The association between expressive suppression and anxiety in Chinese left-behind children in middle school: serial mediation roles of psychological resilience and self-esteem.

BACKGROUND: Left-behind children (LBC) have become a special population to be concerned due to the negative consequences of parental absence during their physical and psychological development in China. Expressive suppression (ES) is a response-focused emotion regulation and may be frequently used by LBC to suppress their emotions resulting in different forms of internalizing problems. The objective of the present study was to investigate the role of ES as an emotion regulation strategy on anxiety in Chinese left-behind children in middle school (LBC-MS) by considering the mediating role(s) of psychological resilience and self-esteem. METHODS: 820 middle school students aged between 12 and 17 years from a middle school in Xiangtan, Hunan Province, participated in the study. Screen for Child Anxiety Related Emotional Disorders (SCARED), Emotion Regulation Questionnaire (ERQ), Resilience Scale for Chinese Adolescents (RSCA), and Rosenberg Self-Esteem Scale (SES) were administered. Variables measured using the above scales in left-behind children in middle school (LBC-MS) and non-left-behind children in middle school (non-LBC-MS) were compared, and descriptive statistics were used to present the overall characteristics. Then the PROCESS macro of SPSS was used to conduct regression-based statistical mediation for the data of 211 left-behind children. RESULTS: This study revealed that LBC-MS had higher anxiety and ES scores and lower psychological resilience and self-esteem scores than non-LBC-MS (Ps < 0.01). ES was found positively associated with anxiety in LBC-MS and negatively associated with psychological resilience and self-esteem (Ps < 0.05 - 0.01). Specifically, both psychological resilience and self-esteem significantly mediated the association between ES and anxiety, accounting for 7.50% and 10.68%, respectively, of the total associations. Moreover, psychological resilience and self-esteem had a chain mediating effect between ES and anxiety in LBC-MS. CONCLUSION: The findings indicated that LBC-MS in China may frequently engage in the use of ES which correlated with higher level of anxiety. Psychological interventions should be dedicated to this underserved group. Intervention approaches that improve emotion regulation strategies (i.e., decrease the use of ES) and increase psychological resilience and self-esteem may help to alleviate anxiety in LBC-MS.

Influence of eye-related behavior on myopia among junior middle school students under the background of double reduction during the COVID-19 pandemic.

BACKGROUND: To investigate the changes in the unhealthy eye-related behaviors of junior middle school students during the COVID-19 pandemic and the double reduction policy and its relationship with myopia. METHODS: Data were obtained from the 2019-2022 Tianjin Children and Youth Myopia, Common Diseases and Health Influencing Factors Survey. Latent profile analysis (LPA) and a generalized linear model (GLM) were applied to analyze the effect of eye-related behavior classes on myopia. RESULTS: A total of 2508 junior middle school students were included. The types of eye-related behavior were categorized into the medium-healthy behavior group, heavy academic burden and near-eye behavior group, insufficient lighting group and high-healthy behavior group. Students with heavy academic burdens and near-eye behavior were more likely to develop myopia than were those in the high-healthy group (OR = 1.466, 95% CI = 1.203-1.787; P < 0.001). CONCLUSIONS: The dual reduction policy has a positive effect on improving unhealthy eye-related behaviors, and the prevention and control of myopia through the use of different combinations of eye-related behaviors are heterogeneous among junior middle school students. In the post-COVID-19 period, we should continue to implement a double reduction policy and formulate targeted eye-related behavior strategies to provide an important reference for the prevention and control of myopia among children and adolescents during public health emergencies in the future.

Positioning adolescence in the developmental timeline.

Adolescence, the second decade of life, bridges childhood and adulthood, but also represents a host of unique experiences that impact health and well-being. Lifespan theories often emphasize the continuity of individual characteristics and their contexts from childhood to adolescence, underscoring the distal influence of childhood experiences. Yet, adolescence is marked by transitions that may provoke discontinuities, particularly within individuals, their contexts, and their interactions within those contexts. These discontinuities occur at varied times, orders, and intensities for individual youth, suggesting that adolescence may be a developmental turning point where earlier life experiences may be mediated, reversed, or transformed by proximal events. This perspective piece emphasizes the importance of considering transitions, discontinuities, and developmental turning points in adolescence as well as their potential to explain heterogeneity in adolescent and adult outcomes. We explore one biological and one contextual transition in adolescence and highlight innovative theories and methods for investigating continuity and discontinuity dynamics across development, which could lead to new insights related to the adolescent period and its importance in shaping future life trajectories.

