BACKGROUND Cervical cancer poses significant physical and psychological challenges,often leading to maladaptive coping behaviors that affect treatment adherence and quality of life.While psychological flexibility is k...BACKGROUND Cervical cancer poses significant physical and psychological challenges,often leading to maladaptive coping behaviors that affect treatment adherence and quality of life.While psychological flexibility is known to promote adaptive coping,its relationship with coping behaviors in cervical cancer patients remains underexplored,and the potential moderating role of illness perception in this association has not been established.AIM To explore the relationship between psychological flexibility and cancer coping behaviors in patients with cervical cancer,and to analyze the moderating role of illness perception in this relationship.METHODS A convenience sampling method was used to select 216 patients with cervical cancer for inclusion in this study.The Multidimensional Psychological Flexibility Inventory-24,Cancer Behavior Scale-3.0,and Brief Illness Perception Questionnaire were used for data collection.SPSS 26.0 software was applied for descriptive statistics,Pearson correlation analysis,and hierarchical regression analysis were also performed.RESULTS The total psychological flexibility score in patients with cervical cancer was 65.32±10.25.The score of the positive coping dimension in cancer coping behaviors was 38.67±7.54,and the score of the negative coping dimension was 25.43±6.89.The total illness perception score was 42.15±8.36.Pearson correlation analysis showed that psychological flexibility was significantly positively correlated with positive coping behaviors(r=0.452,P0.05).CONCLUSION Higher levels of psychological flexibility in patients with cervical cancer are associated with a greater tendency to adopt positive coping behaviors.Illness perception enhances the effect of psychological flexibility on negative coping behaviors.展开更多
To demonstrate the intrinsic mechanism linking educational digital transformation with higher education quality,this study investigates 1,200 teachers and students from four universities in City A.We construct a media...To demonstrate the intrinsic mechanism linking educational digital transformation with higher education quality,this study investigates 1,200 teachers and students from four universities in City A.We construct a mediation effect model examining“digital transformation→pedagogical innovation→learning experience optimization→talent development quality,”along with a moderating effect model where“digital literacy”acts as a mediator.Statistical validation is conducted using structural equation modeling and hierarchical regression analysis.The findings demonstrate that educational digital transformation significantly enhances the quality of talent cultivation in higher education institutions.Both pedagogical innovation and optimized learning experiences partially mediate this relationship.The digital literacy of both teachers and students positively moderates the impact of digital transformation on talent development quality,with particularly pronounced effects observed among those with higher digital literacy.These insights provide practical pathways and quantitative evidence for universities to leverage digital transformation in improving talent cultivation outcomes.展开更多
This study empirically examines the impact of corporate ESG performance on debt financing costs using a sample of non-financial listed companies on China’s A-share market from 2009 to 2024,with a particular focus on ...This study empirically examines the impact of corporate ESG performance on debt financing costs using a sample of non-financial listed companies on China’s A-share market from 2009 to 2024,with a particular focus on the moderating effect of the 2012 Green Credit Guidelines implementation.The findings reveal:(1)Strong ESG performance significantly reduces corporate debt financing costs,a conclusion that remains robust after a series of stability tests and addressing endogeneity issues.(2)Green credit policies mitigate the debt cost-saving effect of ESG performance.(3)Heterogeneity analysis indicates that this policy moderation effect is more pronounced among non-state-owned enterprises and companies in western China.This study not only provides direct financial incentive evidence for companies to actively pursue ESG strategies but also offers decision-making references for regulators to further refine green finance policy frameworks and implement differentiated guidance.展开更多
BACKGROUND Adolescence is a period marked by physiological and psychological imbalances,which pose an increased risk for adolescents with major depressive disorder(MDD)to commit non-suicidal self-injury(NSSI).AIM To i...BACKGROUND Adolescence is a period marked by physiological and psychological imbalances,which pose an increased risk for adolescents with major depressive disorder(MDD)to commit non-suicidal self-injury(NSSI).AIM To investigate the moderating role of social support utilization in depression and NSSI among adolescents with MDD.METHODS This cross-sectional study enrolled 314 adolescents with MDD(258 with NSSI,56 without)from a Chinese tertiary psychiatric hospital(2021-2023).Participants completed validated scales,including the self-esteem scale,the Barratt impulsiveness scale,the self-rating depression scale,and the teenager social support rating scale.Logistic regression and hierarchical regression analyses were used to examine predictors of NSSI and the moderating effect of social support utilization.RESULTS Results showed that the NSSI group had higher depression levels,lower selfesteem,and greater impulsivity.While overall social support was higher in the NSSI group,social support utilization significantly moderated the depression-NSSI relationship.Specifically,higher utilization levels weakened the association between depression and NSSI(β=-0.001,P<0.05).CONCLUSION These findings suggest that effective utilization of social support,rather than its mere presence,is crucial in reducing NSSI risk among depressed adolescents.展开更多
The digital economy,which was born during the late third technological revolution,has caused significant economic and societal changes.Amid sluggish global economic growth,China’s economy is facing upgrades and trans...The digital economy,which was born during the late third technological revolution,has caused significant economic and societal changes.Amid sluggish global economic growth,China’s economy is facing upgrades and transformations.The sample selection for this study was conducted from 2013 to 2020.Data related to the digital economy and servitization of the industrial structure of 30 Chinese provinces,municipalities,and autonomous regions were collected.This study presents the human capital variable,based on which an econometric analysis was conducted,and examines its moderating effect.The findings indicate that even after the replacement variable indicator’s robustness test,the relationship between the digital economy and the servitization of industrial structures remains unchanged.This study demonstrats that the quality of human capital plays a positive role in this effect.Finally,a heterogeneity test demonstrated that there are different pathways for the impact of the digital economy on the servitization of industrial structures in the eastern,central,and western regions.This study provides evidence to help researchers understand the moderating utility of human capital.展开更多
