Yanqiu Cui, Yonghua Mao, Mengjiao Tang, Jie Zhu, Huiyu Yao
{"title":"Evaluation of the Effect of Psychological Resilience on Anxiety in Patients with Diabetic Retinopathy Through the Mediating Effect of Perceived Stress: A Moderated Mediation Model.","authors":"Yanqiu Cui, Yonghua Mao, Mengjiao Tang, Jie Zhu, Huiyu Yao","doi":"10.2147/PRBM.S518602","DOIUrl":"10.2147/PRBM.S518602","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the anxiety status of Chinese patients with diabetic retinopathy (DR) and its relationship with psychological resilience and perceived stress.</p><p><strong>Methods: </strong>A sampling method was used to select 606 DR patients, and the 10-item Connor-Davidson Resilience Scale (CD-RISC-10), Perceived Stress Scale short-form (PSS-10), and General Anxiety Disorder-7 (GAD-7) were used for the survey. We used SPSS 26.0 to analyse the data and employed PROCESS v4.1 for the mediating effect test.</p><p><strong>Results: </strong>The incidence of anxiety in DR patients was approximately 53.63%, with psychological resilience (CD-RISC-10 average=27.51±8.32) and perceived stress (PSS-10 average=15.97±6.54). Anxiety was negatively correlated with psychological resilience (<i>r</i>=-0.569, <i>P</i><0.01) and positively correlated with perceived stress (<i>r</i>=0.638, <i>P</i><0.01). Additionally, psychological resilience was negatively correlated with perceived stress (<i>r</i>=-0.681, <i>P</i><0.01). Perceived stress had a positive predictive effect on anxiety (total effect = -0.327, 95% bootstrap CI = -0.363 to -0.291), and it played a mediating role in the relationship between psychological resilience and anxiety, with a mediating effect size of 54.13%.</p><p><strong>Conclusion: </strong>Psychological resilience and perceived stress directly or indirectly affect anxiety, Perceived stress moderates the relationship between psychological resilience and anxiety as a mediating variable. By analyzing this psychological mechanism, this study provides a new perspective for applying psychology to chronic diseases and a scientific basis for medical staff to develop targeted psychological intervention measures.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"18 ","pages":"1169-1180"},"PeriodicalIF":2.8,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12105662/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144151528","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}
Xing Wang, Yunhui Zhong, Rui Wang, Dongdong Zhang, Yihan Li, Yi Pan, Yibo Li
{"title":"Association Between Sleep Duration and Anxiety in US Adults: A Nationally Representative Cross-Sectional Study.","authors":"Xing Wang, Yunhui Zhong, Rui Wang, Dongdong Zhang, Yihan Li, Yi Pan, Yibo Li","doi":"10.2147/PRBM.S516062","DOIUrl":"10.2147/PRBM.S516062","url":null,"abstract":"<p><strong>Background: </strong>Previous studies on the relationship between sleep duration and anxiety have yielded inconsistent results. This study aimed to explore this association using data from a large, nationally representative sample of US adults.</p><p><strong>Methods: </strong>Data from 13,476 participants in the National Health and Nutrition Examination Survey (NHANES) 2007-2012 were analyzed. Weighted robust Poisson regression models were employed to assess the relationship between sleep duration and anxiety, with additional subgroup analyses conducted to explore variations across different demographic groups.</p><p><strong>Results: </strong>Among participants, 25.8% exhibited symptoms of anxiety. Compared to normal sleep duration (7-9 hours), very short sleep durations (<5 hours) and short sleep durations (5 to <7 hours) were significantly linked to higher anxiety risks, with adjusted incidence rate ratios (IRRs) of 1.40 (95% CI [1.23-1.59]) and 1.17 (95% CI [1.09-1.25]), respectively. Subgroup analyses revealed that shorter sleep durations were more strongly associated with anxiety in males, older adults, racial minorities, and married individuals compared to their counterparts. Notably, long sleep duration (≥9 hours) showed no significant overall association with anxiety (IRR = 1.11 [0.95-1.29]); however, in specific subgroups such as non-married individuals and younger adults, it was linked to an increased risk of anxiety.</p><p><strong>Conclusion: </strong>Short sleep duration is associated with an increased risk of anxiety, with the strength of this association differing notably across demographic subgroups. Long sleep duration is associated with higher anxiety risk exclusively in specific groups, including non-married individuals and younger adults. Further research is needed to uncover the mechanisms underlying these associations.