The longitudinal associations between PTSD symptoms, depressive symptoms, and academic burnout in adolescence and early adulthood in the postdisaster context.

The current study examined the longitudinal associations among posttraumatic stress disorder (PTSD) symptoms, depressive symptoms, and academic burnout in a sample of survivors aged 12 to 20 years following the Wenchuan earthquake. The present study had a longitudinal design. A total of 788 participants (Mage = 15.03 years, SD = 1.64; 54.8 % female) completed measures of PTSD symptoms, depressive symptoms, and academic burnout at 12, 18, and 24 months after the 2008 Wenchuan earthquake in China. The results showed that the only cross-lagged effects from PTSD to depressive symptoms, from academic burnout to depressive symptoms or from PTSD symptoms to academic burnout at the first interval and the second interval were significant. Furthermore, the longitudinal associations among PTSD symptoms, depressive symptoms, and academic burnout remained consistent between the different age groups but varied across genders. That is, in male adolescents, only the cross-lagged effects from PTSD symptoms to depressive symptoms and from PTSD symptoms to academic burnout at the first and second intervals were significant. In female adolescents, only the cross-lagged effects from academic burnout to depressive symptoms and from academic burnout to PTSD symptoms at the first and second intervals were significant. Finally, these findings highlight that academic burnout is a useful target for psychological service providers to alleviate PTSD and depressive symptoms in adolescents in a post-disaster context. In addition, PTSD symptoms may also negatively affect adolescents' performance at school.

Marital Conflict, Family Socioeconomic Status, and Depressive Symptoms in Migrant Children: A Moderating Mediational Model.

The present study examines the roles of parent-child communication and peer attachment in the relationships between marital conflict, family socioeconomic status (SES), and depressive symptoms in migrant children. The present study was a cross-sectional design. A total of 437 children were selected from 2 public schools of migrant children, and they were assessed on measures of marital conflict, family SES, parent-child communication, peer attachment, and depressive symptoms. Results showed that peer attachment moderates the relationships between marital conflict, parent-child communication, and depressive symptoms. That is, for migrant children with high peer attachment, marital conflict influences depressive symptoms directly, but also indirectly through parent-child communication. For migrant children with low peer attachment, marital conflict only exerts a direct influence on depressive symptoms. In addition, parent-child communication mediates the relationship between family SES and depressive symptoms, although the mediating effects were not significant for groups with a high or a low level of peer attachment. Thus, parent-child communication serves as one critical pathway, linking marital conflict, or family SES, with depressive symptoms. Furthermore, peer attachment acts as a buffer against the negative effects of marital conflict on depressive symptoms.

Peer attachment and self-esteem mediate the relationship between family function and social anxiety in migrant children in China.

BACKGROUND: Social anxiety is a frequently reported symptom in children and adolescents. The literature suggests that family function is related to symptoms of social anxiety in children. However, relatively little is known about the potential mechanisms underlying the relationship between family function and social anxiety. Thus, the purpose of the present study is to examine the roles of peer attachment and self-esteem in the relationship between family function and social anxiety in a sample of migrant children in China. METHODS: A total of 437 participants (54.9% male; meanage = 10.87 years) were selected from two public schools of migrant children in two areas of Hangzhou and Jiaxing, the major labor-importing cities in China, in May 2016. All participants completed four questionnaires assessing family function, peer attachment, self-esteem, and social anxiety. RESULTS: The results showed that family function was bivariately and significantly related to symptoms of social anxiety. Additionally, self-esteem fully mediated the relationship between family function and social anxiety peer attachment. Moreover, the relationship between family function and social anxiety was fully mediated by peer attachment and self-esteem (in that order). CONCLUSIONS: Peer attachment and self-esteem serve as critical pathways linking family function and social anxiety. Thus, tailored interventions should consider the roles of peer attachment and self-esteem to alleviate symptoms of social anxiety in migrant children.

Social Value Orientation Moderated the Effect of Acute Stress on Individuals' Prosocial Behaviors.

Acute stress is believed to lead to prosocial behaviors via a "tend-and-befriend" pattern of stress response. However, the results of the effect of acute stress on prosocial behavior are inconsistent. The current study explores the moderating effect of gender and social value orientation on the relationship between acute stress and individuals' pure prosocial behaviors (i.e., pure prosociality and prosocial third-party punishment). Specifically, eighty-one participants were selected and underwent the Trier Social Stress Test (or were in the control group), followed by the third-party punishment task and the dictator game. The results showed that, in general, the main effect of condition or respiratory sinus arrhythmia (RSA) reactivity on individual prosocial behaviors was significant and did not vary between genders. Furthermore, social value orientation (i.e., prosocial or self-orientation) might moderate the impact of RSA reactivity on the amount of punishment in the third-party punishment task. That is, individuals with self-orientation exhibited more prosocial third-party punishment as RSA reactivity decreased, while the effect did not occur for individuals with prosocial orientation. Taken together, the findings of the current study provide further evidence for the "tend-and-befriend" hypothesis and highlight the underlying physical mechanisms as well as the individual dependence of the effect of psychosocial stress on individuals' pure prosocial behaviors.

