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result(s) for
"Alienation (Social psychology) China."
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Suicidal risk among Chinese parents of autistic children and its association with perceived discrimination, affiliate stigma and social alienation
Background
Caring for autistic children becomes challenging and may lead to negative psychological outcomes, even increasing the suicide risk (SR). Researchers have studied the SR among parents of autistic children in Western nations, but little is known about it in China and how it relates to perceived discrimination (PD), affiliate stigma (AS), and social alienation (SA). The current study aimed to reveal the SR prevalence rate among Chinese parents of autistic children, and clarify whether AS and SA may play mediating roles in the association between SR and PD.
Methods
A total of 645 Chinese parents of autistic children were recruited to complete a series of scales to evaluate SR, SA, AS, and PD using the Suicidal Behaviors Questionnaire-Revised (SBQ-R), Perceived Discrimination Scale for Parents of Children with Autism Spectrum Disorders (PDS-FP), Affiliate Stigma Scale (ASS), and General Social Alienation Scale (GSAS), respectively. Then, the SR prevalence rate among Chinese parents of autistic children was evaluated; and the multiple mediation analysis and structural equation modeling with the bootstrap method were conducted to test the mediating effects of AS and SA in the association between SR and PD.
Results
34.6% Chinese parents of autistic children had high SR. In particular, the incidence rate of suicide ideation, suicide plans, suicide attempts, and suicide likelihood during the previous year were 49.8%, 11.9%, 2.5%, and 13.8%, respectively. Additionally, PD was positively associated with SR (
r
= .40,
p
< .01); and AS and SA showed significant mediating effects on the association between PD and SR (
p
< .01).
Conclusions
The current study evaluated the SR prevalence rate among Chinese parents of autistic children, and clarified the mediating effects of AS and SA in the association between SR and PD. Findings might bring new insights and guidance for intervention of suicidality among Chinese parents of autistic children.
Journal Article
The effect of social alienation on stigma among stroke inpatients in China: a cross-sectional study
Background
Stigma adversely affects the rehabilitation among stroke inpatients, which decreases the motivation and functional improvement. According to prior studies, there was a correlation between social alienation and stigma. This study aimed to investigate the factors influencing stigma among stroke inpatients, providing evidence for future targeted stigma interventions.
Methods
The study was a cross-sectional survey conducted in China from July to November 2023 using a convenience sampling method. Ethical approval for this study was obtained from the Medical Ethics Committee. A total of 220 stroke inpatients completed a demographic questionnaire, the generalized social alienation scale, and the stroke stigma scale. Multiple linear regression analysis was used to evaluate the impact of the diverse factors on stigma.
Results
The results showed that the score of stigma among stroke inpatients was 47.36 ± 4.28, indicating a moderate level of stigma. Social alienation was positively correlated with stigma(
r
= 0.366,
P
< 0.001), indicating stigma increased with the increase of social alienation. Age(
B
=-2.105,
P
< 0.001), level of education[Junior high school(
B
= 1.545,
P
= 0.040), senior high school or technical secondary school(
B
= 3.480,
P
< 0.001), undergraduate or junior college(
B
= 3.716,
P
< 0.001), and graduate(
B
= 5.483,
P
< 0.001)], and social alienation(
B
= 0.158,
P
< 0.001) were all significantly associated with stigma in stroke inpatients. Among all educational levels, graduate(
B
= 5.483,
P
< 0.001) showed the most robust correlation with stigma. The results indicated that stroke inpatients who were younger and had higher levels of education had higher levels of stigma.
Conclusions
Findings suggest that social alienation is a significant contributor to perceived stigma among stroke inpatients, particularly among younger and more educated individuals. Tailored psychosocial interventions that address feelings of social alienation may help reduce stigma in these groups.
