{"title":"Influencing Factors Associated with Psychological Capital Among Ischemic Stroke Patients: A Latent Profile Analysis.","authors":"Yang Zhang, Zhiyan Liu, Xianmei Wang, Ying Gu","doi":"10.2147/PRBM.S482943","DOIUrl":"https://doi.org/10.2147/PRBM.S482943","url":null,"abstract":"<p><strong>Background: </strong>China has the highest incidence of stroke worldwide because of a high rate of recurrence of ischemic stroke, which has significant negative impacts on the physical and mental health of patients. However, little research has been devoted to the psychological capital of ischemic stroke patients.</p><p><strong>Purpose: </strong>To investigate the psychological capital of ischemic stroke patients, and uses latent profile analysis to identify the potential profiles of the psychological capital among patients as well as to explore heterogeneity within subgroups and the factors influencing it.</p><p><strong>Methods: </strong>A survey was distributed among and completed by 427 ischemic stroke patients from November 2023 to March 2024. Four types of questionnaires were administered: the Psychological Capital Questionnaire (PCQ-26), Perceived Stress Scale (CPSS), Athens Insomnia Scale (AIS), and a general information questionnaire.</p><p><strong>Results: </strong>Three latent profiles of the psychological capital of ischemic stroke patients were identified: the deficient psychological capital group(19.7%), medium psychological capital group(52.5%), and affluent psychological capital group(27.9%). Compared with the deficient psychological capital group, the results of a disordered multi-classification logistic regression analysis showed that the factors influencing the participants of the medium psychological capital group were their marital status (married OR = 1.081, 95% CI: 1.163-7.468, <i>p</i> = 0.023), perceived stress (OR = -0.2, 95% CI: 0.769-0.872, <i>p</i> < 0.001), and insomnia (OR = -0.273, 95% CI: 0.696-0.833, <i>p</i> < 0.001). The factors influencing the affluent psychological capital group were perceived stress (OR = -0.334, 95% CI: 0.664-0.773, <i>p</i> < 0.001) and insomnia (OR = -0.46, 95% CI: 0.56-0.712, <i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>Three potential categories of psychological capital in ischemic stroke patients were identified. Sex, marital status, education, perceived stress, and insomnia were found to be associated with psychological capital in stroke patients. Future research should explore other determinants of psychological capital in ischemic stroke patients to formulate interventions that can improve their psychological capital.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"17 ","pages":"4043-4052"},"PeriodicalIF":2.8,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11608031/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142771911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Wanda Hilliard, Kelly Kearney, Sydnee Lucas, M Elizabeth Deel Flores
{"title":"Improving Diagnostic Strategies for Pediatric Anxiety Disorders: Advice for the Clinician.","authors":"Wanda Hilliard, Kelly Kearney, Sydnee Lucas, M Elizabeth Deel Flores","doi":"10.2147/PRBM.S431337","DOIUrl":"https://doi.org/10.2147/PRBM.S431337","url":null,"abstract":"<p><p>This review aims to raise awareness about the prevalence and impact of pediatric anxiety, emphasizing the need for clinician education in primary care and mental health settings. Early detection and management of pediatric anxiety can be achieved through the development and implementation of standardized screening protocols. Our goal is to positively improve the outcomes of pediatric patients suffering from anxiety by improving the awareness and knowledge of clinicians in primary and mental health care settings. This review provides evidence-based recommendations to refine clinical approaches, ultimately contributing to healthier, more resilient future generations.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"17 ","pages":"4035-4042"},"PeriodicalIF":2.8,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11606183/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142771910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Associations Between Family Functioning and Social Avoidance and Distress in Patients with Strabismus: A Chain Mediation Model.","authors":"Jing Wang, Xintian Wang, Yuyang Li, Xin Yao, Yuanyuan Shen, Ziling Song, Peihua Zhang, Xiaoqiong Huang","doi":"10.2147/PRBM.S486036","DOIUrl":"10.2147/PRBM.S486036","url":null,"abstract":"<p><strong>Purpose: </strong>Exploring the mechanisms of fear of negative evaluation (FNE) and self-esteem between family functioning and social avoidance and distress (SAD) to inform the promotion of social functioning in people with strabismus.