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"18 ","pages":"1155-1167"},"PeriodicalIF":2.8,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12103868/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144143402","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 Internet Game Addiction and Sense of Meaning in Life of Adolescents: A Latent Profile Analysis.","authors":"Shaoyong Ma, Yuqing Lu, Haijun Zhang, Jing Zhou, Jing Wang, Qingsong Sang","doi":"10.2147/PRBM.S494857","DOIUrl":"10.2147/PRBM.S494857","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the heterogeneity of adolescents' (college students) sense of meaning in life, and explore the relationship between the potential categories of Life sense of meaning and Internet game addiction.</p><p><strong>Methods: </strong>A total of 1544 adolescents were assessed with the Sense of Meaning in Life Scale and Internet Game Addiction Scale. The subtypes were analyzed by latent profile analysis, and the related factors of the subtypes of sense of meaning in life were explored by logistic regression analysis.</p><p><strong>Results: </strong>(1) There were three subtypes of adolescents' sense of meaning in life: the lack of life sense (7.00%), the pursuit of life sense (49.40%), and the positive life sense (43.60%). Among them, the pursuit of the sense of meaning in life is more universal. (2) There is a significant difference in the subtypes of adolescents' sense of meaning in life of Internet game addiction, which is manifested as the lowest incidence of adolescents' Internet addiction with positive sense of meaning in life, the middle incidence of adolescents' Internet game addiction with the pursuit of sense of meaning in life, and the highest incidence of adolescents' Internet game addiction without sense of meaning in life.</p><p><strong>Conclusion: </strong>Adolescents' sense of meaning in life is characterized by heterogeneity and is closely related to online game addiction. This study further clarified the differences in online game addiction among adolescents with different subtypes of sense of the meaning in life, and provided an empirical basis for the promotion of the sense of meaning in life. At the same time, it also provides an empirical basis for the prevention and intervention of internet game addiction according to the subtype characteristics of sense of meaning in life.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"18 ","pages":"1139-1153"},"PeriodicalIF":2.8,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12094489/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144120450","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}
Zhihua Guo, Yijun Li, Lingling Wang, Xinxin Lin, Jingjing Sun, Jing Yu, Li Mao, Xia Zhu, Ye Miao, Chenxi Li
{"title":"Mental Health Concerns in Patients with COVID-19: A Network Analysis.","authors":"Zhihua Guo, Yijun Li, Lingling Wang, Xinxin Lin, Jingjing Sun, Jing Yu, Li Mao, Xia Zhu, Ye Miao, Chenxi Li","doi":"10.2147/PRBM.S524256","DOIUrl":"10.2147/PRBM.S524256","url":null,"abstract":"<p><strong>Purpose: </strong>Patients with coronavirus disease 2019 (COVID-19) are predisposed to associated mental health problems, including intolerance of uncertainty (IUS), perceived stress (PSS), low sense of control, dysfunctional beliefs and attitudes about sleep (DBAS), insomnia, and impaired feeling of security. However, these mental health concerns have not been studied in a joint framework. This study aimed to investigate the relationships and putative causality among the aforementioned six variables and determine relatively important ones, indicating potential intervention strategies for the associated mental health concerns.</p><p><strong>Patients and methods: </strong>A total of 1015 inpatients with COVID-19 aged 18 years or older in the Shanghai shelter hospital completed validated self-report scales to assess relevant psychopathological constructs. Two network models, a Graphical Gaussian Model (GGM) and a Directed Acyclic Graph (DAG), were estimated based on collected cross-sectional data.</p><p><strong>Results: </strong>The GGM network was reliably stable, highlighting five strongest associations such as the connection between IUS \"Intolerance of uncertainty\" and DBAS \"Dysfunctional beliefs and attitudes about sleep\". IUS was identified as the most central node. The DAG network suggested the key triggering role of PSS \"Perceived stress\" for other downstream variables.</p><p><strong>Conclusion: </strong>This study provided insights into the complex pairwise connections between the mental health concerns and the pivotal roles of intolerance of uncertainty and perceived stress. The study findings were discussed in terms of both theoretical and clinical implications that might serve for the intervention of psychological distress and promotion of mental health in patients with COVID-19 or similar epidemics.