BMC Psychology最新文献

{"title":"Psychometric properties of the Turkish version of the Persevering Hope Scale: A Rasch analysis study.","authors":"Ismail Kusci, Hacer Belen","doi":"10.1186/s40359-026-04712-1","DOIUrl":"https://doi.org/10.1186/s40359-026-04712-1","url":null,"abstract":"<p><strong>Background: </strong>Persevering hope, defined as the ability to maintain motivation when goals seem unattainable, represents a crucial psychological resource for mental health. This study aimed to examine the psychometric properties of the Turkish version of the Persevering Hope Scale (PHS) primarily using Rasch analysis, supplemented by classical test theory indices including internal consistency reliability.</p><p><strong>Method: </strong>The study included 634 university students (72.9% female; Mage = 22.51 ± 4.08). Rasch analysis was employed to assess unidimensionality, item fit, and differential item functioning (DIF). Criterion-related validity was evaluated through correlations with the Adult Hope Scale, and convergent validity was examined using measures of theoretically related constructs and psychological health outcomes.</p><p><strong>Results: </strong>Rasch analysis indicated that all items demonstrated good fit (infit/outfit MNSQ = 0.71-1.17), with no evidence of differential item functioning (DIF) across gender. Furthermore, the results supported the unidimensional structure of the PHS (explained variance = 67.1%). The scale showed strong criterion-related validity (rs = 0.41-0.56, p < 0.001). Convergent validity was supported by significant correlations with flourishing (r = 0.45, p < 0.001) and psychological health outcomes.</p><p><strong>Conclusions: </strong>The Turkish version of the PHS demonstrates robust psychometric properties with strong evidence of reliability, construct validity, and measurement invariance across genders. These findings support its use as a culturally valid instrument for assessing persevering hope in Turkish populations.</p>","PeriodicalId":37867,"journal":{"name":"BMC Psychology","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A closer look at the role of teacher emotional support, L2 grit, and burnout in foreign language achievement.","authors":"Tingting Xie, Meihua Chen","doi":"10.1186/s40359-026-04734-9","DOIUrl":"https://doi.org/10.1186/s40359-026-04734-9","url":null,"abstract":"<p><strong>Background: </strong>Acquiring a foreign language (FL) is an enduring and challenging process which can be facilitated by a supportive learning environment, positive individual traits, and emotional well-being. To gain insights into how these factors shape FL learning, the study sought to explore the intricate interplay among environmental factors (i.e., teacher emotional support), personal traits (i.e., L2 grit), emotional well-being (i.e., foreign language learning burnout), and FL achievement.</p><p><strong>Method: </strong>We conducted a cross-sectional survey and recruited 1060 postgraduate EFL (English as a Foreign Language) learners using convenience sampling. Participants completed an online survey composed of scales measuring perceived teacher emotional support, L2 grit, and foreign language learning burnout. Their final course scores were used to assess FL achievement. Confirmatory factor analysis (CFA) was conducted to examine the construct validity of the measures. Structural equation modelling (SEM) was performed to test the hypothesized relationships among the variables.</p><p><strong>Results: </strong>SEM results indicated that both teacher emotional support and L2 grit significantly predicted FL achievement, but only indirectly through FL learning burnout. In comparison of their predictive effects, consistency of interest (one facet of L2 grit) showed the largest effect on FL burnout and achievement, followed by perseverance of effort (the other L2 grit facet), with teacher emotional support demonstrating the smallest effect. Moreover, the mediation analysis revealed that only two burnout components (i.e., emotional exhaustion and reduced efficacy) showed significant mediating effects, with reduced efficacy emerging as the stronger mediator, while cynicism was not a significant mediator.</p><p><strong>Conclusion: </strong>The findings highlight the importance of teacher emotional support and L2 grit, especially consistency of interest, in alleviating FL learning burnout and improving FL achievement. Based on these findings, suggestions and implications for future studies are presented.