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38 results on '"Ran, Hailiang"'

18. Treatment Rates for Mental Disorders Among Children and Adolescents

Author

Wang, Sifan, primary, Li, Qiongxian, additional, Lu, Jin, additional, Ran, Hailiang, additional, Che, Yusan, additional, Fang, Die, additional, Liang, Xuemeng, additional, Sun, Hao, additional, Chen, Lin, additional, Peng, Junwei, additional, Shi, Yuanyu, additional, and Xiao, Yuanyuan, additional

Published
2023
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22. Association between hypomania and self-harm behaviors in Chinese children and adolescents with depressive symptoms

Author

Fang, Die, Che, Yusan, Ran, Hailiang, Donald, Ahouanse Roland, Wang, Sifan, Peng, Junwei, Chen, Lin, Xu, Chuanzhi, and Xiao, Yuanyuan

Subjects
Psychiatry and Mental health
Abstract

Bipolar disorder (BD) is associated with a higher risk of self-harm (SH) when compared with depression. Therefore, it is reasonable to suspect that the state of mania or hypomania may independently contribute to increased SH risk. However, for hypomania, its association with SH remains less known. We intend to investigate this hypothesis in a large sample of Chinese children and adolescents with depressive symptoms. Based on a two-stage simple random cluster sampling method with probability proportionate to sample size (PPS) design, a total of 4,858 children and adolescents aged between 10 and 17 years were surveyed in southwestern China, Yunnan Province, by using self-administered questionnaires. Among them, 1,577 respondents with depressive symptoms were screened out and included in the final analysis. Descriptive statistics were calculated to illustrate the major characteristics of the study subjects. Multivariate logistic regression models were fitted to evaluate the adjusted association between hypomanic symptoms and SH. The prevalence of SH in children and adolescents with depressive symptoms was 63.92% (95% CI: 58.70–69.00%). The two hypomanic factors, which measure “active/elated” (factor I) and “risk-taking/irritable” (factor II), were significantly and discordantly associated with SH: after adjustment, every one-point increase in factor I and factor II scores was associated with 0.94-fold (95% CI: 0.91–0.97) and 1.25-fold (95% CI: 1.15–1.36) of odds ratio (OR) in SH prevalence. Further analyses based on quartiles of the two factors revealed a more prominent dose–response relationship between factor II and SH prevalence, SH repetition, and SH severity. The results of this study may suggest that, for hypomanic children and adolescents, individuals with elevated factor II score are probably of greater urgency for SH intervention. Major limitations of this study include inability of causal inference, risk of information bias, and limited results extrapolation.

Published
2022

38. Childhood maltreatment and self-harm in Chinese adolescents: moderation and mediation via resilience.

Author

Xin Tian, Jin Lu, Yusan Che, Die Fang, Hailiang Ran, Xingting He, Yanjiao Wang, Tianlan Wang, Xiufeng Xu, Guangya Yang, Yuanyuan Xiao, Tian, Xin, Lu, Jin, Che, Yusan, Fang, Die, Ran, Hailiang, He, Xingting, Wang, Yanjiao, Wang, Tianlan, and Xu, Xiufeng

Subjects
CHILD abuse, SELF-mutilation in adolescence, PSYCHOLOGICAL resilience, TEENAGERS, CHILD welfare
Abstract

Background: Published studies examining the association between childhood maltreatment (CM) and self-harm (SH) among adolescents have been accumulated. It is possible that resilience serves as a moderator or mediator in CM-SH association, nevertheless, this topic has never been thoroughly investigated.Methods: In this population-based cross-sectional study, we surveyed 3146 students aged 10-17 in southwest China. The Childhood Trauma Questionnaire (CTQ), the Modified version of Adolescents Self-Harm Scale (MASHS), and the Resilience Scale for Chinese Adolescents (RSCA) were used to measure CM, SH, and resilience. Correlational analyses, hierarchical multivariate linear regression, and structural equation modeling (SEM) were performed to test the moderation and mediation of resilience in CM-SH association.Results: Findings revealed that, resilience with its five dimensions, CM, and SH were significantly correlated with each other. Resilience partially moderated and mediated the association between CM and SH. Besides, among all dimensions of resilience, emotion regulation, interpersonal assistance, and family support presented the strongest mediation in CM-SH association.Conclusions: Our results highlight the importance of resilience in CM related SH among Chinese teenagers. Resilience-oriented intervention could be considered in SH intervention measures for adolescents who had experienced CM. [ABSTRACT FROM AUTHOR]

Published
2021
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