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Zeng Z, Liu S, Yang Q, Wang H, He Z, Hu Y. Stress sensitization to psychological adjustment following childhood adversity: Moderation by serotonergic multilocus genetic variation. J Affect Disord 2025; 382:316-324. [PMID: 40274118 DOI: 10.1016/j.jad.2025.04.068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/21/2024] [Revised: 12/01/2024] [Accepted: 04/18/2025] [Indexed: 04/26/2025]
Abstract
BACKGROUND Exposure to adverse childhood experiences may heighten adolescents' sensitivity to stress, which influences their psychological adjustment over their lifetimes. Some research indicates that serotonergic genetic variation moderates how environmental stressors impact psychological adjustment. However, there are recognized limitations in examining gene-environment interactions using only single polymorphisms. METHODS The present study employed a multilocus genetic profile score (MGPS) approach to measure serotonergic genetic variations and examines their interaction with childhood abuse and friendship quality as predictors of the outcomes of psychological adjustment (depressive symptoms and sleep problems) in an adolescent sample (14.15 ± 0.63 years; N = 525). RESULTS Serotonergic genetic factors moderated stress sensitivity induced by adverse childhood experiences. Adolescent psychological adjustment appeared to result from interactions between genetics and the environments. These findings were further supported by rigorous significance testing and sensitivity analyses. CONCLUSION The results highlight the strong utility of using MGPS to investigate gene-environment-environment interactions related to adolescent psychological adjustment.
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Affiliation(s)
- Zihao Zeng
- School of Educational Science, Hunan Normal University, Changsha 410081, China; Department of Clinical Psychology, Vrije Universiteit Amsterdam, Van der Boechorststraat 7, 1081 BT Amsterdam, the Netherlands
| | - Shuangjin Liu
- School of Educational Science, Hunan Normal University, Changsha 410081, China
| | - Qin Yang
- School of Educational Science, Hunan Normal University, Changsha 410081, China
| | - Hongcai Wang
- School of Educational Science, Hunan Normal University, Changsha 410081, China
| | - Zhen He
- School of Educational Science, Hunan Normal University, Changsha 410081, China
| | - Yiqiu Hu
- School of Educational Science, Hunan Normal University, Changsha 410081, China; Research Centre for Mental Health Education of Hunan Province, Changsha 410100, China; Cognition and Human Behavior Key Laboratory of Hunan Province, Changsha 410081, China; Centre for Mind-Brain Science, Hunan Normal University, Changsha 410081, China.
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Tarimo CS, Feng Y, Jia S, Wu X, Zhao W, Zuo Y, Wang Y, Bi Y, Wu J. Quantifying gender differences in the impact of internet addiction on adolescent depression: A causal inference approach. J Affect Disord 2025; 379:793-802. [PMID: 40097112 DOI: 10.1016/j.jad.2025.03.079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/29/2024] [Revised: 03/11/2025] [Accepted: 03/13/2025] [Indexed: 03/19/2025]
Abstract
BACKGROUND The rising prevalence of adolescent depression in China has raised concerns about internet influence. This study identified predictors of internet addiction (IA) and quantified its gender-specific impact on depression. METHOD In April-May 2023, 8176 adolescents from six (6) junior high schools in Henan, China, were randomly sampled. IA and depression were assessed via the 20-item internet addiction test (IAT) and 10-item Center for Epidemiologic Studies Depression (CESD-10) scale, respectively. IA's impact on depression was analyzed using four approaches: IPW (confounder weighting), DML (high-dimensional control), PSM (covariate balancing), and RA (residual adjustment). RESULTS Among the males, 31.8 % reported depression and 17.7 % reported IA while females, 49.4 % reported depression and 21.3 % IA. The mean ages were 14.5 ± 0.94 (males) and 14.4 ± 0.93 (females). DML revealed the overall effect of 0.22 (95 % CI: 0.17-0.23; p < 0.001), higher in males (95 % CI: 0.23, 95 % CI: 0.18-0.31) than females (0.17, 95 % CI: 0.11-0.23). IPW estimated an effect of 0.30 (95 % CI: 0.25-0.34; p < 0.001), also higher in males (0.34, 95 % CI: 0.28-0.39) than females (0.29, 95 % CI: 0.23-0.36). PSM and RA yielded similar results. Predictors of IA included low self-esteem, history of negative life events, poor sleep quality, and one-child family status. CONCLUSION Internet addiction (IA) exacerbates adolescent depression, disproportionately affecting males. Addressing self-esteem, negative life events, poor sleep, and one-child family challenges can mitigate IA's effects. Gender-sensitive interventions, school-based programs, and parental guidance are critical.
