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	<title>college students and mental health &#8211; Science</title>
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	<title>college students and mental health &#8211; Science</title>
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		<title>Smartphone Addiction, Creativity Linked via Depression, Executive Function</title>
		<link>https://scienmag.com/smartphone-addiction-creativity-linked-via-depression-executive-function/</link>
		
		<dc:creator><![CDATA[Glenn Wilkins]]></dc:creator>
		<pubDate>Tue, 30 Sep 2025 22:31:28 +0000</pubDate>
				<category><![CDATA[Psychology & Psychiatry]]></category>
		<category><![CDATA[Chinese college students and technology]]></category>
		<category><![CDATA[college students and mental health]]></category>
		<category><![CDATA[digital habits and cognitive function]]></category>
		<category><![CDATA[effects of excessive smartphone use]]></category>
		<category><![CDATA[executive function and smartphone use]]></category>
		<category><![CDATA[impact of depression on creativity]]></category>
		<category><![CDATA[mediation model in psychology]]></category>
		<category><![CDATA[psychological effects of smartphone dependency]]></category>
		<category><![CDATA[public health crisis of smartphone addiction]]></category>
		<category><![CDATA[research on smartphone addiction and creativity]]></category>
		<category><![CDATA[smartphone addiction and creativity]]></category>
		<category><![CDATA[technology use and emotional wellbeing]]></category>
		<guid isPermaLink="false">https://scienmag.com/smartphone-addiction-creativity-linked-via-depression-executive-function/</guid>

					<description><![CDATA[In an era where smartphones are omnipresent, the dark side of this digital dependency is gaining increasing attention from researchers worldwide. A groundbreaking new study from China provides compelling evidence that smartphone addiction among college students not only diminishes creativity but also does so through complex psychological pathways involving depression and executive function impairments. This [&#8230;]]]></description>
										<content:encoded><![CDATA[<p>In an era where smartphones are omnipresent, the dark side of this digital dependency is gaining increasing attention from researchers worldwide. A groundbreaking new study from China provides compelling evidence that smartphone addiction among college students not only diminishes creativity but also does so through complex psychological pathways involving depression and executive function impairments. This research, published in BMC Psychiatry, unveils a nuanced understanding of how our digital habits are reshaping cognitive and emotional landscapes in young adults.</p>
<p>Smartphone addiction, characterized by excessive and uncontrollable use of mobile devices, has been flagged as a growing public health crisis, especially in academic environments. Chinese college students, as examined in this extensive study, embody a demographic particularly vulnerable to this phenomenon given their tech-savviness and high smartphone engagement. The researchers adopted a sophisticated serial mediation model to dissect the intricate relationship between smartphone usage patterns and creative capabilities, integrating psychological factors that mediate this interaction.</p>
<p>The core hypothesis driving this research was that smartphone addiction’s negative impact on creativity is not simply a direct consequence but is also mediated by mental health variables and executive cognitive functions. To explore this, the research team surveyed 691 Chinese college students using validated psychometric tools. Instruments included the Mobile Phone Addiction Index to gauge addiction levels, the Centre for Epidemiologic Studies Depression Scale measuring depressive symptoms, the Behavior Rating Inventory of Executive Function-Adult Version assessing cognitive control domains, and the University Students’ Creativity Scale evaluating creativity.</p>
<p>Statistical analyses revealed striking correlations. Smartphone addiction showed a robust positive correlation with depression, indicating that students more addicted to their devices tended to experience higher levels of depressive symptoms. Concurrently, addiction was strongly linked to impairments in executive function—top-down cognitive processes essential for goal-directed behavior such as working memory, inhibitory control, and cognitive flexibility. These dysfunctions critically impair a person&#8217;s ability to plan, focus attention, and manage tasks efficiently.</p>
<p>Perhaps even more consequential was the negative correlation between smartphone addiction and creativity. Individuals with higher addiction scores tended to score lower on creativity assessments, suggesting a tangible erosion of creative thinking abilities associated with excessive smartphone use. Further dissection of the data indicated that depression itself correlated positively with executive function impairment, creating a cascade effect that compounds cognitive difficulties.</p>
