Childhood trauma and psychological sub-health among Chinese adolescents: the mediating effect of Internet addiction

Yang, Meng; Sheng, Xuanlian; Ge, Menglin; Zhang, Ling; Huang, Cui; Cui, Shu; Yuan, Qiuyu; Ye, Mengting; Zhou, Ruochen; Cao, Panpan; Peng, Ran; Zhou, Xiaoqin; Zhang, Kai

doi:10.1186/s12888-022-04384-2

Cited by 14 publications

(11 citation statements)

References 72 publications

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“…Childhood trauma(CT) is a global concern; a large number of cross-sectional survey studies found that one-third to one-half of the studied population had experienced CT [ 1 – 4 ], and the same results were also found in many cohort studies [ 5 – 10 ]. Studies have found that CT could impact the physical and mental health of people throughout their life [ 8 , 9 ].…”

Section: Introductionmentioning

confidence: 79%

The bridge symptoms of childhood trauma, sleep disorder and depressive symptoms: a network analysis

Guo

Zhao

Chen

et al. 2023

Child Adolesc Psychiatry Ment Health

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Background This study aimed to elucidate the characteristics of symptom network of childhood trauma (CT) and sleep disorder (SD) in Chinese adolescents, with the influence of depressive symptoms taken into account. Method A total of 1301 adolescent students were included, and their CT, SD and depressive symptoms were measured using the Pittsburgh sleep quality index (PSQI), the Childhood Trauma Questionnaire-Short Form (CTQ-SF), and The Patient Health Questionnaire-9 (PHQ-9), respectively. Central symptoms and bridge symptoms were identified based on centrality indices and bridge centrality indices, respectively. Network stability was examined using the case-dropping procedure. Results In CT and SD symptom network, emotional abuse and sleep quality symptoms had the highest centrality values, and two bridge symptoms, i.e., emotional abuse and sleep disturbance symptoms, were also identified. In symptom network for CT, SD, and depressive symptoms, sleeping difficulty symptoms, daily dysfunction symptoms, and emotional abuse appeared to be potential bridge symptoms. In symptom network of CT, SD, and depressive symptoms (excluding the symptom of sleeping difficulty), daily dysfunction symptoms, emotional abuse, and sleep disturbance symptoms appeared to be bridge symptoms. Conclusions In this study, emotional abuse and poor sleep quality were found to be central symptoms in the CT-SD network structure among Chinese adolescent students, with daytime dysfunction as the bridge symptom in the CT-SD-depression network structure. Systemic multi-level interventions targeting the central symptoms and bridge symptoms may be effective in alleviating the co-occurrence of CT, SD and depression in this population.

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Section: Introductionmentioning

confidence: 79%

The bridge symptoms of childhood trauma, sleep disorder and depressive symptoms: a network analysis

Guo

Zhao

Chen

et al. 2023

Child Adolesc Psychiatry Ment Health

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“…This may be because adolescents who experience adverse childhood experiences tend to feel less family warmth, have lower self-esteem, have lower self-worth and are more likely to develop addiction problems ( Jhone et al., 2021 ; Hu, 2020 ; Cao et al., 2021 ). Specifically, adverse environments can lead to increased negative emotions, cognitive biases, and reduced social relationships among adolescents, and adolescents are at high risk for emotional regulation disorders ( Yang et al., 2022 ; Xiang et al, 2023 ; Geng et al., 2022 ). Adolescents overuse the internet to satisfy the need to be loved and connected and use the virtual world to cope with isolation and obtain social support, thus self-medicating negative emotions and ultimately leading to the emergence of internet addiction behaviours ( Dong et al., 2021 ; Ma, Huang, & Ma, 2020a , b ).…”

Section: Discussionmentioning

confidence: 99%

The relationship between childhood trauma and internet addiction in adolescents: A meta-analysis