The growing diabetic epidemic has created a substantial burden,not only on the people with diabetes but also on society at large.This mini-review discussed the limitations and patterns of disability in type 2 diabetes...The growing diabetic epidemic has created a substantial burden,not only on the people with diabetes but also on society at large.This mini-review discussed the limitations and patterns of disability in type 2 diabetes mellitus and put forward a case for the moderating effects of physical activity(PA)in the management of diabetes.The limitations and impairments associated with diabetes include vascular,neurological,cardiac,and renal impairments.Moreover,individuals participate less in their daily lives and in their instrumental activities of daily living,which negatively impacts the quality of life of individuals with diabetes.This often leads to a loss of quality of life due to disabilities,resulting in an increased rate of disability-adjusted life years among people with type 2 diabetes mellitus.Moreover,there are psychosocial sequelae of diabetes mellitus.This necessitates looking for moderating factors that may reduce the burden of the disease.PA has been shown to be one of the factors that can mitigate these burdens.PA does this in several ways,including through the benefits it confers,such as a reduction of hemoglobin A1c,a reduction of excess fat in the liver and pancreas,and the reduction of cardiovascular risk factors,all of which favorably affect glycemic parameters.Specifically,PA regulates or moderates diabetes disability through two mechanisms:The regulation of glucolipid metabolism disorders and the optimization of body mass index and systemic conditions.Therefore,efforts should be directed at PA uptake through identified strategies.This will not only prevent diabetes or diabetes complications but will reduce its burden.展开更多
Objective:To investigate the loneliness and psychological resilience with the perceived social support of the left-behind elderly in rural areas and explore the moderating effect of psychological resilience on the und...Objective:To investigate the loneliness and psychological resilience with the perceived social support of the left-behind elderly in rural areas and explore the moderating effect of psychological resilience on the understanding of social support and loneliness of the left-behind elderly in rural areas.Methods:A cross-sectional study was conducted;272 left-behind elderly people in 6 rural villages in the Sichuan Province were investigated by using the General Situation Questionnaire,Perceived Social Support Scale(PSSS),Connor-Davidson Resilience Scale(CD-RISC),and the University of California at Los Angeles Loneliness Scale(UCLA)with a stratified random cluster sampling method.Results:The loneliness score of the left-behind elderly in rural areas was 52.54±7.25,the psychological resilience score was 78(68.87),and the perceived social support score was 57(51.62).The perceived social support and psychological resilience were negatively correlated with loneliness,while the perceived social support was positively correlated with psychological resilience.The moderating effect of psychological resilience on the perceived social support and loneliness of the left-behind elderly in rural areas was−0.102(P<0.001).Conclusions:Higher level resilience is of positive significance to alleviate the negative effect of social support on loneliness.Improving the resilience of the left-behind elderly in rural areas is a beneficial exploration to promote their mental health.展开更多
Purpose: This study explored the relationship between mental toughness and college basketball performance, specifically examining possible moderating variables (gender and starting status). Methods: Male and fema...Purpose: This study explored the relationship between mental toughness and college basketball performance, specifically examining possible moderating variables (gender and starting status). Methods: Male and female (n = 197) college basketball players completed the Psychological Performance Inventory-Alternative (PPI-A), a measure of characteristics and skills consistent with mental toughness, and the PERK an objective measure of basketball performance. Results: Findings suggest that basketball performance can be partially predicted by mental toughness and starting status. Males reported greater mental toughness than females. Starters and nonstarters did not differ in mental toughness. Moderated hierarchical regression analysis indicated that mental toughness was related to performance for male players as both a main effect and interaction with starter status. For female players, in contrast, starter status was the only significant predictor of performance. Practitioners are encouraged to foster the psychological skills associated with mental toughness in females and non-starters in basketball. Conclusion: Discussion of the PPI-A as a measure of mental toughness and suggestions for its improvement are explored. A need exists for additional research on mental toughness and objective performance, as performance enhancement is a major impetus for research on mental toughness. Copyright @ 2012, Shanghai University of Sport. Production and hosting by Elsevier B.V. All rights reserved.展开更多
Purpose: This study investigates how online user intention in searching health information is affected by problematic situations.Design/methodology/approach: Based on the Theory of Reasoned Action, the Technology Ac...Purpose: This study investigates how online user intention in searching health information is affected by problematic situations.Design/methodology/approach: Based on the Theory of Reasoned Action, the Technology Acceptance Model, and Sense-making theory, we propose two dimensions of problematic situations: urgency and severity of health issues being searched online. Data were collected through a questionnaire survey among 214 Wuhan University students and analyzed using hierarchical regression analysis.Findings: Perceived usefulness, perceived ease of use, and subjective norm can influence user intention to seek health information online. The urgency of problematic situations has a negative moderating effect on the relationship between perceived ease of use and user intention and the relationship between subjective norm and user intention. The severity of problematic situations has a negative moderating effect on the relationship between subjective norm and user intention.Research limitations: The respondents of the survey are limited to students in one Chinese university, so whether this study's results can be applied to another population or not remains to be verified. In addition, only two dimensions of problematic situations are considered in this study. Practical implications: The paper puts forward the moderating effect of problematic situations and verifies it, which is the compensation for online health information-seeking behavior research. Besides, our analyses have implications for professional design of health care systems and related consumer information searches, and improve their performance. Originality/value: Previous work has reported the effects of problematic situation on user intention to seek health information online, ignoring its influence on other factors. This empirical study extends that work to identify the influence of problematic situation when seeking intention-behavior data in two dimensions, urgency and severity.展开更多
