1
|
Luo S, Luo B, Wei Z, Liao X. Chain mediation of rumination and anxiety state between mindfulness and depressed mood in infertile women. Sci Rep 2025; 15:14199. [PMID: 40269241 PMCID: PMC12019556 DOI: 10.1038/s41598-025-99147-w] [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: 08/13/2024] [Accepted: 04/17/2025] [Indexed: 04/25/2025] Open
Abstract
The study aims to explore the relationship between mindfulness, rumination thinking, anxiety state, and depressed mood, and the chain mediating roles of rumination thinking and anxiety state in explaining how mindfulness influences depressed mood in infertile women. This cross-sectional study included 946 women with infertility from a maternal and child hospital in western China through convenience sampling. Five Facet Mindfulness Questionnaire (FFMQ), Rumination Response Scale (RRS), Self-rating Anxiety Scale (SAS), and Self-rating Depression Scale (SDS) were measured as outcome indicators. SPSS PROCESS macro program was used to test for chained mediating effects and the significance using the Bootstrap method. The total effect of mindfulness on depressed mood was -0.390 with the direct path effect of -0.170. The total indirect path effect was -0.220, which accounted for 56.4% of the total effect, and that the chain mediated path (FFMQ→RRS→SAS→SDS) effect was significant with a mediation effect value of -0.075. Mindfulness can not only directly affect infertile women's depressed mood, but also indirectly affect that through the chain-mediated effects of rumination thinking and anxiety state.
Collapse
Affiliation(s)
- Shiqi Luo
- Department of Nursing, West China Second University Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, China
- Key Laboratory of Birth Defects and Related Diseases of Women and Children, Sichuan University, Ministry of Education, Chengdu, China
| | - Biru Luo
- Department of Nursing, West China Second University Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, China
- Key Laboratory of Birth Defects and Related Diseases of Women and Children, Sichuan University, Ministry of Education, Chengdu, China
| | - Zihang Wei
- Department of Nursing, West China Second University Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, China
| | - Xin Liao
- Department of Operating Room Nursing, West China Second University Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, China.
- Key Laboratory of Birth Defects and Related Diseases of Women and Children, Sichuan University, Ministry of Education, Chengdu, China.
| |
Collapse
|
2
|
Zamir-Sela Y, Gilboa Z, Shay S, Darwish S, Maimon-Alimi M, Arbel R. Daily Interplay of Positive and Negative Events with Adolescents' Daily Well-Being: Multilevel Person-Centered and Variable-Centered Approaches. J Adolesc 2025. [PMID: 39902601 DOI: 10.1002/jad.12468] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2024] [Revised: 10/12/2024] [Accepted: 01/07/2025] [Indexed: 02/05/2025]
Abstract
INTRODUCTION This study examined associations between adolescents' daily negative and positive events and their coping efficacy, an understudied topic but pivotal to adolescent thriving. METHODS The sample included 153 parent-adolescent triads; adolescents' mean age, 15.71 years (SD = 1.53), 51% girls. Parents were in their midlife (Mage mother = 47.82, SD = 4.90; Mage father = 50.39, SD = 5.80). The study used a daily diary methodology to test within-person links to establish a temporal order of effects. Over seven consecutive days, adolescents reported on 14 daily negative and positive events. Adolescents, mothers, and fathers reported on adolescents' daily coping efficacy. RESULTS AND CONCLUSIONS Multilevel latent profile analysis (MLPA) identified 4 day-level event profiles: "low event day" (34% of days), reflecting low levels of both positive and negative events and low coping efficacy and positive and negative mood; "positive day" (44%), reflecting dominance of intense positive events and corresponding high coping efficacy and positive mood; "mixed day," reflecting a combination of intense positive and negative events with average coping efficacy and positive mood despite high negative mood and impaired coping. Multilevel path analysis showed adolescents reported increased coping efficacy a day after increased academic load, and parents reported increased adolescent coping efficacy a day after positive parent-adolescent interactions. Fathers reported decreased adolescent coping efficacy a day after peer disappointment. Findings suggest positive events predominate in adolescents' lives, and their coping efficacy is sensitive to dynamic changes in the valence of context.