</p>","PeriodicalId":37867,"journal":{"name":"BMC Psychology","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The relationship between aging anxiety, job stress and psychological resilience in oncology nurses: a cross-sectional study.","authors":"Nilüfer Eroğlu, Nilgün Kuru Alici","doi":"10.1186/s40359-026-04716-x","DOIUrl":"https://doi.org/10.1186/s40359-026-04716-x","url":null,"abstract":"<p><strong>Background: </strong>Cancer is one of the leading causes of death worldwide. Oncology nurses play an essential role in the care of oncology patients. Providing care for cancer patients and managing complex treatment processes can be challenging for oncology nurses. The psychological effects of caring for cancer patients and facing their illness and death are often overlooked. The relationships between aging anxiety, job stress, and psychological resilience remain unclear. The aim of this study was to determine the relationship between aging anxiety, job stress, and psychological resilience in oncology nurses.</p><p><strong>Methods: </strong>This cross-sectional, correlational and descriptive study was conducted with 220 nurses working in an oncology hospital from December 2023 to February 2024. The Personal Information Form, Relational Aging Anxiety Scale (RASS), Nurse Stress Scale (NSS), and Resilience Scale for Nurses (RSN) were used to collect the data. Descriptive analyses, correlation analysis, and Structural Equation Modeling (SEM) were performed.</p><p><strong>Results: </strong>Correlation analyses revealed a statistically significant low positive correlation between the relational aging anxiety subscale and NSS scores (r = 0.240, p < 0.05), and a low negative correlation with RSN scores (r = - 0.182, p < 0.05). SEM indicated that RAAS scores were a significant negative predictor of RSN scores (β = -0.214, p < 0.05) and a significant positive predictor of NSS scores (β = 0.608, p < 0.05). No significant direct effect between RSN and NSS scores (β = -0.007, p > 0.05).</p><p><strong>Conclusions: </strong>These findings suggest that higher aging anxiety among nurses is associated with greater stress and lower psychological resilience, highlighting the need for comprehensive training programs to reduce aging anxiety and job stress, and to enhance psychological resilience among oncology nurses. Interventions focusing on stress management, emotional regulation, and self-care are recommended. Experimental studies to evaluate the effectiveness of these interventions are encouraged.</p>","PeriodicalId":37867,"journal":{"name":"BMC Psychology","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding compassion fatigue among child and adolescent psychotherapists: insights from a thematic analysis.","authors":"Alireza Sabetifara, Zahra Alsadat Haji Seyed Taghiya Taghavi","doi":"10.1186/s40359-026-04718-9","DOIUrl":"https://doi.org/10.1186/s40359-026-04718-9","url":null,"abstract":"<p><strong>Background: </strong>Compassion fatigue is a critical professional challenge for child and adolescent psychotherapists. It stems from prolonged exposure to clients' trauma and emotional suffering, resulting in the depletion of emotional and empathic resources.</p><p><strong>Methods: </strong>This qualitative study adopted a phenomenological approach and used thematic analysis to examine data collected through semi-structured interviews.</p><p><strong>Results: </strong>Participants described compassion fatigue as a gradual erosion of empathy and vitality that extends beyond emotional exhaustion to impair their ethical and relational capacities.</p><p><strong>Conclusion: </strong>The findings underscore the necessity of systemic and culturally sensitive supports, such as clinical supervision, balanced workloads, and organizational awareness, to protect therapists' emotional well-being and maintain compassionate engagement in psychotherapy.</p>","PeriodicalId":37867,"journal":{"name":"BMC Psychology","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147856541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Contextual stressors and multidimensional mental health among university students during the COVID-19 period: a construct-level network analysis.","authors":"Zhenti Cui, Shujuan Wu, Haoyang Ma, Yi Zhang, Xiaoxiao Lin, Xiaojie Hou, Yuan Ren, Yaru Feng, Yingdong Cao","doi":"10.1186/s40359-026-04721-0","DOIUrl":"https://doi.org/10.1186/s40359-026-04721-0","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Mental health problems among university students predated COVID-19, but pandemic-period conditions coincided with changes in how academic, relational, behavioral, and internalizing difficulties co-occurred. Prior studies often modeled single outcomes or symptom clusters separately. This secondary analysis used a construct-level network to describe conditional associations among contextual stressors, adaptive-functioning indicators, and multidimensional mental health indicators in one archived student dataset.