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"18 ","pages":"1125-1137"},"PeriodicalIF":2.8,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12095440/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128508","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":"Exploring Family Functioning and Adolescent Academic Anxiety: Emotional Stability and Social Support as Mediators.","authors":"Min Gao, Weifang Liu","doi":"10.2147/PRBM.S508537","DOIUrl":"10.2147/PRBM.S508537","url":null,"abstract":"<p><strong>Purpose: </strong>With the intensification of social competition, the phenomenon of academic credential inflation has become increasingly severe, highlighting the growing importance of education. Although existing research has focused on individual factors related to academic anxiety, the roles of family functioning, emotional stability, and social support in alleviating academic anxiety remain underexplored. In particular, these factors may exert different influences across diverse cultural contexts. Given the prevalence of academic anxiety in adolescents, this study examines the role of family functioning as mediated by emotional stability and social support. It aims to provide practitioners with effective intervention strategies.</p><p><strong>Patients and methods: </strong>This study conducted a questionnaire survey among 456 college students to assess their family functioning, social support, emotional stability, and academic anxiety. Data were analyzed using SPSS software.</p><p><strong>Results: </strong>The findings revealed significant negative correlations between family functioning, emotional stability, social support, and academic anxiety. After controlling for demographic variables, emotional stability and social support were found to play a chain mediating role in the relationship between family functioning and academic anxiety.</p><p><strong>Conclusion: </strong>This study highlights the important role of family functioning in reducing academic anxiety among adolescents, mediated by emotional stability and social support. The findings provide actionable insights for parents and educators to foster a supportive environment that reduces academic stress.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"18 ","pages":"1111-1124"},"PeriodicalIF":2.8,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12094906/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128506","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":"Employment Stress and Mental Health Among College Graduates: Exploring the Mediating Role of Psychological Resilience and Moderating Role of Proactive Personality.","authors":"Wei Tu, Qingqi Liu","doi":"10.2147/PRBM.S515661","DOIUrl":"https://doi.org/10.2147/PRBM.S515661","url":null,"abstract":"<p><strong>Purpose: </strong>Previous research has established a strong correlation between employment stress and mental health; however, the internal mechanisms underlying this relationship remain underexplored. The present study aimed to elucidate the mediating role of resilience in the relationship between employment stress and mental health, as well as the moderating effect of proactive personality.</p><p><strong>Methods: </strong>We conducted a cross-sectional questionnaire survey with 2348 college graduates from Central China. Mediation and moderated mediation analyses were employed to investigate the roles of psychological resilience and proactive personality in the relationship between employment stress and mental health.</p><p><strong>Results: </strong>Employment stress significantly predicted negative outcomes in mental health among these graduates. Mediation model analysis revealed that resilience mediated the relationship between employment stress and adverse mental health. Furthermore, analysis of moderated mediation model suggested that proactive personality moderated the mediation pathway and also served as a moderator for the direct relationship between employment stress and mental health. Specifically, individuals with a high proactive personality exhibited a reduction in the adverse effects of employment stress on mental health.</p><p><strong>Conclusion: </strong>The moderated mediation model of psychological resilience and proactive personality contributes to the existing literature by providing additional insights into the link between employment stress and mental health and by exploring potential intervention strategies to mitigate the impact of employment stress.