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Affiliation(s)
- Clifford Silver Tarimo
- School of Pharmaceutical Science, Zhengzhou University, Ke Xue Da Dao 100, Zhengzhou 450001, Henan, China; Department of Health Management, College of Public Health, Zhengzhou University, Zhengzhou, Henan, China; Department of Science and Laboratory Technology, Dar es Salaam Institute of Technology, P.O. Box 2958, Dar es Salaam, Tanzania
| | - Yifei Feng
- Department of Health Management, College of Public Health, Zhengzhou University, Zhengzhou, Henan, China
| | - Shiyu Jia
- Department of Health Management, College of Public Health, Zhengzhou University, Zhengzhou, Henan, China
| | - Xiaoman Wu
- Department of Health Management, College of Public Health, Zhengzhou University, Zhengzhou, Henan, China
| | - Weijia Zhao
- Department of Health Management, College of Public Health, Zhengzhou University, Zhengzhou, Henan, China
| | - Yibo Zuo
- Department of Health Management, College of Public Health, Zhengzhou University, Zhengzhou, Henan, China
| | - Yuhui Wang
- Henan Academy of Science, No. 228, Chongshili Road, Zhengdong New District, Zhengzhou City, Henan Province, China
| | - Yuefeng Bi
- School of Pharmaceutical Science, Zhengzhou University, Ke Xue Da Dao 100, Zhengzhou 450001, Henan, China
| | - Jian Wu
- Department of Health Management, College of Public Health, Zhengzhou University, Zhengzhou, Henan, China; Henan Province Engineering Research Center of Health Economy & Health Technology Assessment, Zhengzhou 450001, Henan, China; Institute for Hospital Management of Henan Province, No. 1, Longhu Middle Ring Road, Jinshui District, Zhengzhou City, Henan Province, China.
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Linlin W, Wanyu H, Yuting L, Huimin Q, Zhi L, Qinchen J, Tingting W, Fan W, Minghao P, Wei Z. Research on the mechanism of short video information interaction behavior of college students with psychological disorders based on grounded theory. BMC Public Health 2023; 23:2256. [PMID: 37974096 PMCID: PMC10652505 DOI: 10.1186/s12889-023-17211-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2023] [Accepted: 11/11/2023] [Indexed: 11/19/2023] Open
Abstract
BACKGROUND The utilization of short videos by individuals often leads to the emergence of information exchange behavior. Previous studies have shown that certain students with psychological disorders exhibit addictive tendencies towards short video-related software. Therefore, it is essential to address the psychology and behavior of college students with psychological disorders while engaging with short videos. This study aims to explore the mechanism of short video information interaction behavior among college students with psychological disorders. METHODS We conducted semi-structured interviews with 30 college students afflicted by psychological disorders in a prefecture-level city in Henan Province, China from September to December 2022. Based on the Grounded theory, we encoded 30 text materials across three levels to explore the mechanism of short video information interaction behavior among college students with psychological disorders, and subsequently build a model framework. RESULTS The findings of this study suggest that college students with psychological disorders exhibit negative cognition tendencies that can lead to strongly negative emotions, excacerbated by a lack of social support. These adverse factors collectively drive the consumption of short video content in this demographic, providing a virtual environment where they can fulfill their unmet social needs. Therefore, the mechanism governing short video messages interaction among college students with psychological disorders encompasses negative cognitive tendencies, negative emotions, lack of social support, post-video-watching behaviors, and the gratification of social needs within the confines of a virtual environment. CONCLUSIONS This study comprehensively analyzes the motivation and complexity of college students with psychological disorders in short video interaction. Although short videos provide this group with some ways of self-expression and emotional support, they still have a negative impact on their physical and mental health. The short video interaction of college students with psychological disorders is affected by many factors, including their negative cognitive tendencies, negative emotions, lack of social support, post-video-watching behaviors, and the gratification of social needs within the confines of a virtual environment. These findings deepened our understanding to the mechanism of short video information interaction behavior among college students with psychological disorders, also provided us with guidance on facilitating the proper use of short video and maintaining the mental health. In future researches, researchers can discuss more about intervention measures to help this demographic cope with the challenges from short video interaction.
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Affiliation(s)
- Wang Linlin
- Medical College, Xinyang Normal University, 237 Nanhu Road, Xinyang City, 464000, Henan Province, China
| | - Huang Wanyu
- School of Public Health Wuhan University, Wuhan University, 115 Donghu Road, Wuhan City, 430071, Hubei Province, China
| | - Li Yuting
- Hangzhou Wickham International School, Hangzhou City, 311000, Zhejiang Province, China
| | - Qiao Huimin
- Yantai Automobile Engineering Professional College, Yantai City, 265500, Shandong Province, China
| | - Li Zhi
- Xinyang Central Hospital, Xinyang City, 464000, Henan Province, China
| | - Jiang Qinchen
- Medical College, Xinyang Normal University, 237 Nanhu Road, Xinyang City, 464000, Henan Province, China
| | - Wang Tingting
- Zhoukou Normal University, Zhoukou City, 466000, Henan Province, China
| | - Wang Fan
- School of Information Management, Wuhan University, Wuhan City, 430072, Hubei Province, China
| | - Pan Minghao
- Medical College, Xinyang Normal University, 237 Nanhu Road, Xinyang City, 464000, Henan Province, China.
