It Was Like Going to a Battlefield: Lived Experience of Frontline Nurses Supporting Two Hospitals in Wuhan During the COVID-19 Pandemic.

Introduction: The literature indicates that pandemics significantly impact the mental health of frontline health workers. While the effects of COVID-19 on the mental health of frontline nurses have been studied, their lived experiences remain insufficiently explored. Objective: This study aims to investigate the lived experience of nurses who were deployed to support Wuhan during the COVID-19 pandemic. Methods: This study adopted a qualitative study design. A purposive sample of fifteen nurses were recruited from a group of nurses who supported Wuhan during COVID-19 pandemic. The data was collected during May and June 2020. Data collection occurred in May and June 2020, employing semistructured interviews conducted via telephone. Interpretative phenomenological analysis (IPA) was utilized to analyze the collected data by two independent researchers. This report follows the COREQ checklist. Results: Frontline nurses supporting Wuhan likened their experience to being on a battlefield. Four superordinate themes emerged: (1) mobilization for combating COVID-19; (2) rapid adaption to a dynamic high-stress environment; (3) navigating psychological distress; and (4) the journey home. Conclusion: This study offers comprehensive insights into the lived experience of nurses deployed from other provinces to assist COVID patients in Wuhan. The findings indicate that despite facing a variety of challenges, these frontline nurses were capable of rapid adaptation and successfully fulfilled their roles. Recommendations for future preparedness in public health emergencies are provided. Additionally, follow-up research is warranted to explore the long-term effects of frontline experience on the mental health of the nurses and their family members.

The Aesthetic Developmental Characteristics of Contour Features in Children and Adolescents with High- and Low- Level Visual Aesthetic Sensitivity across Grade Levels.

This study examined the aesthetic developmental characteristics of contour features (curved and sharp corners) among children and adolescents with different levels (high and low) of visual aesthetic sensitivity in three grades (4, 6, and 8). The results revealed that (1) there was a significant main effect of contour features, with children and adolescents liking curved contours and perceiving them as more beautiful than sharp-angled contours; (2) there was a significant interaction with contour features in grades 6 and 4, and there was no significant difference in liking curved contours and perceiving them to be more beautiful between students in grades 6 and 4. However, grade 6 students disliked sharp-angled contours and perceived them as more unattractive than grade 4 students; and (3) there was a significant interaction between the level of visual aesthetic sensitivity and contour features, as children and adolescents with both high and low levels of visual aesthetic sensitivity preferred curved contours and considered them more beautiful. However, children and adolescents with high-level visual aesthetic sensitivity disliked sharp-angled contours and considered them more unattractive compared to students with low-level visual aesthetic sensitivity. The results proposed that children and adolescents preferred curved contours, 6th graders were more sensitive to curved contours than 4th graders, and children and adolescents with high-level visual aesthetic sensitivity were more sensitive to sharp-angled contours than children and adolescents with low-level visual aesthetic sensitivity.

Altered resting-state brain function in endurance athletes.

Previous research has confirmed significant differences in regional brain activity and functional connectivity between endurance athletes and non-athletes. However, no studies have investigated the differences in topological efficiency of the brain functional network between endurance athletes and non-athletes. Here, we compared differences in regional activities, functional connectivity, and topological properties to explore the functional basis associated with endurance training. The results showed significant correlations between Regional Homogeneity in the motor cortex, visual cortex, cerebellum, and the training intensity parameters. Alterations in functional connectivity among the motor cortex, visual cortex, cerebellum, and the inferior frontal gyrus and cingulate gyrus were significantly correlated with training intensity parameters. In addition, the graph theoretical analysis results revealed a significant reduction in global efficiency among athletes. This decline is mainly caused by decreased nodal efficiency and nodal local efficiency of the cerebellar regions. Notably, the sensorimotor regions, such as the precentral gyrus and supplementary motor areas, still exhibit increased nodal efficiency and nodal local efficiency. This study not only confirms the improvement of regional activity in brain regions related to endurance training, but also offers novel insights into the mechanisms through which endurance athletes undergo changes in the topological efficiency of the brain functional network.

Factors influencing older adults' acceptance of voice assistants.

