Abstract
Psychological Suzhi, as a product of the implementation of quality-oriented education in China, is an important protective factor in promoting students’ mental health and social adaptation. Although previous studies have demonstrated that individuals with higher psychological Suzhi have lower levels of depression and anxiety, little is known about the mechanisms of how psychological Suzhi acts on depression and anxiety. In order to further explore the potential impact mechanism between psychological Suzhi and depression and anxiety, the present study conducted a survey on 5214 adolescents (Mage = 16.74 ± 1.01 years, 42.50% male) using the Brief Psychological Suzhi Questionnaire for Middle School Students, the Negative Cognitive Processing Bias Scale, the Perceived Stress Scale, the Patient Health Questionnaire-9, and the Generalized Anxiety Disorder scale-7. The results showed that (1) Psychological Suzhi was moderately negatively correlated with depression and anxiety; (2) Negative cognitive processing bias and perceived stress independently mediated the effect of psychological Suzhi on depression and anxiety; (3) Psychological Suzhi also could influence depression and anxiety through the chain mediating effect from negative cognitive processing bias to perceived stress. In summary, this study revealed that negative cognitive processing bias and perceived stress are important internal mechanisms by which psychological Suzhi influences depression and anxiety. These findings not only contribute to deepening research on the mechanisms of psychological Suzhi, but also provide suggestions for alleviating depression and anxiety in adolescents.
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The datasets generated and analysed bout the current study are available from the corresponding author on reasonable request.
References
Adambegan, M., Wagner, G., Nader, I. W., Fernandez-Aranda, F., Treasure, J., & Karwautz, A. (2012). Internalizing and externalizing behaviour problems in childhood contribute to the development of Anorexia and bulimia nervosa—A study comparing sister pairs. European Eating Disorders Review, 20(2), 116–120. https://doi.org/10.1002/erv.1152
Anderson, E., & Hope, D. (2008). A review of the tripartite model for understanding the link between anxiety and depression in youth. Clinical Psychology Review, 28(2), 275–287. https://doi.org/10.1016/j.cpr.2007.05.004
Bastianon, C. D., Klein, E. M., Tibubos, A. N., Brähler, E., Beutel, M. E., & Petrowski, K. (2020). Perceived stress scale (PSS-10) psychometric properties in migrants and native germans. BMC Psychiatry, 20(1), 1–9. https://doi.org/10.1186/s12888-020-02851-2
Beck, A. T. (1976). Cognitive therapy and the emotional disorders. Guilford Press.
Belsky, J., & Pluess, M. (2009). Beyond diathesis stress: Differential susceptibility to environmental influences. Psychological Bulletin, 135(6), 885–908. https://doi.org/10.1037/a0017376
Benson, P. L., Leffert, N., Scales, P. C., & Blyth, D. A. (2012). Beyond the village rhetoric: Creating healthy communities for children and adolescents. Applied Developmental Science, 16(1), 3–23. https://doi.org/10.1080/10888691.2012.642771
Booth, C., Songco, A., Parsons, S., & Fox, E. (2022). Cognitive mechanisms predicting resilient functioning in adolescence: Evidence from the CogBIAS longitudinal study. Development and Psychopathology, 34(1), 345–353. https://doi.org/10.1017/S0954579420000668
Bryant, L. M., Duncan, R. J., Marceau, K., & Schmitt, S. A. (2022). Examining longitudinal associations between internalizing problems, body mass index, and language during childhood. Developmental Psychology, 58(11), 2114–2126. https://doi.org/10.1037/dev0001426
Caspi, A., Houts, R. M., Belsky, D. W., Goldman-Mellor, S. J., Harrington, H., Israel, S., Meier, M. H., Ramrakha, S., Shalev, I., Poulton, R., & Moffitt, T. E. (2014). The p factor: One general psychopathology factor in the structure of psychiatric disorders? Clinical Psychological Science, 2(2), 119–137. https://doi.org/10.1177/2167702613497473
Chen, J., Huang, J., Zhao, W., Du, F., & Cheng, G. (2021). The influence of parental educational involvement on social anxiety among Chinese middle school students: The mediating role of psychological Suzhi and the moderating role of family socioeconomic status. Current Psychology. https://doi.org/10.1007/s12144-021-01752-1
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed).). Lawrence Erlbaum Associates.
Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24(4), 385–396. https://doi.org/10.2307/2136404
Cohen, S., & Williamson, G. (1988). Perceived stress in a probability sample of the United States. In S. Spacapan & S. Oskamp (Eds.), The social psychology of health: Claremont Symposium on Applied Social Psychology (pp. 31–67). Sage.
Collishaw, S. (2015). Annual research review: Secular trends in child and adolescent mental health. Journal of Child Psychology and Psychiatry, 56(3), 370–393. https://doi.org/10.1111/jcpp.12372
Fanti, K. A., & Henrich, C. C. (2010). Trajectories of pure and co-occurring internalizing and externalizing problems from age 2 to age 12: Findings from the National Institute of Child Health and Human Development Study of Early Child Care. Developmental Psychology, 46(5), 1159–1175. https://doi.org/10.1037/a0020659
Folkman, S., Lazarus, R. S., Dunkelschetter, C., Delongis, A., & Gruen, R. J. (1986). Dynamics of a stressful encounter: Cognitive appraisal, coping, and encounter outcomes. Journal of Personality and Social Psychology, 50(5), 992–1003. https://doi.org/10.1037/0022-3514.50.5.992
Ford, C. G., & Shook, N. J. (2019). Negative cognitive bias and perceived stress: Independent mediators of the relation between mindfulness and emotional distress. Mindfulness, 10(1), 100–110. https://doi.org/10.1007/s12671-018-0955-7
Furlong, M. J., Gilman, R., & Huebner, E. S. (2014). Handbook of positive psychology in schools (2nd ed). Taylor & Francis.
Gobin, C. M., Banks, J. B., Fins, A. I., & Tartar, J. L. (2015). Poor sleep quality is associated with a negative cognitive bias and decreased sustained attention. Journal of Sleep Research, 24(5), 535–542. https://doi.org/10.1111/jsr.12302
Hankin, B. L., Snyder, H. R., Gulley, L. D., Schweizer, T. H., Bijttebier, P., Nelis, S., Toh, G., & Vasey, M. W. (2016). Understanding comorbidity among internalizing problems: Integrating latent structural models of psychopathology and risk mechanisms. Development and Psychopathology, 28(4pt1), 987–1012. https://doi.org/10.1017/s0954579416000663
Harman, H. H. (1976). Modern factor analysis (3rd ed). University of Chicago Press.
Hu, T., Zhang, D., & Cheng, G. (2017). Revision of the psychological suzhi questionnaire of middle school students (simplified version) and the test of the reliability and validity. Journal of Southwest University (Social Sciences Edition), 43(2), 120–126. https://doi.org/10.13718/j.cnki.xdsk.2017.02.015
Keefer, A., Kreiser, N. L., Singh, V., Blakeley-Smith, A., Reaven, J., & Vasa, R. A. (2017). Exploring relationships between negative cognitions and anxiety symptoms in youth with autism spectrum disorder. Behavior Therapy, 49(5), 730–740. https://doi.org/10.1016/j.beth.2017.12.002
Klassen, R. M., Tze, V. M., & Hannok, W. (2011). Internalizing problems of adults with learning disabilities: A meta-analysis. Journal of Learning Disabilities, 46(4), 317–327. https://doi.org/10.1177/0022219411422260
Kleim, B., Thorn, H. A., & Ehlert, U. (2014). Positive interpretation bias predicts well-being in medical interns. Frontiers in Psychology, 5, 640. https://doi.org/10.3389/fpsyg.2014.00640
Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16(9), 606–613. https://doi.org/10.1046/j.1525-1497.2001.016009606.x
Li, L., Han, L., Gao, F., & Chen, Y. (2021). The role of negative cognitive processing bias in the relation between shyness and self-disclosure among college students. Chinese Journal of Clinical Psychology, 29(6), 1260–1265. https://doi.org/10.16128/j.cnki.1005-3611.2021.06.028
Liu, G., Zhang, D., Pan, Y., Hu, T., He, N., Chen, W., & Wang, Z. (2017). Self-concept clarity and subjective social status as mediators between psychological Suzhi and social anxiety in Chinese adolescents. Personality and Individual Differences, 108, 40–44. https://doi.org/10.1016/j.paid.2016.11.067
