social support(P<0.01).Univariate analysis revealed that gender,age,clinical stage,tumor size,GSES,and PSSS were closely associated with anxiety and depression in patients with GC.Multivariate logistic regression identified three independent predictors of these mood disturbances:Advanced age(≥60),large tumor size(≥3 cm),and diminished GSES scores(<18).CONCLUSION Our findings suggest that patients with GC generally experience mild anxiety and depression,which are closely related to low self-efficacy and insufficient social support.Age,tumor size,and low self-efficacy are independent predictors of anxiety and depression.In clinical practice,psychosocial interventions should be integrated,with a focus on high-risk populations,to improve patients’mental health.展开更多
Adolescent depressive symptoms represent a significant public health concern,with negative life events and dysfunctional attitudes playing pivotal roles in theirdevelopment.A cross-sectional study by Yu et al assessed...Adolescent depressive symptoms represent a significant public health concern,with negative life events and dysfunctional attitudes playing pivotal roles in theirdevelopment.A cross-sectional study by Yu et al assessed the interplay betweendysfunctional attitudes,social support,and depressive symptoms in 795 Chineseadolescents(49.9%male,mean age 15.2±1.8 years,age range 11-18 years)fromfive middle schools in Shandong Province.Using the Dysfunctional AttitudesScale,Adolescent Life Events Scale,Beck Depression Inventory,and SocialSupport Rating Scale,the study identified that dysfunctional attitudes,particularlyover-autonomy and over-perfectionism,mediate the relationship betweennegative life events and depressive symptoms.Social support moderated thisrelationship,significantly reducing depressive symptoms.These findingsunderscore the need for preventive and therapeutic strategies targeting dysfunctionalattitudes and enhancing social support to address adolescent depressivesymptoms.In this article,we extend their findings to highlight the significance ofculturally tailored interventions that incorporate familial and communitydynamics in mitigating depressive symptoms,particularly in collectivist societies.展开更多
Objectives:This study aimed to translate and psychometrically test the 7-item Enhancing Recovery in Coronary Heart Disease(ENRICHD)Social Support Inventory(ESSI)scale within the Thai population.Methods:A scale transla...Objectives:This study aimed to translate and psychometrically test the 7-item Enhancing Recovery in Coronary Heart Disease(ENRICHD)Social Support Inventory(ESSI)scale within the Thai population.Methods:A scale translation and cross-sectional validation study was conducted.The English version was translated for Thai involved nine steps:preparation,forward translation,reconciliation,backtranslation,back-translation review,harmonization,cognitive debriefing,review of cognitive debriefing and finalization,and proofreading.Psychometrics testing used data from a cross-sectional study from July to November 2022 at 16 primary care centers in southern Thailand,involving 405 participants.Structural validity was tested with exploratory and confirmatory factor analysis(EFA and CFA).Hypothesis testing validity was assessed through correlations with the Self-Care Self-Efficacy Scale version 3.0(SCSES-v3.0)and the Self-Care of Chronic Illness Inventory version 4.c(SC-CII-v4.c).Reliability was evaluated using Cronbach’s a coefficient and the intraclass correlation coefficient.Results:The Thai ESSI demonstrated excellent content validity.EFA revealed a one-factor structure,with high factor loadings for the first six items assessing informational,emotional,and instrumental support.The last item on structural support demonstrated inadequate factor loadings,suggesting its removal.CFA confirmed a well-fit one-factor structure for the 6-item ESSI.Hypothesis testing showed positive correlations with the SCSES-v3.0 and SC-CII-v4.c scales.Cronbach’s a coefficient improved from 0.88 for the 7-item to 0.91 for the 6-item ESSI.Both the 7-item and the 6-item scales exhibited excellent test-retest reliability.Conclusions:Our study affirms the strong validity and reliability of the ESSI in the Thai population with chronic illnesses.The ESSI is deemed appropriate for evaluating social support in the context of chronic illness self-care.展开更多
Social behaviors,including social support and mating,play a critical role in survival and reproduction.Animals must make adaptive social decisions based on internal states and external contexts[1].The sex of a social ...Social behaviors,including social support and mating,play a critical role in survival and reproduction.Animals must make adaptive social decisions based on internal states and external contexts[1].The sex of a social partner is a crucial factor that shapes social decision-making,as oppositesex interactions are vital for fulfilling reproductive needs,whereas same-sex interactions are essential for both collaborative support and competitive behaviors.Under normal circumstances,mice typically exhibit a variety of prosocial behaviors that strengthen social bonds within their groups.展开更多
Objectives:Recently,the global esports industry has experienced remarkable growth,leading to an expansion in the scale and influence of professional player communities.However,despite this outward growth,systems to pr...Objectives:Recently,the global esports industry has experienced remarkable growth,leading to an expansion in the scale and influence of professional player communities.However,despite this outward growth,systems to protect players’mental health remain inadequate.Comprehensive analysis of structural risk factors,including performance pressure,public evaluation,and career instability,remains insufficient.This study,aimed to explore stressors encountered by esports athletes,coping strategies,and the role of social support systems in safeguarding mental health.Using the transactional model of stress and coping,the job demands–resources model,and social support theory,the study adopts an integrated perspective to examine challenges faced by athletes in the competitive esports environment.Methods:A qualitative case study was conducted involving in-depth interviews and nonparticipant observations with 11 esports athletes who competed at national or international levels,as well as two team managers.Thematic analysis identified recurring patterns in the data,and credibility was ensured through triangulation and cross-review among researchers.Results:Esports athletes experience multiple interacting stressors,including performance demands,emotional strain duringmatches,and continuous evaluation on socialmedia.In response,they employed coping strategies—problem-focused,emotion-focused,and avoidance-based,which provided temporary relief but often led to burnout and self-regulation failure owing to absence of support systems.Social support networks had ambivalent effects:while offering comfort,they also intensified pressure through negative feedback and high expectations from fans and online communities.Conclusion:The findings show that mental health issues among esports athletes are not only related to individual factors but are closely linked to performance-driven structures,competitive environments,and social relationships.This study integrates the transactional model of stress and coping,the JobDemands–Resourcesmodel,and social support theoryto provide comprehensive analysis.It also offers practical recommendations,including psychological counseling,emotional labor programs,and improved communication with families and fan communities.展开更多