</p><p><strong>Patients and methods: </strong>Convenience sampling was used to select 249 strabismus patients attending a tertiary-level ophthalmology hospital in Wenzhou City from July 2023 to February 2024. The Social Avoidance and Distress Scale, Rosenberg Self-Esteem Scale, Brief Fear of Negative Evaluation Scale, and Family APGAR Index Questionnaire were utilized to assess levels of social avoidance and distress, self-esteem, fear of negative evaluation, and family functioning. Structural equation modeling (SEM) was employed to explore the sequential mediating role of FNE and self-esteem in the relationship between family functioning and SAD.</p><p><strong>Results: </strong>Family functioning negatively predicted SAD directly (β=-0.14, P<0.01). Additionally, family functioning predicted FNE (β=-0.19, P<0.01) and self-esteem (β=0.41, P<0.01). FNE positively predicted SAD (β=-0.38, P<0.01) and negatively predicted self-esteem (β=-0.22, P<0.01). Moreover, self-esteem negatively predicted SAD (β=-0.33, P<0.01). FNE and self-esteem mediated the relationship between family functioning and SAD, with a combined mediating effect of -0.249, explaining 63.52% of the total variance.</p><p><strong>Conclusion: </strong>This study examined how FNE and self-esteem affect the link between family functioning and SAD in patients with strabismus. These findings complement our understanding of SAD mechanisms in strabismus patients, encompassing familial, cognitive, and emotional perspectives, and offer theoretical insights for enhancing social functioning in this population.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"17 ","pages":"4021-4033"},"PeriodicalIF":2.8,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11600918/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Natali Barragan, Amanda Batista, Deborah L Hall, Yasin N Silva
{"title":"Social Identity, Social Media Use, and Mental Health in Adults: Investigating the Mediating Role of Cyberbullying Experiences and the Moderating Effects of Gender and Age.","authors":"Natali Barragan, Amanda Batista, Deborah L Hall, Yasin N Silva","doi":"10.2147/PRBM.S466965","DOIUrl":"10.2147/PRBM.S466965","url":null,"abstract":"<p><strong>Purpose: </strong>Previous research points to a complex relation between social media use and mental health, with open questions remaining with respect to mediation pathways and potential sociodemographic moderators. The present research investigated the extent to which experiences of cyberbullying victimization mediate the link between greater social media use and poorer mental health in adults and whether such indirect effects are moderated by gender or age.</p><p><strong>Participants and methods: </strong>As part of a larger study, US adults (<i>N</i> = 502) completed an online survey that included measures of degree of social media use, cyberbullying victimization, depression, anxiety, substance use, and sociodemographic characteristics including gender and age.</p><p><strong>Results: </strong>A series of moderated mediation models revealed a robust indirect effect of cyberbullying victimization on the relation between degree of social media use and mental health, such that greater social media use was associated with higher levels of cyberbullying victimization and greater cyberbullying victimization was associated with increased depression, anxiety, and likelihood of substance use. There was no evidence that the mediation effects varied between men and women. Age did, however, moderate the mediation effects for anxiety and likelihood of substance use, with stronger mediation effects emerging for younger compared to older adults.</p><p><strong>Conclusion: </strong>Our findings underscore the importance of empirical investigations that shed a more nuanced light on the complex relation between social media and mental health.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"17 ","pages":"4009-4020"},"PeriodicalIF":2.8,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11590641/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142731882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jingyi Wang, Wei Zhang, Peige Song, Tingting Wang, Ye Yao, Yun Chen, Haijiang Lin, Xiaoqi Yang, Xiaoxiao Chen, Chaowei Fu
{"title":"A Longitudinal Study of Loneliness Before the End of the COVID-19 Pandemic: Trajectories, Predictors, and Impact on Chinese Adolescent Mental Health.","authors":"Jingyi Wang, Wei Zhang, Peige Song, Tingting Wang, Ye Yao, Yun Chen, Haijiang Lin, Xiaoqi Yang, Xiaoxiao Chen, Chaowei Fu","doi":"10.2147/PRBM.S484113","DOIUrl":"10.2147/PRBM.S484113","url":null,"abstract":"<p><strong>Background: </strong>COVID-19 threatened global health, however little is known about the long-term courses of loneliness and their effect on mental health in adolescents. This study aimed to explore the trajectories of loneliness among adolescents in Taizhou, Zhejiang Province, China, during the last phase of the pandemic. We also aimed to identify risk factors in each loneliness course and the impact of loneliness on emotional problems, peer problems, hyperactivity and conduct problems.