Skip to main content
Top
Published in: BMC Public Health 1/2023

Open Access 01-12-2023 | Burnout Syndrome | Research

Intrusive rumination and academic burnout among adolescents in ethnic minority areas of China during the COVID-19 pandemic: PTSS as mediator and cognitive reappraisal as moderator

Authors: Linhui He, Xiaojiao Yuan, Qiuyan Chen, Xiaogang Wang

Published in: BMC Public Health | Issue 1/2023

Login to get access

Abstract

Background

The COVID-19 pandemic has had a significant negative impact on public health, prompting scholarly research in related fields. In this context, the present study reveals the psychological characteristics of adolescents in ethnic minority areas of China approximately five months after the 2020 outbreak of the COVID-19 pandemic, explores the relationship between intrusive rumination and academic burnout, and examines the role of post-traumatic stress symptoms (PTSS) and cognitive reappraisal in the relationship to provide an empirical foundation for developing effective psychological interventions for adolescents in the wake of the pandemic.

Methods

Based on cluster sampling, 941 middle school students (65.36% female, 74.71% senior high, Mage=15.95) in ethnic minority areas of China were surveyed using the Event Related Rumination Scale, Adolescent Academic Burnout Scale, Post-traumatic Stress Checklist Scale, Emotion Regulation Strategy Scale, and a self-designed demographic questionnaire.

Results

During the COVID-19 pandemic, 7.44% of Chinese ethnic minority adolescents in our study sample were classified as PTSD positive, and 10.95% exhibited partial PTSD. Intrusive rumination significantly predicted academic burnout, and PTSS played a key mediating role between the two, accounting for 58.51% of the total effect. After controlling for PTSS, cognitive reappraisal moderated the effects of intrusive rumination on academic burnout. Specifically, the effect of intrusive rumination on academic burnout decreased with improvement in cognitive reappraisal.

