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AimSleep disturbance was closely associated with an increased risk of psychotic-like experiences (PLEs). This study aims to explore the association between sleep disturbance and PLEs among urban adolescents with and without parental migration.MethodsA total of 67, 532 urban Chinese adolescents were recruited in a large web-based survey during April 21st to May 12th, 2021. In our study, sleep disturbance, PLEs, family function, school climate, and a series of socio-demographic were assessed. And hierarchical logistic regression analyses were performed to examine influential factors associated with PLEs.ResultsUrban left-behind children (LBC) had a higher prevalence of sleep disturbance and PLEs than non-LBC. After controlling for confounders, parental migration was associated to PLEs with weak significance (OR = 1.19). Meanwhile, sleep disturbance was found to be a robust risk factor for PLEs (OR = 3.84 and 4.09), with or without the effect of parental migration. In addition, better family function and school climate has significant association with decreased risk of PLEs.ConclusionAdolescents with sleep disturbance are more likely to report PLEs. Adolescents' PLEs preventive strategies could focus on reducing sleep disturbance related symptoms as well as improving family function and school climate.

Background Medication adherence is a common issue influenced by various factors among patients with severe mental disorders worldwide. However, most literature to date has been primarily quantitative and has focused on medication adherence issue from the perspective of patients or their caregivers. Moreover, research focused on medication adherence issue in China is scarce. Present study aims to explore the influential factors of medication adherence among patients with severe mental disorders form the perspective of mental health professionals in Hunan Province, China. Methods A qualitative study was performed in Hunan Province, China with 31 mental health professionals recruited from October to November 2017. And semi-structured interviews or focus group interviews were conducted along with audio recordings of all interviews. Interview transcripts were then coded and analyzed in Nvivo software with standard qualitative approaches. Results Three major themes influencing medication adherence among patients with severe mental disorders were identified as: (1) attitudes towards mental disorder/treatment; (2) inadequate aftercare; (3) resource shortages. Conclusions This qualitative study identified the factors influencing medication adherence among patients with severe mental disorders in China. As a locally driven research study, it provides practical advice on medication adherence promotion for mental health workers and suggests culturally tailored models that improve the management of patients with severe mental disorders in order to reduce economic burden on individual and societal level.

AimTo examine the cross-sectional and longitudinal associations between self-reported sleep disturbances, posttraumatic stress disorder (PTSD) and depression in a large cohort of Chinese adolescents experiencing the COVID-19 pandemic.MethodsParticipants were 67905 Chinese college students in the two-wave longitudinal web-based survey during early COVID-19 outbreak (Time1, T1: Feb 3rd to 10th, 2020) and initial remission period (Time2, T2: March 24th to April 3rd, 2020). The Youth Self Rating Insomnia Scale (YSIS), 6-Item Impact of Event Scale (IES-6), and 9-Item Patient Heath Questionnaire (PHQ-9) were used to assess adolescents' sleep, PTSD, and depressive symptoms, respectively, at T1 and T2.ResultsSelf-reported PTSD and depression prevalence at T1 were 34.6% and 21.6% respectively. While depressive symptoms worsened as the lockdown time increased, while PTSD symptoms decreased. After adjusting for confounding factors, sleep disturbance and sleep deprivation at T1 were significantly associated with increased PTSD and depressive symptoms at T2. Furthermore, sleep disturbance and sleep deprivation also predicted the new onset and persistence of PTSD and depression.ConclusionSleep disturbance predicts the development and persistence of PTSD and depression. Early assessment and treatment of sleep disturbance may be an important strategy for prevention and intervention of PTSD and depression in adolescents after experiencing the special public health emergency.

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Introduction Adolescents are susceptible to exhibiting internalizing and externalizing symptoms following natural disasters. However, little is known regarding factors that may influence these symptoms from the perspective of positive psychology. The current study examined whether and how social support and resilience mediated the association between gratitude and adolescents' internalizing and externalizing symptoms. Method The participants were 765 Chinese adolescents exposed to the Wenchuan earthquake (41.8% male, mean age 17.46 years), who were enrolled in a three‐wave longitudinal study with data spanning 1 year. All adolescents completed self‐report questionnaires on gratitude at 18 months postearthquake (T18m), social support and resilience at 24 months (T24m), and internalizing and externalizing symptoms at 18 months (T18m) and 30 months (T30m). Results The results showed that social support (T24m) and resilience (T24m) serially mediate the relationship between gratitude (T18m) and internalizing (β = −.003, 95% confidence interval [CI]= −0.006, −0.001) or externalizing (T30m) symptoms (β = −.004, 95% CI= −0.004, −0.001). Social support (T24m) acts as a mediator only between gratitude (T18m) and internalizing symptoms (T30m) (β = −.021, 95% CI = −0.044, −0.004), while not being a significant predictor for externalizing symptoms (T30m). Conclusion By highlighting the mechanisms by which gratitude longitudinally attenuates adolescents' internalizing, externalizing, and total symptoms, our findings may provide clinical practitioners with important information regarding intervention design.

BackgroundPeople with prior experience of severe trauma may be particularly vulnerable in the face of the COVID-19 pandemic. However, little is known about mental health problems among prior trauma survivors during the pandemic outbreak.MethodsA total of 362 Wenchuan earthquake survivors were assessed using Patient Health Questionnaire, Generalized Anxiety Disorder Scale, as well as Multidimensional Scale of Perceived Social Support, as part of an online survey between February 3 and 10, 2020.ResultsOur results showed that 6.6 and 4.7% of the participants experienced depression and anxiety during the COVID-19 outbreak, respectively. Perceived social support was negatively associated with depressive and anxiety symptoms. Earthquake exposure has no direct effect on current depressive and anxiety symptoms, but it would moderate the direct relationship between perceived social support and psychological symptoms.ConclusionsOur findings suggested that trauma exposure may lead to salutogenic outcomes. The protective effect of perceived social support on psychological symptoms was greater in people with a higher level of trauma exposure than in a lower one.