Journal Article
Emptiness and fullness
As critical voices question the quality, authenticity, and value of people, goods, and words in post-Mao China, accusations of emptiness render things open to new investments of meaning, substance, and value. Exploring the production of lack and desire through fine-grained ethnography, this volume examines how diagnoses of emptiness operate in a range of very different domains in contemporary China: In the ostensibly meritocratic exam system and the rhetoric of officials, in underground churches, housing bubbles, and nationalist fantasies, in bodies possessed by spirits and evaluations of jade, there is a pervasive concern with states of lack and emptiness and the contributions suggest that this play of emptiness and fullness is crucial to ongoing constructions of quality, value, and subjectivity in China.
eBook
Influence of symptom burden on social alienation in lung cancer patients receiving chemotherapy: the chain mediating effect of perceived social support and positive psychological capital
Background
Social alienation is prevalent among lung cancer (LC) patients undergoing chemotherapy. Although previous research has established an association between social alienation and symptom burden, the mechanisms underlying this relationship remain not fully understood.
Methods
This cross-sectional study used convenience sampling to select 378 LC patients undergoing chemotherapy from September 2022 to December 2023 at a tertiary care hospital in Guangzhou, China. Data collection was conducted using a proprietary Sociodemographic Information Questionnaire, MD Anderson Symptom Inventory (MDASI), Social Alienation Questionnaire, Perceptions of Social Support (PSS) Questionnaire, and Positive Psychological Capital (PPC) Questionnaire. To analyze chain-mediated effects, the PROCESS v3.3 Model 6 SPSS macro software was employed.
Results
The analysis revealed that the burden of symptoms significantly exacerbates social alienation, as evidenced in the mediation effects model (Bootstrap 95% CI: 0.031, 0.092). Furthermore, the burden of symptoms indirectly diminishes PSS (Bootstrap 95% CI: 0.019, 0.057) and PPC (Bootstrap 95% CI: 0.002, 0.020). It is crucial to note that both PSS and PPC significantly mediate the relationship between symptom burden and social alienation, as evidenced (Bootstrap 95% CI: 0.001, 0.011).
Conclusions
The impact of symptom burden on social alienation is moderated through PSS and PPC, manifesting both directly and indirectly. Moreover, the influence of PPC tends to mitigate the mediating role of PSS. Clinical interventions aimed at bolstering PSS and augmenting PPC may potentially alleviate social alienation and enhance the quality of life for patients undergoing chemotherapy for LC.
Journal Article
Sense of medical care policy alienation: conceptualization, scale development, and validation
Although medical care policy affects utilization of medical care resources, most existing research focuses on the impact of effectiveness of medical care insurance coverage on people’s behavior. We argue that psychological distance from medical care policy is important in shaping people’s behavior, leading to a sense of policy alienation from the medical care policy field (SPA-M). We conceptualized SPA-M and developed, validated, and evaluated a scale to assess it. We reviewed the definition of SPA-M and created the item pool for the SPA-M scale with item generation process. Sample I and Sample II included data from 524 to 462 Chinese residents, respectively, without any overlap. We used Sample I to examine the dimensions of the SPA-M scale via exploratory factor analysis. Sample II was used to investigate whether the results of Sample I could be verified through confirmatory factor analysis. The analyses showed that a six-dimension SPA-M model could be confirmed in the two samples. The SPA-M scale has good convergent and discriminant validity, making it potentially applicable in the medical public policy field.
Journal Article
Heterogeneity of work alienation and its relationship with job embeddedness among Chinese nurses: a cross-sectional study using latent profile analysis
Objective
To identify the distinct profiles of work alienation among Chinese nurses, examine the demographic factors associated with profile memberships, and then explore the relationship between latent categories of work alienation and job embeddedness.
Methods
A cross-sectional survey of 523 nurses was conducted from July to August 2023. Latent profile analysis (LPA) was performed to identify distinct profiles of nurses based on three aspects: powerlessness, helplessness, and meaningfulness. A multinomial logistic regression analysis was conducted to explore the predictors of profile membership. Hierarchical regression analysis was carried out to examine the association between profile memberships and job embeddedness.
