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Published in: International Journal for Equity in Health 1/2017

Open Access 01-12-2017 | Research

The psychological problems and related influential factors of left-behind adolescents (LBA) in Hunan, China: a cross sectional study

Authors: Ye Man, Lv Mengmeng, Li Lezhi, Mao Ting, Zhang Jingping

Published in: International Journal for Equity in Health | Issue 1/2017

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Abstract

Background

Due to lack of companionship of parents, compared with non left behind children, left behind children (LBC) suffer from more psychological problems compared with children live with their parents. The aim of this study was to explore the mental health status and the relationship among psychological problems and the related factors of LBC.

Method

Adopting delaminating-random-group sampling and using region, county, village (town) as sampling framework, we utilized Demographic Data Recording Form, Adolescent Self-Rating Life Events Check List, Scale of APGAR, Perceived Social Support Scale, Simplified Coping Style Questionnaire, Eysenck Personality Questionnaire, Self-Esteem Scale and Scale of Mental Health for Chinese Middle-school Student to assess 1309 left behind child in junior middle school students’ mental health in Hunan. Statistic description, Structural equation model was adopted to analyze the data.

Result

There was a significant difference in score of psychological problems between LBC and non-LBC(F = 18.224, P<0.000). Life event was the major factor(r = .487) that affected psychological problems (path coefficient, PC = 0.08) directly and affect psychological problems indirectly through affecting passive coping (PC = 0.01)and family functioning(PC = 0.02); family functioning impacted psychological problems indirectly through affecting social support (PC = 4.89) and self-esteem (PC = 0.10); social support (PC = −0.02), passive coping (PC =0.07) and active coping PC = −0.04) affected psychological problems directly. Psychoticism (P) (PC = 0.11), Neuroticism (N) influenced psychological problems of LBC both directly (PC = 0.04) and indirectly through affecting self-esteem (PC: P:-1.87; N: -0.83), while Extraversion/Introversion (E) (PC = 0.21) only impact psychological problems indirectly through self-esteem. Altogether, these variables accounted for 50.2% of total variance of psychological problems (F = 130.470, P = 0.000) for LBC.