</p><p><strong>Methods: </strong>The study employed multistage cluster sampling to collect four waves of data from 2347 Chinese adolescents (average baseline age of 14.7 years) covering a period of 20 months (October 2021 - May 2023). The UCLA 3-Item Loneliness Scale and the Strengths and Difficulties Questionnaire were utilized to assess loneliness and mental health problems, respectively. Growth mixture modelling was employed to identify latent classes of loneliness trajectories. Associated risk factors were investigated using multinomial logistic regression model. Mixed-effects logistic regression models were constructed to examine the long-term impact of loneliness classes on mental health outcomes.</p><p><strong>Results: </strong>The overall percentage of loneliness increased from 22.9% at baseline to 32.2% at the fourth wave in our sample. Three classes of loneliness were identified: Decreasing Low Loneliness (58.71%), Increasing Medium Loneliness (36.52%), and Increasing High Loneliness (4.77%). Risk factors for poorer loneliness trajectories included lack of physical exercise habits, poorer mental health literacy, medium or low perceived social support, having study difficulties, being female, higher grades, and lower economic status. Loneliness classes were associated with the severity and variability of emotional problems, peer problems, hyperactivity and conduct problems (ORs for the highest loneliness class: 10.24, 4.21, 3.87, 2.68, respectively). Individuals in the higher loneliness classes experienced a significant increase in these mental health problems over time (p < 0.05 for interactions between loneliness classes and time).</p><p><strong>Conclusion: </strong>During the last phase of the pandemic, a large proportion of adolescents in our study endured medium to high levels of loneliness with no signs of improvement. Both unfavorable loneliness trajectories adversely affected internalizing and externalizing problems and displayed an upward trend in these difficulties. Results highlight the importance of tackling loneliness and improving mental health in adolescents.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"17 ","pages":"3993-4008"},"PeriodicalIF":2.8,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11587795/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142716718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fang Ye, Xiaonan Hou, Jie Chen, Hui Qin, Xiaojing Xu, Die Liu, Jing Liu, Qi Sun, Haiyan Liu, Fang Hu, Yuwan Zhou, Pengfei Xu, Qi Zhang
{"title":"Behavioral Changes During COVID-19 Omicron Variant Infection on Children with Autism Spectrum Disorder in China.","authors":"Fang Ye, Xiaonan Hou, Jie Chen, Hui Qin, Xiaojing Xu, Die Liu, Jing Liu, Qi Sun, Haiyan Liu, Fang Hu, Yuwan Zhou, Pengfei Xu, Qi Zhang","doi":"10.2147/PRBM.S470038","DOIUrl":"10.2147/PRBM.S470038","url":null,"abstract":"<p><strong>Purpose: </strong>The objective of this study was to investigate the behavioral changes in the core features and challenging behaviors of children with Autism Spectrum Disorder (ASD) during the COVID-19 Omicron wave (from December 2022 to January 2023) in China.</p><p><strong>Patients and methods: </strong>A total of 515 caregivers of children with ASD completed an online survey. This survey was designed to assess the sociodemographic characteristics of the children and their caregivers, the clinical features of COVID-19, the manifestation of core ASD features and challenging behaviors, and the alterations in daily life following the COVID-19 Omicron variant wave.</p><p><strong>Results: </strong>The children with ASD had an average age of 5.4 years, with 79.6% being male. After the Omicron wave, the proportions of participants with worsening core ASD features and challenging behaviors were 22.9% and 37.1%, respectively. Sleep disorders (20.0%), eating problems (18.6%), and inattentive symptoms (17.5%) were the most frequently reported worsening behaviors. The factors associated with the worsening of core ASD features included infection with the Omicron variant of COVID-19, reduced outdoor activity, and a lower score of caregiver health-related quality of life (HRQoL). The worsening of challenging behaviors was associated with infection with the Omicron variant of COVID-19, a lower frequency of rehabilitation training, and a lower score of HRQoL.</p><p><strong>Conclusion: </strong>The outbreak of the COVID-19 Omicron variant had an impact on the behaviors of autistic children. The behavior changes in core ASD features and challenging behaviors differed and were associated with COVID-19 infection and other factors.