<p>The mediational analyses provided a window into the precise psychological mechanisms underpinning these relationships. The data demonstrated that smartphone addiction predicts reduced creativity directly, but also indirectly through a sequential pathway: addiction leads to increased depressive symptoms, which in turn exacerbate executive function deficits, culminating in diminished creative capacity. This chain mediation underscores how emotional and cognitive consequences intertwine, amplifying the adverse effects on creative output.</p>
<p>These findings have profound implications for educational institutions and mental health practitioners. They suggest that interventions aimed at curbing smartphone addiction could yield cognitive benefits beyond mental well-being, potentially rekindling the creative spark dimmed by constant digital distraction. Moreover, addressing depressive symptoms and bolstering executive function through tailored cognitive-behavioral therapies or mindfulness-based strategies might mitigate the creativity loss associated with technological overuse.</p>
<p>Creativity is a pivotal driver of innovation and problem-solving, particularly in youth demographics poised to shape future societal trajectories. The erosion of creative faculties linked to pervasive smartphone addiction looms as a subtle but significant threat to this potential. This study&#8217;s emphasis on a chain of mediating psychological factors offers a comprehensive model for understanding and addressing the multifaceted impact of digital addictions on human cognition.</p>
<p>Given the ubiquity of smartphones in academic settings, this research charges educators and policymakers with the urgent task of fostering healthier technology habits. Encouraging moderated use, promoting offline creative activities, and integrating mental health support could form a triad of strategies to preserve creativity and cognitive health in the digital age. The nuanced data underscores that simply discouraging smartphone use might be insufficient without concurrent focus on psychological mediators like depression and executive function.</p>
<p>Technically, this study stands out for utilizing advanced statistical models such as PROCESS 3.1 to parse complex interrelationships among variables, alongside well-validated scales for assessing addiction, depression, executive function, and creativity. The large sample size of nearly 700 participants adds robustness to the conclusions, marking it as a pivotal contribution to behavioral addiction and cognitive psychology literature.</p>
<p>The researchers’ innovative application of a serial mediation model offers a replicable framework for future investigations probing the cognitive and emotional sequelae of technology-related behaviors. As digital addiction increasingly mirrors traditional substance dependencies in its disruptive impact on brain functions, studies like this chart critical pathways for intervention and rehabilitation.</p>
<p>In conclusion, this trailblazing study illuminates the intricate ways smartphone addiction can stifle creative potential through intertwined depressive states and executive dysfunction in college students. As our lives grow ever more entwined with digital devices, understanding these psychological dynamics becomes essential to safeguarding mental health and cognitive vitality in emerging generations.</p>
<hr />
<p><strong>Subject of Research</strong>: The association between smartphone addiction and creativity among Chinese college students and the mediating psychological effects of depression and executive function impairment.</p>
<p><strong>Article Title</strong>: The association between smartphone addiction and creativity in Chinese college students: the chain mediating effects of depression and executive function</p>
<p><strong>Article References</strong>:<br />
Li, W., Liu, J., Liu, X. <em>et al.</em> The association between smartphone addiction and creativity in Chinese college students: the chain mediating effects of depression and executive function. <em>BMC Psychiatry</em> 25, 901 (2025). <a href="https://doi.org/10.1186/s12888-025-07378-y">https://doi.org/10.1186/s12888-025-07378-y</a></p>
<p><strong>Image Credits</strong>: AI Generated</p>
<p><strong>DOI</strong>: <a href="https://doi.org/10.1186/s12888-025-07378-y">https://doi.org/10.1186/s12888-025-07378-y</a></p>
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		<post-id xmlns="com-wordpress:feed-additions:1">84270</post-id>	</item>
		<item>
		<title>Depression, Gender Mediate Video Game Impact on IGD</title>
		<link>https://scienmag.com/depression-gender-mediate-video-game-impact-on-igd/</link>
		
		<dc:creator><![CDATA[Glenn Wilkins]]></dc:creator>
		<pubDate>Tue, 26 Aug 2025 17:28:42 +0000</pubDate>
				<category><![CDATA[Psychology & Psychiatry]]></category>
		<category><![CDATA[behavioral addictions in young adults]]></category>
		<category><![CDATA[college students and mental health]]></category>
		<category><![CDATA[compulsive gaming and social impairment]]></category>
		<category><![CDATA[digital addiction interventions]]></category>
		<category><![CDATA[DSM-5 criteria for internet gaming disorder]]></category>
		<category><![CDATA[gender differences in gaming behavior]]></category>
		<category><![CDATA[impact of depression on gaming addiction]]></category>
