Browsing by Author "Wang, Yuanyuan"
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Item Metadata only A Confounding Discourse Analysis of Vietnamese Sex Workers’ Talk in the City of Kaiyuan, China(Springer, 2023-01-06) Wilson, Amanda; Jin, Yu; Xiao, Chenchang; Yan, Hong; Yu, Bin; Zhai, Mengxi; Li, Jiayu; Wang, YuanyuanVietnamese female sex workers (VFSWs) cross the border into Kaiyuan City, Yunnan Province yearly. However, very little is known about both the health and psychological issues VFSWs experience. The objectives of this study were to explore the dominant discourses that emerged from the VFSWs’ talk. The interviews occurred between May 2018 and June 2018 with 20 VFSWs who worked in Kaiyuan City, China. The English translated transcripts were analyzed using an eclectic feminist method of discourse analysis. Two discourses emerged. First, “Agency when working in Karaoke Bars and other Indoor Venues”, and second, “Negative Impacts on Psychological Well-being and Other Problems from Migration.” As for Discourse 1, the VFSWs positioned themselves as having agency over choosing their clientele as well as agency over what they were willing to negotiate with their clients to establish boundaries of their bodies. As for the Discourse 2, while there was a discourse of agency in their work there was also a contrasting, confounding discourse around the negative impact on psychological well-being and reports of stress as a migrant worker. Discourse 1 and Discourse 2 are confounding. When analyzed together, the discourses suggest that the impacts on psychological well-being may be more related to the migrant status of the women, supporting the notion of systemically influenced agency.Item Open Access Acute stress, behavioural symptoms and mood states among school-age children with attention-deficit/hyperactive disorder during the COVID-19 outbreak(Elsevier, 2020-04-09) Zhang, Jinsong; Shuai, Lan; Yu, Hui; Wang, Zhouye; Qiu, Meihui; Lu, Lu; Cao, Xuan; Xia, Weipin; Wang, Yuanyuan; Chen, RunsenItem Embargo Benefits of nature-based intervention in combating the impact of urbanization on psychopathology in industrialized societies(Walters Kluwer, 2024-05) Wang, Yuanyuan; Timms, Franklin; Li, Jiaqi; Yu, HuiPurpose of review The assumption has been made that urbanization adversely affects mental health, primarily attributed to the lack of access to nature. Our objective is to examine whether nature-based interventions can reduce psychopathology within an urban setting. Recent findings Nature-based interventions are generally categorized as either physical or virtual. Physical interventions engage participants in various activities like passive exposure, outdoor swimming, or physical activities in natural environments. On the other hand, virtual interventions expose participants to visual, auditory, or even olfactory stimuli to simulate natural environments. While most interventions achieved some degree of success in enhancing overall well being, not all demonstrated a significant reduction in depression and anxiety. Summary The review identified a shortage of well designed and well implemented outdoor or virtual nature-based interventions. Longitudinal designs in physical nature-based interventions provided the strongest evidence for reducing anxiety and depression. Multisensory virtual nature-based interventions also show significant potential for alleviating anxiety and depression in urban dwellers. Conversely, brief nature-based interventions yielded inconsistent results in improving mental health. Urgent investment in high-quality interventions and research in this domain is imperative to inform policy and enhance overall mental health in urban settings.Item Metadata only Hazardous drinking in young adults with co-occurring PTSD and psychosis symptoms: A network analysis(Elsevier, 2024-02-01) Li, Jiaqi; Jin, Yu; Xu, Shicun; Yu, Yi; Wilson, Amanda; Chen, Chang; Wang, YuanyuanBackground Existing literature suggests the co-occurrence of post-traumatic stress disorder (PTSD) and psychosis among young adults is related to hazardous drinking. However, the influencing mechanisms among these co-occurrences are inconclusive. Thus, this study aimed to investigate the symptomatic associations between PTSD, psychosis, and hazardous drinking. Methods This study included 96,218 young Chinese adults, divided into three groups (PTSD, Psychosis, and co-occurring PTSD-Psychosis). PTSD, psychosis, and hazardous drinking were measured by the ten-item Trauma Screening Questionnaire, the seven-item Psychosis Screener Scale, and the four-item Alcohol Use Disorders Identification Test, respectively. Network analysis was utilized to explore and compare the symptomatic correlation between PTSD, psychosis, and hazardous drinking. Results In this study, the most crucial symptom (both central and bridge) was "delusion of control" among the three networks. Hazardous drinking was another main bridge symptom. Compared to the Psychosis group and the co-occurring PTSD-Psychosis group, “Delusion of reference or persecution” to “Grandiose delusion” was the strongest edge in "the network structure of the PTSD group". Limitations The cross-sectional study cannot determine the causal relationship. Applying self-reporting