Browsing by Author "Duan, Zhizhou"

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    Mental health outcomes among Chinese prenatal and postpartum women after the implementation of universal two-child policy
    (Elsevier, 2019-12-11) Lu, Li; Duan, Zhizhou; Wang, Yuan Yuan; Wilson, Amanda D.; Yang, Yong; Zhu, Longjun; Guo, Yan; Yonglang, Lv; Yang, Xiaonan; Yu, Renjie; Wang, Shuilan; Wu, Zhengyan; Jiang, Ping; Xia, Mengqing; Wang, Guosheng; Wang, Xuixia; Tao, Ye; Li, Xiaohong; Ma, Ling; Huang, Liming; Dong, Qin; Shen, Hong; Sun, Jue; Li, Shun; Deng, Wei; Chen, Runsen
    Background Poor health status among both pregnant and postpartum women is commonly reported worldwide. The associations between mental health outcomes and giving birth to the second child since the implementation of China's universal two-child policy have not been identified. Methods A large-scale based mental health survey was conducted between March 2017 and December 2018 in Suzhou, China. The survey evaluated the symptoms of anxiety, hypomania, depression and poor sleep quality among both pregnant and postpartum women. Results A total of 3,113 questionnaires were collected, the prevalence of anxiety, hypomanic and depressive symptoms and poor sleep quality in our sample were 3.2% (95%CI: 2.6%-3.9%), 51.7% (95%CI: 49.9%-53.4%), 12.4% (95%CI: 11.3%-13.6%) and 37.8% (95%CI: 36.0%-39.5%), respectively. Logistic regression showed that giving birth to the second child was positively associated with women's age, and was negatively correlated with higher educational level and living in rented housing. Women with the second pregnancy or child were positively associated with anxiety symptoms in the whole sample (OR=1.75, 95%CI: 1.11-2.75) and among prenatal women (OR=2.11, 95%CI: 1.16-3.83), while it was inversely correlated with depressive symptoms among postpartum women (OR=0.63, 95%CI: 0.41-0.99). Conclusions Women giving birth a second time were more prone to have anxiety symptoms among the prenatal women and the whole sample, and less likely to have depressive symptoms among the postpartum women. Efficacious measures and interventions are essential to improve maternal mental health.
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    Methods of attempted suicide and risk factors in LGBTQ+ youth
    (Elsevier, 2021-11-13) Wang, Yuanyuan; Feng, Yi; Han, Meng; Duan, Zhizhou; Wilson, Amanda; Fish, Julie; Sun, Shufang; Chen, Runsen
    Background This study aimed to identify patterns of attempted suicide methods and risk factors in lesbian, gay, bisexual, transgender, queer and other gender/sexual minority (LGBTQ+) youth by comparing them to non-LGBTQ+ youth. Methods A total of 9281 Chinese college students completed the study, 8313 participants were included in the analysis of which 1032 were LGBTQ+ youth and 7281 were non-LGBTQ+ youth. Sociodemographic information was collected along with several scales and self-report items. This included anxiety scores using the Generalized Anxiety Disorder (GAD)-7, depression scores using the Patient Health Questionnaire (PHQ)-9, mania score using the Altman Self-Rating Mania (ASRM), Childhood Trauma Questionnaire (CTQ), and Intimate Partner Violence (IPV) victimization using the World Health Organization's definition. Self-report items were used to further collect history of non-fatal self-injurious behaviors, parents' related risk factors, history of suicide attempts, and methods of attempted suicide. Results The prevalence of attempted suicide in LGBTQ+ youth was 4.2%, which in comparison was more than four times higher than non-LGBTQ+ youth. LGBTQ+ youth 19–22 years old were at a significantly higher risk of attempting suicide than non-LGBTQ+ youth. The most common method of attempted suicide was cutting of the wrist, followed by jumping from a high height. There were some common suicide risk factors that were similar between LGBTQ+ and non-LGBTQ+ youth, such as living in a rural area, having a history of a psychiatric disorder, and having a history of non-fatal self-injurious behaviors. The associated increased risk factors for LGBTQ+ youth were having a higher score for CTQ-emotional abuse and CTQ-sexual abuse. Limitation The causality of risk factors to attempted suicide cannot be assumed due to the cross-sectional nature of the survey. Also, due to the relatively small sample size within the subgroups, we did not assess LGBTQ+ youth separately according to the different sexuality groups. Conclusion LGBTQ+ youth showed a higher prevalence of attempted suicide when compared to their heterosexual peers. Emotional and sexual abuse showed higher rates among LGBTQ+ youth, the cumulative effects of childhood trauma might explain the difficulties in developing healthy coping styles.