Amidst the unique challenges faced by rural educators is their sense of decent work influenced by levels of social support,career self-efficacy,and marginalization.To investigate these relationships,we surveyed 435 ru...Amidst the unique challenges faced by rural educators is their sense of decent work influenced by levels of social support,career self-efficacy,and marginalization.To investigate these relationships,we surveyed 435 rural school teachers(females=69.32%,mean years teaching experience=13.6,SD=7.7 years).The Structural Equation Modeling results indicated that social support positively predicts teachers’perceptions of decent work.Career self-efficacy mediated the relationship between social support and a higher sense of decent work,while marginalization mediated the relationship such that lower social support predicted lower perceptions of decent work.Career self-efficacy and marginalization also had a sequential mediation relationship:higher social support enhanced career self-efficacy,which in turn reduced marginalization experiences,ultimately improving teachers’perceptions of decent work.These findings align with the predictions of Social Cognitive Career Theory and the Psychology of Working Theory,demonstrating that environmental supports enhance personal psychological resources,reduce marginalization risks,and promote positive work-related outcomes.The study findings highlight the necessity for education departments to improve rural teachers’perceptions of decent work by providing social support to foster positive work experiences for teachers at high risk for marginalization and diminished career self-efficacy.展开更多
This study explored the relationship between perceived social support and employment anxiety among Chinese college students,as well as the mediating and moderating effects of psychological resilience and career adapta...This study explored the relationship between perceived social support and employment anxiety among Chinese college students,as well as the mediating and moderating effects of psychological resilience and career adaptability on this relationship.A total of 1928 college students(females=1371,mean age=20.42,SD=1.05)completed the Perceived Social Support Scale,Employment Anxiety Questionnaire,Connor-Davidson Resilience Scale and Career Adapt-Abilities Scale.Mediation analysis results showed that psychological resilience mediated the relationship between perceived social support and employment anxiety for lower employment anxiety.Career adaptability moderated the mediating effect of psychological resilience for lower employment anxiety than with either of the variables alone.Thefindings are consistent with cognitive diathesis-stress theory and career construction theory which propose that individuals’cognitive structures and psychological predispositions interact with environmental stressors to shape their career development and psychological well-being.Essentially,students who have a robust social support system,high career adaptability,and are psychologically resilient are less likely to experience employment anxiety.展开更多
Background:Parents of children with autism are susceptible to parenting burnout due to tremendous parenting burden and parenting challenges.Parenting burnout has a detrimental effect on both children with autism and t...Background:Parents of children with autism are susceptible to parenting burnout due to tremendous parenting burden and parenting challenges.Parenting burnout has a detrimental effect on both children with autism and their parents.However,the underlying mechanisms that lead to parenting burnout remain unclear.This study aimed to investigate the relationship between parenting stress and parenting burnout,along with the serial mediation effect of social support and coping strategies in the context of families with autistic children.Methods:We conducted a cross-sectional study in 231 parents of autistic children in four autism facilities located in central Hubei province.Data were collected through the Parental Stress Index,Social Support Rating Scale,Simplified Coping Strategies Questionnaire,and Caregiver Burnout Assessment Questionnaire.Results:Parenting stress and burnout status were:72.3%of parents reported high-stress levels,16.9%experienced risks for parenting burnout,and 19.9%were currently experiencing burnout.Both social support and coping strategies played partial mediating roles in the relationship between parental stress and burnout,forming a serial mediation effect.Conclusion:Parenting stress is a risk factor for parenting burnout.Social support and coping strategies play a chain mediating role between parenting stress and parenting burnout,which may act as the underlying mechanisms.The study offers insights into potential intervention points for reducing parenting burnout.Future efforts are needed to devote to parenting stress,social support and coping strategy to enhance the psychological well-being of parents with autistic children.展开更多
BACKGROUND Adolescence is a period marked by physiological and psychological imbalances,which pose an increased risk for adolescents with major depressive disorder(MDD)to commit non-suicidal self-injury(NSSI).AIM To i...BACKGROUND Adolescence is a period marked by physiological and psychological imbalances,which pose an increased risk for adolescents with major depressive disorder(MDD)to commit non-suicidal self-injury(NSSI).AIM To investigate the moderating role of social support utilization in depression and NSSI among adolescents with MDD.METHODS This cross-sectional study enrolled 314 adolescents with MDD(258 with NSSI,56 without)from a Chinese tertiary psychiatric hospital(2021-2023).Participants completed validated scales,including the self-esteem scale,the Barratt impulsiveness scale,the self-rating depression scale,and the teenager social support rating scale.Logistic regression and hierarchical regression analyses were used to examine predictors of NSSI and the moderating effect of social support utilization.RESULTS Results showed that the NSSI group had higher depression levels,lower selfesteem,and greater impulsivity.While overall social support was higher in the NSSI group,social support utilization significantly moderated the depression-NSSI relationship.Specifically,higher utilization levels weakened the association between depression and NSSI(β=-0.001,P<0.05).CONCLUSION These findings suggest that effective utilization of social support,rather than its mere presence,is crucial in reducing NSSI risk among depressed adolescents.展开更多
Tuberculous meningitis(TBM),which accounts for 1%-5%of global tuberculosis cases,is a severe neurological infection with a mortality rate of 30%-50%.Its high fatality and disability rates disproportionately affect low...Tuberculous meningitis(TBM),which accounts for 1%-5%of global tuberculosis cases,is a severe neurological infection with a mortality rate of 30%-50%.Its high fatality and disability rates disproportionately affect low-and middle-income regions(e.g.,sub-Saharan Africa and Southeast Asia),threatening the lives of patients and imposing significant psychosocial burdens.Recent studies have highlighted the crucial role of psychosocial factors,including socioeconomic status,disease severity,and social support systems in recovery.However,research gaps persist in developing TBM-specific psychosocial interventions.This narrative review summarizes and organizes the key findings of observational studies,cohort studies,and intervention trials published between 2015 and 2024.Databases including PubMed,Scopus,and Web of Science were searched for terms related to TBM,psychosocial risk factors and mental health interventions.Studies were screened for relevance and quality,focusing on those that examined the psychological and social determinants of mental health outcomes in patients with TBM.展开更多
Background:Social media addiction,one of the behavioural addictions,is a significant predictor of job performance.It has also been posited that individuals whose fundamental requirements(e.g.,sleep)are not sufficientl...Background:Social media addiction,one of the behavioural addictions,is a significant predictor of job performance.It has also been posited that individuals whose fundamental requirements(e.g.,sleep)are not sufficiently met andwho lack adequate support(e.g.,perceived social support)are incapable of effectivelyharnessing theirpotential.The primary objective of this study is to examine themediating effects of sleep disorder and perceived social support on the relationship between social media addiction and job performance.Furthermore,it seeks to explore the moderating effects of perceived social support on sleep disorders and job performance.Methods:The data were collected through the questionnairemethod,and data analysis was performed using SPSS 26.0.Moreover,statistical analysis encompasses correlation analysis,mediation,and moderation analysis.The data were gathered from 488 healthcare professionals(57.2%female),whose ages ranged from 24 to 56 years(Meanage±SD=37.86±6.71),using a convenience sample approach.Results:The results revealed significant relationships between social media addiction,job performance,perceived social support,and sleep disorder.The findings indicate that social media addiction negatively predicts job performance(β=−0.11,p<0.05).Sleep disorder(effect size=−0.02,95%CI=[−0.04,−0.00])and perceived social support(effect size=−0.01,95%CI=[−0.02,−0.00])mediate this relationship.Furthermore,perceived social supportmoderates the pathway between sleep disorder and job performance(index ofmoderatedmediation:−0.0040,95%CI=[−0.0070,−0.0010]).Conclusions:This study suggests that social media addiction negatively affects job performance through sleep disorders and perceived social support among healthcare professionals.The study’s findings are significant,as they suggest that treatments aimed at alleviating sleep disorders and enhancing perceived social support among medical workers may improve their job performance.展开更多