Introduction: Voice assistants (VAs) have the potential to uphold and enhance the quality of life for older adults. However, the extent to which older adults accept and benefit from VAs may be relatively modest. Methods: This study developed a comprehensive model combined with product and personal characteristics to explain the acceptance of VAs among older adults, using semi-structured interviews (Study 1) and questionnaires (Study 2). Results: Results revealed that in terms of product characteristics, perceived usefulness and perceived enjoyment significantly affect behavior intention. Regarding personal characteristics of older adults, technological self-efficacy and dispositional resistance to change significantly affect behavior intention. However, no direct impact of perceived ease of use and perceived trust on behavior intention. Additionally, perceived enjoyment influenced both perceived ease of use and perceived usefulness. Discussion: Results suggested the significant role of technology self-efficacy and dispositional resistance to change in predicting the acceptance of VAs among older adults. Our newly developed model offers valuable insights for tailoring VAs to this demographic during design and implementation.

The effect of part-list cuing on associative recognition.

The modulation of part-list cuing on item memory has been well-documented, whereas its impact on associative memory remains largely unknown. The present study explored the effect of part-list cuing on associative recognition and, more specifically, whether this forgetting effect caused by part-list cuing is more sensitive to recollection or familiarity in recognition memory. Experiments 1a and 1b combined the intact/rearranged/new judgement task of associative recognition with the classical part-list cuing paradigm, and the result showed that part-list cuing impaired the recognition accuracy of "intact" and "rearranged" face-scene pairs. Moreover, the discriminability score of relational recognition and item recognition was significantly decreased in the part-list cuing condition compared to the no-part-list cuing condition. Experiments 2a and 2b further used the Remember/Know/Guess task to explore which recognition processes (recollection vs. familiarity) were sensitive to the presentation of part-list cuing. The results showed that part-list cuing reduced the familiarity of relational recognition and the recollection and familiarity of item recognition. These findings suggest that part-list cuing was harmful to the recognition of relationships (familiarity) and items (recollection and familiarity) in associative memory.

Space-time mapping relationships in sensorimotor communication during asymmetric joint action.

Background: Sensorimotor communication is frequently observed in complex joint actions and social interactions. However, it remains challenging to explore the cognitive foundations behind sensorimotor communication. Methods: The present study extends previous research by introducing a single-person baseline condition and formulates two distinct categories of asymmetric joint action tasks: distance tasks and orientation tasks. This research investigates the action performance of 65 participants under various experimental conditions utilizing a 2 (cooperative intention: Coop, No-coop) × 2 (task characteristic: distance, orientation) × 4 (target: T1, T2, T3, T4) repeated-measures experimental design to investigate the cognitive mechanisms underlying sensorimotor communication between individuals. Results: The results showed that (1) target key dwell time, motion time, total motion time, and maximum motion height in the Coop condition are more than in the No-coop condition. (2) In the distance task without cooperative intention, the dwell time of T4 is smaller than T1, T2, T3, and its variability of T1, T2, T3, and T4 were no different. In the distance task with cooperative intention, the dwell time and its variability of T1, T2, T3, and T4 displayed an increasing trend. (3) In the orientation task without cooperative intention, the dwell time of T1 is smaller than T2, T3, T4, and variability of the target keys T1, T2, T3, and T4 had no difference. In the orientation task with cooperative intention, the dwell time and variability of the target keys T1, T2, T3, and T4 had increasing trends. Conclusions: Those findings underscore the importance of cooperative intention for sensorimotor communication. In the distance task with cooperative intention, message senders establish a mapping relationship characterized by "near-small, far-large" between the task distance and the individual's action characteristics through sensorimotor experience. In the orientation task with cooperative intention, message senders combined sensorimotor experience and verbal metaphors to establish a mapping relationship between task orientation and action characteristics, following the sequence of "left-up, right-up, left-down, right-down" to transmit the message to others.

Orbital frontal cortex functional connectivity during gain anticipation linking the rumination and non-suicidal self-injury in late adolescence.