		<category><![CDATA[internet gaming disorder]]></category>
		<category><![CDATA[mediating effects of gender on IGD]]></category>
		<category><![CDATA[mental health challenges in gaming communities]]></category>
		<category><![CDATA[psychological factors in internet addiction]]></category>
		<category><![CDATA[video game exposure and IGD]]></category>
		<guid isPermaLink="false">https://scienmag.com/depression-gender-mediate-video-game-impact-on-igd/</guid>

					<description><![CDATA[In recent years, the escalating prevalence of internet gaming disorder (IGD) among young adults has posed significant challenges to mental health professionals and researchers alike. A groundbreaking study published in BMC Psychology by Wang et al. (2025) delves deeply into the intricate relationship between daily video game exposure and the development of IGD among college [&#8230;]]]></description>
										<content:encoded><![CDATA[<p>In recent years, the escalating prevalence of internet gaming disorder (IGD) among young adults has posed significant challenges to mental health professionals and researchers alike. A groundbreaking study published in <em>BMC Psychology</em> by Wang et al. (2025) delves deeply into the intricate relationship between daily video game exposure and the development of IGD among college students, shedding light on how depression and gender dynamically mediate this association. The findings promise to recalibrate our understanding of behavioral addictions in the digital era and underscore the urgent need for targeted interventions.</p>
<p>At its core, internet gaming disorder is characterized by excessive and compulsive engagement in online games, leading to significant impairment in personal, academic, and social functioning. According to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), IGD shares psychological and behavioral similarities with substance use disorders, but operates predominantly within the digital realm. This distinction has prompted researchers to unravel unique psychosocial factors that contribute to its onset and progression, beyond general addictive behaviors.</p>
<p>Wang and colleagues approached this conundrum through the lens of mediating psychological variables, specifically focusing on depression and gender differences. By recruiting a substantial cohort of college students—a demographic particularly vulnerable to digital addiction—the study meticulously tracked daily hours devoted to video games and assessed corresponding IGD symptoms alongside depressive states. Utilizing validated psychiatric scales and structured interviews, the research offers one of the first comprehensive explorations into how mental health and gender intersect in this domain.</p>
<p>The results revealed that daily exposure to video games alone does not singularly predict the severity of IGD symptoms. Instead, depression emerged as a critical mediating variable, intensifying vulnerability to problematic gaming behaviors. The findings suggest that students grappling with depressive symptoms may resort to video games as a maladaptive coping mechanism, inadvertently increasing the risk of developing IGD. This aligns with broader psychological theories that highlight gaming’s temporary mood-enhancing effects, which paradoxically can entrench addictive patterns.</p>
<p>Intriguingly, the study also uncovered notable gender disparities. While both male and female students engaged in video gaming, depressive symptoms played a nuanced and differential role in mediating the pathway to IGD across genders. In males, depression seemed to amplify the association between gaming time and IGD more profoundly than in females. This gender-specific modulation may be rooted in distinct socialization processes, emotional regulation strategies, and gaming motivations that vary between sexes, emphasizing the importance of personalized preventive measures.</p>
<p>The methodological rigor of this research cannot be overstated. Wang et al. employed structural equation modeling (SEM) to statistically dissect the mediating effects, a sophisticated analytical framework that elucidates complex causal pathways rather than mere correlations. This approach allowed for a granular understanding of how daily gaming behaviors translate into addictive disorders in the context of evolving psychological profiles, illuminating aspects that might have been obscured in prior correlational studies.</p>
<p>Beyond the immediate statistical insights, the implications of this study for mental health policy and collegiate support systems are profound. Institutions can no longer treat heavy gaming as a benign pastime or mere time management issue. Instead, proactive screening for depression among gaming students and implementation of integrative mental health services should become standard practice. Such measures could preempt the escalation from casual gaming to full-blown disorder, mitigating long-term psychosocial consequences.</p>