- School of Public Health Wuhan University, Wuhan University, 115 Donghu Road, Wuhan City, 430071, Hubei Province, China.
| | - Zhu Wei
- Medical College, Xinyang Normal University, 237 Nanhu Road, Xinyang City, 464000, Henan Province, China.
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Zeng Z, Peng L, Liu S, Yang Q, Wang H, He Z, Hu Y. Serotonergic multilocus genetic variation moderates the association between interpersonal relationship and adolescent depressive symptoms. J Affect Disord 2023; 340:616-625. [PMID: 37597782 DOI: 10.1016/j.jad.2023.08.085] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/22/2023] [Revised: 08/07/2023] [Accepted: 08/14/2023] [Indexed: 08/21/2023]
Abstract
BACKGROUND Research suggests that genetic variants linked to serotonin functioning moderate the association between environmental stressors and depressive symptoms, but examining gene-environment interactions with single polymorphisms limits power. METHODS A multilocus genetic profile score (MGPS) approach to measuring serotonergic multilocus genetic variation and examined interactions with interpersonal relationship, insomnia with depressive symptoms as outcomes in an adolescent sample (average age = 14.15 ± 0.63 years since first measurement; range: 13 to 15). RESULTS (1) interpersonal relationship predicted adolescent depressive symptoms; (2) insomnia mediated the effect of interpersonal relationships on adolescent depressive symptoms; (3) the THP2 gene rs4570625 polymorphism G allele was a key risk factor for depressive symptom, and the MGPS moderated the effects of teacher-student relationship and insomnia on adolescent depressive symptom. Specifically, as the MGPS increased, the effects of insomnia on adolescent depressive symptom were enhanced; further, when the MGPS score increased, the effect of teacher-student relationship on depression showed a similar phenomenon with an increased slope and enhanced prediction; and (4) the results of sensitivity analysis showed that multilocus genetic interaction with the environment had a better explanatory power and stability for depression than single polymorphism studies. CONCLUSION MGPS provides substantial power to examine gene-environmental interactions linked to affective outcomes among adolescents.
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Affiliation(s)
- Zihao Zeng
- School of Educational Science, Hunan Normal University, Changsha 410081, China; Department of Clinical Psychology, Vrije Universiteit Amsterdam, Van der Boechorststraat 7, 1081 BT Amsterdam, the Netherlands
| | - Liyi Peng
- School of Educational Science, Hunan Normal University, Changsha 410081, China
| | - Shuangjin Liu
- School of Educational Science, Hunan Normal University, Changsha 410081, China
| | - Qin Yang
- School of Educational Science, Hunan Normal University, Changsha 410081, China
| | - Hongcai Wang
- School of Educational Science, Hunan Normal University, Changsha 410081, China
| | - Zhen He
- School of Educational Science, Hunan Normal University, Changsha 410081, China
| | - Yiqiu Hu
- School of Educational Science, Hunan Normal University, Changsha 410081, China; Research Center for Mental Health Education of Hunan Province, Changsha 410100, China; Cognition and Human Behavior Key Laboratory of Hunan Province, Changsha 410081, China; Center for Mind-Brain Science, Hunan Normal University, Changsha 410081, China.
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Karakose T, Yıldırım B, Tülübaş T, Kardas A. A comprehensive review on emerging trends in the dynamic evolution of digital addiction and depression. Front Psychol 2023; 14:1126815. [PMID: 36844332 PMCID: PMC9944096 DOI: 10.3389/fpsyg.2023.1126815] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2022] [Accepted: 01/19/2023] [Indexed: 02/11/2023] Open
Abstract
Introduction Using digital addiction as an umbrella term to cover any type of addictions to digital technologies such as the internet, smartphones, social media, or video games, the current study aimed to reveal the intellectual structure and evolution of research addressing digital addiction-depression relationship. Methods The study combined bibliometric and science mapping analysis methods for this purpose. Data for the study was gathered from Web of Science Core Collection after a comprehensive process of data search/extraction, and 241 articles were included in the final data set. A period-based, comparative science mapping analysis was performed using the SciMAT software. Results The analysis of data over three periods, Period 1 (1983-2016), Period 2 (2017-2019), and Period 3 (2020-2022) showed that internet addiction was the most significant theme across all three periods, which was followed by social media addiction. Depression, which emerged as a significant theme during Period 1, was later covered under anxiety disorder theme. Research interest was mostly on factors related to both addiction and depression such as cognitive distortion, insomnia, loneliness, self-esteem, social support, alexithymia, as well as cybervictimization or academic performance. Discussion The results suggested that much research is warranted on the digital addiction-depression relationship in different age cohorts, especially children and elderly. Similarly, the current analysis showed that this line of research particularly focused on internet, gaming and social media addiction, and evidence with regard to other types of digital addiction or related compulsive behaviors was almost absent. In addition, research was mostly inclined to understanding cause-effect relationships, which is significant, but preventive strategies seemed to be barely addressed. Likewise, the smartphone addiction-depression relationship arguably garnered less research interest, so future research would contribute to the field in this respect.