Economic Pressure and Loneliness in Migrant Children in China: The Mediating Roles of Parent-Child Communication and Parental Warmth.

The purpose of the current study was to examine the mediating roles of parent-child communication and parental warmth in the relationship between economic pressure and loneliness in a sample of migrant children in China. A total of 437 participants were selected from two public schools for migrant children in Zhejiang Province, China. All participants were asked to complete four measures, including the Perceived Economic Strain Scale, the Parent-Child Communication Questionnaire, the Parental Warmth Scale, and the Children's Loneliness Scale. The results showed that economic pressure was positively and directly related to loneliness. Furthermore, parent-child communication and parental warmth partially mediated the relationship between economic pressure and loneliness in migrant children. Thus, parent-child communication and parental warmth play important roles in reducing the negative effect of economic pressure on loneliness in migrant children.

Parent-child communication and self-esteem mediate the relationship between interparental conflict and children's depressive symptoms.

BACKGROUND: Previous research has paid little attention to the series mediating effect of parent-child communication and self-esteem in the relationship between interparental conflict and child outcomes, although several other mechanisms have been found to involve in this relationship. Thus, the purpose of the present study is to test these two factors' serial mediation of the relationship between interparental conflict and children's depressive symptoms in a sample of migrant children in China. METHODS: Four hundred thirty-seven participants from two public schools for migrant children in Zhejiang Province, China, were administered four measures including the Children's Perceptions of Interparental Conflict Scale, the Parent-child Communication Questionnaire, the Global Self-esteem Scale, and the Centre for Epidemiologic Studies Depression Scale for Children. RESULTS: Results showed that interparental conflict was positively related to depressive symptoms in migrant children, which was partially and serially mediated by parent-child communication and self-esteem in that order. CONCLUSIONS: Parent-child communication and self-esteem play potential roles in the relationship between interparental conflict and depressive symptoms of migrant children in China. This finding has important implications for psychological service providers working with this group of children or children in similar situations.

Longitudinal Relationships between Social Support and Posttraumatic Growth among Adolescent Survivors of the Wenchuan Earthquake.

This study aimed to explore the longitudinal relationships between social support and posttraumatic growth (PTG) among adolescent survivors of the Wenchuan earthquake. Follow-up assessments were conducted with 452 participants at 12, 18, and 24 months after the earthquake. The results showed that the level of social support at 12 and 18 months following the earthquake predicted subsequent PTG, but not vice versa. In addition, multi-group analyses of gender showed no gender differences between social support and PTG in the cross-lagged model. Thus, psychological interventions and care for survivors should focus on improving adolescent perceptions of social support when responding to stressful experiences.

Parental Monitoring, Parent-Adolescent Communication, and Adolescents' Trust in Their Parents in China.

PURPOSE: Trust is an important aspect of interpersonal relationships, but little is known about adolescents' interpersonal trust. The aim of the present study was to examine the associations among parental monitoring, parent-adolescent communication, and adolescents' trust in their parents in China. METHODS: Data in this study were collected as part of the cross-sectional study of children in China. 3349 adolescents (female 48.6%, age range of 12-15 years) were randomly selected from 35 secondary schools in April, 2009 and administered to the Adolescent Interpersonal Trust Scale, the Parental Monitoring Scale, and the Parent-Adolescent Communication Scale. RESULTS: Adolescents' trust in their parents was positively related to parental monitoring and parent-adolescent communication. Furthermore, parent-adolescent communication mediated the association between parental monitoring and adolescents' trust in their parents. The mediation model fit data of both genders and three age groups equally well. CONCLUSIONS: Parental monitoring and parent-adolescent communication play an importance role in fostering adolescents' trust in their parents.

The effects of extraversion, social support on the posttraumatic stress disorder and posttraumatic growth of adolescent survivors of the Wenchuan earthquake.