<p>From a neurobiological perspective, the findings resonate with existing knowledge about reward circuitry dysregulation in depressive and addictive disorders. Excessive gaming may stimulate dopaminergic pathways, providing fleeting relief from depressive affect, yet paradoxically reinforcing compulsivity and withdrawal. The gender-specific findings hint at possible variations in neurochemical responses or stress responsivity, opening avenues for future neuroscientific investigations that combine imaging and behavioral data.</p>
<p>Critically, this study also challenges prevalent stereotypes that portray internet gaming disorder simply as a matter of poor self-control or moral weakness. Instead, it situates IGD within a biopsychosocial framework that accounts for psychological distress and gendered experiences. By doing so, it fosters a more empathetic, evidence-based discourse that can destigmatize those suffering from this condition and encourage them to seek support.</p>
<p>The temporal scope of the research, examining daily video game exposure rather than cross-sectional snapshots, offers added value by capturing the dynamic fluctuations in behavior and mood that characterize early IGD development. Continuous monitoring and ecological momentary assessment techniques employed here provide a template for future longitudinal studies that could track recovery trajectories or relapse patterns in response to targeted interventions.</p>
<p>Importantly, the digital landscape continues to evolve rapidly, with novel game designs incorporating immersive virtual realities and social networking elements. This study’s framework equips researchers and clinicians with adaptable conceptual tools to assess how these emerging trends might further complicate the relationship between depression, gender, and gaming behaviors, signaling a research frontier poised to expand in the coming years.</p>
<p>Educational reforms may also benefit from these findings. University administrations could incorporate psychoeducation about mental health and gaming risks into orientation programs, emphasizing balance and healthy coping strategies. Counseling services could tailor interventions to address underlying depressive symptoms proactively, thereby reducing reliance on video games as an emotional crutch.</p>
<p>Concurrently, parental and community awareness campaigns can harness insights from the study to promote healthier digital habits in adolescents transitioning to college life. Such multilevel approaches underline the complex interplay of individual, social, and technological factors that shape internet gaming disorder’s trajectory, reflecting a systemic public health challenge demanding coordinated solutions.</p>
<p>While the study’s strengths are manifold, Wang et al. acknowledge certain limitations, including the reliance on self-reported data and sample homogeneity restricted to one geographical region. Future investigations deploying multi-method assessments and more diverse populations are imperative to validate and generalize these landmark findings.</p>
<p>Ultimately, the comprehensive exploration offered by this study signals a paradigm shift in how the scientific and medical communities conceptualize and address internet gaming disorder. By uncovering the pivotal roles of depression and gender, it opens new frontiers for personalized mental health interventions, prevention strategies, and policy reforms aimed at mitigating the burden of digital addictions among vulnerable youth.</p>
<p>As the digital age advances and immersive gaming platforms become ubiquitous, the urgency to grasp the psychological underpinnings of IGD intensifies. Wang et al.’s research not only illuminates hidden dimensions of this disorder but also galvanizes multidisciplinary collaboration, marking a significant step toward safeguarding the mental well-being of future generations in an increasingly connected world.</p>
<hr />
<p><strong>Subject of Research</strong>: The mediating effects of depression and gender on the relationship between daily video game exposure and internet gaming disorder (IGD) among college students.</p>
<p><strong>Article Title</strong>: Mediating role of depression and gender in the relationship between daily video games exposure and internet gaming disorder (IGD) among college students.</p>
<p><strong>Article References</strong>:</p>
<p class="c-bibliographic-information__citation">Wang, LJ., Mu, LL., Li, XY. <i>et al.</i> Mediating role of depression and gender in the relationship between daily video games exposure and internet gaming disorder (IGD) among college students.<br />
<i>BMC Psychol</i> <b>13</b>, 965 (2025). <a href="https://doi.org/10.1186/s40359-025-03328-1">https://doi.org/10.1186/s40359-025-03328-1</a></p>
<p><strong>Image Credits</strong>: AI Generated</p>
]]></content:encoded>
					
		
		
		<post-id xmlns="com-wordpress:feed-additions:1">69457</post-id>	</item>
		<item>
		<title>Negative Life Events Linked to Self-Injury</title>
		<link>https://scienmag.com/negative-life-events-linked-to-self-injury/</link>
		
		<dc:creator><![CDATA[Glenn Wilkins]]></dc:creator>
		<pubDate>Tue, 15 Apr 2025 02:56:24 +0000</pubDate>
				<category><![CDATA[Psychology & Psychiatry]]></category>
		<category><![CDATA[academic failure and self-harm]]></category>
		<category><![CDATA[chronic self-injury behaviors]]></category>
		<category><![CDATA[college students and mental health]]></category>