Objective:This study evaluated the effect of resilience on depression among patients with breast cancer from individual and familial perspectives by exploring the mediating and moderating effects of family resilience ...Objective:This study evaluated the effect of resilience on depression among patients with breast cancer from individual and familial perspectives by exploring the mediating and moderating effects of family resilience between individual resilience and depression.Methods:A questionnaire survey was conducted among 337 patients with breast cancer who were admitted to the Oncology Department of Jiangsu Province Hospital.The survey included demographic information,the Connor–Davidson Resilience Scale(CD-RISC),the Family Resilience Assessment Scale(FRAS),and the Chinese version of the Patient Health Questionnaire-9(PHQ-9)for Depression.The relationship among individual resilience,family resilience,and depression was analyzed using hierarchical regression and bootstrap test to assess the mediating and moderating effects of family resilience.Results:The depression scores were(13.50±5.16),the individual resilience scores were(48.62±17.50),and the family resilience scores were(105.98±24.35).Significant differences in depression scores were observed in terms of family monthly income,average weekly exercise before diagnosis,post-diagnosis interpersonal relationship quality,and overall sleep quality in the past month(p<0.05).Patients with lower individual resilience had significantly higher depression scores than those with higher resilience(F=24.314,p<0.001),and similarly,patients with lower family resilience had higher depression scores than those with higher family resilience(F=41.660,p<0.001).Individual resilience and family resilience were significantly negatively correlated with depression(r=-0.447 and-0.441,respectively,p<0.001).Hierarchical regression analysis and bootstrap test showed that family resilience(β=-0.310,p<0.001)had a partial mediating effect between individual resilience(β=-0.321,p<0.001)and depression.The indirect effect size was-0.038,the 95%CI was(-0.056,-0.020),and the direct effect ratio was 71.43%.The interaction of family resilience and individual resilience had a moderating effect on depression(B=0.166,p<0.001).Family resilience negatively moderated the relationship between individual resilience and depressive symptoms and enhanced the protective effect of individual resilience against depression with increasing family resilience.Conclusion:Family resilience has mediating and moderating effects between individual resilience and depression in patients with breast cancer.展开更多
A random sample of 535 children was selected by cluster random sampling.The shyness level and parenting style of parents and shyness level of children were investigated.The results indicated that there was a positive ...A random sample of 535 children was selected by cluster random sampling.The shyness level and parenting style of parents and shyness level of children were investigated.The results indicated that there was a positive correlation between parent shyness and child shyness,and there was a negative correlation between the child shyness and the authoritative parenting style.Mother shyness has a positive effect on different gender child shyness,but father shyness can only positively predict boy's shyness.The authoritarian parenting style has a negative predictive effect on boy's shyness.The authoritative parenting style could significantly enhance the influence of parent shyness on child shyness.展开更多
With the development of science and technology,the use of the Internet is becoming more and more widespread.However,with the popularity of the Internet,some problems have gradually surfaced.The anonymity of Internet u...With the development of science and technology,the use of the Internet is becoming more and more widespread.However,with the popularity of the Internet,some problems have gradually surfaced.The anonymity of Internet use has become a breeding ground for many acts that are contrary to public decency,and this study is conducted against this background.This study explored the impact of perceived anonymity on online transgressions and investigated the moderating effect of moral excuses.A total of 414 subjects,210 males and 204 females,participated in this experimental survey.The SPSS data analysis concluded that perceived anonymity played a significant positive predictive role on online deviance(p<0.01),and the moderating role of moral excuses was not significant.This study will be conducive to the better implementation of the action of clearing cyberspace and to the regulation of public behaviour in cyberspace.展开更多
A significant portion of emerging adults do not achieve recommended levels of physical activity (PA). Previous studies observedassociations between features of emerging adulthood and PA levels, while the potential psy...A significant portion of emerging adults do not achieve recommended levels of physical activity (PA). Previous studies observedassociations between features of emerging adulthood and PA levels, while the potential psychological mechanisms that mightexplain this phenomenon are not fully understood. In this context, there is some evidence that situated decisions towardphysical activity (SDPA) and exercise-intensity tolerance might influence PA level. To provide empirical support for thisassumption, the current study investigated whether (i) features of emerging adulthood are linked to SDPA, which, in turn,might affect PA engagement;(ii) exercise-intensity tolerance moderate the relationship between SDPA and PA level;and (iii)SDPA is a mediator of the relationship between features of emerging adulthood and PA levels under the prerequisite thatexercise-intensity tolerance moderates the link between SDPA and PA engagement. In this study a group of 1,706 Chinesecollege students was recruited and asked to complete a set of questionnaires assessing their SDPA, PA levels, exercise-intensitytolerance, and features associated with emerging adulthood, namely Self-exploration, Instability, and Possibility. Our resultsindicated that SDPA positively predicted PA levels and this relationship became stronger when exercise-intensity tolerance wasused as a moderator. Furthermore, it was observed that individuals with a higher level of Instability and a lower level ofPossibility during emerging adulthood exhibited a lower level of SDPA. Taken together, the results of our study providefurther insights on a potential psychological mechanism linking features of emerging adulthood and physical activity.展开更多
Objective:To explore the relationship between organizational identification,occupational stress,and insomnia among nurses and to analyze the moderating role of organizational identification between occupational stress...Objective:To explore the relationship between organizational identification,occupational stress,and insomnia among nurses and to analyze the moderating role of organizational identification between occupational stress and insomnia.Methods:Through stratified sampling,720 nurses working in a tertiary A-level hospital in Shandong Province from March to May 2021 were surveyed using an effort-reward imbalance questionnaire,an organizational identification questionnaire,and the Athens Insomnia scale.Results:Organizational identification was negatively correlated with occupational stress and insomnia(r1=-0.121,P1<0.01;r2=-0.144,P2<0.01).Occupational stress was positively correlated with insomnia(r=0.379,P<0.01).Organizational identity significantly moderated nurses’occupational stress and insomnia(β=-0.192,t=-2.558,P<0.05).Conclusion:Occupational stress and organizational identification can predict insomnia.Organizational identification could negatively mediate the relationship between occupational stress and insomnia.Improving organizational identification may help alleviate insomnia symptoms by relieving occupational stress.展开更多
This study explored the effect of perceived social isolation on the mental health of college students during the high-risk period of COVID-19 transmission in Hubei,China and the role of social support from online frie...This study explored the effect of perceived social isolation on the mental health of college students during the high-risk period of COVID-19 transmission in Hubei,China and the role of social support from online friends in alleviating this effect.The questionnaire responses of 213 college students from four universities in Hubei were included.Measurement and structural models were constructed using structural equation modeling.The findings revealed that perceived social isolation while under home quarantine was a negative predictor of the mental health of college students in Hubei.Low social support from online friends may lead to a relatively strong relationship between perceived social isolation and mental health in these college students,whereas high social support from online friends may lead to a relatively weak relationship between perceived social isolation and mental health.展开更多