Peer sexual harassment among 10-year-olds: Roles, genders, classroom occurrence, and associations with emotional problems.

This is the first study examining peer sexual harassment among 10-year-olds (N = 985), studying how being a victim, perpetrator, or witness relates to emotional problems, and how these associations are moderated by gender and class occurrence of sexual harassment. Results showed that 45% of the participants reported victimization, 17% perpetration, and 60% witnessing sexual harassment, with vast overlaps between roles. Victimization and witnessing were related to more emotional problems. Victimized girls reported more emotional problems than boys, but girls who perpetrated reported fewer emotional problems than boys. Associations between peer sexual harassment and emotional problems varied across classrooms. Our findings highlight the occurrence of peer sexual harassment in younger ages, emphasizing an ecological perspective when addressing it in school.

Still worried? Parental control and academic competence as antecedents of middle school students' post-transition worries.

This study examined whether parental psychological control reported by children before the transition to middle school, in the second semester of the fourth grade, is associated with children's worries after the transition to middle school, in the first semester of the fifth grade. We also evaluated the mediating role of children's post-transition perceived academic competence and the moderating role of physical transition (changing schools) on these relations. 370 Romanian early adolescents participated at both time points, with 30% of them having changed schools. Path analysis showed that the relation between children's perceptions of dependency-oriented psychological control and post-transition worries was mediated by academic competence and moderated by physical transition. Educational and counseling implications are discussed.

Adolescent caffeine use and problematic school behavior: A longitudinal analysis of student survey data and teacher observations.

INTRODUCTION: Caffeine is a psychostimulant possessing arousal, motor activation, and reinforcing properties, which is consumed daily by most adolescents aged 12-19 years. Although current understanding of the implications of adolescent caffeine consumption for school behaviors remains incomplete, studies have shown that in addition to acute effects of the drug, in common with other habit-forming psychoactive substances, regular use leads to physical dependence, evidenced by recurring negative withdrawal symptoms. METHODS: Employing two waves of longitudinal data, we tested the prospective association between daily caffeine use and homeroom teacher-observed self-control and problem behavior in a sample of middle-school students in 20 schools in West Virginia in the United States. Caffeine was operationalized with two dichotomized variables, daily consumption of <100 mg, and daily consumption of >100 mg, versus no daily use. Gender, mother's education, family financial status, social support by primary caregiver and adults in school, and school climate, were applied as covariates in linear mixed models. RESULTS: Daily caffeine use of >100 mg was robustly and inversely associated with self-control and positively associated with problem behavior. CONCLUSIONS: Caffeine consumption and associated withdrawal symptoms may be an important factor in problematic school behavior among adolescents. Recent advent of highly concentrated caffeine products (e.g., caffeine "shots") commonly marketed directly at youth, should give rise to concerns including consideration about limiting caffeine consumption among children and youth.

What books should we like? A study of gender differences and stereotypes in the reading behaviors of Chinese middle school students.

INTRODUCTION: This study investigated gender differences in the reading behaviors of Chinese middle school students, and whether gender stereotypes relating to choices of reading matter are supported. METHODS: A mixed-methods approach was adopted. Three thousand nine hundred and fifteen middle school (Grade 7) students completed a questionnaire designed to assess reading behaviors. Independent sample t-test and chi-square analyses were employed to examine gender differences in reading behaviors. The qualitative survey was supplemented with an open response survey (94 boys, 50 girls), which provided further insights into individuals' specific experiences and perspectives regarding reading behaviors and gender stereotypes in reading choices. RESULTS: This study revealed a number of gender-linked differences. Boys spent more time reading than girls but read the same number of books; boys were also more likely than girls to read digital texts, while girls were more likely to borrow their reading material. Choice of subject matter also differed: boys were more likely to read factual and action-based books, while girls' choices focused more on motives and emotions. Another significant difference was that boys paid more attention to the overall experience of reading, while girls paid more attention to the details of reading. Responses to the open response survey indicated that gender stereotypes in reading choices were prevalent among respondents, but some students' reading choices did not align with the stereotype associated with their gender. CONCLUSION: The mixed-methods approach proved valuable in both identifying gender differences in reading behaviors, and in highlighting the prevalence of gender stereotypes in reading choices among middle school students.