Background:Although previous studies indicate that perceived social support might be associated with adolescent psychological problems,the specific mechanism has not been thoroughly discussed.Based on theoretical and ...Background:Although previous studies indicate that perceived social support might be associated with adolescent psychological problems,the specific mechanism has not been thoroughly discussed.Based on theoretical and empirical research on problematic Internet use(PIU)and sleep quality,this study explored whether they play a mediating role between perceived social support and symptoms of depression and anxiety among adolescents.Furthermore,we investigated whether these relationships varied by place of residence.Methods:A sample of 2115 Chinese adolescents was included,and analyzed data related to perceived social support,PIU,sleep quality,symptoms of depression and anxiety,and sociodemographic variables.Correlation analysis,mediation,and moderation analysis were mainly used.Results:Perceived social support was negatively correlated with depressive symptoms(r=−0.22,p<0.001)and anxiety symptoms(r=−0.20,p<0.001)among adolescents.PIU and sleep quality played a chain mediating role in the relationship between perceived social support and symptoms of depression and anxiety in adolescents.Additionally,the place of residence moderated the relationships between perceived social support and PIU and symptoms of depression and anxiety.Perceived social support was a significant negative predictor of PIU and symptoms of depression and anxiety among adolescents in urban areas but not in rural areas.Conclusion:The findings suggest that low levels of perceived social support may lead to more PIU and poorer sleep quality,which may further increase the risk of symptoms of depression and anxiety in adolescents,especially in urban areas.展开更多
BACKGROUND Malignant hepatobiliary and pancreatic(HBP)tumors occur in organs such as the liver,gallbladder,and pancreas.Their primary characteristics include invasive growth,high cellular atypia,and high rates of recu...BACKGROUND Malignant hepatobiliary and pancreatic(HBP)tumors occur in organs such as the liver,gallbladder,and pancreas.Their primary characteristics include invasive growth,high cellular atypia,and high rates of recurrence and metastasis.HBP tumors pose a serious threat to human health AIM To explore palliative treatment and social support for depression and anxiety in patients with end-stage HBP cancers.METHODS We retrospectively analyzed 100 patients with end-stage HBP tumors who were admitted to our hospital between January 2021 and January 2024.The control group(n=47)received routine treatment and intervention,whereas the observation group(n=53)received palliative treatment and social support.Anxiety and depression levels,social support,quality of life,cancer-related fatigue,and 1-year survival were compared between groups.RESULTS There were no significant differences in pre-intervention anxiety,depression,social support,or cancer-related fatigue scores between the two groups(P>0.05).The post-intervention anxiety and depression scores of the observation group were 30.53±4.15 and 42.04±3.86 points,respectively.Both scores were significantly lower than those in the control group(P<0.05).The post-intervention social support score of the observation group was 79.04±5.74,which was significantly higher than that of the control group(67.82±5.69;P<0.05).All dimensions of post-intervention quality of life of the observation group were significantly better than those of the control group(P<0.05).The post-intervention cancerrelated fatigue score of the observation group was 2.63 ± 1.15, which was significantly lower than that of the controlgroup (6.28 ± 1.04;P < 0.05). The 1-year survival rate of the observation group was significantly higher than that ofthe control group (P < 0.05).CONCLUSIONPalliative treatment can relieve pain in patients with medical professional capabilities, and social support canprevent social vulnerability through humanistic care.展开更多
BACKGROUND Cancer patients with an implanted venous access port(IVAP)often manage their care at home during chemotherapy intervals,including maintaining the device,monitoring complications,and following medication ins...BACKGROUND Cancer patients with an implanted venous access port(IVAP)often manage their care at home during chemotherapy intervals,including maintaining the device,monitoring complications,and following medication instructions.Home care ensures continued support after discharge.However,due to factors such as age,gender,culture,psychological status,and family support,the quality of home care varies significantly.Understanding these factors can help provide targeted guidance to improve the care of cancer patients.AIM To explore IVAP chemotherapy on home care quality and its association with mental health and family support for cancer patients.METHODS This investigative study was based on a medical records system.It investigated the relationship between psychological status,family support,and home care quality in 180 patients with cancer undergoing IVAP chemotherapy.Psychological status was assessed using the State Anxiety Inventory(S-AI);family support was assessed using the Perceived Social Support Scale(PSSS),and home care quality was evaluated using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire(EORTC QLQ-C30).Pearson’s correlation and Structural Equation Modeling were used to analyze the interplay between these factors.RESULTS The average S-AI score was 47.52±14.47,PSSS was 52.48±12.64,and EORTC QLQ-C30 was 70.09±17.32.A substantial inverse relationship was observed between the EORTC QLQ-C30 and S-AI scores(r=-0.712).A significant positive correlation was found between the EORTC QLQ-C30 and the PSSS,with a correlation coefficient of(r=0.744).The multiple linear regression analysis indicated that family social support,psychological status,and average monthly family income were the main factors influencing the variation in the quality of home care,explaining 71.9%of the variation.The Structural Equation Modeling results indicated that psychological status acted as a partial mediator in the association between family social support and home care quality of life,explaining 32.78%of the mediation effect.CONCLUSION Psychological status and family social support positively impacted cancer patients’home care quality,with psychology partially mediating this effect.展开更多