		<category><![CDATA[emotional distress and self-injury]]></category>
		<category><![CDATA[gender differences in self-injury]]></category>
		<category><![CDATA[implications of self-injury on well-being]]></category>
		<category><![CDATA[interpersonal conflicts and NSSI]]></category>
		<category><![CDATA[longitudinal study on self-injury]]></category>
		<category><![CDATA[moderated mediation model in psychology]]></category>
		<category><![CDATA[negative life events and mental health]]></category>
		<category><![CDATA[non-suicidal self-injury]]></category>
		<category><![CDATA[psychological mechanisms of self-harm]]></category>
		<guid isPermaLink="false">https://scienmag.com/negative-life-events-linked-to-self-injury/</guid>

					<description><![CDATA[In recent years, non-suicidal self-injury (NSSI) has emerged as a critical mental health issue worldwide, particularly among young adults. This complex behavior, characterized by deliberate self-inflicted harm without suicidal intent, has profound implications for psychological well-being and suicide risk. A groundbreaking longitudinal study conducted among Chinese college students now sheds new light on the intricate [&#8230;]]]></description>
										<content:encoded><![CDATA[<p>In recent years, non-suicidal self-injury (NSSI) has emerged as a critical mental health issue worldwide, particularly among young adults. This complex behavior, characterized by deliberate self-inflicted harm without suicidal intent, has profound implications for psychological well-being and suicide risk. A groundbreaking longitudinal study conducted among Chinese college students now sheds new light on the intricate pathways linking negative life events (NLEs) to NSSI. Published in the esteemed journal BMC Psychiatry, this research unpacks the psychological mechanisms at play and highlights the nuanced role of gender in these processes.</p>
<p>NSSI is not merely a fleeting or isolated behavior; it is often chronic and recurrent, deeply intertwined with emotional distress and mental health disorders. Previous cross-sectional studies have established that encountering negative life experiences—such as bereavement, academic failure, or interpersonal conflicts—can increase vulnerability to NSSI. However, the longitudinal dynamics, which reveal how these life stressors translate into self-injurious behaviors over time, have remained largely unexplored. This new study bridges that gap by employing a robust, year-long design that meticulously tracks psychological shifts and behavioral outcomes.</p>
<p>At the heart of this research lies a moderated mediation model, a sophisticated analytic framework that allows for disentangling the direct and indirect effects of NLEs on NSSI. The study’s lead investigators recruited an impressive cohort of 4,892 students from six northern Chinese colleges, enabling a comprehensive and culturally relevant analysis. By measuring NLEs, rumination patterns, emotional regulation difficulties, and NSSI at two distinct time points spaced one year apart, the researchers could rigorously evaluate causal and mediating relationships rather than mere associations.</p>
<p>One of the study’s pivotal findings is that negative life events at the initial assessment point (T1) predict increased incidents of NSSI a year later (T2), confirming a direct longitudinal effect. Yet these effects are far from simple. The researchers demonstrated that rumination—a maladaptive cognitive process involving repetitive and passive focus on distress and its possible causes and consequences—and difficulties in emotional regulation serve as critical mediators. In other words, exposure to adverse life experiences heightens rumination and hampers emotional regulation, which in turn escalate the likelihood of engaging in NSSI.</p>
<p>Notably, the study uncovered a chain-mediating effect: NLEs not only lead to increased rumination but also amplify emotional regulation difficulties, creating a cascade that culminates in self-injurious behavior. This sequential process underscores the intricate psychological mechanisms through which life&#8217;s hardships morph into severe coping strategies, emphasizing the need for interventions that target multiple facets of emotional and cognitive functioning.</p>
<p>The moderated mediation model further reveals that biological sex significantly influences these dynamics. Specifically, the impact of NLEs on rumination and subsequently on NSSI varies between male and female students, suggesting sex-specific pathways. Females exhibited stronger links between negative life events and rumination, as well as between rumination and self-injury, highlighting the critical importance of considering sex as a moderating factor when designing preventive and therapeutic interventions.</p>
<p>This sex-related moderation was observed both at the initial stage—where NLEs influence rumination—and at the subsequent stage, implying that male and female students may differ in how they process stress and regulate emotions under adversity. Such findings illuminate the psychological and possibly neurobiological underpinnings that contribute to gender disparities in mental health behaviors and outcomes, paving the way for more personalized approaches in clinical settings.</p>