Estimated at more than 2.2 million cases worldwide,most breast cancer cases and deaths from breast cancer occur in low and middle-income countries.In Cameroon,many studies have underlined the effect of knowledge of br...Estimated at more than 2.2 million cases worldwide,most breast cancer cases and deaths from breast cancer occur in low and middle-income countries.In Cameroon,many studies have underlined the effect of knowledge of breast cancer on screening measures such as self-examination and,to a lesser extent,the perception of the threat of this disease.This research aims to assess according to the Health Belief Model(HBM),the moderating effect of perceived threat of breast cancer on the relation between knowledge and breast self-examination.A questionnaire survey was conducted among 517 Cameroonian women to assess their general knowledge about breast cancer(risk factors and screening measures),their level of the perceived threat of breast cancer through Perceived susceptibility and severity,and the prevalence of breast self-examination amongst them.A regression analysis using the Macro Process for moderation indicates the main effect of Perceived threat(b=0,29;t(517)=2,36;p=0,02)of breast cancer and knowledge(b=0,02;t(517)=4,29;p<0,001)on breast self-examination.Results also confirm that the perceived threat of breast cancer moderates the effect of knowledge on breast self-examination.While the low level of perceived threat highlights the effect of knowledge on breast self-examination(b=0,02;t(517)=3,49;p<0,001),the high level of perceived threat cancels that effect(b=0,01;t(517)=1,97;p=0,01).A woman who perceives severity and susceptibility to breast cancer is more inclined to perform breast self-examination.This result suggests the importance of taking into account,in a context where knowledge of breast cancer is limited,relevant factors of the health belief model in preventive measures against breast cancer in general and the practice of breast self-examination in particular.展开更多
Background:Adolescents frequently engage in Non-Suicidal Self-Injury(NSSI),with recent trends indicating an increase in this behavior.At the same time,Chinese adolescents have a higher incidence of NSSI than Western a...Background:Adolescents frequently engage in Non-Suicidal Self-Injury(NSSI),with recent trends indicating an increase in this behavior.At the same time,Chinese adolescents have a higher incidence of NSSI than Western adolescents.Therefore,it is necessary to explore the relationship between interparental conflict and NSSI among adolescents within the context of Chinese families.Methods:The research sample comprised 755 senior high school students(46.62%male;age M=16.82,SD=0.94 years)who completed the Interparental Conflict Child Perception Scale(CPIC),Adolescent Self-Injury Behavior Questionnaire(ASHS),Toronto Alexithymia Scale-20(TAS-20),and Scale of Adolescent Resilience(RSCA).Results:Findings suggest that interparental conflict is a significant positive predictor of NSSI(r=0.22,p<0.01).Alexithymia mediates the relation between interparental conflict and NSSI(effect size=0.09,95%CI[0.05,0.13]).Additionally,resilience moderates both the direct relation(β=−0.08,p<0.05)and the latter half of the mediating pathway(β=−0.08,p<0.05)in the moderated mediation model.Conclusion:This study indicates that interparental conflict have an impact on adolescents’NSSI in Chinese families,and alexithymia and resilience play important roles in the relationship.These findings offer valuable guidance for the prevention and intervention efforts targeting NSSI among adolescents in China and in similar family contexts.展开更多
With the rapid development of social networks, there is a focus on marketing strategies and business models that are based on social media. In the academic world, scholars believe that online trust is a key factor con...With the rapid development of social networks, there is a focus on marketing strategies and business models that are based on social media. In the academic world, scholars believe that online trust is a key factor contributing to online purchasing behavior. This article explored several factors in social media trust and verified the moderating role of offline familiarity by using relevant research on online trust in conjunction with a structure equation model. The results show that independent variables such as reputation, SNS interaction, information quality, reciprocity, satisfaction and shared values have a positive influence on trust, whereas perceived similarity does not, and information quality is the most important factor. In addition, offline familiarity significantly moderates the relations between information quality, reciprocity, reputation, shared values and social media trust. This information is important to assist companies in developing an effective social network marketing strategy.展开更多
Background and Objectives: This study aimed to evaluate the role of selenium intake on the correlation between obesity and sex hormone levels in children and adolescents. Methods and Study Design: Children and adolesc...Background and Objectives: This study aimed to evaluate the role of selenium intake on the correlation between obesity and sex hormone levels in children and adolescents. Methods and Study Design: Children and adolescents(6-19-year-old) with complete body mass index(BMI), selenium intake, and sex hormone level data were included. Applying weighted linear regression model to analyze the relationships of obesity and selenium intake with testosterone, estradiol, and sex hormone-binding globulin(SHBG) levels. Then, interaction terms for different selenium intake levels( 0.05), it demonstrated a significant interaction with obesity in terms of sex hormone levels. In females aged less than 12 years, there was an interaction between obesity and selenium intake on testosterone levels(pinteraction = 0.007). The interaction of obesity and selenium intake on SHBG levels was observed in both males and females(all pinteraction <0.001). Moreover, a trend was observed for the effects of these interaction terms on testosterone, estradiol and SHBG levels(all ptrend <0.05). Conclusions: Selenium intake may play a moderating effect in the relationship between obesity and sex hormones.展开更多
Introduction With the deepening integration of digital technologies in education,virtual reality(VR)immersive learning has emerged as a transformative medium that breaks through traditional classroom constraints throu...Introduction With the deepening integration of digital technologies in education,virtual reality(VR)immersive learning has emerged as a transformative medium that breaks through traditional classroom constraints through its three core attributes:immersion,interactivity,and conceptualization.As of 2024,the global VR education market has surpassed$8 billion in value.By creating simulated learning environments—including virtual laboratories and historical scenario reconstructions—VR transforms abstract knowledge into tangible experiential learning content,significantly enhancing learners'engagement and retention.However,existing research reveals notable individual variations in VR immersion learning outcomes:some learners struggle with environmental adaptation and lack sufficient motivation,with psychological traits emerging as the key variable explaining these differences.展开更多
基金Supported by Science and Technology Development Fund Project of Nanjing Medical University,No.NMUB20240252.