A workshop to showcase the diversity of scientists to middle school students.

Identity matters in science, technology, engineering, mathematics, and medicine (STEMM) because it can affect an individual's long-term sense of belonging, which may in turn affect their persistence in STEMM. Early K-12 science classes often teach students about the foundational discoveries of the field, which have been predominately made, or at least published, by White men. This homogeneity can leave underrepresented individuals in STEMM feeling isolated, and underrepresented K-12 students may feel as though they cannot enter STEMM fields. This study aimed to examine these feelings of inclusivity in STEMM through an interactive workshop that asked middle schoolers to identify scientists from images of individuals with various racial and gender identities. We found that a plurality of students had a positive experience discussing diversity in science and recognizing underrepresented individuals as scientists.NEW & NOTEWORTHY We observed positive sentiments from middle school students following a workshop that showcased diversity in science. This workshop uniquely encourages students to recognize that physiologists and scientists today are much more diverse than textbooks typically demonstrate and can be adapted for middle schoolers, high schoolers, and college students.

Student's and Classmates' Prosocial Behavior predict Academic Engagement in Middle School.

Students' academic engagement is greatly informed by a classroom's social climate. However, more research is needed regarding how specific peer behavior, especially prosocial behavior, come to shape academic engagement. The present study investigated whether students' perceptions about their classmates' prosocial behavior were associated with their academic engagement (cognitive, behavioral, affective) across the school year. Indirect effects via increases in students' own prosocial behavior were examined. Participants were 905 middle school students from rural, low-income communities in the Midwestern United States (50% girls, 46% boys; Mage = 12.94 years). Students completed self-report surveys in the fall and spring of the 2022-2023 school year. Results revealed that students' perceptions of their classmates' prosocial behavior were positively associated with students' own prosocial behavior. Students' own prosocial behavior was positively associated with all three dimensions of engagement. The positive indirect effect of classmates' prosocial behavior on engagement through students' own prosocial behavior was significant. The findings highlight the importance of classmates' behavior on individuals' academic engagement and offer insights into classroom-based interventions aimed at improving collective behavior.

Online Self-Disclosure and Self-Concept Clarity Among Chinese Middle School Students: A Longitudinal Study.

The relationship between online self-disclosure and self-concept clarity has been previously examined through cross-sectional studies. This study examined causal connections between online self-disclosure and self-concept clarity among Chinese middle school students using longitudinal data collected over 18 months. Participants were 535 seventh-grade students aged 12-14 years (Mage = 12.93, SD = 0.54, 43.18% girls), assessed four times, six months apart. In a random intercept cross-lagged panel model, self-concept clarity significantly predicted online self-disclosure. Latent growth mixture modeling identified two distinct growth trajectories for both online self-disclosure (Rapid change, 7%; Slow change, 93%) and self-concept clarity (Rapid change, 8%; No change, 92%). Multiple logistic regression analysis suggested that changes in self-concept clarity influenced the developmental trajectory profile of online self-disclosure. Although male and female students differed in online self-disclosure and self-concept clarity, gender differences in the developmental trajectory profiles of online self-disclosure and self-concept clarity were not significant. Supporting adolescents in developing a clear self-concept to mitigate risks associated with excessive online self-disclosure is important.

Left-behind cumulative risk and academic adjustment in Chinese middle school students: The moderating effect of growth mindset.

Left-behind children, as a large-scale disadvantaged group, encounter an array of risk factors that impede their academic development because of parental migration. The current study aimed at investigating the roles of left-behind cumulative risk and growth mindset on academic adjustment and exploring whether growth mindset moderated the association between left-behind cumulative risk and academic adjustment in left-behind middle school students. A total of 1184 left-behind middle school students (615 males; 12-16 years) participated in the study. Results indicated that left-behind cumulative risk is negatively associated with academic adjustment in middle school students (ß = -.199, t(1183) = -7.229, p < .001). Besides, growth mindset has a protective effect on left-behind middle school students' academic adjustment (ß = .386, t(1183) = 14.070, p < .001) and a moderating effect on the relationship between left-behind cumulative risk and academic adjustment (ß = .394, t(1182) = 4.057, p < .001, ΔR2 = .012). These findings suggest that family risk factors related to left-behind status affect the academic adjustment of left-behind middle school students in a superposition way, while the positive individual factor of growth mindset could protect the negative impact caused by parental migration.