<p>From a methodological standpoint, the study’s reliance on a longitudinal design and large sample size enhances the robustness and generalizability of the findings. By assessing variables at baseline and follow-up, the research circumvents common issues in cross-sectional studies, such as temporal ambiguity and reverse causality, thereby providing more compelling evidence for causal inference. Additionally, the use of validated psychometric scales ensures reliable measurement of complex psychological constructs like rumination and emotional regulation difficulties.</p>
<p>Beyond theoretical implications, the practical significance of this study cannot be overstated. College years constitute a critical developmental period fraught with academic pressures, social challenges, and identity formation. Negative life events during this phase can undermine mental health, precipitating maladaptive coping mechanisms like NSSI. The confirmation of rumination and emotional regulation difficulties as mediators provides clear intervention targets. Mental health professionals and campus counseling centers might consider implementing programs that reduce ruminative thinking and enhance emotional self-regulation skills to mitigate self-injurious behaviors.</p>
<p>Moreover, the sex differences identified call for gender-sensitive practices. Tailored therapeutic approaches that acknowledge and address differential stress processing and coping styles between males and females may increase treatment efficacy. For example, cognitive-behavioral strategies aimed at interrupting ruminative cycles might yield better outcomes among female students, while emotion-focused techniques could be prioritized for males.</p>
<p>This research also contributes to the broader understanding of how stress-related psychopathologies develop over time. By elucidating the mediators linking life stress to harmful behaviors, it aligns with stress-diathesis models that conceptualize mental disorders as the product of vulnerabilities interacting with environmental stressors. The chain mediation pathway involving rumination and emotional regulation difficulties enriches the theoretical landscape, suggesting multiple intervention points to disrupt progressive risk accumulation.</p>
<p>Importantly, the study’s focus on a Chinese college student population adds valuable cross-cultural perspectives often absent in psychological research dominated by Western-centric samples. Cultural factors can shape the experience and expression of distress, rumination styles, gender roles, and emotional regulation strategies. Future research might explore how cultural nuances interact with these psychological factors to influence NSSI risk, potentially informing culturally attuned intervention programs.</p>
<p>In conclusion, the longitudinal study spearheaded by Yin and colleagues marks a significant advance in decoding the complex interplay between negative life experiences and non-suicidal self-injury. Their nuanced, moderated mediation model not only confirms the critical roles of rumination and emotional regulation but also highlights important sex differences that shape these processes across time. These findings underscore the urgent need for comprehensive, individualized mental health interventions targeting both cognitive and emotional pathways, especially in vulnerable populations such as college students navigating the turbulence of young adulthood.</p>
<p>As awareness about NSSI rises globally, integrating such cutting-edge scientific insights into prevention and treatment frameworks offers hope for reducing the personal and societal burdens of this often misunderstood behavior. Future endeavors may build upon this research by exploring neurobiological correlates, intervention efficacy, and potential protective factors that buffer against the deleterious cascade from life stress to self-harm. Ultimately, multidisciplinary efforts drawing on psychology, psychiatry, neuroscience, and cultural studies hold the promise of developing more effective strategies for fostering resilience and well-being in youth worldwide.</p>
<hr />
<p><strong>Subject of Research</strong>: The longitudinal relationship between negative life events and non-suicidal self-injury (NSSI) among Chinese college students, focusing on the mediating roles of rumination and emotional regulation difficulties and the moderating effect of sex.</p>
<p><strong>Article Title</strong>: Longitudinal relation between negative life events and non-suicidal self-injury among Chinese college students: a moderated mediation model</p>
<p><strong>Article References</strong>:<br />
Yin, F., Jiang, W., Huo, S. <em>et al.</em> Longitudinal relation between negative life events and non-suicidal self-injury among Chinese college students: a moderated mediation model.<br />
<em>BMC Psychiatry</em> 25, 365 (2025). <a href="https://doi.org/10.1186/s12888-025-06803-6">https://doi.org/10.1186/s12888-025-06803-6</a></p>
<p><strong>Image Credits</strong>: Scienmag.com</p>
<p><strong>DOI</strong>: <a href="https://doi.org/10.1186/s12888-025-06803-6">https://doi.org/10.1186/s12888-025-06803-6</a></p>
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