摘要BACKGROUND Cervical cancer poses significant physical and psychological challenges,often leading to maladaptive coping behaviors that affect treatment adherence and quality of life.While psychological flexibility is known to promote adaptive coping,its relationship with coping behaviors in cervical cancer patients remains underexplored,and the potential moderating role of illness perception in this association has not been established.AIM To explore the relationship between psychological flexibility and cancer coping behaviors in patients with cervical cancer,and to analyze the moderating role of illness perception in this relationship.METHODS A convenience sampling method was used to select 216 patients with cervical cancer for inclusion in this study.The Multidimensional Psychological Flexibility Inventory-24,Cancer Behavior Scale-3.0,and Brief Illness Perception Questionnaire were used for data collection.SPSS 26.0 software was applied for descriptive statistics,Pearson correlation analysis,and hierarchical regression analysis were also performed.RESULTS The total psychological flexibility score in patients with cervical cancer was 65.32±10.25.The score of the positive coping dimension in cancer coping behaviors was 38.67±7.54,and the score of the negative coping dimension was 25.43±6.89.The total illness perception score was 42.15±8.36.Pearson correlation analysis showed that psychological flexibility was significantly positively correlated with positive coping behaviors(r=0.452,P0.05).CONCLUSION Higher levels of psychological flexibility in patients with cervical cancer are associated with a greater tendency to adopt positive coping behaviors.Illness perception enhances the effect of psychological flexibility on negative coping behaviors.
摘要To demonstrate the intrinsic mechanism linking educational digital transformation with higher education quality,this study investigates 1,200 teachers and students from four universities in City A.We construct a mediation effect model examining“digital transformation→pedagogical innovation→learning experience optimization→talent development quality,”along with a moderating effect model where“digital literacy”acts as a mediator.Statistical validation is conducted using structural equation modeling and hierarchical regression analysis.The findings demonstrate that educational digital transformation significantly enhances the quality of talent cultivation in higher education institutions.Both pedagogical innovation and optimized learning experiences partially mediate this relationship.The digital literacy of both teachers and students positively moderates the impact of digital transformation on talent development quality,with particularly pronounced effects observed among those with higher digital literacy.These insights provide practical pathways and quantitative evidence for universities to leverage digital transformation in improving talent cultivation outcomes.
摘要This study empirically examines the impact of corporate ESG performance on debt financing costs using a sample of non-financial listed companies on China’s A-share market from 2009 to 2024,with a particular focus on the moderating effect of the 2012 Green Credit Guidelines implementation.The findings reveal:(1)Strong ESG performance significantly reduces corporate debt financing costs,a conclusion that remains robust after a series of stability tests and addressing endogeneity issues.(2)Green credit policies mitigate the debt cost-saving effect of ESG performance.(3)Heterogeneity analysis indicates that this policy moderation effect is more pronounced among non-state-owned enterprises and companies in western China.This study not only provides direct financial incentive evidence for companies to actively pursue ESG strategies but also offers decision-making references for regulators to further refine green finance policy frameworks and implement differentiated guidance.
基金Jiangsu Province Social Development Project,No.BE2022735Jiangsu Innovative and Entrepreneurial Talent Programme,No.JSSCBS20211584+1 种基金Suzhou Clinical Key Disciplines for Geriatric Psychiatry,No.SZXK202116Suzhou Science and Technology Program Projects,No.SKY2023075,No.SYWD2024037 and No.MSXM2024032.
摘要BACKGROUND Adolescence is a period marked by physiological and psychological imbalances,which pose an increased risk for adolescents with major depressive disorder(MDD)to commit non-suicidal self-injury(NSSI).AIM To investigate the moderating role of social support utilization in depression and NSSI among adolescents with MDD.METHODS This cross-sectional study enrolled 314 adolescents with MDD(258 with NSSI,56 without)from a Chinese tertiary psychiatric hospital(2021-2023).Participants completed validated scales,including the self-esteem scale,the Barratt impulsiveness scale,the self-rating depression scale,and the teenager social support rating scale.Logistic regression and hierarchical regression analyses were used to examine predictors of NSSI and the moderating effect of social support utilization.RESULTS Results showed that the NSSI group had higher depression levels,lower selfesteem,and greater impulsivity.While overall social support was higher in the NSSI group,social support utilization significantly moderated the depression-NSSI relationship.Specifically,higher utilization levels weakened the association between depression and NSSI(β=-0.001,P<0.05).CONCLUSION These findings suggest that effective utilization of social support,rather than its mere presence,is crucial in reducing NSSI risk among depressed adolescents.
基金funded by the National Natural Science Foundation of China(Grant No.:72074035)the Fundamental Research Funds for the Central Universities(Grant No.:2022CDSKXYGG006)the Graduate Research and Innovation Foundation of Chongqing,China(Grant No.:CYB22057).