BACKGROUND Acute ischemic stroke(AIS)is a leading global cause of disability and mortality,with post-stroke cognitive impairment(PSCI)affecting 20%-40%of survivors.PSCI ranges from mild cognitive decline to dementia,s...BACKGROUND Acute ischemic stroke(AIS)is a leading global cause of disability and mortality,with post-stroke cognitive impairment(PSCI)affecting 20%-40%of survivors.PSCI ranges from mild cognitive decline to dementia,severely hindering functional recovery,increasing healthcare costs,and elevating risks of recurrent stroke and death.While nutritional support aids neuronal repair and reduces oxidative damage,and social support alleviates psychological distress,existing studies often evaluate these interventions in isolation.This study investigates the combined effects of standardized nutritional intervention and structured social support on cognitive function,psychological status,and quality of life(QoL)in AIS patients with cognitive dysfunction,aiming to establish an integrated rehabilitation model.AIM To explore the effects of nutritional intervention and social support on the cognitive function and psychological status in patients with acute cerebral infarction complicated by cognitive dysfunction.METHODS A retrospective study was conducted.A total of 59 patients with acute cerebral infarction complicated by cognitive dysfunction from January 2023 to December 2023 were selected as the control group.Another 59 patients with the same condition were selected as the research group.The research group received standardized nutritional intervention and regular social support,including dietary guidance,nutritional supplementation,psychological counseling,and family support plans.The control group received routine medical care.Cognitive function,anxiety,depression,QoL,sleep quality,nutritional status,and family satisfaction were compared between the two groups.RESULTS The Montreal Cognitive Assessment(MoCA)and Mini-Mental State Examination differences(P<0.05).Pearson correlation analysis showed that increases in serum albumin(Alb),prealbumin(PAB),and hemoglobin(Hb)were all highly and significantly associated with improvements in MMSE and MoCA scores(P<0.05).The Self-Rating Anxiety Scale and Self-Rating Depression Scale scores of the research group were lower than those of the control group,with statistically significant differences(P<0.05).The scores of QoL dimensions in the research group were higher than those of the control group,with statistically significant differences(P<0.05).The Pittsburgh Sleep Quality Index scores and total score of the research group were lower than those of the control group,with statistically significant differences(P<0.05).The serum Alb,PAB,and Hb levels in the research group were higher than those of the control group,with statistically significant differences(P<0.05).The Social Disability Screening Schedule scores of the research group were lower than those of the control group,with statistically significant differences(P<0.05).The family satisfaction of the research group was significantly higher than that of the control group,with statistically significant differences(P<0.05).CONCLUSION Nutritional intervention and social support significantly improved the cognitive function,psychological status,and QoL in patients with acute cerebral infarction complicated by cognitive dysfunction.These interventions reduced anxiety and depression symptoms,improved sleep and nutritional status,and enhanced the social adaptability of patients as well as family satisfaction.展开更多
We examined the relationship between social support and career adaptability,as well as the mediating roles of proactive personality and career decision-making self-efficacy in this process.A total of 1354 Chinese coll...We examined the relationship between social support and career adaptability,as well as the mediating roles of proactive personality and career decision-making self-efficacy in this process.A total of 1354 Chinese college students(female=964;mean age=19.53 years,SD=1.33 years)completed an online questionnaire.Path analysis indicated that social support was positively associated with higher levels of career adaptability.Both proactive personality and career decision-making self-efficacy served as parallel mediators,strengthening the relationship between social support and career adaptability.The complete chain mediation analysis revealed that social support influences career adaptability primarily through proactive personality,which in turn enhances career decision-making self-efficacy,further contributing to increased career adaptability.These findings extend career capital theory by demonstrating that social and psychological resources jointly facilitate career adaptability.展开更多
This study explored how perceived social support(PSS)influences the sense of meaning in life(SML)among rural college students,considering positive coping styles(PCS)as a mediator and psychological resilience(PR)as a m...This study explored how perceived social support(PSS)influences the sense of meaning in life(SML)among rural college students,considering positive coping styles(PCS)as a mediator and psychological resilience(PR)as a moderator.1444 college students(females;23.55%only child;M_(age)=19.76 years,SD=1.07;76.66%)were recruited from Jilin province in China.The college students self-reported their perceived social support and positive coping styles,psychological resilience,and sense of meaning in life.The results indicated that higher perceived social support predicted higher college students’sense of meaning in life.Perceived social support positively contributes to college students’sense of meaning in life through the mediating role of positive coping styles.Psychological resilience moderates the first path of the indirect association,where the positive effect of perceived social support on positive coping styles is more pronounced in college students with higher psychological resilience compared to those with lower psychological resilience.These align with Social Support Theory and Psychological Resilience Theory.That is,individuals with effective social support systems can enhance their positive coping styles,thereby increasing their sense of meaning in life,while psychological resilience strengthens the positive impact of perceived social support on positive coping styles.These findings offer the evidence for intervening and supporting the development of college students’sense of meaning in life.To enhance rural college students’sense of meaning in life,it is essential to establish a comprehensive social support system,promote the development of positive coping styles,and provide targeted training to strengthen psychological resilience.展开更多
文摘BACKGROUND Low anterior resection syndrome(LARS)is a prevalent and debilitating complication following sphincter-preserving surgery for rectal cancer.Evidence-based interventions for the concurrent psychological burden are limited.Electroacupuncture has been proposed as a potential adjunctive therapy,but its psychological benefits remain inadequately studied.AIM To investigate the therapeutic effect of electroacupuncture on emotional recovery and gastrointestinal function in patients with moderate to severe LARS,and to explore its potential advantages in psychologically vulnerable subgroups.METHODS We conducted a retrospective,controlled study involving 100 patients with moderate to severe LARS(LARS score≥21)treated at two tertiary hospitals in China between January 2022 and December 2024.Patients received either standard postoperative care alone(n=50)or in combination with a standardized 4-week electroacupuncture protocol(n=50).Psychological and functional outcomes were assessed using validated instruments including Hospital Anxiety and Depression Scale(HADS),Body Image Scale(BIS),General Self-Efficacy Scale,Perceived Social Support Scale(PSSS),LARS score,and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 at four time points.The primary endpoint was emotional remission,defined as a≥3-point reduction in HADS-Anxiety subscale(HADS-A).Analyses included repeated-measures comparisons,Kaplan-Meier survival curves,Cox regression models,and subgroup-interaction testing.RESULTS At baseline,demographic,surgical,and psychosocial characteristics were comparable among groups.By week 4,patients receiving electroacupuncture demonstrated significantly greater reductions in anxiety(HADS-A:4.8±2.6 vs 7.3±3.0;P<0.001),depression,and body-image disturbance(BIS:8.7±3.6 vs 11.9±4.2;P<0.001),alongside enhanced coping capacity(Brief Coping Orientation to Problems Experienced),perceived social support(PSSS),and bowel function(LARS score).Emotional remission-defined as a≥3-point HADS-A reduction-was achieved more rapidly in the electroacupuncture group,as confirmed by Kaplan-Meier analysis(log-rank P<0.001;odds ratio=4.7).Multivariate Cox regression identified higher baseline LARS and BIS scores as independent predictors of delayed emotional recovery.Subgroup analyses revealed significantly amplified treatment benefits in patients with high baseline anxiety(HADS-A≥8),elevated body-image disturbance(BIS≥12),or low perceived social support(PSSS<60),with consistent interaction effects(P for interaction<0.05 across subgroups).CONCLUSION Electroacupuncture may accelerate emotional recovery and improve functional and psychosocial outcomes in patients with LARS.Its integration into postoperative care may offer particular benefits for psychologically vulnerable subgroups.