Conclusion

In this research we proved that LBC have more sever psychological problems than non-LBC. We also identified the direct and indirect influential factors of psychological problems of LBC. The findings had important implications for prevention policies and interventions to promote mental health of LBC.
Literature
1.
go back to reference All-China Women’s Federation A Study Report on the Situation of Left - behind Children and Migrant Children in Rural and Urban Areas in China. 2013. Available at:(http://acwf.people.com.cn/n/2013/0510/c99013-21437965.html) All-China Women’s Federation A Study Report on the Situation of Left - behind Children and Migrant Children in Rural and Urban Areas in China. 2013. Available at:(http://​acwf.​people.​com.​cn/​n/​2013/​0510/​c99013-21437965.​html)
2.
go back to reference Zhou FL, Duan CR. Reviews of studies of left behind children. Popul J. 2006;3:60–5. Zhou FL, Duan CR. Reviews of studies of left behind children. Popul J. 2006;3:60–5.
3.
go back to reference Zhong Y, Zhong Z, Pan J, Li Q, Zhong Y, Sun H. Research on child neglect situation and influential factors of left behind children and living- with- parents children aged 6-17 year-old in rural areas of two provinces, western China. Chin J Prev Med. 2015;49(10):873–8. Zhong Y, Zhong Z, Pan J, Li Q, Zhong Y, Sun H. Research on child neglect situation and influential factors of left behind children and living- with- parents children aged 6-17 year-old in rural areas of two provinces, western China. Chin J Prev Med. 2015;49(10):873–8.
5.
go back to reference Tao S, Yu L, Gao W, Xue W. Food preferences, personality and parental rearing styles: analysis of factors influencing health of left-behind children. Qual Life Res. 2016;25:2921–9.CrossRefPubMed Tao S, Yu L, Gao W, Xue W. Food preferences, personality and parental rearing styles: analysis of factors influencing health of left-behind children. Qual Life Res. 2016;25:2921–9.CrossRefPubMed
6.
go back to reference Tan C, Luo J, Zong R, Fu C, Zhang L, Mou J, Duan D. Nutrition knowledge, attitudes, behaviours and the influencing factors among non-parent caregivers of rural left-behind children under 7 years old in China. Public Health Nutr. 2010;13(10):1663–8.CrossRefPubMed Tan C, Luo J, Zong R, Fu C, Zhang L, Mou J, Duan D. Nutrition knowledge, attitudes, behaviours and the influencing factors among non-parent caregivers of rural left-behind children under 7 years old in China. Public Health Nutr. 2010;13(10):1663–8.CrossRefPubMed
7.
go back to reference Shen M, Gao J, Liang Z, Wang Y, Yukai D, Stallones L. Parental migration patterns and risk of depression and anxiety disorder among rural children aged 10–18 years in China: a cross-sectional study. BMJ Open. 2015; doi:10.1136/bmjopen-2015-007802. Shen M, Gao J, Liang Z, Wang Y, Yukai D, Stallones L. Parental migration patterns and risk of depression and anxiety disorder among rural children aged 10–18 years in China: a cross-sectional study. BMJ Open. 2015; doi:10.​1136/​bmjopen-2015-007802.
9.
go back to reference Deng FM, Gong XM, Cui HY, Yang YJ, Hu PC. Risk factors for unintentional injury among children in rural areas of Liling, Hunan Province, China. Zhongguo Dang Dai Er Ke Za Zhi. 2014;16(5):524–8.PubMed Deng FM, Gong XM, Cui HY, Yang YJ, Hu PC. Risk factors for unintentional injury among children in rural areas of Liling, Hunan Province, China. Zhongguo Dang Dai Er Ke Za Zhi. 2014;16(5):524–8.PubMed
10.
go back to reference Yang, et al. Parental migration and smoking behavior of left-behind children: evidence from a survey in rural Anhui, China. Int J Equity Health. 2016;15:127.CrossRefPubMedPubMedCentral Yang, et al. Parental migration and smoking behavior of left-behind children: evidence from a survey in rural Anhui, China. Int J Equity Health. 2016;15:127.CrossRefPubMedPubMedCentral
11.
go back to reference Jiang S, Chu J, Li C, Medina A, Hu Q, Liu J, Zhou C. Alcohol consumption is higher among left-behind Chinese children whose parents leave rural areas to work. Acta Paediatr. 2015;104(12):1298–304.CrossRefPubMed Jiang S, Chu J, Li C, Medina A, Hu Q, Liu J, Zhou C. Alcohol consumption is higher among left-behind Chinese children whose parents leave rural areas to work. Acta Paediatr. 2015;104(12):1298–304.CrossRefPubMed
12.
go back to reference Ge Y, Se J, Zhang J. Research on relationship among internet-addiction, personality traits and mental health of urban left-behind children. Global J Health Sci. 2014;7(4):60–9.CrossRef Ge Y, Se J, Zhang J. Research on relationship among internet-addiction, personality traits and mental health of urban left-behind children. Global J Health Sci. 2014;7(4):60–9.CrossRef
13.