Conclusions

Intrusive rumination indirectly affected academic burnout in adolescents through PTSS as a crucial mediator, and the remnant direct effect was alleviated by cognitive reappraisal. This finding emphasises the importance of adopting a comprehensive approach that encompasses cognitive, emotional, and physiological symptoms to understand and address academic burnout among adolescents during the COVID-19 pandemic.
Literature
2.
go back to reference Zhang W, Yang X, Zhao J, et al. Depression and psychological-behavioral responses among the general public in China during the early stages of the COVID-19 pandemic: survey study. J Med Internet Res. 2020;22(9):e22227.PubMedPubMedCentralCrossRef Zhang W, Yang X, Zhao J, et al. Depression and psychological-behavioral responses among the general public in China during the early stages of the COVID-19 pandemic: survey study. J Med Internet Res. 2020;22(9):e22227.PubMedPubMedCentralCrossRef
3.
go back to reference Shi L, Lu ZA, Que JY, et al. Prevalence of and risk factors Associated with Mental Health symptoms among the General Population in China during the Coronavirus Disease 2019 Pandemic. JAMA Netw open. 2020;3(7):e2014053.PubMedPubMedCentralCrossRef Shi L, Lu ZA, Que JY, et al. Prevalence of and risk factors Associated with Mental Health symptoms among the General Population in China during the Coronavirus Disease 2019 Pandemic. JAMA Netw open. 2020;3(7):e2014053.PubMedPubMedCentralCrossRef
4.
go back to reference Liu X, Luo WT, Li Y, et al. Psychological status and behavior changes of the public during the COVID-19 epidemic in China. Infect Dis Poverty. 2020;9(3):20–30. Liu X, Luo WT, Li Y, et al. Psychological status and behavior changes of the public during the COVID-19 epidemic in China. Infect Dis Poverty. 2020;9(3):20–30.
5.
go back to reference Qiu JY, Shen B, Zhao M et al. A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: implications and policy recommendations. Gen Psychiatry, 2020; 33(2). Qiu JY, Shen B, Zhao M et al. A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: implications and policy recommendations. Gen Psychiatry, 2020; 33(2).
6.
go back to reference Ma HY, Yu GL. Cognitive characteristics and psychological intervention of adolescents in major crisis events: a case study of the new crown Pneumonia epidemic. Nanjing Social Sciences. 2021;2021(11):76–82. Ma HY, Yu GL. Cognitive characteristics and psychological intervention of adolescents in major crisis events: a case study of the new crown Pneumonia epidemic. Nanjing Social Sciences. 2021;2021(11):76–82.
7.
go back to reference Francisco R, Pedro M, Delvecchio E, et al. Psychological symptoms and behavioral changes in children and adolescents during the early phase of COVID-19 quarantine in three European countries. Front Psychiatry. 2020;11:1329.CrossRef Francisco R, Pedro M, Delvecchio E, et al. Psychological symptoms and behavioral changes in children and adolescents during the early phase of COVID-19 quarantine in three European countries. Front Psychiatry. 2020;11:1329.CrossRef
8.
go back to reference Wang G, Zhang Y, Zhao J, et al. Mitigate the effects of home confinement on children during the COVID-19 outbreak. The Lancet. 2020;395(10228):945–7.CrossRef Wang G, Zhang Y, Zhao J, et al. Mitigate the effects of home confinement on children during the COVID-19 outbreak. The Lancet. 2020;395(10228):945–7.CrossRef
9.
go back to reference Panchal U, Salazar de Pablo G, Franco M, et al. The impact of COVID-19 lockdown on child and adolescent mental health: systematic review. Eur Child Adolesc Psychiatry. 2023;32(7):1151–77.PubMedCrossRef Panchal U, Salazar de Pablo G, Franco M, et al. The impact of COVID-19 lockdown on child and adolescent mental health: systematic review. Eur Child Adolesc Psychiatry. 2023;32(7):1151–77.PubMedCrossRef
10.
go back to reference Ying B, Geng YB, Lin J, Li Q. A large-sample survey of middle school students’ English learning anxiety during the resumption of classes during the new crown Pneumonia epidemic. J Southwest Univ (Natural Sci Edition). 2021;43(1):22–30. Ying B, Geng YB, Lin J, Li Q. A large-sample survey of middle school students’ English learning anxiety during the resumption of classes during the new crown Pneumonia epidemic. J Southwest Univ (Natural Sci Edition). 2021;43(1):22–30.
11.