文摘BACKGROUND Traumatic injuries,such as falling,car accidents,and crushing mostly cause spinal fractures in young and middle-aged people,and>50%of them are thoracolumbar fractures.This kind of fracture is easily combined with serious injuries to peripheral nerves and soft tissues,which causes paralysis of the lower limbs if there is no timely rehabilitation treatment.Young patients with thoracolumbar fractures find it difficult to recover after the operation,and they are prone to depression,low self-esteem,and other negative emotions.AIM To investigate the association between anxiety,depression,and social stress in young patients with thoracolumbar spine fractures and the effect on rehabilitation outcomes.METHODS This study retrospectively analyzed 100 patients admitted to the orthopedic department of Honghui Hospital,Xi’an Jiaotong University who underwent thoracolumbar spine fracture surgery from January 2022 to June 2023.The general data of the patients were assessed with the Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD),life events scale,and social support rating scale(SSRS)to identify the correlation between anxiety,depression scores,and social stress and social support.The Japanese Orthopedic Association(JOA)was utilized to evaluate the rehabilitation outcomes of the patients and to analyze the effects of anxiety and depression scores on rehabilitation.RESULTS According to the scores of HAMD and HAMA in all patients,the prevalence of depression in patients was 39%(39/100),and the prevalence of anxiety was 49%(49/100).Patients were categorized into non-depression(n=61)and depression(n=39),non-anxiety(n=51),and anxiety(n=49)groups.Statistically significant differences in gender,occupation,Pittsburgh Sleep Quality Index(PSQI)score,and monthly family income were observed between the non-depression and depression groups(P<0.05).A significant difference in occupation and PSQI score was found between the non-anxiety and anxiety groups.Both depression(r=0.207,P=0.038)and anxiety scores(r=0.473,P<0.001)were significantly and positively correlated with negative life events.The difference in negative life event scores as well as SSRS total and item scores was statist-ically significant between patients in the non-depression and depression groups(P<0.05).The difference between the non-anxiety and anxiety groups was statistically significant(P<0.05)in the negative life event scores as well as the total SSRS scores.Additionally,JOA scores were significantly lower in both anxious and depressed patients.CONCLUSION Young patients with thoracolumbar fractures are prone to anxiety and depression.Patients’anxiety and depression are closely associated with social pressure,which reduces the life pressure of young patients with thoracolumbar fractures,enhances social support,and improves the psychology of anxiety and depression.,which affects patients’recovery.
基金Supported by Taizhou Municipal Hospital,No.2025JK317 and No.2025JK318.
文摘Treatment adherence among people living with human immunodeficiency virus(PLWH)is a critical determinant of viral suppression and improved quality of life.Medication literacy,as a key factor influencing adherence,is itself shaped by various psychosocial variables.Existing studies suggest that human immunodeficiency virus(HIV)-related stigma,self-efficacy,and trust in healthcare providers serve as significant mediators in the relationship between health literacy and treatment adherence.This review systematically explores how medication literacy affects treatment adherence in PLWH through intermediary psychosocial mechanisms such as depression,anxiety,and social support.By synthesizing current evidence,we aim to inform the development of targeted psychosocial interventions to enhance treatment outcomes and quality of life for this population.Our findings provide an evidence-based foundation for nursing practice and support innovative strategies in comprehensive HIV care.
文摘BACKGROUND Patients with gastric cancer(GC)frequently experience notable psychological distress,which often manifests as anxiety and depression.Identifying key contributing factors is essential for developing effective interventions to improve mental health outcomes.AIM To investigate the relationships between anxiety/depression,self-efficacy,and social support in patients with GC and identified significant risk factors.METHODS We enrolled 124 patients with GC undergoing treatment at Chongqing University Cancer Hospital between May 2021 and May 2024.Information regarding the patients’anxiety and depression evaluated by the hospital anxiety and depression scale(HADS),[including a subscale for anxiety(HADS-A)and a separate subscale for depression(HADS-D)]self-efficacy,measured by the general self-efficacy scale(GSES),and social support,assessed by the perceived social support scale(PSSS),was gathered.Relationships among HADS,GSES,and PSSS scores were determined through Pearson correlation analysis.Risk factors for anxiety and depression among patients with GC were identified using univariate and multivariate analyses,specifically binary logistic regression.RESULTS The obtained data demonstrated mild psychological distress(mean HADS-A:8.74±3.70;mean HADS-D:10.26±3.84),suboptimal self-efficacy levels(GSES:17.81±5.45),and moderate social support(PSSS:56.27±11.28).Correlational analysis revealed significant inverse relationships between psychological distress(anxiety and depression)and both social support and self-efficacy(P<0.01),with self-efficacy showing a strong positive association with social support(P<0.01).Univariate analysis revealed that gender,age,clinical stage,tumor size,GSES,and PSSS were closely associated with anxiety and depression in patients with GC.Multivariate logistic regression identified three independent predictors of these mood disturbances:Advanced age(≥60),large tumor size(≥3 cm),and diminished GSES scores(<18).CONCLUSION Our findings suggest that patients with GC generally experience mild anxiety and depression,which are closely related to low self-efficacy and insufficient social support.Age,tumor size,and low self-efficacy are independent predictors of anxiety and depression.In clinical practice,psychosocial interventions should be integrated,with a focus on high-risk populations,to improve patients’mental health.
基金Supported by National High Level Hospital Clinical Research Funding Project,No.BJ-2023-206.
文摘Adolescent depressive symptoms represent a significant public health concern,with negative life events and dysfunctional attitudes playing pivotal roles in theirdevelopment.A cross-sectional study by Yu et al assessed the interplay betweendysfunctional attitudes,social support,and depressive symptoms in 795 Chineseadolescents(49.9%male,mean age 15.2±1.8 years,age range 11-18 years)fromfive middle schools in Shandong Province.Using the Dysfunctional AttitudesScale,Adolescent Life Events Scale,Beck Depression Inventory,and SocialSupport Rating Scale,the study identified that dysfunctional attitudes,particularlyover-autonomy and over-perfectionism,mediate the relationship betweennegative life events and depressive symptoms.Social support moderated thisrelationship,significantly reducing depressive symptoms.These findingsunderscore the need for preventive and therapeutic strategies targeting dysfunctionalattitudes and enhancing social support to address adolescent depressivesymptoms.In this article,we extend their findings to highlight the significance ofculturally tailored interventions that incorporate familial and communitydynamics in mitigating depressive symptoms,particularly in collectivist societies.
基金supported by Walailak University(grant number:WU65240,Year 2022).
文摘Objectives:This study aimed to translate and psychometrically test the 7-item Enhancing Recovery in Coronary Heart Disease(ENRICHD)Social Support Inventory(ESSI)scale within the Thai population.Methods:A scale translation and cross-sectional validation study was conducted.The English version was translated for Thai involved nine steps:preparation,forward translation,reconciliation,backtranslation,back-translation review,harmonization,cognitive debriefing,review of cognitive debriefing and finalization,and proofreading.Psychometrics testing used data from a cross-sectional study from July to November 2022 at 16 primary care centers in southern Thailand,involving 405 participants.Structural validity was tested with exploratory and confirmatory factor analysis(EFA and CFA).Hypothesis testing validity was assessed through correlations with the Self-Care Self-Efficacy Scale version 3.0(SCSES-v3.0)and the Self-Care of Chronic Illness Inventory version 4.c(SC-CII-v4.c).Reliability was evaluated using Cronbach’s a coefficient and the intraclass correlation coefficient.Results:The Thai ESSI demonstrated excellent content validity.EFA revealed a one-factor structure,with high factor loadings for the first six items assessing informational,emotional,and instrumental support.The last item on structural support demonstrated inadequate factor loadings,suggesting its removal.CFA confirmed a well-fit one-factor structure for the 6-item ESSI.Hypothesis testing showed positive correlations with the SCSES-v3.0 and SC-CII-v4.c scales.Cronbach’s a coefficient improved from 0.88 for the 7-item to 0.91 for the 6-item ESSI.Both the 7-item and the 6-item scales exhibited excellent test-retest reliability.Conclusions:Our study affirms the strong validity and reliability of the ESSI in the Thai population with chronic illnesses.The ESSI is deemed appropriate for evaluating social support in the context of chronic illness self-care.
