Scholarlink

Objective <p>Existing evidence suggests that resilience may play as a mediator in the association between attention deficit hyperactivity disorder (ADHD) and self-harm (SH) in youths. However, no published studies have ever thoroughly discussed this topic. We aim to analyze the mediation by resilience in ADHD-SH association by using a large representative sample of Chinese children and adolescents.</p> Method <p>A total of 17,151 study subjects chosen from 3 study sites of the ongoing Mental Health Survey for Children and Adolescents in Yunnan (MHSCAY) were included into the final analysis. Valid self-reporting instruments for measuring ADHD symptoms, resilience, and SH among children and adolescents were used for data collection. Based on sequential multivariate logistic regression models fitting results, a series of path models were constructed to estimate the mediation by resilience in ADHD-SH association. Stratified analysis was used to check for possible effect modification by key factors.</p> Results <p>Resilience played as a significant mediator, mediated 33.12%, 28.10%, 37.78% of the total associations between ADHD symptoms and SH prevalence, SH repetition, SH severity. The “outer resources” dimensions of resilience, which largely measure social support from parents and peers, presented much stronger mediation. Stratified analysis by age, sex, ethnicity, and left-behind status revealed prominent effect modification by the four factors in mediation of resilience.</p> Conclusions <p>Resilience-based intervention measures, especially those targeting at rebuilding parental and peer social support, might be effective in preventing ADHD symptoms related SH in Chinese children and adolescents.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Attention Deficit Hyperactivity Disorder (ADHD) and Self-harm in Chinese Children and Adolescents: A Mediation by Resilience

  • 期刊论文

  • 发表日期：

    2026年3月30日

查看全文
  • Yi Xiang,
  • Jin Lu,
  • Hailiang Ran,
  • Yusan Che,
  • Die Fang,
  • Sifan Wang,
  • Lin Chen,
  • Xuemeng Liang,
  • Junwei Peng,
  • Hao Sun,
  • Qiongxian Li,
  • Yuanyu Shi,
  • Yuanyuan Xiao

摘要

Objective

Existing evidence suggests that resilience may play as a mediator in the association between attention deficit hyperactivity disorder (ADHD) and self-harm (SH) in youths. However, no published studies have ever thoroughly discussed this topic. We aim to analyze the mediation by resilience in ADHD-SH association by using a large representative sample of Chinese children and adolescents.

Method

A total of 17,151 study subjects chosen from 3 study sites of the ongoing Mental Health Survey for Children and Adolescents in Yunnan (MHSCAY) were included into the final analysis. Valid self-reporting instruments for measuring ADHD symptoms, resilience, and SH among children and adolescents were used for data collection. Based on sequential multivariate logistic regression models fitting results, a series of path models were constructed to estimate the mediation by resilience in ADHD-SH association. Stratified analysis was used to check for possible effect modification by key factors.

Results

Resilience played as a significant mediator, mediated 33.12%, 28.10%, 37.78% of the total associations between ADHD symptoms and SH prevalence, SH repetition, SH severity. The “outer resources” dimensions of resilience, which largely measure social support from parents and peers, presented much stronger mediation. Stratified analysis by age, sex, ethnicity, and left-behind status revealed prominent effect modification by the four factors in mediation of resilience.

Conclusions

Resilience-based intervention measures, especially those targeting at rebuilding parental and peer social support, might be effective in preventing ADHD symptoms related SH in Chinese children and adolescents.