OBJECTIVE: Non-suicidal self-injury (NSSI) is prevalent and especially among the adolescence population. It has been argued that abnormal brain activations in reward processing could be regarded as objective biomarkers in NSSI, but the evidence is mixed. This study aims to explore the reward processing mechanism of NSSI from the perspective of functional brain circuitry and investigate the role of a cognitive factor (rumination). METHOD: Seventy-one 17-21 years old participants performed a monetary incentive delay (MID) task during functional magnetic resonance imaging scanning. Psychophysiological interaction (PPI) analysis was used to test the inner-group differences of brain functional connectivity. In addition, a mediation model was established with the mediation effect of rumination on the relationship between functional brain circuitry and NSSI. RESULTS: PPI analysis suggested that functional connectivity of the orbital frontal cortex (OFC) (with precuneus, SMA) was significantly enhanced in NSSI in the gain > loss contrast, but not in the loss > gain contrast. Mediation analysis revealed that rumination mediated the relationship between NSSI and the OFC- precuneus functional connectivity in the gain > loss contrast. CONCLUSION: Our research revealed that the abnormal OFC functional connectivity in gain (not loss) anticipation can be served as the sensitive biomarkers of NSSI. And there was a chain path for NSSI, that was from functional brain circuitry to negative cognition and then to problem behavior.

Processing multiconstituent units: Preview effects during reading of Chinese words, idioms, and phrases.

Arguably, the most contentious debate in the field of eye movement control in reading has centered on whether words are lexically processed serially or in parallel during reading. Chinese is character-based and unspaced, meaning the issue of how lexical processing is operationalized across potentially ambiguous, multicharacter strings is not straightforward. We investigated Chinese readers' processing of frequently occurring multiconstituent units (MCUs), that is, linguistic units composed of more than a single word, that might be represented lexically as a single representation. In Experiment 1, we manipulated the linguistic category of a two-constituent Chinese string (word, MCU, or phrase) and the preview of its second constituent (identical or pseudocharacter) using the boundary paradigm with the boundary located before the two-constituent string. A robust preview effect was obtained when the second constituent, alongside the first, formed a word or MCU, but not a phrase, suggesting that frequently occurring MCUs are lexicalized and processed parafoveally as single units during reading. In Experiment 2, we further manipulated the phrase type of a two-constituent but three-character Chinese string (idiom with a one-character modifier and a two-character noun, or matched phrase) and the preview of the second constituent noun (identity or pseudocharacter). A greater preview effect was obtained for idioms than phrases, indicating that idioms are processed to a greater extent in the parafovea than matched phrases. Together, the results of these two experiments suggest that lexical identification processes in Chinese can be operationalized over linguistic units that are larger than an individual word. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Ingroup favoritism on perceived risk of infectious diseases.

Humans live in social groups; thus, infectious diseases may threaten human health and safety. Do individuals exhibit ingroup favoritism or ingroup devaluation when faced with varying risks of infectious diseases? We generated relatively realistic disease scenarios to examine this question. We reported the results from three experiments in which we tested individuals' perceived disease risk from ingroup and outgroup members under high- and low-risk conditions. Experiment 1 used a realistic influenza scenario, and Experiments 2 and 3 used a realistic scenario of exposure to coronavirus disease 2019 (COVID-19). All three experiments showed that perceived disease risk was significantly lower from ingroup members than from outgroup members and significantly lower in low-risk conditions than in high-risk conditions. Furthermore, the perceived disease risk was significantly lower from ingroup members than from outgroup members in high-risk conditions but did not significantly differ in low-risk conditions, as in Experiment 1's influenza scenario and Experiment 2's COVID-19 vaccination scenario. This suggests that ingroup favoritism is flexible. The results support ingroup favoritism and the functional flexibility principle in response to disease threats according to perceived disease risk.

Universality in eye movements and reading: A replication with increased power.

Liversedge, Drieghe, Li, Yan, Bai and Hyönä (2016) reported an eye movement study that investigated reading in Chinese, Finnish and English (languages with markedly different orthographic characteristics). Analyses of the eye movement records showed robust differences in fine grained characteristics of eye movements between languages, however, overall sentence reading times did not differ. Liversedge et al. interpreted the entire set of results across languages as reflecting universal aspects of processing in reading. However, the study has been criticized as being statistically underpowered (Brysbaert, 2019) given that only 19-21 subjects were tested in each language. Also, given current best practice, the original statistical analyses can be considered to be somewhat weak (e.g., no inclusion of random slopes and no formal comparison of performance between the three languages). Finally, the original study did not include any formal statistical model to assess effects across all three languages simultaneously. To address these (and some other) concerns, we tested at least 80 new subjects in each language and conducted formal statistical modeling of our data across all three languages. To do this, we included an index that captured variability in visual complexity in each language. Unlike the original findings, the new analyses showed shorter total sentence reading times for Chinese relative to Finnish and English readers. The other main findings reported in the original study were consistent. We suggest that the faster reading times for Chinese subjects occurred due to cultural changes that have taken place in the decade or so that lapsed between when the original and current subjects were tested. We maintain our view that the results can be taken to reflect universality in aspects of reading and we evaluate the claims regarding a lack of statistical power that were levelled against the original article.