Orthodontic awareness amongst middle school teacher sand parents of twin cities.

OBJECTIVE: To compare the level of awareness towards orthodontic treatment among parents and teachers of middle school children. METHODS: The cross-sectional study was conducted from July 2021 to May 2022 in the middle schools of Rawalpindi and Islamabad, Pak istan, after approval from the ethics review committee of the Foundation University College of Dentistry and Hospital, Foundation University, Islamabad. Those included were middle school teachers and parents of students studying in middle schools. Data was collected using a validated questionnaire that had 6 demographic and 5 sur vey ques tions. The fo rm was digiti zed for easy dissemination a mong parents. Data was analysed us ing SPSS 23. RESULTS: Of the 240 subjects, 120(50%) each were parents and teachers. Overall, there were 165(68.75%) females and 75(31.25%) males. Level of education and professional exposure were not significantly different between teachers and parents (p>0.05). There was no difference in the level of education and professional work experience between th e parents and teacher (p>0.05). Teachers showed a higher level of awaren ess than parents towards the role of orthodontist in tooth alignment (p=0.013), associated habits with malalignment of teeth (p=0.003), and that the most appropriate age for tre atment wa s 10-15 years (p≤0.0 01). Teach ers were more likely of the opinion tha t facial disharmony is treatable than parents (odds ratio: 1.599, 95% confidence interval: 0.572-4.467). CONCLUSIONS: Teachers showed a higher level of awareness than parents regarding orthodontic treatment of children.

Mental Health Interventions in Middle Schools: A 10-Year Review of Research.

Schools can play an important role in addressing growing concerns about adolescent mental health. Mental health of high school students has predominantly been the focus in literature with less emphasis on younger adolescents. This review identified articles published in the last decade that described evaluations of middle school-based mental health interventions and randomized participants to an intervention or control condition. Fourteen interventions met the inclusion criteria. About two-thirds of interventions were based on mindfulness or cognitive behavioral therapy. Many trials utilized racially diverse, low-income samples. All interventions were delivered to groups, and three contained a parent component. Five trials increased rigor by using an active control condition. Almost two-thirds of the interventions were effective (p < .10) in reducing at least one depression, anxiety, affect, or internalizing symptom outcome compared to a control group. This article provides information about intervention characteristics, efficacy, theoretical framework, and acceptability/feasibility.

Teaching Acid-Base Fundamentals and Introducing pH using Butterfly Pea Flower Tea.

Stimulating interest in science at an early age is important for STEM education. This work details an educational activity utilizing the anthocyanins found in the butterfly pea flower (Clitoria ternatea). This activity was developed for use in official classroom settings, online, and/or at-home with parental or educator guidance. Primary and high school students aged 7 to 14 performed a straightforward extraction of anthocyanin pH indicators from Clitoria ternatea with hot water. Students were able to use this indicator and its vast range of colors to compare the acidity and basicity of different household solutions. Most responses recorded show that students used reasoning from the indicator and a subsequent chemical reaction to correctly differentiate acids from bases and compare their strengths. Overall, this activity's application of non-toxic and easily accessible indicators from the butterfly pea flower assisted in introducing young students to various concepts in acid-base chemistry, including acid/base strength and pH, solute dissolution, neutralization reactions, and qualitative analysis.

[Association between body mass index and blood pressure of Tibetan primary and secondary school students in Lhasa City in 2020].