go back to reference Shen LY, Wu XY, Zhen R, Zhou X. Post-traumatic stress disorder, Mobile phone dependence, and academic boredom in adolescents during the COVID-19 pandemic. Front Psychol. 2021;12:724732.PubMedPubMedCentralCrossRef Shen LY, Wu XY, Zhen R, Zhou X. Post-traumatic stress disorder, Mobile phone dependence, and academic boredom in adolescents during the COVID-19 pandemic. Front Psychol. 2021;12:724732.PubMedPubMedCentralCrossRef
12.
go back to reference Zeng ZY, Wang XG, Chen QY, et al. Core belief challenge moderated the relationship between posttraumatic growth and adolescent academic burnout in Wenchuan area during the COVID-19 pandemic. Front Psychol. 2022;13:1005176.PubMedPubMedCentralCrossRef Zeng ZY, Wang XG, Chen QY, et al. Core belief challenge moderated the relationship between posttraumatic growth and adolescent academic burnout in Wenchuan area during the COVID-19 pandemic. Front Psychol. 2022;13:1005176.PubMedPubMedCentralCrossRef
13.
go back to reference Heta TS, Katariina SA. Schoolwork engagement and burnout among Finnish high school students and young adults: profiles, progressions, and educational outcomes. Dev Psychol. 2014;50(3):649–62.CrossRef Heta TS, Katariina SA. Schoolwork engagement and burnout among Finnish high school students and young adults: profiles, progressions, and educational outcomes. Dev Psychol. 2014;50(3):649–62.CrossRef
14.
go back to reference Cheng J, Zhao YY, Wang J, et al. Academic burnout and depression of Chinese medical students in the pre-clinical years: the buffering hypothesis of resilience and social support. Psychol Health Med. 2020;25(9):1094–105.PubMedCrossRef Cheng J, Zhao YY, Wang J, et al. Academic burnout and depression of Chinese medical students in the pre-clinical years: the buffering hypothesis of resilience and social support. Psychol Health Med. 2020;25(9):1094–105.PubMedCrossRef
15.
go back to reference Miia B, Katariina SA. Burned out to drop out: exploring the relationship between school burnout and school dropout. Eur J Psychol Educ. 2013;28(2):511–28.CrossRef Miia B, Katariina SA. Burned out to drop out: exploring the relationship between school burnout and school dropout. Eur J Psychol Educ. 2013;28(2):511–28.CrossRef
16.
go back to reference Li YZ, Yu P, Guan BY, et al. Investigation on the home learning status and mental health status of adolescents under the epidemic of novel coronavirus Pneumonia. Capital Public Health. 2021;15(1):1–4. Li YZ, Yu P, Guan BY, et al. Investigation on the home learning status and mental health status of adolescents under the epidemic of novel coronavirus Pneumonia. Capital Public Health. 2021;15(1):1–4.
17.
go back to reference Cann A, Calhoun LG, Tedeschi RG, et al. Assessing posttraumatic cognitive processes: the event related rumination inventory. Anxiety Stress Coping. 2011;24(2):137–56.PubMedCrossRef Cann A, Calhoun LG, Tedeschi RG, et al. Assessing posttraumatic cognitive processes: the event related rumination inventory. Anxiety Stress Coping. 2011;24(2):137–56.PubMedCrossRef
18.
go back to reference Gotlib IH, Joormann J. Cognition and depression: current status and future directions. Ann Rev Clin Psychol. 2010;6(1):285–312.CrossRef Gotlib IH, Joormann J. Cognition and depression: current status and future directions. Ann Rev Clin Psychol. 2010;6(1):285–312.CrossRef
19.
go back to reference Krys S, Otte KP, Knipfer K. Academic performance: A longitudinal study on the role of goal-directed rumination and psychological distress. Anxiety, Stress, & Coping, 2020; 33(5): 545–559. Krys S, Otte KP, Knipfer K. Academic performance: A longitudinal study on the role of goal-directed rumination and psychological distress. Anxiety, Stress, & Coping, 2020; 33(5): 545–559.
20.
go back to reference Du J, Huang J, An Y, et al. The relationship between stress and negative emotion: the mediating role of rumination. Clin Res Trials. 2018;4(1):1–5.CrossRef Du J, Huang J, An Y, et al. The relationship between stress and negative emotion: the mediating role of rumination. Clin Res Trials. 2018;4(1):1–5.CrossRef
21.
go back to reference Wang W, Wu X, Lan X. Rumination mediates the relationships of fear and guilt to posttraumatic stress disorder and posttraumatic growth among adolescents after the Ya’an Earthquake. Eur J Psychotraumatology. 2020;11(1):1–12.CrossRef Wang W, Wu X, Lan X. Rumination mediates the relationships of fear and guilt to posttraumatic stress disorder and posttraumatic growth among adolescents after the Ya’an Earthquake. Eur J Psychotraumatology. 2020;11(1):1–12.CrossRef
22.