摘要The digital economy,which was born during the late third technological revolution,has caused significant economic and societal changes.Amid sluggish global economic growth,China’s economy is facing upgrades and transformations.The sample selection for this study was conducted from 2013 to 2020.Data related to the digital economy and servitization of the industrial structure of 30 Chinese provinces,municipalities,and autonomous regions were collected.This study presents the human capital variable,based on which an econometric analysis was conducted,and examines its moderating effect.The findings indicate that even after the replacement variable indicator’s robustness test,the relationship between the digital economy and the servitization of industrial structures remains unchanged.This study demonstrats that the quality of human capital plays a positive role in this effect.Finally,a heterogeneity test demonstrated that there are different pathways for the impact of the digital economy on the servitization of industrial structures in the eastern,central,and western regions.This study provides evidence to help researchers understand the moderating utility of human capital.
摘要The growing diabetic epidemic has created a substantial burden,not only on the people with diabetes but also on society at large.This mini-review discussed the limitations and patterns of disability in type 2 diabetes mellitus and put forward a case for the moderating effects of physical activity(PA)in the management of diabetes.The limitations and impairments associated with diabetes include vascular,neurological,cardiac,and renal impairments.Moreover,individuals participate less in their daily lives and in their instrumental activities of daily living,which negatively impacts the quality of life of individuals with diabetes.This often leads to a loss of quality of life due to disabilities,resulting in an increased rate of disability-adjusted life years among people with type 2 diabetes mellitus.Moreover,there are psychosocial sequelae of diabetes mellitus.This necessitates looking for moderating factors that may reduce the burden of the disease.PA has been shown to be one of the factors that can mitigate these burdens.PA does this in several ways,including through the benefits it confers,such as a reduction of hemoglobin A1c,a reduction of excess fat in the liver and pancreas,and the reduction of cardiovascular risk factors,all of which favorably affect glycemic parameters.Specifically,PA regulates or moderates diabetes disability through two mechanisms:The regulation of glucolipid metabolism disorders and the optimization of body mass index and systemic conditions.Therefore,efforts should be directed at PA uptake through identified strategies.This will not only prevent diabetes or diabetes complications but will reduce its burden.
摘要Objective:To investigate the loneliness and psychological resilience with the perceived social support of the left-behind elderly in rural areas and explore the moderating effect of psychological resilience on the understanding of social support and loneliness of the left-behind elderly in rural areas.Methods:A cross-sectional study was conducted;272 left-behind elderly people in 6 rural villages in the Sichuan Province were investigated by using the General Situation Questionnaire,Perceived Social Support Scale(PSSS),Connor-Davidson Resilience Scale(CD-RISC),and the University of California at Los Angeles Loneliness Scale(UCLA)with a stratified random cluster sampling method.Results:The loneliness score of the left-behind elderly in rural areas was 52.54±7.25,the psychological resilience score was 78(68.87),and the perceived social support score was 57(51.62).The perceived social support and psychological resilience were negatively correlated with loneliness,while the perceived social support was positively correlated with psychological resilience.The moderating effect of psychological resilience on the perceived social support and loneliness of the left-behind elderly in rural areas was−0.102(P<0.001).Conclusions:Higher level resilience is of positive significance to alleviate the negative effect of social support on loneliness.Improving the resilience of the left-behind elderly in rural areas is a beneficial exploration to promote their mental health.
摘要Purpose: This study explored the relationship between mental toughness and college basketball performance, specifically examining possible moderating variables (gender and starting status). Methods: Male and female (n = 197) college basketball players completed the Psychological Performance Inventory-Alternative (PPI-A), a measure of characteristics and skills consistent with mental toughness, and the PERK an objective measure of basketball performance. Results: Findings suggest that basketball performance can be partially predicted by mental toughness and starting status. Males reported greater mental toughness than females. Starters and nonstarters did not differ in mental toughness. Moderated hierarchical regression analysis indicated that mental toughness was related to performance for male players as both a main effect and interaction with starter status. For female players, in contrast, starter status was the only significant predictor of performance. Practitioners are encouraged to foster the psychological skills associated with mental toughness in females and non-starters in basketball. Conclusion: Discussion of the PPI-A as a measure of mental toughness and suggestions for its improvement are explored. A need exists for additional research on mental toughness and objective performance, as performance enhancement is a major impetus for research on mental toughness. Copyright @ 2012, Shanghai University of Sport. Production and hosting by Elsevier B.V. All rights reserved.
基金supported in part by the Key Projects of Philosophy and Social Sciences Research supported by the Ministry of Education of the People’s Republic of China(Grant No.:15JJD870001)Luo Jia Youth Scholar of Wuhan University
摘要Purpose: This study investigates how online user intention in searching health information is affected by problematic situations.Design/methodology/approach: Based on the Theory of Reasoned Action, the Technology Acceptance Model, and Sense-making theory, we propose two dimensions of problematic situations: urgency and severity of health issues being searched online. Data were collected through a questionnaire survey among 214 Wuhan University students and analyzed using hierarchical regression analysis.Findings: Perceived usefulness, perceived ease of use, and subjective norm can influence user intention to seek health information online. The urgency of problematic situations has a negative moderating effect on the relationship between perceived ease of use and user intention and the relationship between subjective norm and user intention. The severity of problematic situations has a negative moderating effect on the relationship between subjective norm and user intention.Research limitations: The respondents of the survey are limited to students in one Chinese university, so whether this study's results can be applied to another population or not remains to be verified. In addition, only two dimensions of problematic situations are considered in this study. Practical implications: The paper puts forward the moderating effect of problematic situations and verifies it, which is the compensation for online health information-seeking behavior research. Besides, our analyses have implications for professional design of health care systems and related consumer information searches, and improve their performance. Originality/value: Previous work has reported the effects of problematic situation on user intention to seek health information online, ignoring its influence on other factors. This empirical study extends that work to identify the influence of problematic situation when seeking intention-behavior data in two dimensions, urgency and severity.