questionnaires may cause inherent bias. Young adult participants limited the generalization of the results to other groups. Conclusions Among the three network structures, delusion of control was the most crucial symptom, and hazardous drinking was another bridge symptom; the edge of delusion of reference or persecution and grandiose delusion was strongest in the PTSD group's network. Efforts should be taken to develop diverse targeted interventions for these core symptoms to relieve PTSD, psychosis, and hazardous drinking in young adults.Item Metadata only Longitudinal associations between the frequency of playing Mahjong and cognitive functioning among older people in China: evidence from CLHLS, 2008–2018(Frontiers, 2024-03-14) Zhu, Lan; Wang, Yixi; Wu, Yuju; Wilson, Amanda; Zhou, Huan; Li, Ningxiu; Wang, YuanyuanBackground: Cognitive decline is prevalent among older adults, often resulting in decreased capabilities for self-care and a diminished quality of life. Mahjong, a culturally cherished and extensively played intellectual game in China, demands considerable cognitive function. While the cognitive benefits of playing Mahjong have been widely accepted, this study investigates an under explored aspect and aimed to ascertain the game’s potential contributions toward bolstering self-care abilities, enhancing overall quality of life, and mitigating against rising societal healthcare costs. Methods: The data analyzed in the study is collected from the Chinese Longitudinal Healthy Longevity Survey (CLHLS) with cognitive functioning being assessed through the Mini-Mental State Examination (MMSE). The frequency of playing Mahjong was measured through a self-reported questionnaire. Multiple linear regression models, latent variable growth models, and cross-lagged models were used to investigate the longitudinal relationship between game frequency and cognitive function in older people. Results: Of the 7,535 participants, the mean (SD) age was 81.96 (10.53) years. There were 7,308 (97%), 4,453 (59%), and 1,974 (26%) participants in 2011, 2014, and 2018, respectively. The results showed that Mahjong players had significantly higher MMSE scores compared to non-players from 2008 to 2018 (β = 0.893; p < 0.001), and non-players had significantly lower scores in 2011, 2014, and 2018 than in 2008 (β = −1.326, −0.912, −0.833; Ps > 0.05). Moreover, the frequency of playing Mahjong was associated with improved various cognitive domains. The declining frequency of playing Mahjong was substantially associated with the declining rate of MMSE scores (r = 0.336; p < 0.001). Mahjong frequency showed positive effects on MMSE scores, while the influence of Mahjong on MMSE scores were not significant. Conclusion: Playing Mahjong has a positive influence on the cognitive functioning among older people. It can help buffer against the decline in cognitive function and maintain cognitive function levels. The higher frequency of playing Mahjong is associated with improved reaction, attention and calculation, and self-coordination. A decline in the frequency of playing Mahjong was associated with a declining rate of cognitive function. The higher frequency of playing Mahjong among older people unilaterally influenced the improvement of cognitive function levels in older people in China.Item Metadata only 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, RunsenBackground 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.Item Open Access Post-traumatic stress disorder and the role of resilience, social support, anxiety and depression after the Jiuzhaigou earthquake: A structural equation model(Elsevier, 2020-02-11) Xi, Yingjun; Yu, Hui; Yao, Yiming; Peng, Ke; Wang, Yuanyuan; Chen, RunsenThis is the first study to investigate the mechanism of Post traumatic stress disorder (PTSD) after the 2017 7.0 Ritcher scale Jiuzhaigou earthquake. In order to identify the mechanism underling interactions among different factors associated with PTSD symptoms. Three months after the earthquake, 607 participants from the heavy damaged areas were recruited in this survey. Demographic information and scale measurements on social support, resilience, anxiety, depression, and PTSD were collected using standardized questionnaire. The result showed that PTSD, anxiety symptoms, and depressive symptoms prevalence in the severely affected area were 52.7 %, 53.8 % and 69.6 %, respectively. Resilience and social support had direct effects on PTSD, as well as indirect effects on PTSD through anxiety and depression. The proposed mechanism on PTSD explained the paths among the measured variables, which explained the risk and protective factors related to PTSD. This current study has important practical implications for understanding mental health status of earthquake victims.Item Metadata only Public Restroom Access and Mental Health Among Gender-Minoritized Individuals in China(American Medical Association, 2024-05-03) Wang, Yuanyuan; Liu, Dongyu; Han, Meng; Li, Jiaqi; Yu, HuiThis cross-sectional study assesses the adequacy of gender-neutral public restrooms and examines the association of public restroom–related stress with mental health among gender-diverse individuals in China.Item Open Access 