Exploring factors affecting Chinese adolescents' perceived usefulness and engagement with a stress management app: a qualitative study.

Introduction: Providing adolescents with stress management interventions via mobile apps has potential for overcoming barriers to traditional in-person services, such as stigma, cost and travel. However, the effectiveness remains uncertain and engagement level remains low. Therefore, it is essential to understand adolescents' user experience of such apps, however, such research is scarce. This study aimed to address this research gap by exploring factors affecting Chinese adolescents' perceived usefulness and engagement of a stress management app, which was developed for them. Methods: A qualitative study design involving focus group interviews and inductive thematic analysis was adopted. A purposive sampling method was employed, resulting in five focus groups (n = 39 adolescents). Results: Two themes emerged: (1) mechanism and determinants of usefulness and (2) facilitators and barriers to engagement. The app was found to be helpful in managing chronic and simple stressors by promoting positive behavior, cognition, and physical changes. Relevance to real-life situations, peer support, and planning and monitoring features were found to increase usefulness. Participants suggested adding one-on-one chat support for managing acute stressors. Multimedia, logical content arrangement, combining psychoeducation and skills training, gamification, customization, and an appealing user interface were engaging factors for adolescents, whilst text-heavy content, pedagogical and monotonous tones, technical issues were found to disengage adolescents. Conclusion: Stress management apps should involve simple and evidence-based coping skills training, target adolescents' real-life problems, promote positive peer influence, address both chronic and acute stressors. Additionally, such apps should have logical arrangement of content, be interactive and customizable, and involve multimedia and gamification features to engage adolescents.

The feasibility, acceptability and efficacy of an app-based intervention (the Coping Camp) in reducing stress among Chinese school adolescents: A cluster randomised controlled trial.

OBJECTIVES: This study aimed to determine the efficacies of the Coping Camp app in reducing stress, depression, and anxiety and improving stress-coping behaviours and mental health wellbeing. Additionally, feasibility and acceptability of Coping Camp were evaluated. METHODS: In this unblinded cluster RCT, 540 participants from two high schools in China were randomly assigned to the Coping Camp intervention (n = 6 classes; 275 students) or treatment as usual (n = 5 classes; 265 students) at the class level. Coping Camp was an automated self-help app, consisting of 11 sessions delivered over 11 weeks, with primary outcomes including perceived stress, depression, anxiety, stress-coping behaviours, and mental health well-being. All outcomes were assessed at baseline, post-intervention (11 weeks), and follow-up (19 weeks), with efficacy analysed using linear mixed models and feasibility/acceptability measured by a 5-point Likert scale and qualitative feedback. RESULTS: At post-intervention and follow-up assessments, 75.4% and 81.7% of participants respectively attended. On average, participants logged in for 8.56 out of 11 sessions. Compared to the control group, the intervention group had significant reductions in levels of perceived stress (p = 0.01, d = 0.15 at T1; p < 0.001, d = 0.18 at T2), anxiety (p = 0.11; d = 0.08 at T1; p = 0.01; d = 0.13 at T2) and depression (p = 0.04, d = 0.11 at T1; p = 0.05, d = 0.10 at T2) but did not have a greater increase in stress-coping behaviours (p = 0.10 at T1; p = 0.97 at T2) or mental health wellbeing (p = 0.93 at T1; p = 0.08 at T2). The average ratings for each session were above 4, and qualitative feedback showed that most participants found the intervention to be "great," "good," and "useful." CONCLUSIONS: The Coping Camp is feasible, acceptable and effective in stress management among Chinese school adolescents.

The Relationship between Physical Exercise and Smartphone Addiction among Chinese College Students: The Mediating Effect of Core Self-Evaluation.