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"17 ","pages":"3979-3991"},"PeriodicalIF":2.8,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11586494/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142716726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Relationship Between Interparental Conflict and Social Anxiety Among Chinese College Students: A Moderated Mediation Model.","authors":"Zhendong Wan, Yifu Chen, Lijun Wang, Mengfei Cheng","doi":"10.2147/PRBM.S481086","DOIUrl":"10.2147/PRBM.S481086","url":null,"abstract":"<p><strong>Purpose: </strong>Our aim is to construct a moderated mediation model for investigating the effect of interparental conflict on social anxiety, the potential mediating role of psychological resilience, the moderating effect of perceived social support on this association, and the gender difference among Chinese college students.</p><p><strong>Methods: </strong>This cross-sectional survey was conducted on 1343 Chinese college students from Anhui Province, Hunan Province, Jiangsu Province, and Henan Province, China, in March 2024. Pearson correlation, mediation effects analyses, and multiple-group comparison were conducted.</p><p><strong>Results: </strong>(1) Interparental conflict and social anxiety varied significantly with gender, while the interparental conflict (<i>t</i> = -3.998, <i>p</i> < 0.001) and social anxiety (<i>t</i> = -4.644, <i>p</i> < 0.001) in the female group were significantly more severe than in the male group. However, there was no significant difference in interparental conflict and social anxiety between different grades (<i>p</i> > 0.05); (2) Interparental conflict positively predicts social anxiety; (3) The relationship between interparental conflict and social anxiety is mediated by psychological resilience; (4) The relationship between interparental conflict and psychological resilience is moderated by perceived social support; (5) The mediating effect was found only in women, but the moderating effect was no gender difference.</p><p><strong>Conclusion: </strong>It is crucial to recognize and cultivate the psychological resilience of college students and to provide them with appropriate high social support. This is conducive to alleviating the social anxiety suffered by college students and promote their psycho-social well-being.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"17 ","pages":"3965-3977"},"PeriodicalIF":2.8,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11583759/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142710820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Role of Cognitive and Emotional Factors in the Relationship Between Childhood Trauma and Non-Suicidal Self-Injury Among College Students: A Network Analysis.","authors":"Lijuan Shi, Jieyu Xiao, Juanjuan Guo, Saijun Zeng, Suhong Wang, Jingbo Gong","doi":"10.2147/PRBM.S476637","DOIUrl":"10.2147/PRBM.S476637","url":null,"abstract":"<p><strong>Background: </strong>Non-suicidal self-injury (NSSI) is a serious mental health problem among adolescents and young adults. Childhood trauma is a distal factor for NSSI and can also lead to cognitive abnormalities and maladaptive emotion regulation during the growth and development of individuals. However, it is unclear how childhood trauma and cognitive-emotional factors interact with NSSI.</p><p><strong>Objective: </strong>This study investigated the roles of childhood trauma and cognitive-emotional factors in NSSI among Chinese college students using network analysis.</p><p><strong>Methods: </strong>A total of 999 students from a university in central China were included in this study. Network analysis was used to examine the interrelationships between the frequency of NSSI thoughts and behaviors, childhood trauma subtypes (measured using the Childhood Trauma Questionnaire-Short Form), and cognitive-emotional factors such as early maladaptive schemas (EMSs) (measured using the Young Schema Questionnaire-Short Form), core self-evaluation (measured using the Core Self-Evaluations Scale), and emotion regulation (ER) strategies (measured using the Emotion Regulation Questionnaire). Structural equation modeling was used to further explore the role of the nodes most closely related to NSSI in the network analysis.</p><p><strong>Results: </strong>Emotional abuse and disconnection/rejection EMS are found to be directly related to NSSI thoughts (edge weight = 0.16 and 0.08, respectively). Disconnection/rejection EMS partially mediated (28.64%) the relationship between emotional abuse and NSSI thoughts, with a higher level of expression suppression corresponding to a greater positive relationship between emotional abuse and the disconnection/rejection EMS (<i>p</i> < 0.01).</p><p><strong>Conclusion: </strong>Our findings were in line with the cognitive-emotional model of NSSI, highlighting the importance of NSSI prevention in identifying risk groups who experienced emotional abuse in childhood and tended to use expressive suppression as an ER strategy.