go back to reference Fariborz N, Hadi J, Ali TN. Students’ academic stress, stress response and academic burnout: mediating role of self-efficacy. Pertanika J Social Sci Humanit. 2019;27(4):2441–54. Fariborz N, Hadi J, Ali TN. Students’ academic stress, stress response and academic burnout: mediating role of self-efficacy. Pertanika J Social Sci Humanit. 2019;27(4):2441–54.
23.
go back to reference American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5. Washington, DC: American psychiatric association; 2013.CrossRef American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5. Washington, DC: American psychiatric association; 2013.CrossRef
24.
go back to reference Ehlers A, Clark DM. A cognitive model of posttraumatic stress disorder. Behav Res Ther. 2000;38(4):319–45.PubMedCrossRef Ehlers A, Clark DM. A cognitive model of posttraumatic stress disorder. Behav Res Ther. 2000;38(4):319–45.PubMedCrossRef
25.
go back to reference Celik D, Alpay EH, Celebi B, et al. Intolerance of uncertainty, rumination, post-traumatic stress symptoms and aggression during COVID-19: a serial mediation model. Eur J Psychotraumatology. 2021;12(1):1953790.CrossRef Celik D, Alpay EH, Celebi B, et al. Intolerance of uncertainty, rumination, post-traumatic stress symptoms and aggression during COVID-19: a serial mediation model. Eur J Psychotraumatology. 2021;12(1):1953790.CrossRef
26.
go back to reference Brown WJ, Hetzel-Riggin MD, Mitchell MA, et al. Rumination mediates the relationship between negative affect and posttraumatic stress disorder symptoms in female interpersonal trauma survivors. J Interpers Violence. 2021;36(13–14):6418–39.PubMedCrossRef Brown WJ, Hetzel-Riggin MD, Mitchell MA, et al. Rumination mediates the relationship between negative affect and posttraumatic stress disorder symptoms in female interpersonal trauma survivors. J Interpers Violence. 2021;36(13–14):6418–39.PubMedCrossRef
27.
go back to reference Liu C, Liu Z, Yuan G. The longitudinal influence of cyberbullying victimization on depression and posttraumatic stress symptoms: the mediation role of rumination. Arch Psychiatr Nurs. 2020;34(4):206–10.PubMedCrossRef Liu C, Liu Z, Yuan G. The longitudinal influence of cyberbullying victimization on depression and posttraumatic stress symptoms: the mediation role of rumination. Arch Psychiatr Nurs. 2020;34(4):206–10.PubMedCrossRef
28.
go back to reference Xu LL, Li MM, Chen LY, et al. The relationship between college students’ English learning stress and learning burnout: the roles of psychological need satisfaction and cognitive reassessment. J Guangdong Second Normal Coll. 2022;42(6):102–12. Xu LL, Li MM, Chen LY, et al. The relationship between college students’ English learning stress and learning burnout: the roles of psychological need satisfaction and cognitive reassessment. J Guangdong Second Normal Coll. 2022;42(6):102–12.
29.
go back to reference Pereira JL, Guedes-Carneiro GM, Netto LR, et al. Types of trauma, posttraumatic stress disorder, and academic performance in a population of university students. J Nerv Ment Dis. 2018;206(7):507–12.PubMedCrossRef Pereira JL, Guedes-Carneiro GM, Netto LR, et al. Types of trauma, posttraumatic stress disorder, and academic performance in a population of university students. J Nerv Ment Dis. 2018;206(7):507–12.PubMedCrossRef
30.
go back to reference Saigh PA, Yasik AE, Oberfield RA, et al. The intellectual performance of traumatized children and adolescents with or without posttraumatic stress disorder. J Abnorm Psychol. 2006;115(2):332–40.PubMedPubMedCentralCrossRef Saigh PA, Yasik AE, Oberfield RA, et al. The intellectual performance of traumatized children and adolescents with or without posttraumatic stress disorder. J Abnorm Psychol. 2006;115(2):332–40.PubMedPubMedCentralCrossRef
31.
go back to reference Farazi F. Predicting Academic Avoidance based on the Meaning of Education, Academic Self-Efficacy and Academic stressors. J New Thoughts Educ. 2022;18(1):33–46. Farazi F. Predicting Academic Avoidance based on the Meaning of Education, Academic Self-Efficacy and Academic stressors. J New Thoughts Educ. 2022;18(1):33–46.
32.
go back to reference Ying L, Jia X, Lin C. The longitudinal associations between PTSD symptoms, depressive symptoms, and academic burnout in adolescence and early adulthood in the postdisaster context. Acta Psychol. 2023;239:104011.CrossRef Ying L, Jia X, Lin C. The longitudinal associations between PTSD symptoms, depressive symptoms, and academic burnout in adolescence and early adulthood in the postdisaster context. Acta Psychol. 2023;239:104011.CrossRef