Smartphone addiction is widespread among college students. Physical exercise and core self-evaluation are two potential factors that may influence smartphone addiction. This study aimed to investigate the relationship between physical exercise and college students' smartphone addiction, as well as the mediating effect of core self-evaluation. Here, 643 undergraduate university students are surveyed via questionnaire using the Physical Activity Rating Scale, the Smartphone Addiction Scale for College Students, and the Core Self-Evaluations Scale. The participants include 363 males (56.5%) and 280 females (43.5%), with ages ranging from 17 to 25 years old (mean = 19.68, SD = 1.40). The obtained data are analyzed using SPSS26.0 and the PROCESS plugins. The main findings of the study are as follows: (1) There is a significant negative correlation between physical exercise and smartphone addiction (r = -0.30, p < 0.01), a significant positive correlation between physical exercise and core self-evaluation (r = 0.25, p < 0.01), and a significant negative correlation between core self-evaluation and smartphone addiction (r = -0.52, p < 0.01). (2) There is a mediating effect of core self-evaluation between physical exercise and smartphone addiction. The current study can provide new evidence for the impact of physical exercise on smartphone addiction and highlights the importance of core self-evaluation. Moreover, research ideas and methodological guidance are provided for the following interventions and treatments targeting college students' smartphone addiction.

Relationship between Harsh Parenting and Aggressive Behaviors in Male Juvenile Delinquents: Potential Mediating Roles of Peer Victimization and Hostile Attribution Bias.

Harsh parenting can be regarded as a harsh behaviors, feelings, and attitudes toward children in the process of parenting. According to the theory of intergenerational transmission of violence, harsh parenting is an important factor affecting children's aggressive behavior, but the theory does not clarify the specific action path between harsh parenting and aggressive behavior. In order to reveal the relationship between harsh parenting and the aggressive behavior of juvenile delinquents, 604 male juvenile delinquents (N = 604; Mage = 16.57 years; SD = 0.612 years) were investigated using the Harsh Parenting Questionnaire, the Buss-Perry Aggression Questionnaire, the Multidimensional Peer Victimization Scale, and the Word Sentence Association Paradigm for Hostility in Chinese. Analysis using structural equation modeling procedures showed that (a) all variables were positively associated with each other; (b) the partial indirect effect of harsh parenting on aggressive behaviors was determined through the mediators of peer victimization and hostile attribution bias independently; and (c) the partial indirect effect was determined through the mediators of peer victimization and hostile attribution bias sequentially. The results suggest that harsh parenting can explain the highly aggressive behavior of male juvenile delinquents. Moreover, harsh parenting may also predict the risk of peer victimization and hostile attribution bias, thereby predicting the development of highly aggressive behaviors.

Outcome Evaluation in Social Comparison: When You Deviate from Others.

Individuals often measure their performance through social comparison. With the increase in the deviation degree between the self and others, the outcome evaluation of individuals' abilities in the social comparison context is still unknown. In the current study, we used a two self-outcomes × three others' outcomes within-participant design to investigate the effect of the deviation degree of the self versus others in the social comparison context. Event-related potentials (ERPs) were measured while participants performed a three-person dot estimation task with two other people. When participants received positive results, the amplitudes of feedback-related negativity (FRN) and P300 showed a significant gradient change in the degree of deviation between the self and others (even win vs. better win vs. best win conditions). However, we did not find a similar progressive effect when participants received negative results (even loss vs. worse loss vs. worst loss conditions). These findings suggest that the deviation degree affects the primary and later processing stages of social comparison outcomes only when individuals received positive outcomes, which may reflect how people develop an empathic response to others. In contrast, people tended to avoid deeper social comparison that threatened their self-esteem when they received negative outcomes.

Examining the extraction of parafoveal semantic information in Tibetan.

This study conducted two experiments to investigate the extraction of semantic preview information from the parafovea in Tibetan reading. In Experiment 1, a single-factor (preview type: identical vs. semantically related vs. unrelated) within-subject experimental design was used to investigate whether there is a parafoveal semantic preview effect (SPE) in Tibetan reading. Experiment 2 used a 2 (contextual constraint: high vs. low) × 3 (preview type: identical vs. semantically related vs. unrelated) within-subject experimental design to investigate the influence of contextual constraint on the parafoveal semantic preview effect in Tibetan reading. Supporting the E-Z reader model, the experimental results showed that in Tibetan reading, readers could not obtain semantic preview information from the parafovea, and contextual constraint did not influence this process. However, comparing high- and low-constrained contexts, the latter might be more conducive to extracting semantic preview information from the parafovea.

Chinese school adolescents' stress experience and coping strategies: a qualitative study.