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"17 ","pages":"3951-3964"},"PeriodicalIF":2.8,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11576574/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142681041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Gratitude Experience in Ten Patients with Spinal Muscular Atrophy: A Qualitative Study.","authors":"Shuang Dai, Lan Gao, Chao Zou, Minghui Ge, Junwei Zhou, Yinghua Yun","doi":"10.2147/PRBM.S480618","DOIUrl":"10.2147/PRBM.S480618","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the gratitude experience of young and middle-aged patients with spinal muscular atrophy (SMA) during hospitalisation to provide a theoretical basis for medical professionals to develop gratitude intervention programs.</p><p><strong>Methods: </strong>Patients with SMA who were treated with nusinersen in the Department of Neurology of the First Hospital of Jilin University between April 20 and May 20, 2024 were selected using the purposive sampling method, and semi-structured interviews were conducted. The interview data were analysed using Colaizzi's 7-step analysis method.</p><p><strong>Results: </strong>Four themes were extracted: gratitude stimulated positive emotions; gratitude enhanced life motivation; gratitude reflected the level of social support; and gratitude promoted life restructuring planning.</p><p><strong>Conclusion: </strong>Patients with SMA have gratitude experience and their own perception of life. Strengthened feelings of gratitude could be helpful to the psychological resilience of patients, influence their view of life in a grateful way of thinking and help them actively plan all aspects of their lives, from daily living to social re-integration.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"17 ","pages":"3943-3949"},"PeriodicalIF":2.8,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11575437/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142676671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Octavio Luque-Reca, Carlos Marchena-Giráldez, Myriam Carbonell-Colomer, Christa Bewernick, Elena Bernabéu-Brotóns
{"title":"Social Aspects of Problematic Smartphone Use: Development and Validation of the PSSNUS and Mental Health Implications for Spanish Youth.","authors":"Octavio Luque-Reca, Carlos Marchena-Giráldez, Myriam Carbonell-Colomer, Christa Bewernick, Elena Bernabéu-Brotóns","doi":"10.2147/PRBM.S466070","DOIUrl":"10.2147/PRBM.S466070","url":null,"abstract":"<p><strong>Purpose: </strong>Addressing the complex pattern of digital behaviors and interactions among youth, this research introduces a novel comprehensive scale, the Problematic Smartphone and Social Network Use Scale (PSSNUS), meticulously developed and validated across five studies.</p><p><strong>Methods: </strong>Using a mixed-methods approach across five stages, including focus groups (Study 1; n = 31), cognitive interviews (Study 2; n = 16), exploratory factor analysis (Study 3; n = 316), and expert panel (Study 4; n = 4), this procedure reduced 58 initial items to an 18-item scale. Subsequently, a confirmatory factor analysis and further analyses (Study 5; n = 355) examined the factorial structure's replicability, reliability, and validity of the scale.</p><p><strong>Results: </strong>The PSSNUS manifested as a reliable (ω ranging 0.70-0.89) instrument, comprising a structure with five key factors (x<sup>2</sup> = 173.994, <i>df</i> = 125, p = 0.002, CFI = 0.994, CFI = 0.993, SRMR = 0.039, and RMSEA = 0.027) that capture both individual and social aspects of this construct: Psychological dependence (PD), Online interaction preference (OIP), Digital recognition desire (DRD), Social networks control seeking (SNCS), and Productivity loss (PL). Minor gender differences in both the DRD factor and in the overall score were found, with females scoring higher. The PSSNUS showed convergent and divergent validity through significant but modest correlations with daily smartphone usage hours, procrastination, emotional intelligence and mental health symptomatology (anxiety, depression and stress). This measure further exhibited incremental validity, controlling for other possible predictors, regarding anxiety, depression, and stress (6.5, 11.5 and 7.5% of additional variance explained), highlighting the DRD dimension's unique predictive power.</p><p><strong>Conclusion: </strong>Emerging as a solid instrument, the PSSNUS broadens the concept of problematic smartphone use among young Spaniards to include social functioning aspects, serving as an interesting tool for those aiming to explore further the adverse influence of digital media on youth.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"17 ","pages":"3919-3942"},"PeriodicalIF":2.8,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11576573/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142682706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}