基金supported by grants from the National Natural Science Foundation of China(32471074 and 32200825)the STI2030-Major Projects(2021ZD0203000 and 2021ZD0203002)+1 种基金the Shandong Provincial Taishan Scholars Project(tsqn202306174)the Shandong Provincial Natural Science Foundation(ZR2022QC173).
文摘Social behaviors,including social support and mating,play a critical role in survival and reproduction.Animals must make adaptive social decisions based on internal states and external contexts[1].The sex of a social partner is a crucial factor that shapes social decision-making,as oppositesex interactions are vital for fulfilling reproductive needs,whereas same-sex interactions are essential for both collaborative support and competitive behaviors.Under normal circumstances,mice typically exhibit a variety of prosocial behaviors that strengthen social bonds within their groups.
文摘Objectives:Recently,the global esports industry has experienced remarkable growth,leading to an expansion in the scale and influence of professional player communities.However,despite this outward growth,systems to protect players’mental health remain inadequate.Comprehensive analysis of structural risk factors,including performance pressure,public evaluation,and career instability,remains insufficient.This study,aimed to explore stressors encountered by esports athletes,coping strategies,and the role of social support systems in safeguarding mental health.Using the transactional model of stress and coping,the job demands–resources model,and social support theory,the study adopts an integrated perspective to examine challenges faced by athletes in the competitive esports environment.Methods:A qualitative case study was conducted involving in-depth interviews and nonparticipant observations with 11 esports athletes who competed at national or international levels,as well as two team managers.Thematic analysis identified recurring patterns in the data,and credibility was ensured through triangulation and cross-review among researchers.Results:Esports athletes experience multiple interacting stressors,including performance demands,emotional strain duringmatches,and continuous evaluation on socialmedia.In response,they employed coping strategies—problem-focused,emotion-focused,and avoidance-based,which provided temporary relief but often led to burnout and self-regulation failure owing to absence of support systems.Social support networks had ambivalent effects:while offering comfort,they also intensified pressure through negative feedback and high expectations from fans and online communities.Conclusion:The findings show that mental health issues among esports athletes are not only related to individual factors but are closely linked to performance-driven structures,competitive environments,and social relationships.This study integrates the transactional model of stress and coping,the JobDemands–Resourcesmodel,and social support theoryto provide comprehensive analysis.It also offers practical recommendations,including psychological counseling,emotional labor programs,and improved communication with families and fan communities.
文摘Amidst the unique challenges faced by rural educators is their sense of decent work influenced by levels of social support,career self-efficacy,and marginalization.To investigate these relationships,we surveyed 435 rural school teachers(females=69.32%,mean years teaching experience=13.6,SD=7.7 years).The Structural Equation Modeling results indicated that social support positively predicts teachers’perceptions of decent work.Career self-efficacy mediated the relationship between social support and a higher sense of decent work,while marginalization mediated the relationship such that lower social support predicted lower perceptions of decent work.Career self-efficacy and marginalization also had a sequential mediation relationship:higher social support enhanced career self-efficacy,which in turn reduced marginalization experiences,ultimately improving teachers’perceptions of decent work.These findings align with the predictions of Social Cognitive Career Theory and the Psychology of Working Theory,demonstrating that environmental supports enhance personal psychological resources,reduce marginalization risks,and promote positive work-related outcomes.The study findings highlight the necessity for education departments to improve rural teachers’perceptions of decent work by providing social support to foster positive work experiences for teachers at high risk for marginalization and diminished career self-efficacy.
基金Research on the Factors Influencing“Slow Employment”of College Students from the Perspective of CIP Theory in the 2023 Academic Research Project(Provincial and Ministerial Project Cultivation Project)of Zhejiang Agricultural Business College(KY202336)2024 Annual Special Task Project of Humanities and Social Science Research of the Ministry of Education“Research on the Psychological Mechanism and Effective Coping Strategies of“Social Anxiety”among College Students”(Research on College Counselors)(24JDSZ3017)“Major Humanities and Social Sciences Research Projects in Zhejiang”Higher Education Institutions(2024GH082).
文摘This study explored the relationship between perceived social support and employment anxiety among Chinese college students,as well as the mediating and moderating effects of psychological resilience and career adaptability on this relationship.A total of 1928 college students(females=1371,mean age=20.42,SD=1.05)completed the Perceived Social Support Scale,Employment Anxiety Questionnaire,Connor-Davidson Resilience Scale and Career Adapt-Abilities Scale.Mediation analysis results showed that psychological resilience mediated the relationship between perceived social support and employment anxiety for lower employment anxiety.Career adaptability moderated the mediating effect of psychological resilience for lower employment anxiety than with either of the variables alone.Thefindings are consistent with cognitive diathesis-stress theory and career construction theory which propose that individuals’cognitive structures and psychological predispositions interact with environmental stressors to shape their career development and psychological well-being.Essentially,students who have a robust social support system,high career adaptability,and are psychologically resilient are less likely to experience employment anxiety.
基金supported by the Humanities and Social Sciences Research Planning Fund of Chinese Ministry of Education(22YJAZH150).
文摘Background:Parents of children with autism are susceptible to parenting burnout due to tremendous parenting burden and parenting challenges.Parenting burnout has a detrimental effect on both children with autism and their parents.However,the underlying mechanisms that lead to parenting burnout remain unclear.This study aimed to investigate the relationship between parenting stress and parenting burnout,along with the serial mediation effect of social support and coping strategies in the context of families with autistic children.Methods:We conducted a cross-sectional study in 231 parents of autistic children in four autism facilities located in central Hubei province.Data were collected through the Parental Stress Index,Social Support Rating Scale,Simplified Coping Strategies Questionnaire,and Caregiver Burnout Assessment Questionnaire.Results:Parenting stress and burnout status were:72.3%of parents reported high-stress levels,16.9%experienced risks for parenting burnout,and 19.9%were currently experiencing burnout.Both social support and coping strategies played partial mediating roles in the relationship between parental stress and burnout,forming a serial mediation effect.Conclusion:Parenting stress is a risk factor for parenting burnout.Social support and coping strategies play a chain mediating role between parenting stress and parenting burnout,which may act as the underlying mechanisms.The study offers insights into potential intervention points for reducing parenting burnout.Future efforts are needed to devote to parenting stress,social support and coping strategy to enhance the psychological well-being of parents with autistic children.