OBJECTIVE: To analyze the relationship between body mass index(BMI) and blood pressure among Tibetan primary and secondary school students in Lhasa City. METHODS: From August to October 2020, 1929 Tibetan students were selected from 12 primary and secondary schools in Lhasa City to conduct questionnaire surveys on demographic characteristics, smoking, drinking, living habits, and food consumption frequency, and physical examinations such as height, weight and blood pressure measurements. The association between BMI and blood pressure was analyzed with multivariate logistic regression model and linear regression model. RESULTS: A total of 843 boys(43.70%)and 1086 girls(56.30%)were surveyed, with an average age of(14.25±2.71) years old.925 people(47.95%)were in urban areas and 1004 people(52.05%)were in rural areas. There were 726 people(37.64%)inprimary school students, 692 people(35.87%)in junior high school, 363 people(18.82%)in high school, and 148 people(7.67%)in vocational high school. There were 541 people(28.05%)who were emaciated, 183 people(9.49%)who were overweight, and 87 people(4.51%)who were obese. The wasting, overweight and obesity rates of Tibetan primary and secondary school students were 28.05%, 9.49% and 4.51%, respectively. The high blood pressure rate was 8.76%. The BMI value of the high blood pressure group of students was higher than that of the students in the normal blood pressure group, and the difference was statistically significant(t=4.63, P<0.05). The result of the multi-factor logistic regression model showed that among the study subjects, the risk of high blood pressure, high systolic blood pressure, and high diastolic blood pressure were 3.07 times higher than those of people with normal BMI(95% CI 1.71-5.51, P<0.01), 2.83 times(95% CI 1.38-5.81, P<0.01), 4.19 times(95% CI 2.11-8.32, P<0.01). The risk of high blood pressure in overweight people was 1.17 times that of people with normal BMI(95% CI 1.04-2.84, P=0.04). The result of the linear regression model showed that mild wasting(ß=-2.41, 95% CI-3.95--0.87) and moderate to severe wasting(ß=-4.71, 95% CI-6.19--3.23) was negatively correlated with systolic blood pressure, while overweight(ß=2.56, 95% CI 0.88-4.24) and obesity(ß=5.55, 95% CI 3.20-7.91) were positively correlated with systolic blood pressure, moderate to severe wasting(ß=-2.46, 95% CI-3.88--1.04) was negatively correlated with diastolic blood pressure, and obesity(ß=3.42, 95% CI 1.16-5.68) was positively correlated with diastolic blood pressure. CONCLUSION: Obesity is positively correlated with blood pressure and high blood pressure among Tibetan primary and secondary school students.

Effects of health education during public health emergencies on the health literacy, emotion and coping style of Chinese junior middle school students: a randomized controlled trial.

BACKGROUND: Schools are high incidence places for public health emergencies. Good health literacy helps students cope with public health emergencies. Overall, the health literacy of young students is relatively low. Health education can promote health literacy, but the health education related to public health emergencies for Chinese junior middle school students needs to be improved. To design and implement health education courses related to public health emergencies for junior middle school students and examine the impact on their health literacy, emotions, and coping styles. METHODS: From March to December 2022, 724 students in Grade 7 and Grade 8 of two junior middle schools in Changzhou were randomly divided into a course group (n = 359) and a control group (n = 365). The course group received an age-appropriate health education course that addressed public health emergencies; there were 12 classes, one per week. The control group received general health education. One week before and after the courses, the two groups of students were assessed with the Adolescent Health Literacy Evaluation Scale under Public Health Emergencies (AHLES-PHE), the Depression Self-Rating Scale for Children (DSRSC), the Generalized Anxiety Disorder 7-item scale (GAD-7), and the Simplified Coping Style Questionnaire (SCSQ). RESULTS: After the courses were completed, the scores of AHLES-PHE [156.0 (45.0,180.0) vs. 165.0 (54.0,180.0), P < 0. 05] in the course group increased significantly. The positive rate of DSRSC [81 (22.6%) vs. 57 (15.9%), P < 0.05] and GAD-7 [45 (12.5%) vs. 29 (8.1), P < 0.05]in the course group were significantly lower than those before courses. There was no significant difference in the above indices before and after courses in the control group (P > 0.05). CONCLUSION: This suggests that the health education courses related to public health emergencies designed in this study has an effect on improving health literacy, depression and anxiety in junior middle school students.

Promoting HPV vaccination at school: a mixed methods study exploring knowledge, beliefs and attitudes of French school staff.