Results
Three subgroups of work alienation of nurses were identified: 23.1%, 57.8%, and 19.1% in the low work alienation group (profile 1), the moderate work alienation group (profile 3), and the high work alienation group (profile 2), respectively. Nurses with college degrees were more likely to be grouped into moderate work alienation. Nurses who did not work night shifts were more likely to have low or moderate levels of work alienation. Nurses earning 2,000–3,000 and 3,001–5,000 yuan per month were likely to be in the low work alienation group. The different categories of work alienation significantly predicted job embeddedness among nurses (Δ
R
2
= 0.103,
p
< 0.001).
Conclusions
Work alienation has an important impact on clinical nurses’ job embeddedness. Nursing managers should pay attention to the differences in individual work alienation status and adopt reasonable management strategies to improve the level of job embeddedness, ensure the quality of care, and reduce nursing turnover.
Journal Article
Psychological capital and alienation among patients with COVID-19 infection: the mediating role of social support
Background
COVID-19 infection continues all over the world, causing serious physical and psychological impacts to patients. Patients with COVID-19 infection suffer from various negative emotional experiences such as anxiety, depression, mania, and alienation, which seriously affect their normal life and is detrimental to the prognosis. Our study is aimed to investigate the effect of psychological capital on alienation among patients with COVID-19 and the mediating role of social support in this relationship.
Methods
The data were collected in China by the convenient sampling. A sample of 259 COVID-19 patients completed the psychological capital, social support and social alienation scale and the structural equation model was adopted to verify the research hypotheses.
Results
Psychological capital was significantly and negatively related to the COVID-19 patients’ social alienation (
p
< .01). And social support partially mediated the correlation between psychological capital and patients’ social alienation (
p
< .01).
Conclusion
Psychological capital is critical to predicting COVID-19 patients’ social alienation. Social support plays an intermediary role and explains how psychological capital alleviates the sense of social alienation among patients with COVID-19 infection.
Journal Article
The effect of post-military reform on vicarious traumatization and work stress in firefighters: the mediating role of work alienation
Based on conservation of resources (COR) theory, this study explored the relationships between vicarious traumatization, work alienation, and work stress in firefighters. The vicarious traumatization questionnaire, the work alienation questionnaire, and the work stress questionnaire were used to survey 397 in-service firefighters. The results showed that (1) firefighters’ vicarious traumatization significantly and positively predicted their work stress and (2) firefighters’ work alienation mediated that relationship. This study not only enriches the literature on firefighters’ occupational mental health, but also provides theoretical support for China’s firefighting teams to reduce their work stress and ensure team stability in the context of China’s current efforts toward military-to-civilian professionalization reform.
Journal Article
Socioeconomic status and internet addiction: double-mediated moderation
Background
Internet addiction is typically linked with a variety of psychological and behavioral problems, the prevalence of Internet addiction among Chinese college students was higher than that of the general population.
Objective
The present study aimed to test the mediating and moderating effects of socioeconomic status (SES), loneliness, alienation and grade on Internet addiction among Chinese college students.
Methods
Total of 496 college students were studied, partial least square structural equation modeling (PLS-SEM) was conducted to analyze the obtained data.
Results
The study found that SES can negatively predict Internet addiction (
β
=-0.145,
p
< 0.001). Moreover, loneliness and alienation play separate (
β
=-0.098,
p
< 0.001;
β
=-0.046,
p
< 0.01) and serial (
β
=-0.071,
p
< 0.001) mediating roles between SES and Internet addiction, and multigroup analysis showed that grade (sophomore year as the baseline) plays a moderation role in the association between SES → Internet addiction (sophomores vs. juniors;
β
= 0.249,
p
< 0.05) and SES →loneliness (sophomore vs. seniors;
β
= 0.255,
p
< 0.05). The VAF value was 70.27% for the mediation effect of the loneliness and alienation in the relationship between SES and Internet addiction.
Conclusions
SES not only has a direct effect on college students’ Internet addiction behavior but also has an indirect effect on it through the chain mediation effect of loneliness and alienation. The study reveals that grade level moderates the effects, suggesting tailored interventions are needed. This research could inform measures to mitigate addiction by addressing SES, loneliness, and alienation.
Journal Article