基金Jiangsu Province Social Development Project,No.BE2022735Jiangsu Innovative and Entrepreneurial Talent Programme,No.JSSCBS20211584+1 种基金Suzhou Clinical Key Disciplines for Geriatric Psychiatry,No.SZXK202116Suzhou Science and Technology Program Projects,No.SKY2023075,No.SYWD2024037 and No.MSXM2024032.
文摘BACKGROUND Adolescence is a period marked by physiological and psychological imbalances,which pose an increased risk for adolescents with major depressive disorder(MDD)to commit non-suicidal self-injury(NSSI).AIM To investigate the moderating role of social support utilization in depression and NSSI among adolescents with MDD.METHODS This cross-sectional study enrolled 314 adolescents with MDD(258 with NSSI,56 without)from a Chinese tertiary psychiatric hospital(2021-2023).Participants completed validated scales,including the self-esteem scale,the Barratt impulsiveness scale,the self-rating depression scale,and the teenager social support rating scale.Logistic regression and hierarchical regression analyses were used to examine predictors of NSSI and the moderating effect of social support utilization.RESULTS Results showed that the NSSI group had higher depression levels,lower selfesteem,and greater impulsivity.While overall social support was higher in the NSSI group,social support utilization significantly moderated the depression-NSSI relationship.Specifically,higher utilization levels weakened the association between depression and NSSI(β=-0.001,P<0.05).CONCLUSION These findings suggest that effective utilization of social support,rather than its mere presence,is crucial in reducing NSSI risk among depressed adolescents.
文摘Tuberculous meningitis(TBM),which accounts for 1%-5%of global tuberculosis cases,is a severe neurological infection with a mortality rate of 30%-50%.Its high fatality and disability rates disproportionately affect low-and middle-income regions(e.g.,sub-Saharan Africa and Southeast Asia),threatening the lives of patients and imposing significant psychosocial burdens.Recent studies have highlighted the crucial role of psychosocial factors,including socioeconomic status,disease severity,and social support systems in recovery.However,research gaps persist in developing TBM-specific psychosocial interventions.This narrative review summarizes and organizes the key findings of observational studies,cohort studies,and intervention trials published between 2015 and 2024.Databases including PubMed,Scopus,and Web of Science were searched for terms related to TBM,psychosocial risk factors and mental health interventions.Studies were screened for relevance and quality,focusing on those that examined the psychological and social determinants of mental health outcomes in patients with TBM.
文摘Background:Social media addiction,one of the behavioural addictions,is a significant predictor of job performance.It has also been posited that individuals whose fundamental requirements(e.g.,sleep)are not sufficiently met andwho lack adequate support(e.g.,perceived social support)are incapable of effectivelyharnessing theirpotential.The primary objective of this study is to examine themediating effects of sleep disorder and perceived social support on the relationship between social media addiction and job performance.Furthermore,it seeks to explore the moderating effects of perceived social support on sleep disorders and job performance.Methods:The data were collected through the questionnairemethod,and data analysis was performed using SPSS 26.0.Moreover,statistical analysis encompasses correlation analysis,mediation,and moderation analysis.The data were gathered from 488 healthcare professionals(57.2%female),whose ages ranged from 24 to 56 years(Meanage±SD=37.86±6.71),using a convenience sample approach.Results:The results revealed significant relationships between social media addiction,job performance,perceived social support,and sleep disorder.The findings indicate that social media addiction negatively predicts job performance(β=−0.11,p<0.05).Sleep disorder(effect size=−0.02,95%CI=[−0.04,−0.00])and perceived social support(effect size=−0.01,95%CI=[−0.02,−0.00])mediate this relationship.Furthermore,perceived social supportmoderates the pathway between sleep disorder and job performance(index ofmoderatedmediation:−0.0040,95%CI=[−0.0070,−0.0010]).Conclusions:This study suggests that social media addiction negatively affects job performance through sleep disorders and perceived social support among healthcare professionals.The study’s findings are significant,as they suggest that treatments aimed at alleviating sleep disorders and enhancing perceived social support among medical workers may improve their job performance.
基金supported by the MOE(Ministry of Education in China)Project of Humanities and Social Sciences(grant number 22YJCZH243)the Chinese Government Scholarship of China Scholarship Council(grant number 202106920027).
文摘Background:Although previous studies indicate that perceived social support might be associated with adolescent psychological problems,the specific mechanism has not been thoroughly discussed.Based on theoretical and empirical research on problematic Internet use(PIU)and sleep quality,this study explored whether they play a mediating role between perceived social support and symptoms of depression and anxiety among adolescents.Furthermore,we investigated whether these relationships varied by place of residence.Methods:A sample of 2115 Chinese adolescents was included,and analyzed data related to perceived social support,PIU,sleep quality,symptoms of depression and anxiety,and sociodemographic variables.Correlation analysis,mediation,and moderation analysis were mainly used.Results:Perceived social support was negatively correlated with depressive symptoms(r=−0.22,p<0.001)and anxiety symptoms(r=−0.20,p<0.001)among adolescents.PIU and sleep quality played a chain mediating role in the relationship between perceived social support and symptoms of depression and anxiety in adolescents.Additionally,the place of residence moderated the relationships between perceived social support and PIU and symptoms of depression and anxiety.Perceived social support was a significant negative predictor of PIU and symptoms of depression and anxiety among adolescents in urban areas but not in rural areas.Conclusion:The findings suggest that low levels of perceived social support may lead to more PIU and poorer sleep quality,which may further increase the risk of symptoms of depression and anxiety in adolescents,especially in urban areas.
文摘BACKGROUND Malignant hepatobiliary and pancreatic(HBP)tumors occur in organs such as the liver,gallbladder,and pancreas.Their primary characteristics include invasive growth,high cellular atypia,and high rates of recurrence and metastasis.HBP tumors pose a serious threat to human health AIM To explore palliative treatment and social support for depression and anxiety in patients with end-stage HBP cancers.METHODS We retrospectively analyzed 100 patients with end-stage HBP tumors who were admitted to our hospital between January 2021 and January 2024.The control group(n=47)received routine treatment and intervention,whereas the observation group(n=53)received palliative treatment and social support.Anxiety and depression levels,social support,quality of life,cancer-related fatigue,and 1-year survival were compared between groups.RESULTS There were no significant differences in pre-intervention anxiety,depression,social support,or cancer-related fatigue scores between the two groups(P>0.05).The post-intervention anxiety and depression scores of the observation group were 30.53±4.15 and 42.04±3.86 points,respectively.Both scores were significantly lower than those in the control group(P<0.05).The post-intervention social support score of the observation group was 79.04±5.74,which was significantly higher than that of the control group(67.82±5.69;P<0.05).All dimensions of post-intervention quality of life of the observation group were significantly better than those of the control group(P<0.05).The post-intervention cancerrelated fatigue score of the observation group was 2.63 ± 1.15, which was significantly lower than that of the controlgroup (6.28 ± 1.04;P < 0.05). The 1-year survival rate of the observation group was significantly higher than that ofthe control group (P < 0.05).CONCLUSIONPalliative treatment can relieve pain in patients with medical professional capabilities, and social support canprevent social vulnerability through humanistic care.