Collapse
Affiliation(s)
- Yael Zamir-Sela
- Department of Counselling and Human Development, The University of Haifa, Haifa, Israel
| | - Ziv Gilboa
- Department of Counselling and Human Development, The University of Haifa, Haifa, Israel
| | - Shir Shay
- Department of Counselling and Human Development, The University of Haifa, Haifa, Israel
| | - Shiran Darwish
- Department of Special Education, The University of Haifa, Haifa, Israel
| | - Merav Maimon-Alimi
- Department of Counselling and Human Development, The University of Haifa, Haifa, Israel
| | - Reout Arbel
- Department of Counselling and Human Development, The University of Haifa, Haifa, Israel
| |
Collapse
|
3
|
Wang JA, Wang HF, Cao B, Lei X, Long C. Cultural Dimensions Moderate the Association between Loneliness and Mental Health during Adolescence and Younger Adulthood: A Systematic Review and Meta-Analysis. J Youth Adolesc 2024; 53:1774-1819. [PMID: 38662185 DOI: 10.1007/s10964-024-01977-w] [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: 12/25/2023] [Accepted: 03/22/2024] [Indexed: 04/26/2024]
Abstract
Cultural factors, such as country or continent, influence the relationship between loneliness and mental health. However, less is known about how cultural dimensions moderate this relationship during adolescence and younger adulthood, even if these dimensions manifest as country or continent differences. This study aims to examine the potential influence of Hofstede's cultural dimensions on this relationship using a three-level meta-analysis approach. A total of 292 studies with 291,946 participants aged 10 to 24 were included in this study. The results indicate that cultural dimensions, such as individualism vs. collectivism, indulgence vs. restraint, power distance, and long-term vs. short-term orientation, moderated the associations between loneliness and social anxiety, stress, Internet overuse, and negative affect. The association between loneliness and mental health was not moderated by cultural dimensions, such as masculinity and uncertainty avoidance. These findings suggest that culture's influence on the association between loneliness and mental health is based on a domain-specific mechanism.
Collapse
Affiliation(s)
- Jing-Ai Wang
- School of Psychology and Key Laboratory of Cognition and Personality of the Ministry of Education, Southwest University, Chongqing, 400715, China
| | - Hai-Fan Wang
- School of Psychology and Key Laboratory of Cognition and Personality of the Ministry of Education, Southwest University, Chongqing, 400715, China
| | - Bing Cao
- School of Psychology and Key Laboratory of Cognition and Personality of the Ministry of Education, Southwest University, Chongqing, 400715, China
| | - Xu Lei
- School of Psychology and Key Laboratory of Cognition and Personality of the Ministry of Education, Southwest University, Chongqing, 400715, China
| | - Changquan Long
- School of Psychology and Key Laboratory of Cognition and Personality of the Ministry of Education, Southwest University, Chongqing, 400715, China.
| |
Collapse
|
4
|
Luo D, Cai X, Wang H, Wang Y, Xu J. The role of peer social relationships in psychological distress and quality of life among adolescents with type 1 diabetes mellitus: a longitudinal study. BMC Psychiatry 2024; 24:270. [PMID: 38605327 PMCID: PMC11010305 DOI: 10.1186/s12888-024-05692-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/21/2023] [Accepted: 03/18/2024] [Indexed: 04/13/2024] Open
Abstract
BACKGROUND Adolescents with type 1 diabetes mellitus suffer from diabetes distress and poor health-related quality of life (HRQOL) since living with the condition that differentiates them from their peers. The present study investigated the effects of peer support and stress on diabetes distress and HRQOL and whether positive coping mediated the effects. METHODS We used a prospective study design. A total of 201 adolescents with type 1 diabetes mellitus from 20 cities in 4 provinces were recruited.Participants complete two separate surveys at approximately 18-month intervals. The scales employed at both Time 1 and Time 2 included the Diabetes-Specific Peer Support Measure, Diabetes Stress Questionnaire for Youths, Simplified Coping Style Questionnaire, 5-item Problem Areas in Diabetes Scale, and the Diabetes Quality of Life for Youth scale. RESULTS Baseline peer stress directly predicted diabetes distress and HRQOL at 18 months, even controlling for age, gender, and peer support. However, the direct effect of baseline peer support on 18-month diabetes distress and HRQOL was insignificant. Baseline peer support indirectly affected diabetes distress and HRQOL at 18 months through positive coping, indicating that positive coping plays a mediating role. CONCLUSION The findings suggest that peer social relationships, especially peer stress, and positive coping are promising intervention targets for adolescents facing challenges in psychosocial adaptation.
Collapse
Affiliation(s)
- Dan Luo
- School of Nursing, Nanjing University of Chinese Medicine, Jiangsu Province, Nanjing, China.
| | - Xue Cai
- Nursing Department, Zhongda Hospital, Southeast University, Nanjing, China
| | - Hong Wang
- Department of Endocrinology, The First Affiliated Hospital with Nanjing Medical University, Nanjing, China
| | - Yubing Wang
- Department of Endocrinology, Children's Hospital of Nanjing Medical University, Nanjing, China
| | - Jingjing Xu
- Department of Nursing, The First Affiliated Hospital with Nanjing Medical University, Nanjing, China.