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;We analyzed cross-sectional survey data from 10,745 students collected January 13-March 26, 2021. Fourteen nodes were included: media time, online adaptation, learning efficiency, family conflict, friendship change, epidemic attitude, epidemic attention, exercise, perceived stress, anxiety, depression, sleep problems, loneliness, and resilience. After correcting exercise-frequency coding and anxiety-score derivation errors, we estimated an EBICglasso-regularized partial-correlation network using Spearman correlations. Expected influence, bridge expected influence, and nodewise R2 were interpreted as descriptive, model-dependent indices. We examined edge accuracy, centrality stability, bridge stability, edge-weight differences, data-quality exclusions, alternative estimators, community definitions, and counterintuitive partial edges.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The fitted network retained 53 of 91 possible edges (density = 0.582). In this specification, depression, perceived stress, and anxiety had the highest expected-influence values (1.428, 1.064, and 0.782). The strongest absolute partial-correlation edges linked sleep problems with depression (0.736), depression with anxiety (0.668), anxiety with perceived stress (0.459), and sleep problems with anxiety (-0.423). Under the prespecified two-community partition, bridge expected influence was largest for perceived stress (0.461), loneliness (0.343), family conflict (0.233), epidemic attitude (0.184), and learning efficiency (0.126). Expected influence and bridge expected influence showed high case-dropping stability within this analytic specification (CS = 0.75). Data-quality exclusions and an ordinal/mixed-correlation EBICglasso model yielded estimates very similar to the primary network, whereas an unsigned-weight mixed graphical model yielded different centrality rankings.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;The findings describe a construct-level snapshot of conditional associations among students from one institutional context during a specific COVID-19 period. Perceived stress showed the highest and most stable bridge expected-influence value across the tested community specifications, while other bridge rankings and centrality values were specification-dependent. The results are hypothesis-generating, not evidence of causal pathways, intervention targets, or population-representative student mental health structure.&lt;","PeriodicalId":37867,"journal":{"name":"BMC Psychology","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quality of life between schizophrenia patients and family caregivers in Northern China: an actor-partner interdependence mediation model of stigma and social support.","authors":"Honglei Yang, Kang Xie, Zhenyue Liu, Xinyi Ge, Qunshan Wang, Xianyun Li, Botao Ma","doi":"10.1186/s40359-026-04668-2","DOIUrl":"https://doi.org/10.1186/s40359-026-04668-2","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Schizophrenia poses significant challenges to the lives of individuals and to society. However, limited research has explored the relationship between stigma and quality of life in both patients with schizophrenia and their family caregivers. Furthermore, the potential mediating role of social support in the association between stigma and quality of life remains underexplored in this dyadic context. Therefore, this study aimed to analyze the mediating effect of social support on the relationship between stigma and quality of life in patients with schizophrenia and their family caregivers, using the actor-partner interdependence mediation model (APIMeM).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A total of 284 pairs of patients with schizophrenia and their family caregivers were recruited for this study. The Internalized Stigma of Mental Illness (ISMI) scale and the Affiliate Stigma Scale (ASS) were used to measure stigma in patients and their caregivers, respectively. Social support and quality of life were assessed using the Social Support Rating Scale (SSRS) and the World Health Organization Quality of Life-BREF (WHOQOL-BREF) scale. An actor-partner interdependence mediation model (APIMeM) was constructed to examine the actor and partner effects of stigma on quality of life, as well as the mediating role of social support.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;In terms of actor effects, patients' (β=-0.385, p &lt; 0.001)and family caregivers' (β=-0.471, p &lt; 0.001) stigma significantly affected their own quality of life.For the partner effects, patient's stigma significantly affected family caregiver's quality of life (β=-0.124, p = 0.002) and family caregiver's stigma significantly affected patient's quality of life (β=-0.125, p = 0.004). In the mediation model: patients' stigma affected their own and family caregivers' quality of life through their own social support (β=-0.092, p = 0.026; β=-0.017, p = 0.026); family caregivers' stigma affected their own quality of life through their own and patients' social support (β=-0.250, p &lt; 0.001; β=-0.044, p = 0.028); family caregiver's stigma affects patient's quality of life through self and patient's social support ( β=-0.056, p = 0.024; β=-0.234, p &lt; 0.001).