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"18 ","pages":"1099-1110"},"PeriodicalIF":2.8,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12067721/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143995748","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 Causal Association Analysis between Depression and Cerebrospinal Fluid: From the Perspective of Mendelian Randomization.","authors":"Yu Zhang, Ping Wu, Zhuo Liu","doi":"10.2147/PRBM.S508610","DOIUrl":"https://doi.org/10.2147/PRBM.S508610","url":null,"abstract":"<p><strong>Background: </strong>Major depressive disorder (MDD) leads to significant distress and disruption across social, occupational, and other functional domains. Although cerebrospinal fluid (CSF) biomarkers have been identified as potential indicators and therapeutic targets for depression, their causal relationship with MDD remains unclear.</p><p><strong>Methods: </strong>We analyzed publicly available CSF metabolomics and genotype data, quantifying 338 distinct metabolites. Among these, 296 were chemically validated and classified into eight major metabolic groups, while 38 remained undefined. To assess the genetic association with depression, we used summary statistics from a GWAS (F5_DEPRESSIO dataset, including 53,313 diagnosed cases and 394,756 controls from Finland). An integrated approach combining Mendelian randomization (MR), inverse variance weighting (IVW), and linkage disequilibrium score regression (LDSC) was applied to explore the causal impact of CSF metabolites on depression risk.</p><p><strong>Results: </strong>Our analysis identified 62 metabolites significantly associated with depression (p < 0.05). Sensitivity tests revealed heterogeneity in five metabolites: 5-hydroxyindoleacetic acid, X-19438, ethylmalonic acid, γ-glutamylglutamine, and β-alanine. A focused analysis on 14 metabolites further supported a potential causal link with depression. LDSC confirmed significant genetic heritability for metabolites such as creatinine, arginine succinate, N-acetylisourea, 3-amino-2-piperidone, and carboxyethyl-GABA. Systematic leave-one-out analyses demonstrated that these associations are driven by multiple interacting SNPs rather than a single variant.</p><p><strong>Conclusion: </strong>This study provides novel insights into the potential causal relationship between CSF metabolites and depression, highlighting 14 key metabolites with significant associations. The robustness of these findings is supported by MR and sensitivity analyses. Further longitudinal studies are warranted to confirm the clinical relevance of these CSF biomarkers in MDD.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"18 ","pages":"1085-1097"},"PeriodicalIF":2.8,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12063630/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144029170","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":"Childhood Maltreatment and Internet Addiction: A Moderated Mediation Model of Depression and Physical Activities.","authors":"Sihong Li, Leyin Zhang, Lintong Song, Tianqing Fan, Yanhua Li, Yanmei Shen","doi":"10.2147/PRBM.S489061","DOIUrl":"https://doi.org/10.2147/PRBM.S489061","url":null,"abstract":"<p><strong>Background: </strong>Internet addiction is a growing concern among adolescents, with childhood maltreatment recognized as a significant risk factor. According to the Interaction of Person-Affect-Cognition-Execution model, childhood maltreatment can lead to affective responses, such as depression, which in turn heighten vulnerability to internet addiction. However, the potential protective role of external factors, such as physical activity, in this pathway remains underexplored. This study investigates the mediating role of depression and the moderating role of physical activity in the relationship between childhood maltreatment and adolescent internet addiction.</p><p><strong>Methods: </strong>Data from 1610 Chinese middle school students were analyzed using statistical software: Mplus 8.3 was used for SEM, while SPSS 26.0 and Hayes' PROCESS Macro were used for correlation analyses, hierarchical regression, and moderated mediation model.</p><p><strong>Results: </strong>Results showed that emotional abuse was significantly positively associated with internet addiction and the association was mediated by depression. In addition, physical activity moderates the first stage of mediating the effect of depression between emotional abuse and internet addiction. Furthermore, adolescents with lower levels of physical activity exhibited a stronger indirect effect of emotional abuse on internet addiction compared to those in the higher physical activity group. SEM also demonstrated that the model exhibited good fit, reliability, and discriminant validity.</p><p><strong>Conclusion: </strong>The results show that depression mediated the relationship between emotional abuse and adolescent internet addiction. In addition, the association of emotional abuse and depression is weaker for adolescents who participate more in physical activity. This study emphasizes the necessity of addressing physical activity and provides theoretical guidance for prevention of internet addiction.