基金supported by the National Natural Science Foundation of China (No.82203171)the Jiangsu Province Science and Technology Coordination Research Project (No.JSKXKT2023040).
摘要Objective:This study evaluated the effect of resilience on depression among patients with breast cancer from individual and familial perspectives by exploring the mediating and moderating effects of family resilience between individual resilience and depression.Methods:A questionnaire survey was conducted among 337 patients with breast cancer who were admitted to the Oncology Department of Jiangsu Province Hospital.The survey included demographic information,the Connor–Davidson Resilience Scale(CD-RISC),the Family Resilience Assessment Scale(FRAS),and the Chinese version of the Patient Health Questionnaire-9(PHQ-9)for Depression.The relationship among individual resilience,family resilience,and depression was analyzed using hierarchical regression and bootstrap test to assess the mediating and moderating effects of family resilience.Results:The depression scores were(13.50±5.16),the individual resilience scores were(48.62±17.50),and the family resilience scores were(105.98±24.35).Significant differences in depression scores were observed in terms of family monthly income,average weekly exercise before diagnosis,post-diagnosis interpersonal relationship quality,and overall sleep quality in the past month(p<0.05).Patients with lower individual resilience had significantly higher depression scores than those with higher resilience(F=24.314,p<0.001),and similarly,patients with lower family resilience had higher depression scores than those with higher family resilience(F=41.660,p<0.001).Individual resilience and family resilience were significantly negatively correlated with depression(r=-0.447 and-0.441,respectively,p<0.001).Hierarchical regression analysis and bootstrap test showed that family resilience(β=-0.310,p<0.001)had a partial mediating effect between individual resilience(β=-0.321,p<0.001)and depression.The indirect effect size was-0.038,the 95%CI was(-0.056,-0.020),and the direct effect ratio was 71.43%.The interaction of family resilience and individual resilience had a moderating effect on depression(B=0.166,p<0.001).Family resilience negatively moderated the relationship between individual resilience and depressive symptoms and enhanced the protective effect of individual resilience against depression with increasing family resilience.Conclusion:Family resilience has mediating and moderating effects between individual resilience and depression in patients with breast cancer.
摘要A random sample of 535 children was selected by cluster random sampling.The shyness level and parenting style of parents and shyness level of children were investigated.The results indicated that there was a positive correlation between parent shyness and child shyness,and there was a negative correlation between the child shyness and the authoritative parenting style.Mother shyness has a positive effect on different gender child shyness,but father shyness can only positively predict boy's shyness.The authoritarian parenting style has a negative predictive effect on boy's shyness.The authoritative parenting style could significantly enhance the influence of parent shyness on child shyness.
摘要With the development of science and technology,the use of the Internet is becoming more and more widespread.However,with the popularity of the Internet,some problems have gradually surfaced.The anonymity of Internet use has become a breeding ground for many acts that are contrary to public decency,and this study is conducted against this background.This study explored the impact of perceived anonymity on online transgressions and investigated the moderating effect of moral excuses.A total of 414 subjects,210 males and 204 females,participated in this experimental survey.The SPSS data analysis concluded that perceived anonymity played a significant positive predictive role on online deviance(p<0.01),and the moderating role of moral excuses was not significant.This study will be conducive to the better implementation of the action of clearing cyberspace and to the regulation of public behaviour in cyberspace.
基金supported by the University Malaya Community Campus Grant-RUU2022-LL016Private Grant PV086-2022(University Poly-Tech MARA-UPTM),Kuala LumpurUniversitas Negeri Malang,Indonesia.
摘要A significant portion of emerging adults do not achieve recommended levels of physical activity (PA). Previous studies observedassociations between features of emerging adulthood and PA levels, while the potential psychological mechanisms that mightexplain this phenomenon are not fully understood. In this context, there is some evidence that situated decisions towardphysical activity (SDPA) and exercise-intensity tolerance might influence PA level. To provide empirical support for thisassumption, the current study investigated whether (i) features of emerging adulthood are linked to SDPA, which, in turn,might affect PA engagement;(ii) exercise-intensity tolerance moderate the relationship between SDPA and PA level;and (iii)SDPA is a mediator of the relationship between features of emerging adulthood and PA levels under the prerequisite thatexercise-intensity tolerance moderates the link between SDPA and PA engagement. In this study a group of 1,706 Chinesecollege students was recruited and asked to complete a set of questionnaires assessing their SDPA, PA levels, exercise-intensitytolerance, and features associated with emerging adulthood, namely Self-exploration, Instability, and Possibility. Our resultsindicated that SDPA positively predicted PA levels and this relationship became stronger when exercise-intensity tolerance wasused as a moderator. Furthermore, it was observed that individuals with a higher level of Instability and a lower level ofPossibility during emerging adulthood exhibited a lower level of SDPA. Taken together, the results of our study providefurther insights on a potential psychological mechanism linking features of emerging adulthood and physical activity.
摘要Objective:To explore the relationship between organizational identification,occupational stress,and insomnia among nurses and to analyze the moderating role of organizational identification between occupational stress and insomnia.Methods:Through stratified sampling,720 nurses working in a tertiary A-level hospital in Shandong Province from March to May 2021 were surveyed using an effort-reward imbalance questionnaire,an organizational identification questionnaire,and the Athens Insomnia scale.Results:Organizational identification was negatively correlated with occupational stress and insomnia(r1=-0.121,P1<0.01;r2=-0.144,P2<0.01).Occupational stress was positively correlated with insomnia(r=0.379,P<0.01).Organizational identity significantly moderated nurses’occupational stress and insomnia(β=-0.192,t=-2.558,P<0.05).Conclusion:Occupational stress and organizational identification can predict insomnia.Organizational identification could negatively mediate the relationship between occupational stress and insomnia.Improving organizational identification may help alleviate insomnia symptoms by relieving occupational stress.
