PMID- 37055779
OWN - NLM
STAT- MEDLINE
DCOM- 20230417
LR  - 20230423
IS  - 1471-244X (Electronic)
IS  - 1471-244X (Linking)
VI  - 23
IP  - 1
DP  - 2023 Apr 13
TI  - The relationship between emotional neglect and non-suicidal self-injury among 
      middle school students in China: the mediating role of social anxiety symptoms 
      and insomnia.
PG  - 248
LID - 10.1186/s12888-023-04735-7 [doi]
LID - 248
AB  - BACKGROUND: Non-suicidal self-injury (NSSI) is a vital public concern around the 
      world, and it often starts in adolescence. Emotional neglect (EN) has been 
      considered a distal risk factor for NSSI, but the effects of social anxiety 
      symptoms (SA) and insomnia on this relationship have remained unclear. This study 
      aimed to investigate the potential pathways from EN to NSSI, examining the role 
      of SA and insomnia in this association. METHODS: One thousand three hundred 
      thirty seven Chinese middle school students (M(age) = 13.040, SD = 0.981, 50.2% 
      males) in China were enrolled in this cross-sectional study. Participants 
      completed the Emotional Neglect sub-scale of Childhood Trauma Questionnaire 
      (CTQ-SF), the Social Anxiety Scale for Adolescent (SAS-A), Athens Insomnia Scale 
      (AIS) and non-suicidal self-injury assessment. Structural equation modelling 
      (SEM) was used to test the possible mediation model among these variables. 
      RESULTS: 231(17.3%) students reported NSSI history during last year and 322 
      (24.1%) participants reported experiences of EN. Students who experienced EN have 
      higher rates of NSSI compared to students without EN history (29.2% vs 13.5%). 
      EN, SA, insomnia and NSSI were positively related to each other. Furthermore, 
      both SA and insomnia played a mediating role in the relationship between EN and 
      NSSI, the series mediating effect of SA and insomnia on this association was also 
      significant after controlling for demographics. Indirect effects accounted for 
      58.26% of the total effects (EN --> NSSI). CONCLUSIONS: Our study revealed that EN 
      was associated with NSSI, SA and insomnia play indirect roles in the association 
      between EN and NSSI. The findings of our research may have implications for 
      clinicians, families, and schools in their efforts to lower the risk of NSSI in 
      adolescents.
CI  - (c) 2023. The Author(s).
FAU - Hou, Shiyi
AU  - Hou S
AD  - Department of Clinical Psychology, Central South University, The Third Xiangya 
      Hospital, Changsha, 410013, Hunan, China.
FAU - Twayigira, Mireille
AU  - Twayigira M
AD  - Department of Psychiatry, and National Clinical Research Center for Mental 
      Disorders, The Second Xiangya Hospital of Central South University, Changsha, 
      410011, Hunan, China.
FAU - Luo, Xuerong
AU  - Luo X
AD  - Department of Psychiatry, and National Clinical Research Center for Mental 
      Disorders, The Second Xiangya Hospital of Central South University, Changsha, 
      410011, Hunan, China.
FAU - Song, Lintong
AU  - Song L
AD  - Department of Psychiatry, and National Clinical Research Center for Mental 
      Disorders, The Second Xiangya Hospital of Central South University, Changsha, 
      410011, Hunan, China.
FAU - Cui, Xilong
AU  - Cui X
AD  - Department of Psychiatry, and National Clinical Research Center for Mental 
      Disorders, The Second Xiangya Hospital of Central South University, Changsha, 
      410011, Hunan, China.
FAU - Xie, Qiuxiang
AU  - Xie Q
AD  - Department of General Practice, Central South University, The Third Xiangya 
      Hospital, Changsha, 410013, Hunan, China.
FAU - Shen, Yanmei
AU  - Shen Y
AD  - Department of Psychiatry, and National Clinical Research Center for Mental 
      Disorders, The Second Xiangya Hospital of Central South University, Changsha, 
      410011, Hunan, China.
FAU - Yang, Feilong
AU  - Yang F
AD  - Department of Clinical Psychology, Central South University, The Third Xiangya 
      Hospital, Changsha, 410013, Hunan, China.
FAU - Yuan, Xiuhong
AU  - Yuan X
AD  - Department of Clinical Psychology, Central South University, The Third Xiangya 
      Hospital, Changsha, 410013, Hunan, China. yxhyjsb@csu.edu.cn.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20230413
PL  - England
TA  - BMC Psychiatry
JT  - BMC psychiatry
JID - 100968559
SB  - IM
MH  - Male
MH  - Adolescent
MH  - Humans
MH  - Female
MH  - *Sleep Initiation and Maintenance Disorders
MH  - Cross-Sectional Studies
MH  - *Self-Injurious Behavior/psychology
MH  - China/epidemiology
MH  - Students/psychology
MH  - Anxiety
PMC - PMC10100180
OTO - NOTNLM
OT  - Child/adolescent
OT  - Emotional neglect
OT  - Insomnia
OT  - Non-suicidal self-injury
OT  - Social anxiety
COIS- The authors declare that they have no competing interests.
EDAT- 2023/04/14 06:00
MHDA- 2023/04/17 06:41
PMCR- 2023/04/13
CRDT- 2023/04/13 23:36
PHST- 2022/09/13 00:00 [received]
PHST- 2023/03/30 00:00 [accepted]
PHST- 2023/04/17 06:41 [medline]
PHST- 2023/04/13 23:36 [entrez]
PHST- 2023/04/14 06:00 [pubmed]
PHST- 2023/04/13 00:00 [pmc-release]
AID - 10.1186/s12888-023-04735-7 [pii]
AID - 4735 [pii]
AID - 10.1186/s12888-023-04735-7 [doi]
PST - epublish
SO  - BMC Psychiatry. 2023 Apr 13;23(1):248. doi: 10.1186/s12888-023-04735-7.