33.
go back to reference Gross JJ, John OP. Individual differences in two emotion regulation processes: implications for affect, relationships, and well-being. J Personal Soc Psychol. 2003;85(2):348–62.CrossRef Gross JJ, John OP. Individual differences in two emotion regulation processes: implications for affect, relationships, and well-being. J Personal Soc Psychol. 2003;85(2):348–62.CrossRef
34.
go back to reference Wang PF, Jia LX. The effect of cognitive reappraisal strategy on College Students’ life satisfaction: the Mediating Effect of Online Communication. Psychol Res. 2021;14(6):565–73. Wang PF, Jia LX. The effect of cognitive reappraisal strategy on College Students’ life satisfaction: the Mediating Effect of Online Communication. Psychol Res. 2021;14(6):565–73.
35.
go back to reference Daniel SK, Abdel-Baki R, Hall GB. The protective effect of emotion regulation on child and adolescent wellbeing. J Child Fam stud. 2020;29(S1):2010–27.CrossRef Daniel SK, Abdel-Baki R, Hall GB. The protective effect of emotion regulation on child and adolescent wellbeing. J Child Fam stud. 2020;29(S1):2010–27.CrossRef
36.
go back to reference Boden MT, Bonn-Miller MO, Kashdan TB, et al. The interactive effects of emotional clarity and cognitive reappraisal in post-traumatic stress disorder. J Anxiety Disord. 2011;26(1):233–138.PubMedCrossRef Boden MT, Bonn-Miller MO, Kashdan TB, et al. The interactive effects of emotional clarity and cognitive reappraisal in post-traumatic stress disorder. J Anxiety Disord. 2011;26(1):233–138.PubMedCrossRef
37.
go back to reference Janoff-Bulman R. Assumptive worlds and the stress of traumatic events: applications of the Schema Construct. Soc Cogn. 1989;7(2):113–36.CrossRef Janoff-Bulman R. Assumptive worlds and the stress of traumatic events: applications of the Schema Construct. Soc Cogn. 1989;7(2):113–36.CrossRef
38.
go back to reference Wilson JP. Brief treatments for Trauma and PTSD. Contemp Psychol. 2004;49(4):472–4.CrossRef Wilson JP. Brief treatments for Trauma and PTSD. Contemp Psychol. 2004;49(4):472–4.CrossRef
39.
go back to reference Tomaszek K, Muchacka CA, Student Burnout, Symptoms PTSD. The Role of Existential Anxiety and Academic Fears on Students during the COVID 19 Pandemic. Depression Research and Treatment, 2022; 2022: 6979310. Tomaszek K, Muchacka CA, Student Burnout, Symptoms PTSD. The Role of Existential Anxiety and Academic Fears on Students during the COVID 19 Pandemic. Depression Research and Treatment, 2022; 2022: 6979310.
40.
go back to reference Shi S. How to get to know tibetans and their culture. J Southwest Univ Nationalities (Humanities Social Sci Edition). 2015;36(12):22–32. Shi S. How to get to know tibetans and their culture. J Southwest Univ Nationalities (Humanities Social Sci Edition). 2015;36(12):22–32.
41.
go back to reference Yang YL. A study on Tibetan Houses from the perspective of Religion-Belief Dimension. Guizhou Ethnic Studies. 2019;40(5):66–74. Yang YL. A study on Tibetan Houses from the perspective of Religion-Belief Dimension. Guizhou Ethnic Studies. 2019;40(5):66–74.
42.
go back to reference Zhang N. Research on the inheritance and development of Qiang culture from the perspective of Marxist cultural view. Xi’an Shiyou University; 2021. Zhang N. Research on the inheritance and development of Qiang culture from the perspective of Marxist cultural view. Xi’an Shiyou University; 2021.
43.
go back to reference Xiao Y. Qiang folk beliefs and their social value functions. J Southwest Univ Nationalities (Humanities Social Sci Edition). 2015;36(3):41–6. Xiao Y. Qiang folk beliefs and their social value functions. J Southwest Univ Nationalities (Humanities Social Sci Edition). 2015;36(3):41–6.
44.
go back to reference Fan ZF, Yu GL, Liu CH. A Literature Review of Psychological suffering: focusing on the Psychological suffering of the people affected by the May 12 Wenchuan Earthquake. Adv Psychol Sci. 2009;17(3):631–8. Fan ZF, Yu GL, Liu CH. A Literature Review of Psychological suffering: focusing on the Psychological suffering of the people affected by the May 12 Wenchuan Earthquake. Adv Psychol Sci. 2009;17(3):631–8.
45.
go back to reference Zhou X, Wu XC, An YY, et al. Applicability of event-related rumination scale in adolescents after Earthquakes. Chin J Clin Psychol. 2017;25(6):1001–6. Zhou X, Wu XC, An YY, et al. Applicability of event-related rumination scale in adolescents after Earthquakes. Chin J Clin Psychol. 2017;25(6):1001–6.