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"18 ","pages":"1061-1074"},"PeriodicalIF":2.8,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12049681/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053941","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":"Network Structure and Core Features of Cognitive Emotion Regulation Strategies in Chinese Adolescents with NSSI.","authors":"Peiyu Zhang, Jingyu Shi","doi":"10.2147/PRBM.S499710","DOIUrl":"https://doi.org/10.2147/PRBM.S499710","url":null,"abstract":"<p><strong>Purpose: </strong>Little research has focused on identifying the dynamic relationship and core features of cognitive emotion regulation strategies (CERS) that critically contribute to the onset and maintenance of NSSI. This study aims to investigate the CERS network structure in Chinese adolescents with NSSI through network analysis, identifying the core strategies within this network.</p><p><strong>Patients and methods: </strong>A total of 2711 Chinese adolescents (50.5% female, mean age = 12.89 ± 0.73 years) were assessed using the CERQ. Independent <i>t</i>-tests were conducted to compare CERS scores between adolescents with and without NSSI. Network analysis was performed to identify core CERS and to explore differences in the networks between the two groups.</p><p><strong>Results: </strong>A total of 1065 adolescents (39.28%) reported engaging in NSSI at least once within the past six months. Among adolescents with NSSI, catastrophizing (strength = 1.32, betweenness = 1.98, closeness = 0.45) and rumination (strength = 1.18, betweenness = 1.10, closeness = 2.02) emerged as the most central CERS. In contrast, among adolescents without NSSI, catastrophizing (strength = 1.79, betweenness = 1.00, closeness = 0.08), rumination (strength = 0.34, betweenness = 1.00, closeness = 1.02), and positive reappraisal (strength = 0.57, betweenness = 1.50, closeness = 1.50) were identified as central CERS. Significant differences in network structure, global strength, and centrality were observed between the two groups, reflecting distinct patterns of CERS.</p><p><strong>Conclusion: </strong>NSSI is associated with tightly connected, rigid CERS networks. Targeted interventions should focus on reducing catastrophizing and enhancing positive reappraisal to disrupt these rigid cognitive emotion regulation patterns, ultimately mitigating the risk of NSSI.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"18 ","pages":"1075-1084"},"PeriodicalIF":2.8,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12049111/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021570","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":"Preliminary Development of a Culturally Adapted Questionnaire on Mental Health Literacy for Chinese Junior High School Students.","authors":"Shen Chen, Wei Wang, Yongxin Li","doi":"10.2147/PRBM.S491534","DOIUrl":"https://doi.org/10.2147/PRBM.S491534","url":null,"abstract":"<p><strong>Purpose: </strong>Mental health literacy is a crucial factor in promoting adolescent mental health. However, existing mental health literacy assessment tools may not fully capture the unique psychological developmental characteristics of Chinese junior high school students. This study developed a culturally adapted measurement tool for assessing mental health literacy among this population.</p><p><strong>Methods: </strong>This study involved three stages: (1) item pool construction using a literature review and expert evaluation procedure (n = 8), (2) item selection through item and exploratory factor analyses of the initial item pool (n = 510), and (3) psychometric indicator evaluation based on reliability and validity analyses.</p><p><strong>Results: </strong>The resulting Mental Health Literacy Questionnaire for Junior High School Students consists of 30 items across three dimensions: knowledge, attitude, and behavioral tendencies. Psychometric analysis demonstrated strong internal consistency (Cronbach's α = 0.93, KR20 = 0.90, McDonald's ω = 0.94, r of test-retest reliability = 0.88) and satisfactory content and construct validity.</p><p><strong>Conclusion: </strong>This culturally relevant and psychometrically sound instrument can be used to accurately assess and intervene in mental health literacy among Chinese junior high school students. The tool's development followed rigorous methodological standards; it can be a valuable resource for researchers and practitioners in the field of adolescent mental health.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"18 ","pages":"1049-1060"},"PeriodicalIF":2.8,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12039836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143991822","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}