- School of Public Health, Nanjing Medical University, Nanjing, China.
| |
Collapse
|
5
|
Bonde EH, Mikkelsen EG, Fjorback LO, Juul L. Impacting employees' and managers' mental health skills using a workplace-adapted mindfulness-based intervention. Front Psychol 2022; 13:1020454. [PMID: 36562066 PMCID: PMC9763721 DOI: 10.3389/fpsyg.2022.1020454] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2022] [Accepted: 11/18/2022] [Indexed: 12/12/2022] Open
Abstract
BackgroundDuring the past decades, the mental health of the population has been declining. Mindfulness-based stress reduction (MBSR) has been found effective in enhancing well-being along with reducing perceived stress and symptoms of anxiety and depression. Mindfulness-based interventions (MBIs) in the workplace have shown promising results relating to the mental health of employees and managers. However, the research field of organizational-level MBIs being offered to entire companies is still nascent. Practicing mindfulness may affect skills related to good mental health. Thus, the objective of this study was to investigate the impact of an organizational-level MBI on the mental health skills of employees and managers.MethodsThis qualitative study was part of a quasi-experimental multi-method study. Four small and medium-sized private enterprises with a total of 368 employees and managers were included. The intervention contained: 1. An obligatory introductory session on mental health and mindfulness, 2. Voluntary participation in a 10-week live online workplace-adapted MBSR course, and 3. A workshop for selected employee representatives and managers on further implementation of mindfulness in the organization. A total of 27 focus group interviews including 76 respondents were conducted pre- and post-intervention. Verbatim transcription was performed. Data was analyzed using inductive qualitative content analysis.ResultsThrough analysis, four pre-intervention categories emerged: 1. Bodily sensations and awareness in stressful situations, 2. Reactive and passive behavior during stressful situations, 3. Differences in perception as a stressor, 4. Self-criticism and low ability to practice self-care. Six post-intervention categories were identified: 1. Enhanced ability to be aware in the present moment, 2. Increased acknowledgement of how others may view things differently from oneself, 3. Increased kindness to oneself and being able to practice self-care, 4. Moving from reactive to responsive behavior in stressful situations, 5. Mindfulness as an accelerator for an ongoing personal process and 6. Practicing mindfulness – setting time aside or being mindful in everyday life.ConclusionThis study indicates that it is possible to enhance employees’ and managers’ mental health skills using an organizational-level MBI. Enhanced awareness in the present moment transcended through post-intervention categories, facilitating increased self-kindness and responsive behavior in stressful situations.
Collapse
Affiliation(s)
- Emilie Hasager Bonde
- Department of Clinical Medicine, Danish Center for Mindfulness, Aarhus University, Aarhus, Denmark,*Correspondence: Emilie Hasager Bonde,
| | | | - Lone Overby Fjorback
- Department of Clinical Medicine, Danish Center for Mindfulness, Aarhus University, Aarhus, Denmark
| | - Lise Juul
- Department of Clinical Medicine, Danish Center for Mindfulness, Aarhus University, Aarhus, Denmark
| |
Collapse
|
6
|
Li Y, Ma X, Feng C, Wang Y. Parental psychological control and adolescents depression during the COVID-19 pandemic: the mediating and moderating effect of self-concept clarity and mindfulness. CURRENT PSYCHOLOGY 2022:1-11. [PMID: 35891892 PMCID: PMC9303049 DOI: 10.1007/s12144-022-03445-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/02/2022] [Indexed: 11/30/2022]
Abstract
During the COVID-19 pandemic, the mental health state of adolescents had caused widespread concern, especially the various problems caused by the relationship between adolescents and their parents in the long isolation at home. Based on the mindfulness reperceiving model and Rogers's Self-theory, this study aimed to explore the roles of adolescents' self-concept clarity and mindfulness level in the relationship between parental psychological control and adolescent depression. A total of 1,100 junior high school students from China completed the questionnaires regarding parental psychological control, depression, self-concept clarity, and mindfulness. Moderated mediation analyses suggest that parental psychological control affects adolescent depression via self-concept clarity. The association between parental psychological control and depression is moderated by self-concept clarity. The effect was stronger among adolescents with high mindfulness levels than those with low. This study suggests that it is necessary to consider both parental factors and adolescents' factors in the future. The interventions on self-concept or mindfulness may ameliorate adolescent mental problems more effectively.
Collapse
Affiliation(s)
- Ying Li
- School of Education, Zhengzhou University, 450001 Zhengzhou, China
| | - Xiaobo Ma
- School of Education, Zhengzhou University, 450001 Zhengzhou, China
| | - Chao Feng
- School of Education, Zhengzhou University, 450001 Zhengzhou, China
| | - Yue Wang
- School of Education, Zhengzhou University, 450001 Zhengzhou, China
| |
Collapse
|