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Affiliation(s)
- Turgut Karakose
- Department of Education, Kutahya Dumlupınar University, Kutahya, Türkiye,*Correspondence: Turgut Karakose, ✉
| | - Bilal Yıldırım
- Department of Education, Istanbul Sabahattin Zaim University, Istanbul, Türkiye
| | - Tijen Tülübaş
- Department of Education, Kutahya Dumlupınar University, Kutahya, Türkiye
| | - Abdurrahman Kardas
- District Director of National Education, Ministry of National Education, Siirt, Türkiye
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Niu GF, Shi XH, Yao LS, Yang WC, Jin SY, Xu L. Social Exclusion and Depression among undergraduate students: the mediating roles of rejection sensitivity and social self-efficacy. CURRENT PSYCHOLOGY 2022; 42:1-10. [PMID: 35935745 PMCID: PMC9345737 DOI: 10.1007/s12144-022-03318-1] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2022] [Revised: 04/22/2022] [Accepted: 06/05/2022] [Indexed: 12/30/2022]
Abstract
Nowadays, depression has been a prominent mental health problem throughout the world. A common but negative social experience, social exclusion (also known as ostracism) is a great risk factor for individuals' health and adaptation. Undergraduate students are in a development period of challenges and transitions, so they are vulnerable to suffering from depression and negative social experiences. Against this background, the present study aimed to examine the association between social exclusion and undergraduate students' depression as well as the underlying mechanism - the mediating roles of rejection sensitivity and social self-efficacy. Seven hundred sixty-two undergraduate students were recruited to participate in this study, who were asked to complete a set of questionnaires measuring social exclusion, depression, rejection sensitivity, and social self-efficacy. After controlling for gender, social exclusion was positively associated with undergraduate students' depression. And rejection sensitivity and social self-efficacy could significantly mediate this relation through three mediating paths - the separate mediating effects of rejection sensitivity and social self-efficacy, as well as the serial mediating effect of rejection sensitivity and social self-efficacy. These results could not only deepen our understanding of this theme, but also have several practical implications for the intervention of depression, for example, relevant social skill training and cognitive therapy could be adopted to intervene the rejection sensitivity and social self-efficacy.
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Affiliation(s)
- Geng-feng Niu
- School of Psychology, Central China Normal University, 430079 Wuhan, China
- Key Laboratory of Adolescent Cyberpsychology and Behavior (CCNU), Ministry of Education, 430079 Wuhan, China
- Center for Research on Internet Literacy and Behavior, Central China Normal University, 430079 Wuhan, China
- Collaborative Innovation Center of Assessment toward Basic Education Quality, Central China Normal University Branch, 430079 Wuhan, China
| | - Xiao-han Shi
- School of Psychology, Central China Normal University, 430079 Wuhan, China
- Key Laboratory of Adolescent Cyberpsychology and Behavior (CCNU), Ministry of Education, 430079 Wuhan, China
| | - Liang-shuang Yao
- School of Psychology, Central China Normal University, 430079 Wuhan, China
- Key Laboratory of Adolescent Cyberpsychology and Behavior (CCNU), Ministry of Education, 430079 Wuhan, China
| | - Wen-cheng Yang
- School of Psychology, Central China Normal University, 430079 Wuhan, China
- Key Laboratory of Adolescent Cyberpsychology and Behavior (CCNU), Ministry of Education, 430079 Wuhan, China
| | - Si-yu Jin
- School of Psychology, Central China Normal University, 430079 Wuhan, China
- Key Laboratory of Adolescent Cyberpsychology and Behavior (CCNU), Ministry of Education, 430079 Wuhan, China
| | - Lei Xu
- School of Education, Jianghan University, 430056 Wuhan, China
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Mao H, Zhang B, Peng Y, Xiong S. The relationship between negative life events and wechat addiction among chinese college students: the roles of maladaptive cognition toward wechat and rumination. CURRENT PSYCHOLOGY 2022. [DOI: 10.1007/s12144-021-02420-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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