go back to reference Adhikari R, Jampaklay A, Chamratrithirong A, Richter K, Pattaravanich U, Vapattanawong P. The impact of parental migration on the mental health of children left behind. J Immigration Minor Health. 2014;16(5):781–9.CrossRef Adhikari R, Jampaklay A, Chamratrithirong A, Richter K, Pattaravanich U, Vapattanawong P. The impact of parental migration on the mental health of children left behind. J Immigration Minor Health. 2014;16(5):781–9.CrossRef
14.
go back to reference Xie JF, Ding SQ, Zhong ZQ, Yi QF, Zeng SN, Hu JH, Zhou JD. Mental health is the most important factor influencing quality of life in elderly left behind when families migrate out of rural China. Rev Lat Am Enfermagem. 2014;22(3):364–70.CrossRefPubMedPubMedCentral Xie JF, Ding SQ, Zhong ZQ, Yi QF, Zeng SN, Hu JH, Zhou JD. Mental health is the most important factor influencing quality of life in elderly left behind when families migrate out of rural China. Rev Lat Am Enfermagem. 2014;22(3):364–70.CrossRefPubMedPubMedCentral
15.
go back to reference Jia Z, Tian W. Loneliness of left-behind children: a cross-sectional survey in a sample of rural China. Child Care Health Dev. 2010;36(6):812–7.CrossRefPubMed Jia Z, Tian W. Loneliness of left-behind children: a cross-sectional survey in a sample of rural China. Child Care Health Dev. 2010;36(6):812–7.CrossRefPubMed
16.
go back to reference He B, Fan J, Liu N, Li H, Wang Y, Williams J, Wong K. Depression risk of 'left-behind children' in rural China. Psychiatry Res. 2012;200(2–3):306–12.CrossRefPubMed He B, Fan J, Liu N, Li H, Wang Y, Williams J, Wong K. Depression risk of 'left-behind children' in rural China. Psychiatry Res. 2012;200(2–3):306–12.CrossRefPubMed
17.
go back to reference Zhong Y, Zhong ZH, Pan JP, Wang YX, Liu CY, et al. The situation of children neglect between left-behind children and living-with-parents children in rural areas of two western provinces of China. Chin J Prev Med. 2012;46(1):38–41. Zhong Y, Zhong ZH, Pan JP, Wang YX, Liu CY, et al. The situation of children neglect between left-behind children and living-with-parents children in rural areas of two western provinces of China. Chin J Prev Med. 2012;46(1):38–41.
18.
19.
go back to reference Wu R, Li J, Liu Q, Wang H. Influences of life event and coping style on left-behind middle school student mental health in a three-gorge area county. Wei Sheng Yan Jiu. 2014;43(4):586–90.PubMed Wu R, Li J, Liu Q, Wang H. Influences of life event and coping style on left-behind middle school student mental health in a three-gorge area county. Wei Sheng Yan Jiu. 2014;43(4):586–90.PubMed
20.
go back to reference Ai H, Hu J. Psychological resilience moderates the impact of social support on loneliness of "left-behind" children. J Health Psychol. 2016;21(6):1066–73.CrossRefPubMed Ai H, Hu J. Psychological resilience moderates the impact of social support on loneliness of "left-behind" children. J Health Psychol. 2016;21(6):1066–73.CrossRefPubMed
21.
go back to reference Zhong Y, Zhong Z, Pan J, Li Q, Zhong Y, Sun H. Research on child neglect situation and influential factors of left-behind children and living-with-parents children aged 6-17 year-old in rural areas of two provinces, western China. Zhong Hua Yu Fang Yi Xue Za Zhi. 2015;49(10):873–8. Zhong Y, Zhong Z, Pan J, Li Q, Zhong Y, Sun H. Research on child neglect situation and influential factors of left-behind children and living-with-parents children aged 6-17 year-old in rural areas of two provinces, western China. Zhong Hua Yu Fang Yi Xue Za Zhi. 2015;49(10):873–8.
22.
go back to reference Hirschi A, Niles SG, Akos P. Engagement in adolescent career preparation: social support, personality and the development of choice decidedness and congruence. J Adolesc. 2011;34(1):173–82.CrossRefPubMed Hirschi A, Niles SG, Akos P. Engagement in adolescent career preparation: social support, personality and the development of choice decidedness and congruence. J Adolesc. 2011;34(1):173–82.CrossRefPubMed
23.
go back to reference Veselska Z, Madarasova Geckova A, Gajdosova B, Orosova O, van Dijk JP, Reijneveld SA. Social-economic differences in self-esteem of adolescents influenced by personality, mental health and social support. Eur J Pub Health. 2010;20(6):647–52.CrossRef Veselska Z, Madarasova Geckova A, Gajdosova B, Orosova O, van Dijk JP, Reijneveld SA. Social-economic differences in self-esteem of adolescents influenced by personality, mental health and social support. Eur J Pub Health. 2010;20(6):647–52.CrossRef
24.
go back to reference Lin HS, Probst JC, Hsu YC. Depression among female psychiatric nurses in southern Taiwan: main and moderating effects of job stress, coping behavior and social support. J Clin Nurs. 2010;19(15–16):2342–54.CrossRefPubMed Lin HS, Probst JC, Hsu YC. Depression among female psychiatric nurses in southern Taiwan: main and moderating effects of job stress, coping behavior and social support. J Clin Nurs. 2010;19(15–16):2342–54.CrossRefPubMed