摘要This study explored the effect of perceived social isolation on the mental health of college students during the high-risk period of COVID-19 transmission in Hubei,China and the role of social support from online friends in alleviating this effect.The questionnaire responses of 213 college students from four universities in Hubei were included.Measurement and structural models were constructed using structural equation modeling.The findings revealed that perceived social isolation while under home quarantine was a negative predictor of the mental health of college students in Hubei.Low social support from online friends may lead to a relatively strong relationship between perceived social isolation and mental health in these college students,whereas high social support from online friends may lead to a relatively weak relationship between perceived social isolation and mental health.
摘要Estimated at more than 2.2 million cases worldwide,most breast cancer cases and deaths from breast cancer occur in low and middle-income countries.In Cameroon,many studies have underlined the effect of knowledge of breast cancer on screening measures such as self-examination and,to a lesser extent,the perception of the threat of this disease.This research aims to assess according to the Health Belief Model(HBM),the moderating effect of perceived threat of breast cancer on the relation between knowledge and breast self-examination.A questionnaire survey was conducted among 517 Cameroonian women to assess their general knowledge about breast cancer(risk factors and screening measures),their level of the perceived threat of breast cancer through Perceived susceptibility and severity,and the prevalence of breast self-examination amongst them.A regression analysis using the Macro Process for moderation indicates the main effect of Perceived threat(b=0,29;t(517)=2,36;p=0,02)of breast cancer and knowledge(b=0,02;t(517)=4,29;p<0,001)on breast self-examination.Results also confirm that the perceived threat of breast cancer moderates the effect of knowledge on breast self-examination.While the low level of perceived threat highlights the effect of knowledge on breast self-examination(b=0,02;t(517)=3,49;p<0,001),the high level of perceived threat cancels that effect(b=0,01;t(517)=1,97;p=0,01).A woman who perceives severity and susceptibility to breast cancer is more inclined to perform breast self-examination.This result suggests the importance of taking into account,in a context where knowledge of breast cancer is limited,relevant factors of the health belief model in preventive measures against breast cancer in general and the practice of breast self-examination in particular.
基金supported by the National Social Science Foundation of China(BHA240105).
摘要Background:Adolescents frequently engage in Non-Suicidal Self-Injury(NSSI),with recent trends indicating an increase in this behavior.At the same time,Chinese adolescents have a higher incidence of NSSI than Western adolescents.Therefore,it is necessary to explore the relationship between interparental conflict and NSSI among adolescents within the context of Chinese families.Methods:The research sample comprised 755 senior high school students(46.62%male;age M=16.82,SD=0.94 years)who completed the Interparental Conflict Child Perception Scale(CPIC),Adolescent Self-Injury Behavior Questionnaire(ASHS),Toronto Alexithymia Scale-20(TAS-20),and Scale of Adolescent Resilience(RSCA).Results:Findings suggest that interparental conflict is a significant positive predictor of NSSI(r=0.22,p<0.01).Alexithymia mediates the relation between interparental conflict and NSSI(effect size=0.09,95%CI[0.05,0.13]).Additionally,resilience moderates both the direct relation(β=−0.08,p<0.05)and the latter half of the mediating pathway(β=−0.08,p<0.05)in the moderated mediation model.Conclusion:This study indicates that interparental conflict have an impact on adolescents’NSSI in Chinese families,and alexithymia and resilience play important roles in the relationship.These findings offer valuable guidance for the prevention and intervention efforts targeting NSSI among adolescents in China and in similar family contexts.
摘要With the rapid development of social networks, there is a focus on marketing strategies and business models that are based on social media. In the academic world, scholars believe that online trust is a key factor contributing to online purchasing behavior. This article explored several factors in social media trust and verified the moderating role of offline familiarity by using relevant research on online trust in conjunction with a structure equation model. The results show that independent variables such as reputation, SNS interaction, information quality, reciprocity, satisfaction and shared values have a positive influence on trust, whereas perceived similarity does not, and information quality is the most important factor. In addition, offline familiarity significantly moderates the relations between information quality, reciprocity, reputation, shared values and social media trust. This information is important to assist companies in developing an effective social network marketing strategy.
摘要Background and Objectives: This study aimed to evaluate the role of selenium intake on the correlation between obesity and sex hormone levels in children and adolescents. Methods and Study Design: Children and adolescents(6-19-year-old) with complete body mass index(BMI), selenium intake, and sex hormone level data were included. Applying weighted linear regression model to analyze the relationships of obesity and selenium intake with testosterone, estradiol, and sex hormone-binding globulin(SHBG) levels. Then, interaction terms for different selenium intake levels( 0.05), it demonstrated a significant interaction with obesity in terms of sex hormone levels. In females aged less than 12 years, there was an interaction between obesity and selenium intake on testosterone levels(pinteraction = 0.007). The interaction of obesity and selenium intake on SHBG levels was observed in both males and females(all pinteraction <0.001). Moreover, a trend was observed for the effects of these interaction terms on testosterone, estradiol and SHBG levels(all ptrend <0.05). Conclusions: Selenium intake may play a moderating effect in the relationship between obesity and sex hormones.
摘要Introduction With the deepening integration of digital technologies in education,virtual reality(VR)immersive learning has emerged as a transformative medium that breaks through traditional classroom constraints through its three core attributes:immersion,interactivity,and conceptualization.As of 2024,the global VR education market has surpassed$8 billion in value.By creating simulated learning environments—including virtual laboratories and historical scenario reconstructions—VR transforms abstract knowledge into tangible experiential learning content,significantly enhancing learners'engagement and retention.However,existing research reveals notable individual variations in VR immersion learning outcomes:some learners struggle with environmental adaptation and lack sufficient motivation,with psychological traits emerging as the key variable explaining these differences.