BACKGROUND: Stress in adolescence is associated with adverse mental health outcomes. Coping resources have been proved by literature to have buffering effects on the impact of stress on mental health. It is imperative to understand the stress and coping strategies of adolescents. However, to date, there has been a scarce of qualitative examination of stress and coping strategies in adolescents in a Chinese population. OBJECTIVES: This study aimed to understand the stress experience and coping strategies of high school students in China. METHODS: This study adopted a qualitative design involving three focus group interviews. A purposive sampling method was used to recruit high school students who were enrolled in grades 10 to 11, and their teachers, at a Chinese high school which resulted in 20 students and 9 teacher participants. Data were analysed using inductive thematic analysis. RESULTS: A total of 4 themes were identified: (i) sources of stress; (ii) impacts of stress (iii) coping strategies used by students; and (iv) recommendations for stress management programs. Students experienced excessive stress in their daily lives. The primary source of stress came from high expectations for academic achievement. Other sources of stress were peer relationships and family issues. The stress had negative impacts on students' emotions, sleep, study, and mental wellbeing. The students demonstrated various coping strategies, with the most common being avoidant coping. Students and teachers agreed that the coping strategies were not effective in reducing stress in the long run and that more coping skills training was needed. CONCLUSIONS: This study is the first to assess the perceptions of Chinese high school students and their teachers regarding adolescent stress experiences and coping strategies. Chinese high school students experienced significant stress in their daily lives and demonstrated unhelpful coping strategies. Participants demonstrated consensus that they did not have the skills to cope. There is a demonstrated need for interventions that focus on increasing coping skills in this population.

The Processing Differences between Chinese Proper Nouns and Common Nouns in the Left and Right Hemispheres of the Brain.

In this study, we investigated whether there were differences between the processing of Chinese proper nouns and common nouns in the left and that in the right hemispheres of the brain by using a visual half-field technique. The experimental materials included four types of proper nouns (people's names, landmark names, country names, and brand names), four types of common nouns (animals, fruits and vegetables, tools, and abstract nouns), and pseudowords. Participants were asked to judge whether target words that had been quickly presented in their left or right visual field were meaningful words. The results showed that there was a distinction between the processing of the two types of words in the left and right hemispheres. There was no significant difference in the processing of the two types of nouns in the right hemisphere, but the left hemisphere processed common nouns more effectively than proper nouns. Furthermore, the processing difference of proper nouns between the two hemispheres was less than that of common nouns, suggesting that proper nouns have a smaller lateralization effect than common nouns.

The development of visual aesthetic sensitivity in students in China.

To examine the development of visual aesthetic sensitivity in students in China, 2,387 students from age 9 to age 22 (excluding ages 16-17) were tested by the Visual aesthetic Sensitivity Test-Revised. The development of visual aesthetic sensitivity across ages and genders, and the effect of artistic training on students' visual aesthetic sensitivity were examined. The data of primary school and junior middle school students were collected by paper tests completed collectively in class, while the data of university students were collected by distributing and collecting online. Result suggests that students' visual aesthetic sensitivity is relatively stable from age 9 to age 12 and increases at age 13. The visual aesthetic sensitivity of girls is significantly better than that of boys at age 15, 19, and 20 years of age. This study also found that artistic training improves students' visual aesthetic sensitivity.

Effects of syllable boundaries in Tibetan reading.

Interword spaces exist in the texts of many languages that use alphabetic writing systems. In most cases, interword spaces, as a kind of word boundary information, play an important role in the reading process of readers. Tibetan also uses alphabetic writing, its text has no spaces between words as word boundary markers. Instead, there are intersyllable tshegs (" "), which are superscript dots. Interword spaces play an important role in reading as word boundary information. Therefore, it is interesting to investigate the role of tshegs and what effect replacing tshegs with spaces will have on Tibetan reading. To answer these questions, Experiment 1 was conducted in which 72 Tibetan undergraduates read three-syllable-boundary conditions (normal, spaced, and untsheged). However, in Experiment 1, because we performed the experimental operations of deleting tshegs and replacing tshegs, the spatial information distribution of Tibetan sentences under different operating conditions was different, which may have a certain potential impact on the experimental results. To rule out the underlying confounding factor, in Experiment 2, 58 undergraduates read sentences for both untsheged and alternating-color conditions. Overall, the global and local analyses revealed that tshegs, spaces, and alternating-color markers as syllable boundaries can help readers segment syllables in Tibetan reading. In Tibetan reading, both spaces and tshegs are effective visual syllable segmentation cues, and spaces are more effective visual syllable segmentation cues than tshegs.