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, RunsenBackground 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.Item Metadata only Revealing suicide risk of young adults based on comprehensive measurements using decision tree classification(Elsevier, 2024-09) Niu, Wenbang; Feng, Yi; Xu, Shicun; Wilson, Amanda; Jin, Yu; Ma, Zhihao; Wang, YuanyuanPredicting suicide risk based on risk and protective factors is a critical and complex endeavor. In this study, we combined insights from comprehensive aetiological theories on suicide with the methodological strengths of machine learning techniques. Our primary objectives were twofold: a) to identify hazardous feature combinations that characterize a high risk of suicide, and b) to enhance our understanding of the potential interactions between risk and protective factors related to suicide. We established an interpretable decision tree model to classify young adults at high risk of suicide, utilizing fifty-five variables covering distal, developmental, proximal, and social context factors from a large-scale cross-sectional survey (N = 88,214). The results highlighted the significance of variables such as self-compassion and non-suicidal self-injury (NSSI), and the accumulation of depressive symptoms, medium-to-low self-compassion, and a history of NSSI as substantial indicators of heightened suicide risk. This study serves as a valuable reference for the clinical identification of individuals at risk of suicide.Item Metadata only The Identification With All Humanity (IWAH) scale: its psychometric properties and associations with help-seeking during COVID-19(Springer, 2022-08-25) Feng, Yi; Warmenhoven, Helmut; Wilson, Amanda; Jin, Yu; Chen, Runsen; Wang, Yuanyuan; Hamer, KatarzynaThe Identification With All Humanity (IWAH) scale was designed to measure the extent to which an individual identifies oneself with all human beings. The current research aimed to conduct the validation of IWAH in a Chinese population and its convergent validity, as well as test the implications of IWAH in associations with help-seeking behaviour during COVID-19. A serial of three studies was conducted from September 1st 2020 to the end of October 2020. The series of studies included Study 1- Exploring the dimensions of the IWAH scale with a sample of 2,881 participants, Study 2- Confirmatory Factor Analysis for the Chinese IWAH dimensions with a separate sample of 6,667 participants, and Study 3- Role of the IWAH in the COVID-19 pandemic with a sample of 9,046 participants. Study 1 found the Chinese version of the IWAH scale to be a two-dimensional construct, with factor 1 - Bond with Humanity and factor 2 - Human Kinship. Study 2 confirmed the two-factor construct as found in Study 1. It also showed positive relations between IWAH and moral judgement, collectivism, nature connectedness, and negative relations with callousness, and having anxiety and depressive symptoms. Study 3 found that IWAH was negatively related to fear of COVID-19 and positively related to the likeliness of help-seeking. This is the first research to test the factorial structure of the IWAH scale in a Chinese population, with the adaptation showing good psychometric properties. The implication of IWAH on fear of COVID-19 and help-seeking provided further understanding of the possible practical value of IWAH during times of global stressful life events. Furthermore, study 3 is the first to explore how IWAH relates to anxiety, depression, and callousness.Item Metadata only The influence of childhood trauma and chronotype on suicide attempts in Chinese emerging adults with severe depressive symptoms(Springer, 2024-01-03) Yu, Yi; Feng, Yi; Xu, Shicun; Wilson, Amanda; Chen, Chang; Ling, Xi; Chen, Runsen; Wang, YuanyuanBackground Studies have investigated how adults with severe depressive symptoms are more likely to attempt suicide, and these adults often have traumatic experiences and chaotic sleep/wake rhythms. Thus, this study using Latent class analysis aimed to investigate the relationship between childhood trauma class, chronotype, and suicide attempts among emerging adults with severe depressive symptoms. Methods This study was conducted among emerging adults with severe depressive symptoms covering 63 Universities in Jilin Province, China. A total of 1,225 emerging adults (mean age = 19.6 ± 1.78) constructed the final sample. In addition to measuring socio-demographic characteristics, the Childhood Trauma Questionnaire-Short Form, the Single-Item Chronotyping, and a single item for suicide attempts were used to evaluate childhood trauma, chronotype, and suicide attempts, respectively. Latent class analysis was applied to identify the classes of childhood trauma within emerging adults who had severe depressive symptoms. Hierarchical logistic regression models were run to investigate the effects of socio-demographic characteristics, chronotype, and childhood trauma class on suicide attempts. Results Three latent classes were identified: the Low-risk for childhood trauma class, the Neglect class, and the High-risk for childhood abuse class. Those who suffered sexual, emotional, and physical abuse at the same time were divided into the High-risk for childhood abuse class, and were significantly more likely