25.
go back to reference Tu Yang-Jun, Guo Yong-Yu. The influence of life-events on negative emotions: social support as a moderator and coping style as a mediator. Chin J Clin Psychol. 2011;19(5). doi:10.16128/j.cnki.1005-3611.2011. 05.018 (Article in Chinese). Tu Yang-Jun, Guo Yong-Yu. The influence of life-events on negative emotions: social support as a moderator and coping style as a mediator. Chin J Clin Psychol. 2011;19(5). doi:10.​16128/​j.​cnki.​1005-3611.​2011. 05.018 (Article in Chinese).
26.
go back to reference Yan W, Y Li, N Sui. The relationship between recent stressful life events, personality traits, perceived family functioning and internet addiction among college students. Stress Health. 2014;30(1):3–11. Yan W, Y Li, N Sui. The relationship between recent stressful life events, personality traits, perceived family functioning and internet addiction among college students. Stress Health. 2014;30(1):3–11.
28.
go back to reference Xu Lian-Ying, Yang Huimin. Correlation of life events,coping styles and family function of schizophrenia adolescents. J Nursing Sci. 2009;24(3):70-72 (Article in Chinese). Xu Lian-Ying, Yang Huimin. Correlation of life events,coping styles and family function of schizophrenia adolescents. J Nursing Sci. 2009;24(3):70-72 (Article in Chinese).
29.
go back to reference Zeigler-Hill V, Holden CJ, Enjaian B, Southard AC, Besser A, Li H, Zhang Q. Self-esteem instability and personality: the connections between feelings of self-worth and the big five dimensions of personality. Personal Soc Psychol Bull. 2015;41(2):183–98. doi:10.1177/0146167214559719.CrossRef Zeigler-Hill V, Holden CJ, Enjaian B, Southard AC, Besser A, Li H, Zhang Q. Self-esteem instability and personality: the connections between feelings of self-worth and the big five dimensions of personality. Personal Soc Psychol Bull. 2015;41(2):183–98. doi:10.​1177/​0146167214559719​.CrossRef
30.
go back to reference Zeigler-Hill V, Holden CJ, Enjaian B, Southard AC, Besser A, Li H, Zhang Q. Self-esteem instability and personality: the connections between feelings of self-worth and the big five dimensions of personality. Personal Soc Psychol Bull. 2015;41(2):183–98.CrossRef Zeigler-Hill V, Holden CJ, Enjaian B, Southard AC, Besser A, Li H, Zhang Q. Self-esteem instability and personality: the connections between feelings of self-worth and the big five dimensions of personality. Personal Soc Psychol Bull. 2015;41(2):183–98.CrossRef
31.
go back to reference Yen CF, Yang P, Wu YY, Cheng CP. The relation between family adversity and social anxiety among adolescents in Taiwan: effects of family function and self-esteem. J Nerv Ment Dis. 2013;201(11):964–70.CrossRefPubMed Yen CF, Yang P, Wu YY, Cheng CP. The relation between family adversity and social anxiety among adolescents in Taiwan: effects of family function and self-esteem. J Nerv Ment Dis. 2013;201(11):964–70.CrossRefPubMed
32.
go back to reference Barendregt CS, Van der Laan AM, Bongers IL, Van Nieuwenhuizen C. Adolescents in secure residential care: the role of active and passive coping on general well-being and self-esteem. Eur Child Adolesc Psychiatry. 2015 Jul;24(7):845–54.CrossRefPubMed Barendregt CS, Van der Laan AM, Bongers IL, Van Nieuwenhuizen C. Adolescents in secure residential care: the role of active and passive coping on general well-being and self-esteem. Eur Child Adolesc Psychiatry. 2015 Jul;24(7):845–54.CrossRefPubMed
33.
go back to reference Kleiman EM, Riskind JH. Utilized social support and self-esteem mediate the relationship between perceived social support and suicide ideation. A test of a multiple mediator model. Crisis. 2013 Jan 1;34(1):42–9.CrossRefPubMed Kleiman EM, Riskind JH. Utilized social support and self-esteem mediate the relationship between perceived social support and suicide ideation. A test of a multiple mediator model. Crisis. 2013 Jan 1;34(1):42–9.CrossRefPubMed
34.
go back to reference Coyne JC. Stress, social support and the coping process. Ann Rev Psychol. 1991;42:401–26.CrossRef Coyne JC. Stress, social support and the coping process. Ann Rev Psychol. 1991;42:401–26.CrossRef
35.
go back to reference Wang JS. Soul era – domination of mental health. Beijing: China City Press; 1998. Wang JS. Soul era – domination of mental health. Beijing: China City Press; 1998.
36.
go back to reference Liu XC, Liu QL. The reliability and validity analysis of the adolescent self-rating negative life events check list. Chin J Clin Psychol. 5;1997:34–36 (Article in Chinese). Liu XC, Liu QL. The reliability and validity analysis of the adolescent self-rating negative life events check list. Chin J Clin Psychol. 5;1997:34–36 (Article in Chinese).
37.