Tang,

Li,

Dong

et al. 2024

JBA

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ObjectiveMany studies have explored the relationship between childhood trauma and internet addiction from different theoretical perspectives; however, the results have been inconsistent. The purpose of this meta-analysis was to examine the relationship between childhood trauma and internet addiction.MethodsThe PubMed, Web of Science, Embase, CNKI, Wanfang and VIP electronic databases were searched to identify studies examining the correlation between childhood trauma and adolescent internet addiction. The databases were searched from inception to December 31, 2022. Two researchers independently screened the literature, extracted the data, and evaluated the risk of bias of the included studies. Then, Stata 17.0 software was used to perform meta-analysis.ResultsThis study was registered on PROSPERO (CRD42023388699). A total of 19 studies involving 21,398 adolescents were included in this meta-analysis. The random effects model was used for pooled analysis, and the results revealed a strong positive association between childhood trauma and internet addiction (r = 0.395, 95% CI [0.345, 0.442]). The relationship between childhood trauma and internet addiction was moderated by sample size, survey area, and internet addiction measurement tools. There were significant differences between the associations based on the various child trauma measurement tools and study quality scores. However, interstudy heterogeneity was not significantly affected by study year, sample source, or participant age.ConclusionInternet addiction is positively correlated with childhood trauma. Therefore, it is extremely important for parents to provide a good growth environment during childhood to enhance the physical and mental development of adolescents. A warm family atmosphere helps individuals develop a healthy personality, thereby reducing or preventing the occurrence of internet addiction. Due to the limited number and low quality of the included studies, the above conclusions need to be verified by additional high-quality studies.

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“…In this study, self-reported psychological symptoms were screened using the multidimensional sub-health questionnaire of adolescents (MSQA), which was developed by Prof. Fangbiao Tao’s team for Chinese adolescents ( Xu et al, 2020 ; Yang et al, 2022 ). This scale has been used in several studies and has good reliability in evaluating Chinese adolescents’ psychological symptoms ( Xu et al, 2019 ; Lu et al, 2022b ).…”

Section: Methodsmentioning

confidence: 99%

Association between sugar-sweetened beverages and duration of physical exercise with psychological symptoms among Tibetan university students at high altitude

Song,

Su,

et al. 2024

Front. Psychol.

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BackgroundSugar-sweetened beverages (SSBs) and duration of physical exercise are strongly associated with physical health. Unfortunately, there are few studies focused on the association with psychological symptoms, let alone Tibetan university students at high altitudes in China.MethodsA stratified cluster sampling method was used to include 8,268 Tibetan university students aged 19–22 years in Qinghai and Tibet, both of which are high-altitude regions of China. Self-assessment questionnaires on SSBs, duration of physical exercise, and psychological symptoms were administered. The chi-square test and logistic regression analysis were used to analyze the associations among them.ResultsThe detection rate of psychological symptoms among Tibetan university students in high-altitude areas of China was 16.7%, with in girls (18.2%) higher than that in boys (14.8%), and the difference was statistically significant (χ2 = 11.73, p < 0.01). The proportion of SSBs for university students ≤1 time/week, 2–5 times/week, and ≥ 6 times/week were 54.2, 24.3, and 21.5%, respectively. The proportion of duration of physical exercise for >60 min/d was only 5.4%. Logistic regression analysis showed that compared with the SSBs ≤1 time/week group of university students, SSBs 2–5 times/week (OR = 1.45, 95% CI: 1.24–1.70) and ≥ 6 times/week (OR = 3.06, 95% CI: 2.62–3.57) had an increased risk of psychological symptoms (p < 0.001). In the reference group, the risk of psychological symptoms was also significantly increased in the group of university students with duration of physical exercise >60 min/d (OR = 2.08, 95% CI: 1.48–2.93), and the risk of psychological symptoms was also significantly increased in the group with duration of physical exercise <30 min/d (OR = 2.08, 95% CI: 1.48–2.93). The risk of psychological symptoms was also significantly increased in the university students with the duration of physical exercise <30 min/d (OR = 2.08, 95% CI: 1.48 ~ 2.93) group.ConclusionSSBs and exercise time may be important influences on the psychological symptoms of Tibetan university students at high altitudes in China. This study has important implications for mental health planning in universities in highland areas and may also provide guidance for mental health interventions for Tibetan university students.

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Childhood trauma and psychological sub-health among Chinese adolescents: the mediating effect of Internet addiction

Cited by 14 publications

References 72 publications

The bridge symptoms of childhood trauma, sleep disorder and depressive symptoms: a network analysis

The bridge symptoms of childhood trauma, sleep disorder and depressive symptoms: a network analysis

The relationship between childhood trauma and internet addiction in adolescents: A meta-analysis

Association between sugar-sweetened beverages and duration of physical exercise with psychological symptoms among Tibetan university students at high altitude

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