Lu, W., Bian, Q., Wang, W., Wu, X., Wang, Z., & Zhao, M. (2017). Chinese version of the perceived stress Scale-10: A psychometric study in Chinese university students. PLoS ONE, 12(12), e0189543. https://doi.org/10.1371/journal.pone.0189543
Ma, Y. J. (2021). Effect of mental resilience of left-behind children on self-esteem and emotional processing bias and social coping styles. Work (Reading, Mass.), 69(2), 559–571. https://doi.org/10.3233/WOR-213499
Makhubela, M. (2022). Assessing psychological stress in South African university students: Measurement validity of the perceived stress scale (PSS-10) in diverse populations. Current Psychology, 41(5), 2802–2809. https://doi.org/10.1007/s12144-020-00784-3
Massy, W. F. (1965). Principle components regression in exploratory statistical research. Journal of the American Statistical Association, 60(309), 234–266. https://doi.org/10.1080/01621459.1965.10480787
Mętel, D., Arciszewska, A., Daren, A., Frydecka, D., Cechnicki, A., & Gawęda, Ł. (2019). Resilience and cognitive biases mediate the relationship between early exposure to traumatic life events and depressive symptoms in young adults. Journal of Affective Disorders, 254, 26–33. https://doi.org/10.1016/j.jad.2019.05.008
Miao, H., Sun, H., He, X., Zhang, Z., Nie, Q., & Guo, C. (2021). Perceived social support and life satisfaction among young Chinese adolescents: The mediating effect of psychological Suzhi and its components. Current Psychology, 40(12), 6164–6174. https://doi.org/10.1007/s12144-020-01130-3
Muthén, L. K., & Muthén, B. O. (1998–2012). Mplus user’s guide (2nd ed.). Muthén and Muthén.
Ng, S. (2013). Validation of the 10-item Chinese perceived stress scale in elderly service workers: One-factor versus two-factor structure. BMC Psychology, 1(1), v. https://doi.org/10.1186/2050-7283-1-9
Nie, Q., Yang, C., Teng, Z., Furlong, M. J., Pan, Y. G., Guo, C., & Zhang, D. J. (2020). Longitudinal association between school climate and depressive symptoms: The mediating role of psychological Suzhi. School Psychology, 35(4), 267–276. https://doi.org/10.1037/spq0000374
Pan, Z., Zhang, D., Liu, G., & Luo, S. (2019). The mediating role of fear of evaluation between psychological Suzhi and social anxiety among Chinese secondary school students. Current Psychology, 38(5), 1174–1181. https://doi.org/10.1007/s12144-018-0009-2
Peets, K., Turunen, T., & Salmivalli, C. (2022). Rumination mediates the longitudinal associations between elementary-school victimization and adolescents’ internalizing problems. Journal of Interpersonal Violence, 37(17–18), NP16885–NP16906. https://doi.org/10.1177/08862605211025020
Peng, X., Bao, W., Zhong, Y., & Zhu, D. (2018). The influence of children’s psychological Suzhi on loneliness: Mediated by emotional adjustment and peer relationship. Journal of Southwest University (Natural Science Edition), 40(10), 53–57. https://doi.org/10.13718/j.cnki.xdzk.2018.10.008
Plenty, S., Magnusson, C., & Låftman, S. B. (2021). Internalising and externalising problems during adolescence and the subsequent likelihood of being not in employment, education or training (NEET) among males and females: The mediating role of school performance. SSM - Population Health, 15, 100873. https://doi.org/10.1016/j.ssmph.2021.100873
Possel, P., & Black, S. W. (2013). Testing three different sequential mediational interpretations of Beck’s cognitive model of the development of depression. Journal of Clinical Psychology, 70(1), 72–94. https://doi.org/10.1002/jclp.22001
Prochwicz, K., Klosowska, J., & Dembinska, A. (2020). The mediating role of stress in the relationship between attention to threat bias and psychotic-like experiences depends on coping strategies. Frontiers in Psychiatry, 11, 307. https://doi.org/10.3389/fpsyt.2020.00307
Roiser, J. P., Elliott, R., & Sahakian, B. J. (2012). Cognitive mechanisms of treatment in depression. Neuropsychopharmacology : Official Publication of the American College of Neuropsychopharmacology, 37(1), 117–136. https://doi.org/10.1038/npp.2011.183