go back to reference Zimet GD, Dahlem NW, Zimet SG, et al. The multidimensional scale of perceived social support. J Pers Assess. 1988;52:30–41.CrossRef Zimet GD, Dahlem NW, Zimet SG, et al. The multidimensional scale of perceived social support. J Pers Assess. 1988;52:30–41.CrossRef
38.
go back to reference Canty-Mitchell J, Zimet GD. Psychometric properties of the multidimensional scale of perceived social support in urban adolescents. Am J Community Psychol. 2000;28:391–400.CrossRefPubMed Canty-Mitchell J, Zimet GD. Psychometric properties of the multidimensional scale of perceived social support in urban adolescents. Am J Community Psychol. 2000;28:391–400.CrossRefPubMed
39.
go back to reference Jiang K. The classification of coping and its implication to mental health.Chinese. J Ment Health. 1993;7:14–25. Jiang K. The classification of coping and its implication to mental health.Chinese. J Ment Health. 1993;7:14–25.
40.
go back to reference Zhang Z. 2001. Family care index.China acts med Sci10(special). Zhang Z. 2001. Family care index.China acts med Sci10(special).
41.
go back to reference Xie YN. Simplified coping style questionnaire. Chin Ment Health J. 1999;13(Suppl):122–4. Xie YN. Simplified coping style questionnaire. Chin Ment Health J. 1999;13(Suppl):122–4.
42.
go back to reference Gong YX. Gong Eysenck personality questionnaire revised in China. Psychol Sci Commun. 1984;4(2):11–8. Gong YX. Gong Eysenck personality questionnaire revised in China. Psychol Sci Commun. 1984;4(2):11–8.
43.
go back to reference Rosenberg M. Society and adolescent self-image. Princeton: Princeton University Press; 1965.CrossRef Rosenberg M. Society and adolescent self-image. Princeton: Princeton University Press; 1965.CrossRef
44.
go back to reference Blascovich J, & Tomaka J. Measures of self-esteem. In JP Robinson, PR Shaver, & LS Wrightsman (Eds.). Measures of personality and social psychological attitudes. 1993. 3rd ed., pp. 115–160. Ann Arbor: Institute for Social Research. Blascovich J, & Tomaka J. Measures of self-esteem. In JP Robinson, PR Shaver, & LS Wrightsman (Eds.). Measures of personality and social psychological attitudes. 1993. 3rd ed., pp. 115–160. Ann Arbor: Institute for Social Research.
45.
go back to reference Li BF. Mental health and intervention of rural left-behind children. Educ Exploration. 2015;5:82–3. Li BF. Mental health and intervention of rural left-behind children. Educ Exploration. 2015;5:82–3.
46.
go back to reference Zhong Y, Zhong ZH, Pan JP, Wang YX, Liu CY, Yang X, et al. The situation of children neglect between left-behind children and living-with-parents children in rural areas of two western provinces of China. Zhonghua Yu Fang Yi Xue Za Zhi. 2012;46(1):38–41.PubMed Zhong Y, Zhong ZH, Pan JP, Wang YX, Liu CY, Yang X, et al. The situation of children neglect between left-behind children and living-with-parents children in rural areas of two western provinces of China. Zhonghua Yu Fang Yi Xue Za Zhi. 2012;46(1):38–41.PubMed
47.
go back to reference Zhou ZK, SuN XJ, Liu Y. Psychological development and education problems of children left in rural areas. J Beijing Normal University (Social Science). 2005;1:71–9. Zhou ZK, SuN XJ, Liu Y. Psychological development and education problems of children left in rural areas. J Beijing Normal University (Social Science). 2005;1:71–9.
48.
go back to reference Riesch SK, Anderson LS, Krueger HA. Parent-child communication processes: preventing children’s health-risk behavior. J Spec Pediatr Nurs. 2006;11:41–56.CrossRefPubMed Riesch SK, Anderson LS, Krueger HA. Parent-child communication processes: preventing children’s health-risk behavior. J Spec Pediatr Nurs. 2006;11:41–56.CrossRefPubMed
49.
go back to reference Romero DH, Riggs SA, Ruggero C. Coping, family social support, and psychological symptoms among student veterans. J Couns Psychol. 2015;62(2):242–52.CrossRefPubMed Romero DH, Riggs SA, Ruggero C. Coping, family social support, and psychological symptoms among student veterans. J Couns Psychol. 2015;62(2):242–52.CrossRefPubMed
50.
go back to reference CHENG Zhichao, ZHANG Tao. A study on the policy of protecting the rights and interests of left - behind children in rural areas. Dong Yue Tribune. 2016;(02):97-102.(Article in Chinese). CHENG Zhichao, ZHANG Tao. A study on the policy of protecting the rights and interests of left - behind children in rural areas. Dong Yue Tribune. 2016;(02):97-102.(Article in Chinese).
Metadata
Title
The psychological problems and related influential factors of left-behind adolescents (LBA) in Hunan, China: a cross sectional study
Authors
Ye Man
Lv Mengmeng
Li Lezhi
Mao Ting
Zhang Jingping
Publication date
01-12-2017
Publisher
BioMed Central
Published in
International Journal for Equity in Health / Issue 1/2017
Electronic ISSN: 1475-9276
DOI
https://doi.org/10.1186/s12939-017-0639-2

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