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Stigma significantly affected the quality of life of patients with schizophrenia and their family caregivers, with significant actor-partner effects between patients and family caregivers. In mediation analyses, patients' stigma was indirectly associated with the QoL of both themselves and their caregivers through its association with their own social support, whereas caregivers' stigma was indirectly associated with the QoL of both parties through its association with their own and the patients' social support. Therefore, in future research on interventions to improve the quality of life of patients with schizophrenia and family caregivers, it is important to consider not only the role of one's ","PeriodicalId":37867,"journal":{"name":"BMC Psychology","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"School climate as a mediator between job satisfaction and career sustainability among native language teachers in rural Türkiye.","authors":"Tuğrul Gökmen Şahin","doi":"10.1186/s40359-026-04676-2","DOIUrl":"https://doi.org/10.1186/s40359-026-04676-2","url":null,"abstract":"<p><p>This study investigates the relationships among job satisfaction, school climate, and career sustainability among native language teachers working in rural regions of Türkiye, with a particular focus on the mediating role of school climate. Designed within a correlational research framework, the study aims to address a gap in the literature regarding factors influencing teachers' long-term professional continuity in rural educational settings. Data were collected from 313 teachers using the Career Sustainability Scale, the Job Satisfaction Short Index, and the School Climate Scale, and analyzed through structural equation modeling. The validity and reliability of the measurement instruments were confirmed via confirmatory factor analysis. Findings indicate a strong and significant positive association between job satisfaction and career sustainability, underscoring the central role of job satisfaction in supporting teachers' long-term engagement in rural contexts. Job satisfaction was also positively related to perceptions of school climate. However, no significant relationship emerged between school climate and career sustainability. Mediation analysis further revealed that school climate does not significantly mediate the link between job satisfaction and career sustainability. Overall, the results suggest that teachers' career sustainability in rural settings is shaped predominantly by job satisfaction, individual efficacy perceptions, and structural conditions rather than by school climate.</p>","PeriodicalId":37867,"journal":{"name":"BMC Psychology","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How social influence and innovativeness shape technology perceptions and usage intentions: a TAM extension.","authors":"Muhammad Asif, Zhen Shao, Muhammad Naeem Sharif, Tianhui Gao","doi":"10.1186/s40359-025-03845-z","DOIUrl":"https://doi.org/10.1186/s40359-025-03845-z","url":null,"abstract":"<p><p>This study examines the factors influencing the adoption of mobile banking applications (MBAs) in Pakistan's banking sector, using an extended Technology Acceptance Model (TAM). Extending TAM is important here because it helps account for the unique socio-cultural and personality factors that greatly impact technology adoption in developing countries like Pakistan. We specifically investigate the mediating roles of perceived usefulness (PU) and perceived ease of use (PEU) in the relationships between consumer susceptibility to interpersonal influence (CSII) and MBAs usage. Additionally, we explore the moderating effect of Personal Innovativeness (PI) within our model. Data was collected through an online survey of 268 Pakistani banking customers with prior mobile banking experience. Our analysis was performed using Smart PLS 4. The findings reveal that CSII significantly influences both PU and PEU. Furthermore, PU and PEU are key predictors of behavioural intention to use (BIU) mobile banking apps. The study also confirms that PU and PEU play mediating roles between CSII and MBAs adoption. Notably, PI moderates the relationship between CSII and PEU, indicating that individuals with higher innovativeness perceive MBAs as easier to use when influenced by their social circles. However, PI does not impact the relationships between CSII-PU and CSII-MBAs. These insights are particularly valuable for banks and financial institutions in Pakistan, enabling them to develop targeted strategies that promote mobile banking adoption by focusing on social impact, consumer perceptions, and personal innovation. The observation also extends the present TAM literature by confirming its applicability in a developing country context and highlighting the importance of individuals' innovativeness.