46.
go back to reference Zhang D, Wu XC, Tian YX, Zeng M. The effect of dysphoric regulation on symptoms of post-traumatic stress disorder in adolescents: the mediating role of intrusive rumination and state hope. Chin J Clin Psychol. 2021;29(3):478–82. Zhang D, Wu XC, Tian YX, Zeng M. The effect of dysphoric regulation on symptoms of post-traumatic stress disorder in adolescents: the mediating role of intrusive rumination and state hope. Chin J Clin Psychol. 2021;29(3):478–82.
47.
go back to reference Hu Q, Dai CL. A study on the structure of learning burnout in middle school students. Psychological Science, 2007; 2007(1): 162–164. Hu Q, Dai CL. A study on the structure of learning burnout in middle school students. Psychological Science, 2007; 2007(1): 162–164.
48.
go back to reference Lin CD, Wu XC, Zhang YD, et al. Study on the physical and mental condition of primary and secondary school students 30 months after the Wenchuan Earthquake. Psychol Dev Educ. 2013;29(6):631–40. Lin CD, Wu XC, Zhang YD, et al. Study on the physical and mental condition of primary and secondary school students 30 months after the Wenchuan Earthquake. Psychol Dev Educ. 2013;29(6):631–40.
49.
go back to reference Shi TY, Jiang C, Jia SH, et al. Evaluation scale of post-traumatic stress disorder in severe acute respiratory syndrome. Chin J Clin Rehabilitation. 2005;2005(40):44–7. Shi TY, Jiang C, Jia SH, et al. Evaluation scale of post-traumatic stress disorder in severe acute respiratory syndrome. Chin J Clin Rehabilitation. 2005;2005(40):44–7.
50.
go back to reference Tian Y, Xi W, Jiang X, et al. Relationship of Earthquake exposure, Locus of Control, coping strategy, and posttraumatic stress disorder among adolescent survivors. J PsychoSoc Nurs Ment Health Serv. 2022;60(11):41–7.PubMedCrossRef Tian Y, Xi W, Jiang X, et al. Relationship of Earthquake exposure, Locus of Control, coping strategy, and posttraumatic stress disorder among adolescent survivors. J PsychoSoc Nurs Ment Health Serv. 2022;60(11):41–7.PubMedCrossRef
51.
go back to reference Zhao GF, Yang YC, Zhang Q, et al. The incidence and influencing factors of post-traumatic stress disorder among community residents in the Wenchuan earthquake-stricken areas. Chin J Mental Health. 2009;23(7):478–83. Zhao GF, Yang YC, Zhang Q, et al. The incidence and influencing factors of post-traumatic stress disorder among community residents in the Wenchuan earthquake-stricken areas. Chin J Mental Health. 2009;23(7):478–83.
52.
go back to reference Wang L, Liu HC, Li ZQ, Du W. A study on the reliability and validity of the Chinese version of the emotion regulation questionnaire. Chinese Journal of Health Psychology, 2007; 2007(6): 503–505. Wang L, Liu HC, Li ZQ, Du W. A study on the reliability and validity of the Chinese version of the emotion regulation questionnaire. Chinese Journal of Health Psychology, 2007; 2007(6): 503–505.
53.
go back to reference Cai YD, Ye BJ. The Effect of Cultural Alienation on the Well-being of ethnic Minority College students in Han District: the moderating role of emotion regulation strategies. Chin J Clin Psychol. 2016;24(1):49–52. Cai YD, Ye BJ. The Effect of Cultural Alienation on the Well-being of ethnic Minority College students in Han District: the moderating role of emotion regulation strategies. Chin J Clin Psychol. 2016;24(1):49–52.
54.
go back to reference Tang DD, Wen ZL. Statistical Approaches for Testing Common Method Bias: Problems and Suggestions. 2020; (1): 215–223. Tang DD, Wen ZL. Statistical Approaches for Testing Common Method Bias: Problems and Suggestions. 2020; (1): 215–223.
55.
go back to reference Hayes AF, Montoya AK, Rockwood NJ. The analysis of mechanisms and their contingencies: PROCESS versus structural equation modeling. Australasian Mark J (AMJ). 2017;25(1):76–81.CrossRef Hayes AF, Montoya AK, Rockwood NJ. The analysis of mechanisms and their contingencies: PROCESS versus structural equation modeling. Australasian Mark J (AMJ). 2017;25(1):76–81.CrossRef
56.
go back to reference Zhang Y, Zhuang LY, Yang W. Investigation of symptoms of post-traumatic stress disorder among middle school students during the new crown epidemic: A case study of Chengdu Shude Middle School. Educational Science Forum, 2020; 2020(17): 45–48. Zhang Y, Zhuang LY, Yang W. Investigation of symptoms of post-traumatic stress disorder among middle school students during the new crown epidemic: A case study of Chengdu Shude Middle School. Educational Science Forum, 2020; 2020(17): 45–48.