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    Postpartum depression in mothers and fathers: a structural equation model
    (Springer, 2020-09-15) Duan, Zhizhou; Yang, Yuanyuan; Ping, Jiang; Wilson, Amanda; Guo, Yan; Lv, Yongliang; Yang, Xiaonan; Yu, Renjie; Wang, Shuilan; Wu, Zhengyah; Xia, Mengqing; Wang, Guosheng; Tao, Ye; Xiaohong, L.; Ma, Ling; Shen, Hong; Sun, Jue; Deng, Wei; Yang, Yong; Chen, Runsen
    Background Post-partum depression (PPD) is a growing mental health concern worldwide. There is little evidence in the Chinese context of the relationship between paternal PPD and maternal PPD. Given the growing global concerns this relationship requires further exploration. Methods A survey was conducted with 950 total couples from March 2017 to December 2018. The study was conducted using a standardized questionnaire that included basic demographic information, information on the relationship between the mother-in-law and daughter-in-law, marital satisfaction (both maternal and paternal), and PPD symptoms. Structural Equation Modelling (SEM) analysis was used to explore the underlying mechanism for PPD symptoms in mothers and fathers. Results In 4.4% of the couples both the wife and the husband showed depressive symptoms. Maternal marital satisfaction showed a significant mediating effect on paternal PPD (B = -0.114, p < 0.01), and there was a direct effect of maternal PPD on paternal PPD (B = 0.31, p < 0.001). Conclusions This is the first study to investigate the possible correlation between maternal PPD, mother-in-law and daughter-in-law relationship satisfaction, maternal marital satisfaction, paternal marital satisfaction, and paternal PPD. It is important for future PPD interventions to target both maternal and paternal mental health, as well as the mechanisms identified that can lead to PPD.
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    The relationship between childhood trauma and Internet gaming disorder among college students: A structural equation model
    (AKJournals, 2020-04-07) shi, Lijuan; Wang, Yuanyuan; Yu, Hui; Wilson, Amanda; Cook, Stephanie; Duan, Zhizhou; Peng, Ke; Hu, Zhishan; Ou, Jianjun; Duan, Suqian; Yang, Yuan; Ge, Jiayu; Wang, Hongyan; Chen, Li; Zhao, Kaihong; Chen, Runsen
    Background The aim of this study was to investigate the mechanisms of Internet gaming disorder (IGD) and the associated interaction effects of childhood trauma, depression and anxiety in college students. Methods Participants were enrolled full-time as freshmen at a University in the Hunan province, China. All participants reported their socio-demographic characteristics and undertook a standardized assessment on childhood trauma, anxiety, depression and IGD. The effect of childhood trauma on university students' internet gaming behaviour mediated by anxiety and depression was analysed using structural equation modelling (SEM) using R 3.6.1. Results In total, 922 freshmen participated in the study, with an approximately even male-to-female ratio. A mediation model with anxiety and depression as the mediators between childhood trauma and internet gaming behaviour allowing anxiety and depression to be correlated was tested using SEM. The SEM analysis revealed that a standardised total effect of childhood trauma on Internet gaming was 0.18, (Z = 5.60, 95% CI [0.02, 0.05], P < 0.001), with the direct effects of childhood trauma on Internet gaming being 0.11 (Z = 3.41, 95% CI [0.01, 0.03], P = 0.001), and the indirect effects being 0.02 (Z = 2.32, 95% CI [0.00, 0.01], P = 0.020) in the pathway of childhood trauma-depression-internet gaming; and 0.05 (Z = 3.67, 95% CI [0.00, 0.02], P < 0.001) in the pathway of childhood trauma-anxiety-Internet gaming. In addition, the two mediators anxiety and depression were significantly correlated (r = 0.50, Z = 13.54, 95% CI [3.50, 5.05], P < 0.001). Conclusions The study revealed that childhood trauma had a significant impact on adolescents' Internet gaming behaviours among college students. Anxiety and depression both significantly mediated the relationship between childhood trauma and internet gaming and augmented its negative influence. Discussion of the need to understand the subtypes of childhood traumatic experience in relationship to addictive behaviours is included.
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    Relationship between trait neuroticism and suicidal ideation among postpartum women in China: Testing a mediation model
    (Elsevier, 2019-06-29) Wang, Yuan Yuan; Duan, Zhizhou; Tao, Ye; Bower, Joanne L.; Yu, Renjie; Wang, Shuilan; Wu, Zhengyan; Lv, Yongliang; Yang, Xiaonan; Li, Xiaohong; Huang, Liming; Ma, Ling; Dong, Qin; Sun, Jue; Li, Shun; Yang, Yong; Yang, Yuan; Peng, Ke; Chen, Runsen
    Background Suicidal ideation is a common phenomenon among postpartum women around the world. However, evidence of the relationship between neuroticism and suicidal ideation among postpartum women is still lacking. Methods From March 2017 to December 2018, a total of 1027 postpartum women (assessed no later than one month post-birth) were recruited to complete questionnaires assessing neuroticism, depression, anxiety and suicidal ideation. Results Anxiety and depression fully mediated the association between neuroticism and suicidal ideation (Total indirect effects = 0.11, 95%CI: 0.07, 0.15). The indirect effect of the pathway of EPQ (Neuroticism)-Anxiety-Suicidal ideation was more significant than other pathways (Indirect effects=0.04, 95%CI: 0.02, 0.07). Conclusion Interventions for suicidal ideation in postpartum women need to target neuroticism and further research is necessary understand the mechanisms by which neuroticism affects suicidal ideation.