to experience suicide attempts than those in the Neglect class (OR = 1.97, 95%CI = 1.34–2.89, p < 0.001) and the Low-risk for childhood trauma class (OR = 2.28, 95% CI = 1.50-3.46, p < 0.001). In terms of chronotype, the results showed that the chaotic type was a risk factor for suicide attempts when compared with the evening type (OR = 0.46, 95%CI = 0.27–0.78, p < 0.01), the moderately active type (OR = 0.53, 95%CI = 0.31–0.89, p < 0.05), and the daytime type (OR = 0.42, 95%CI = 0.21–0.86, p < 0.05). Overall, the significant risk factors for suicide attempts included being female, living in an urban area, having experienced sexual, emotional, and physical abuse simultaneously, and having a chaotic chronotype. Conclusion Emerging adults suffering sexual, emotional, and physical abuse at the same time and identifying with chaotic chronotype showed a higher risk of attempting suicide. The findings provided a clinical reference to quickly identify those at high risk of suicide attempts among emerging adults with severe depressive symptoms.Item Metadata only The lasting effects of childhood trauma on developing psychiatric symptoms: A population-based, large-scale comparison study(Cambridge University Press, 2024-10-24) Jin, Yu; Xu, Shicun; Shao, Zhixian; Luo, Xianyu; Wilson, Amanda; Li, Jiaqi; Wang, YuanyuanBackground Childhood trauma (CT) increases rates of psychiatric disorders and symptoms, however, the lasting effect of CT into adulthood has little exploration using large-scale samples. Objectives This study estimated the prevalence of CT in a large sample of Chinese young adults, examining the risk factors of current psychological symptoms among those with CT experiences. Methods 117,769 college students were divided into CT and non-CT groups. The propensity score matching method balanced the confounding sociodemographic factors between the two groups, compared to 16 self-reported psychiatric disorders (e.g., depression, anxiety, eating disorder, obsessive-compulsive disorder, autism, social anxiety disorder, post-traumatic stress disorder), and seven current psychiatric symptoms. Hierarchical regression employed the significant risk factors of the seven current psychiatric symptoms. Results The prevalence of CT among young adults was 28.76% (95% CI: 28.47–29.04%). Youths with CT experiences reported higher psychiatric disorder rates and current symptom scores (P < 0.001). Sociodemographic factors (females, family disharmony, low socioeconomic status, poor relationship with parents, lower father’s education level) and lifestyle factors (smoking status, alcohol consumption, lack of exercise) were significantly associated with current psychiatric symptoms. Results Public health departments and colleges should develop strategies to promote mental health among those who have experienced CT.Item Metadata only The relationship between childhood trauma and suicidal ideation, the mediating role of identification of all humanity, indifference and loneliness(Elsevier, 2021-12-27) Wang, Yuanyuan; Warmenhoven, Helmut; Feng, Yi; Wilson, Amanda; Guo, Dandan; Chen, RunsenBackground Research shows that childhood trauma has a detrimental impact on an individual's health, including suicidal ideation. In order to intervene with suicidal ideation, it is necessary to study the impact of childhood trauma on emotional and social functioning. This study explored the relationship between childhood trauma and suicidal ideation from the perspectives of indifference, identification with all humanity, and loneliness. Methods A total number of 8,452 college students completed the study. Childhood trauma was measured by the short form of Childhood Trauma Questionnaire (CTQ-SF). The Identification With All Humanity scale (IWAH) was used to measure individual's ability to identify or not identify with humanity. For indifference, we used the Inventory of Callous-Unemotional Traits, and Loneliness was assessed by the Loneliness Scale. The relationship of indifference, identification with all humanity, and loneliness were explored to further understand the relationship between childhood trauma and suicidal ideation's correlations, regression analysis, and path analysis were employed for data analysis. Results Childhood trauma was positively correlated with indifference, loneliness, and suicidal ideation, and negatively correlated with identification with all humanity (r = −0.140∼0.335, p < .001). Suicidal ideation was positively correlated with indifference and loneliness, and negatively correlated with identification with all humanity (r = −0.082∼0.260, p < .001). The results indicated that childhood trauma leads to indifference, which increases loneliness, and results in suicidal ideation (β = 0.073∼0.335, p < 0.001). If an individual with childhood trauma were to gain more recognition from social groups, this would reduce their loneliness and suicidal ideation (β = −0.125∼0.228, p < 0.001). Discussion Individuals with childhood trauma were more likely to display apathy, including non-emotional behavior. This makes individuals lonelier and may increase suicidal ideation. However, if individuals are further recognized by others and social groups within their environment it is possible to intervene in this process.