BACKGROUND: HPV vaccine coverage in France remained lower than in most other high-income countries. Within the diagnostic phase of the national PrevHPV program, we carried out a mixed methods study among school staff to assess their knowledge, beliefs and attitudes regarding HPV, HPV vaccine and vaccination in general, and regarding schools' role in promoting HPV vaccination. METHODS: Middle school nurses, teachers and support staff from four French regions participated between January 2020 and May 2021. We combined: (i) quantitative data from self-administered online questionnaires (n = 301), analysed using descriptive statistics; and (ii) qualitative data from three focus groups (n = 14), thematically analysed. RESULTS: Less than half of respondents knew that HPV can cause genital warts or oral cancers and only 18% that no antiviral treatment exists. Almost 90% of the respondents knew the existence of the HPV vaccine but some misunderstood why it is recommended before the first sexual relationships and for boys; 56% doubted about its safety, especially because they think there is not enough information on this topic. Schools nurses had greater knowledge than other professionals and claimed that educating pupils about HPV was fully part of their job roles; however, they rarely address this topic due to a lack of knowledge/tools. Professionals (school nurses, teachers and support staff) who participated in the focus groups were unfavourable to offering vaccination at school because of parents' negative reactions, lack of resources, and perceived uselessness. CONCLUSIONS: These results highlight the need to improve school staff knowledge on HPV. Parents should be involved in intervention promoting HPV vaccination to prevent their potential negative reactions, as feared by school staff. Several barriers should also be addressed before organizing school vaccination programs in France.

Hostile home environment predicting early adolescent sexual harassment perpetration and potential school-related moderators.

Using family systems theory, this longitudinal study of middle school youth examined the effects of abuse, family conflict, and sibling aggression on sexual harassment perpetration (N = 1563; Mage 11.2, 51% boys; 39% Hispanic, 29% Black, and 19% White). Boys reported more sexual harassment than girls; perpetration increased for both. The association between a hostile home environment and sexual harassment perpetration was moderated by school experiences. School belonging buffered effects of hostile home environment on baseline sexual harassment perpetration for boys who experienced abuse and White adolescents with high sibling aggression. Academic grades moderated change in perpetration over time, but effects differed by sex and race. It is important to understand how early violence exposures relate to sexual violence perpetration during early adolescence.

Peer learning can modify the reciprocal relationship between peer support and victimization in middle school.

INTRODUCTION: This research investigated how peer victimization and support are reciprocally related and how Cooperative Learning (CL) can reverse the progressive cascade that, unchecked, can culminate in youth mental health problems. METHODS: The sample (N = 1890; 53% male) was derived from a randomized trial of CL in 15 middle schools in the United States. Students were recruited in the 7th grade. Structural Equation Modeling (SEM) was used to fit our cross-lag difference score model across four waves of data. RESULTS: The results indicated a reciprocal relationship between peer support and victimization across time, suggesting the potential for negative experiences with peers to become amplified over time in a "vicious cycle," negatively impacting mental health. Students in intervention schools reported significantly higher levels of peer support and lower levels of victimization, suggesting that CL can intervene in this cycle, with salutary effects on mental health; CL also demonstrated direct effects on mental health. CONCLUSIONS: The present study indicates that low peer support can be both a precursor to and an outcome of victimization, serving to maintain a vicious cycle that compounds negative effects on student mental health. Further, results demonstrate how CL can reverse this cycle. We conclude that CL can be of particular importance to the prevention field as a universal mental health program that does not require the associated stigma of identifying youth at elevated risk for referral to treatment programs.

Project DREAM: Iterative development of an afterschool program with an emphasis on youth-adult relationships.

The current manuscript describes the iterative development of an afterschool intervention aimed at fostering supportive relationships between adolescents and adults from their everyday lives. Project DREAM (Developing Resourcefulness, Engagement, Acceptance, and Mentoring) is a novel afterschool preventive intervention aimed at promoting youths' improved academic outcomes via gains in social and emotional development and their connectedness with nonparental adults. The purpose of the iterative development process was to improve the intervention to make it maximally usable and acceptable to the intended users and participants. The iterative development process was informed by data collected from advisory boards, focus groups, interviews, and observations of program sessions. In the current article, we describe the methods implemented as part of this process and fully describe the resulting intervention revisions completed across the 2-year period. We also summarize lessons learned.