OBJECTIVE: The aim of this study was to examine the relationships among extraversion, social support, posttraumatic stress disorder and posttraumatic growth among adolescent survivors of the Wenchuan earthquake. METHODS: Six hundred thirty-eight participants were selected from the survivors of the 2008 Wenchuan earthquake. Participants completed four main questionnaires, including the Extraversion Subscale, the Social Support Scale, the Child PTSD Symptom Scale, and the Posttraumatic Growth Inventory. RESULTS: A bivariate correlation analysis revealed significant correlations among extraversion, social support, posttraumatic stress disorder and posttraumatic growth. Extraversion had significant indirect effects on posttraumatic stress disorder (ß = -.037, p < .01) and posttraumatic growth (ß = .077, p < .001) through social support. The results also indicated that extraversion had a significant direct effect on posttraumatic growth and a nonsignificant direct effect on posttraumatic stress disorder. CONCLUSIONS: Social support fully mediates the relationship between extraversion and posttraumatic stress disorder and partially mediates the relationship between extraversion and posttraumatic growth. Psychological interventions and care for survivors of the earthquake should include the various functions and sources of social support and how they serve to benefit individuals.

The relationship between posttraumatic stress symptoms and suicide ideation among child survivors following the Wenchuan earthquake.

The association between posttraumatic stress disorder (PTSD) symptoms and suicide ideation was examined in a sample of 2,298 child survivors of the Wenchuan earthquake. Results indicated that intrusion, avoidance, hyperarousal symptom clusters, and PTSD total score were significantly associated with suicide ideation. Except for intrusion, other measures of PTSD remained as statistically significant correlates of suicide ideation even after controlling for age, gender, direct exposure, indirect exposure, and depression. Furthermore, results showed that PTSD symptoms had an indirect influence on suicide ideation that was mediated by depression. The findings suggest that avoidance and hyperarousal symptom clusters of PTSD may be two important indicators of suicide ideation among child survivors of the Wenchuan earthquake. Implications of the results for intervention and prevention of suicide behavior are discussed.

Traumatic severity and trait resilience as predictors of posttraumatic stress disorder and depressive symptoms among adolescent survivors of the Wenchuan earthquake.

PURPOSE: To examine the associations between trauma severity, trait resilience, and posttraumatic stress disorder (PTSD) and depressive symptoms among adolescent survivors of the Wenchuan earthquake, China. METHODS: 788 participants were randomly selected from secondary schools in the counties of Wenchuan and Maoxian, the two areas most severely affected by the earthquake. Participants completed four main questionnaires including the Child PTSD Symptom Scale, the Center for Epidemiologic Studies Depression Scale for Children, the Connor and Davidson's Resilience Scale, and the Severity of Exposure to Earthquake Scale. RESULTS: After adjusting for the effect of age and gender, four aspects of trauma severity (i.e., direct exposure, indirect exposure, worry about others, and house damage) were positively associated with the severity of PTSD and depressive symptoms, whereas trait resilience was negatively associated with PTSD and depressive symptoms and moderated the relationship between subjective experience (i.e., worry about others) and PTSD and depressive symptoms. CONCLUSIONS: Several aspects (i.e., direct exposure, indirect exposure, worry about others, and house damage) of earthquake experiences may be important risk factors for the development and maintenance of PTSD and depression. Additionally, trait resilience exhibits the beneficial impact on PTSD and depressive symptoms and buffers the effect of subjective experience (i.e., worry about others) on PTSD and depressive symptoms.

Prevalence and predictors of posttraumatic stress disorder and depressive symptoms among child survivors 1 year following the Wenchuan earthquake in China.

The purpose of this study was to estimate the prevalence rates of probable posttraumatic stress disorder (PTSD) and depression and to explore potential risk factors among child and adolescent survivors 1 year following the 2008 Wenchuan earthquake. 3052 participants were administered the Child PTSD Symptom Scale, the Center for Epidemiologic Studies Depression Scale for Children, and the earthquake experience scale. Results indicated that the prevalence rates of probable PTSD and depression were 8.6 and 42.5%, respectively. Demographic variables (i.e., age and gender) and most aspects of earthquake experiences (i.e., direct exposure, close ones' exposure, fear for the safety of close ones, prior exposure to trauma, living location, and house damage, with the exception of type of housing) made unique contributions to PTSD and depressive symptoms. In addition, the moderating effect of gender on the relationships between age and PTSD and depressive symptoms was significant. In conclusion, depression was a more common psychological response than was PTSD among child survivors 1 year following the Wenchuan earthquake. Age and gender were risk factors for both PTSD and depressive symptoms. Furthermore, older female survivors exhibit more severe PTSD and depressive symptoms. Additionally, several aspects of earthquake experiences (i.e., direct exposure, close ones' exposure, fear for the safety of close ones, prior exposure to trauma, living location, and house damage) was also important for the development and maintenance of PTSD and depressive symptoms.