57.
go back to reference Breslau N. Epidemiologic Studies of Trauma, posttraumatic stress disorder, and other Psychiatric disorders. Can J Psychiatry. 2002;47(10):923–9.PubMedCrossRef Breslau N. Epidemiologic Studies of Trauma, posttraumatic stress disorder, and other Psychiatric disorders. Can J Psychiatry. 2002;47(10):923–9.PubMedCrossRef
58.
go back to reference Salman Z, Khadijeh F. Mediating effect of sleep disturbance and rumination on work-related burnout of nurses treating patients with coronavirus Disease. BMC Psychol. 2022;10(1):197.CrossRef Salman Z, Khadijeh F. Mediating effect of sleep disturbance and rumination on work-related burnout of nurses treating patients with coronavirus Disease. BMC Psychol. 2022;10(1):197.CrossRef
59.
go back to reference Zhou X, Zhen R, Wu X. Insecure attachment to parents and PTSD among adolescents: the roles of parent–child communication, perceived parental depression, and intrusive rumination. Dev Psychopathol. 2021;33(4):1290–9.PubMedCrossRef Zhou X, Zhen R, Wu X. Insecure attachment to parents and PTSD among adolescents: the roles of parent–child communication, perceived parental depression, and intrusive rumination. Dev Psychopathol. 2021;33(4):1290–9.PubMedCrossRef
60.
go back to reference Zhou X, Wu XC, Yuan XJ, et al. The relationship between trauma exposure and post-traumatic stress disorder in adolescents: the role of core belief challenge, subjective fear level and intrusive rumination. J Psychol. 2015;47(4):455–65. Zhou X, Wu XC, Yuan XJ, et al. The relationship between trauma exposure and post-traumatic stress disorder in adolescents: the role of core belief challenge, subjective fear level and intrusive rumination. J Psychol. 2015;47(4):455–65.
61.
go back to reference Egan SJ, Hattaway M, Kane RT. The relationship between perfectionism and rumination in Post traumatic stress disorder. Behav Cogn Psychother. 2013;42(2):211–23.PubMedCrossRef Egan SJ, Hattaway M, Kane RT. The relationship between perfectionism and rumination in Post traumatic stress disorder. Behav Cogn Psychother. 2013;42(2):211–23.PubMedCrossRef
62.
go back to reference Zhou X, Zhen R, Wu XC. Posttraumatic stress disorder symptom severity and control beliefs as the predictors of academic burnout amongst adolescents following the Wenchuan Earthquake. Eur J Psychotraumatology. 2017;8(1):1412227.CrossRef Zhou X, Zhen R, Wu XC. Posttraumatic stress disorder symptom severity and control beliefs as the predictors of academic burnout amongst adolescents following the Wenchuan Earthquake. Eur J Psychotraumatology. 2017;8(1):1412227.CrossRef
63.
go back to reference Shapero BG, Stange JP, McArthur BA, et al. Cognitive reappraisal attenuates the association between depressive symptoms and emotional response to stress during adolescence. Cogn Emot. 2019;33(3):524–35.PubMedCrossRef Shapero BG, Stange JP, McArthur BA, et al. Cognitive reappraisal attenuates the association between depressive symptoms and emotional response to stress during adolescence. Cogn Emot. 2019;33(3):524–35.PubMedCrossRef
64.
go back to reference Xu C, Xu Y, Xu S, et al. Cognitive reappraisal and the association between perceived stress and anxiety symptoms in COVID-19 isolated people. Front Psychiatry. 2020;11:858.PubMedPubMedCentralCrossRef Xu C, Xu Y, Xu S, et al. Cognitive reappraisal and the association between perceived stress and anxiety symptoms in COVID-19 isolated people. Front Psychiatry. 2020;11:858.PubMedPubMedCentralCrossRef
65.
go back to reference Gross JJ. Emotion regulation: affective, cognitive, and social consequences. Psychophysiology. 2002;39(3):281–91.PubMedCrossRef Gross JJ. Emotion regulation: affective, cognitive, and social consequences. Psychophysiology. 2002;39(3):281–91.PubMedCrossRef
Metadata
Title
Intrusive rumination and academic burnout among adolescents in ethnic minority areas of China during the COVID-19 pandemic: PTSS as mediator and cognitive reappraisal as moderator
Authors
Linhui He
Xiaojiao Yuan
Qiuyan Chen
Xiaogang Wang
Publication date
01-12-2023
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2023
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-023-17133-1

Other articles of this Issue 1/2023

BMC Public Health 1/2023 Go to the issue