</p>","PeriodicalId":37867,"journal":{"name":"BMC Psychology","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determinants of environmentally related physical activity in adolescents: integration of self-determination and planned behavior theories.","authors":"Yannis Theodorakis, Charalampos Krommidas, Aristea Karamitrou, Aikaterini Violatzi, Maria Angeli, Evangelos Galanis, Mary Hassandra, Nikos Comoutos","doi":"10.1186/s40359-026-04694-0","DOIUrl":"https://doi.org/10.1186/s40359-026-04694-0","url":null,"abstract":"<p><strong>Background/objective: </strong>Eco-friendly behaviors (EFB) represent an important domain at the intersection of health, quality of life, and environmental sustainability. The present study focuses on two related subdomains: PA-related energy-saving behaviors (PA-RESB) and energy-saving behaviors (ESB). More specifically, this study tested an integrated Self-Determination Theory (SDT) and Theory of Planned Behavior (TPB) model to identify the psychological determinants of PA-RESB and ESB among adolescents.</p><p><strong>Methods: </strong>A cross-sectional sample of 391 Greek adolescents (12-15 years) completed measures of basic psychological need satisfaction (autonomy, competence, relatedness), TPB constructs (attitudes, subjective norms, perceived behavioral control, intentions), and PA-RESB and ESB. Two structural equation models were tested (one for each outcome).</p><p><strong>Results: </strong>In both models, competence had the strongest association with TPB constructs, showing positive associations with attitudes, subjective norms, and perceived behavioral control. Across models, perceived behavioral control and attitudes significantly predicted intention, and intention significantly predicted PA-RESB and ESB. The direct perceived behavioral control→behavior paths were not significant.</p><p><strong>Conclusion: </strong>Integrating SDT and TPB helps explain adolescents' eco-friendly behaviors in both physically active and household energy-saving domains. Interventions that strengthen perceived competence and perceived behavioral control may support stronger intentions and greater engagement in PA-RESB and the ESB.</p>","PeriodicalId":37867,"journal":{"name":"BMC Psychology","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A network analysis of depressive symptoms on childhood trauma and the relationship with non-suicidal self-injury among hearing and hard-of-hearing adolescents.","authors":"Zhen He, Yanyun Yuan, Yiqiu Hu, Ying Cao, Yueyue Meng, Zihao Zeng","doi":"10.1186/s40359-026-04689-x","DOIUrl":"https://doi.org/10.1186/s40359-026-04689-x","url":null,"abstract":"<p><strong>Background: </strong>Childhood trauma exerts lasting negative effects on mental health, with hard-of-hearing adolescents particularly vulnerable compared to their hearing peers. Yet we still know little about the relationship between childhood trauma, non-suicidal self-injury (NSSI) and depressive symptoms in this population, especially at symptoms level.</p><p><strong>Methods: </strong>In this study, a total of 2,008 Chinese students (hearing = 1,386; hard-of-hearing = 622) completed self-report questionnaires assessing childhood trauma, depressive symptoms and NSSI. Mediation analysis tested the indirect effect of depressive symptoms. Network analysis identified central and bridge symptoms, and directed acyclic graphs (DAGs) were used to explore potential directional pathways between symptoms.</p><p><strong>Results: </strong>Depressive symptoms mediated the trauma-NSSI association, with a stronger effect among hard-of-hearing adolescents; For hearing adolescents, emotional abuse- and neglect-related items were central symptoms in trauma-depressive-NSSI network, whereas only an emotional neglect-related item was central for hard-of-hearing adolescents; DAGs further supported a pathway from trauma to depression to NSSI, pinpointing key symptoms driving this progression.</p><p><strong>Conclusions: </strong>Overall, this study underscores that trauma-depression-NSSI pathways vary across population at both construct and symptom levels, highlighting the importance of early identification and interventions targeting depressive symptoms to help prevent and relieve NSSI risk in trauma-exposed adolescents.</p>","PeriodicalId":37867,"journal":{"name":"BMC Psychology","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}