Spitzer, R. L., Kroenke, K., Williams, J. B., & Löwe, B. (2006). A brief measure for assessing generalized anxiety disorder: The GAD-7. Archives of Internal Medicine, 166(10), 1092–1097. https://doi.org/10.1001/archinte.166.10.1092
Su, Z., Zhang, D., & Liu, P. (2018). The relationship between psychological Suzhi and stress cognition of students in grade three and four of primary school. Chinese Journal of School Health, 39(1), 145–148. https://doi.org/10.16835/j.cnki.1000-9817.2018.01.047
Vazsonyi, A. T., Liu, D., & Blatny, M. (2022). Longitudinal bidirectional effects between sleep quality and internalizing problems. Journal of Adolescence, 94(3), 448–461. https://doi.org/10.1002/jad.12039
Wang, J., Zhang, J., Xue, Y., Xu, K., Xiao, H., Xu, H., Wang, H., & Feng, Z. (2020). Effect of bravery on mental health of plateau soldiers: Based on modification of negative cognitive processing bias. Journal of Army Medical University, 42(16), 1586–1591. https://doi.org/10.16016/j.1000-5404.202003331
Wang, X., & Zhang, D. (2012). The criticism and amendment for the dual-factor model of mental health: From Chinese psychological Suzhi research perspectives. International Journal of Clinical Medicine, 3(5), 319–327. https://doi.org/10.4236/ijcm.2012.35063
Wu, L., Ding, F., Zhang, T., He, H., Wang, J., Pan, Y., & Zhang, D. (2022). Psychological Suzhi moderates state anxiety and heart rate responses to acute stress in male adolescents. Stress and Health, 38(3), 581–590. https://doi.org/10.1002/smi.3119
Xue, E. Y., & Li, J. (2023). What is the value essence of double reduction (Shuang Jian) policy in China? A policy narrative perspective. Educational Philosophy and Theory, 55(7), 787–796. https://doi.org/10.1080/00131857.2022.2040481
Yan, X., Zhang, R., & Feng, Z. (2017). Development of negative cognitive processing bias questionnaire. Journal of Army Medical University, 39(23), 2329–2334. https://doi.org/10.16016/j.1000-5404.201707160
Zhang, D. J., Wang, J. L., & Yu, L. (2011). Methods and implementary strategies on cultivating students’ psychological suzhi. Nova Science Publishers.
Zhang, J., & Zhang, D. (2018). Interpretation bias on ambiguous situations in undergraduates with different psychological Suzhi levels. Chinese Journal of Clinical Psychology, 26(5), 858–862. https://doi.org/10.16128/j.cnki.1005-3611.2018.05.005
Zhang, Y. Y., Chen, S. H., Wu, H. M., & Guo, C. (2022). Effect of mindfulness on psychological distress and well-being of children and adolescents: A meta-analysis. Mindfulness, 13(2), 285–300. https://doi.org/10.1007/s12671-021-01775-6
Zhang, Y. Y., Yang, X. F., Liu, X. C., & Jia, C. X. (2023). Longitudinal association of family conflict and suicidal behaviors among Chinese adolescents: The mediation effect of internalizing and externalizing problems. Journal of Affective Disorders, 321, 96–101. https://doi.org/10.1016/j.jad.2022.10.028
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This work was supported by the Fundamental Research Funds for the Central Universities (grant number: SWU1909106).
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Conceptualization: Hualing Miao, Zhengqi Wei, and Cheng Guo; Data collection: Hualing Miao, Zhengqi Wei, Qing Li, Yizhi Zhang, Xiaomin Liu, and Cheng Guo; Methodology: Hualing Miao, Qing Li, and Cheng Guo; Writing—original draft preparation: Hualing Miao and Zhengqi Wei; Writing—review and editing: Qing Li, Yizhi Zhang, Xiaomin Liu, and Cheng Guo; Funding acquisition: Cheng Guo. All authors read and approved the final manuscript.
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Miao, H., Wei, Z., Li, Q. et al. Psychological Suzhi and depression and anxiety among Chinese adolescents: the mediating role of negative cognitive processing bias and perceived stress. Curr Psychol 43, 18207–18217 (2024). https://doi.org/10.1007/s12144-023-05582-1
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DOI: https://doi.org/10.1007/s12144-023-05582-1