文摘BACKGROUND Cancer patients with an implanted venous access port(IVAP)often manage their care at home during chemotherapy intervals,including maintaining the device,monitoring complications,and following medication instructions.Home care ensures continued support after discharge.However,due to factors such as age,gender,culture,psychological status,and family support,the quality of home care varies significantly.Understanding these factors can help provide targeted guidance to improve the care of cancer patients.AIM To explore IVAP chemotherapy on home care quality and its association with mental health and family support for cancer patients.METHODS This investigative study was based on a medical records system.It investigated the relationship between psychological status,family support,and home care quality in 180 patients with cancer undergoing IVAP chemotherapy.Psychological status was assessed using the State Anxiety Inventory(S-AI);family support was assessed using the Perceived Social Support Scale(PSSS),and home care quality was evaluated using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire(EORTC QLQ-C30).Pearson’s correlation and Structural Equation Modeling were used to analyze the interplay between these factors.RESULTS The average S-AI score was 47.52±14.47,PSSS was 52.48±12.64,and EORTC QLQ-C30 was 70.09±17.32.A substantial inverse relationship was observed between the EORTC QLQ-C30 and S-AI scores(r=-0.712).A significant positive correlation was found between the EORTC QLQ-C30 and the PSSS,with a correlation coefficient of(r=0.744).The multiple linear regression analysis indicated that family social support,psychological status,and average monthly family income were the main factors influencing the variation in the quality of home care,explaining 71.9%of the variation.The Structural Equation Modeling results indicated that psychological status acted as a partial mediator in the association between family social support and home care quality of life,explaining 32.78%of the mediation effect.CONCLUSION Psychological status and family social support positively impacted cancer patients’home care quality,with psychology partially mediating this effect.
文摘BACKGROUND Acute ischemic stroke(AIS)is a leading global cause of disability and mortality,with post-stroke cognitive impairment(PSCI)affecting 20%-40%of survivors.PSCI ranges from mild cognitive decline to dementia,severely hindering functional recovery,increasing healthcare costs,and elevating risks of recurrent stroke and death.While nutritional support aids neuronal repair and reduces oxidative damage,and social support alleviates psychological distress,existing studies often evaluate these interventions in isolation.This study investigates the combined effects of standardized nutritional intervention and structured social support on cognitive function,psychological status,and quality of life(QoL)in AIS patients with cognitive dysfunction,aiming to establish an integrated rehabilitation model.AIM To explore the effects of nutritional intervention and social support on the cognitive function and psychological status in patients with acute cerebral infarction complicated by cognitive dysfunction.METHODS A retrospective study was conducted.A total of 59 patients with acute cerebral infarction complicated by cognitive dysfunction from January 2023 to December 2023 were selected as the control group.Another 59 patients with the same condition were selected as the research group.The research group received standardized nutritional intervention and regular social support,including dietary guidance,nutritional supplementation,psychological counseling,and family support plans.The control group received routine medical care.Cognitive function,anxiety,depression,QoL,sleep quality,nutritional status,and family satisfaction were compared between the two groups.RESULTS The Montreal Cognitive Assessment(MoCA)and Mini-Mental State Examination differences(P<0.05).Pearson correlation analysis showed that increases in serum albumin(Alb),prealbumin(PAB),and hemoglobin(Hb)were all highly and significantly associated with improvements in MMSE and MoCA scores(P<0.05).The Self-Rating Anxiety Scale and Self-Rating Depression Scale scores of the research group were lower than those of the control group,with statistically significant differences(P<0.05).The scores of QoL dimensions in the research group were higher than those of the control group,with statistically significant differences(P<0.05).The Pittsburgh Sleep Quality Index scores and total score of the research group were lower than those of the control group,with statistically significant differences(P<0.05).The serum Alb,PAB,and Hb levels in the research group were higher than those of the control group,with statistically significant differences(P<0.05).The Social Disability Screening Schedule scores of the research group were lower than those of the control group,with statistically significant differences(P<0.05).The family satisfaction of the research group was significantly higher than that of the control group,with statistically significant differences(P<0.05).CONCLUSION Nutritional intervention and social support significantly improved the cognitive function,psychological status,and QoL in patients with acute cerebral infarction complicated by cognitive dysfunction.These interventions reduced anxiety and depression symptoms,improved sleep and nutritional status,and enhanced the social adaptability of patients as well as family satisfaction.
基金supported by“Planning Subject for the 14th Five Year Plan of National Education Sciences of China(DBA210296)”.
文摘We examined the relationship between social support and career adaptability,as well as the mediating roles of proactive personality and career decision-making self-efficacy in this process.A total of 1354 Chinese college students(female=964;mean age=19.53 years,SD=1.33 years)completed an online questionnaire.Path analysis indicated that social support was positively associated with higher levels of career adaptability.Both proactive personality and career decision-making self-efficacy served as parallel mediators,strengthening the relationship between social support and career adaptability.The complete chain mediation analysis revealed that social support influences career adaptability primarily through proactive personality,which in turn enhances career decision-making self-efficacy,further contributing to increased career adaptability.These findings extend career capital theory by demonstrating that social and psychological resources jointly facilitate career adaptability.
文摘This study explored how perceived social support(PSS)influences the sense of meaning in life(SML)among rural college students,considering positive coping styles(PCS)as a mediator and psychological resilience(PR)as a moderator.1444 college students(females;23.55%only child;M_(age)=19.76 years,SD=1.07;76.66%)were recruited from Jilin province in China.The college students self-reported their perceived social support and positive coping styles,psychological resilience,and sense of meaning in life.The results indicated that higher perceived social support predicted higher college students’sense of meaning in life.Perceived social support positively contributes to college students’sense of meaning in life through the mediating role of positive coping styles.Psychological resilience moderates the first path of the indirect association,where the positive effect of perceived social support on positive coping styles is more pronounced in college students with higher psychological resilience compared to those with lower psychological resilience.These align with Social Support Theory and Psychological Resilience Theory.That is,individuals with effective social support systems can enhance their positive coping styles,thereby increasing their sense of meaning in life,while psychological resilience strengthens the positive impact of perceived social support on positive coping styles.These findings offer the evidence for intervening and supporting the development of college students’sense of meaning in life.To enhance rural college students’sense of meaning in life,it is essential to establish a comprehensive social support system,promote the development of positive coping styles,and provide targeted training to strengthen psychological resilience.
