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Background Adolescent mental health is a global public health concern and parental migration has been identified as a risk factor. However, the effect mechanism remained unclear. Methods A total of 2,737 participants (mean = 11.93, SD = 1.23) were recruited from twelve schools in migrant-sending areas in Zhejiang and Anhui provinces. The participants responded to items in Child Depression Inventory, Parent–Adolescent Communication Scale, Olweus Bully or Victim Questionnaire and socio-demographic questions. Serial multiple mediation models were analysed using the bootstrapping method. Results Current and previous left-behind (LB) experience were significantly associated with higher risks of depression, non-suicidal self-injury and suicidal ideation (p < 0.05). Mother–adolescent communication and school bullying victimisation, in serial order, mediated the effect of current LB status on mental health (p < 0.05). In terms of previously LB adolescents, parent–adolescent communication was a standalone mediator (p < 0.01) and the serial mediation effect of parent–adolescent communication and school bullying victimisation was significant. Conclusions Lack of parent–adolescent communication and school bullying victimisation acted as risk factors for the negative effect of LB status or experience on adolescent mental health. The importance of these two interpersonal factors motivates future intervention initiatives to support the mental health of LB adolescents from an integrated perspective. [ABSTRACT FROM AUTHOR]

Nonpharmaceutical interventions are important for addressing the psychosocial needs of children living with atopic dermatitis (AD). The current study aimed to investigate the effects of an integrative body–mind–spirit (IBMS) intervention on the subjective experiences of affected children and explore the mechanisms underlying the effects. Using a drawing-based, qualitative approach, the current study conducted two rounds of interviews with 13 children (aged 8–12 years) diagnosed with moderate or severe AD before and after they attended the IBMS intervention. Data were analyzed by using the thematic analysis method. The IBMS intervention worked by changing participants' perceptions at the cognitive level, improving their coping strategies at the behavioral level, and constructing their social support network at the environmental level. Cognitive, behavioral, and environmental factors might mediate the relationships between the IBMS intervention and participants' psychological and physical outcomes. This study highlighted the wider inclusion of child-centered qualitative research in the evaluation of the effects of psychosocial interventions designed for children. [ABSTRACT FROM AUTHOR]

The strengths of drawing‐based approaches for encouraging children's participation in health research and facilitating communication with them have been increasingly acknowledged in the medical literature. However, there is a lack of methodological discussion on drawing‐based approaches suitable for researching children living with physical health problems. The present study systematically reviewed qualitative research using drawing‐based approaches on the experiences of children living with physical health problems and summarised how the approaches were used as well. We identified 54 studies from five databases. The characteristics of qualitative methods and drawing‐based approaches were analysed. To obtain an overall understanding of the illness‐related experiences of these children, qualitative data generated from the included studies were synthesised using the thematic synthesis approach. This systematic review highlights the appropriateness and accuracy of the use of drawings‐based approaches in health research with children on their illness‐related experiences, fostering inclusive participation and engagement of young generations. [ABSTRACT FROM AUTHOR]

Objectives: Involving parents and children in mindfulness-based interventions may holistically benefit family well-being. This meta-analysis systematically reviews and synthesizes the effects of mindfulness-based parallel-group (MBPG) interventions, which simultaneously involve parent and child, on family functioning, and the mental health of parents and children. Methods: A total of 20 relevant studies were identified from 14 databases. The overall intervention effect size was estimated by pooled standardized mean difference. Moderator analyses were performed to explain the variability in intervention effects. Risk of bias and publication bias were also assessed. Results: MBPG interventions showed minor-to-small positive effects on family functioning (d = 0.182, 95% CI [0.045, 0.319]), parental mental health (d = 0.238, 95% CI [0.110, 0.365]), and child mental health (d = 0.325, 95% CI [0.137, 0.513]). The effects of MBPG interventions on child mental health varied significantly by child age, child gender, recruitment setting, type of parent group, other activities in child group, other activities in parent group, and study design. Conclusions: MBPG interventions show promising effects in improving mental health of both parents and children as well as in improving overall family functioning. However, significant variations exist in characteristics of participants, interventions, and study designs. Given the limited evidence currently available, more studies are needed to assess the determinants of effectiveness in MBPG interventions. Protocol Registration: PROSPERO #CRD42020164927 [ABSTRACT FROM AUTHOR]

Childhood sexual abuse (CSA) has been shown to predict the coupling of depression and inflammation in adulthood. Trust within intimate relationships, a core element in marital relations, has been shown to predict positive physical and mental health outcomes, but the mediating role of trust in partners in the association between CSA and inflammation in adulthood requires further study. The present study aimed to examine the impact of CSA on inflammatory biomarkers (IL-6 and IL-1β) in adults with depression and the mediating role of trust. A cross-sectional survey data set of adults presenting with mood and sleep disturbance was used in the analysis. CSA demonstrated a significant negative correlation with IL-6 level (r = -0.28, p<0. 01) in adults with clinically significant depression, while trust showed a significant positive correlation with IL-6 level (r = 0.36, p <.01). Sobel test and bootstrapping revealed a significant mediating role for trust between CSA and IL-6 level. CSA and trust in partners were revealed to have significant associations with IL-6 level in adulthood. Counterintuitively, the directions of association were not those expected. Trust played a mediating role between CSA and adulthood levels of IL-6. Plausible explanations for these counterintuitive findings are discussed. [ABSTRACT FROM AUTHOR]

Atopic dermatitis (AD) imposes significant physical and psychosocial burdens on affected children. However, little has been done to learn from the subjective experiences, perspectives and emotions of children living with AD. Their voices are not heard in healthcare settings. This study aims to share these children's voices and provide a deep understanding of the subjective experiences of children living with AD. We conducted qualitative research by conducting semi‐structured interviews and analysing the drawings of 17 children in Hong Kong aged between 8 and 12 years who were diagnosed with AD. Using a phenomenological approach, we transcribed, coded and described the interviews. We found that for the children in this study, living with AD meant contending with an accumulation of challenges and crises. At the individual level, the essential experience of living with AD manifested a vicious cycle of skin and mental issues. At the family level, conflicts between children and parents concerning AD management coexisted with parental support. The children commonly experienced bullying and isolation in school and discrimination and stigmatisation in their neighbourhood, thereby making living with AD a traumatic experience. The synergy between individual and environmental factors contributed to shaping an incapable and wounded "self" living with AD. Based on our findings, we propose a child‐centred biopsychosocial framework for understanding the living experiences of children with AD. This study suggests different practice strategies for healthcare professionals working with the individual challenges experienced by children living with AD and the challenges these children experience in their family, school, and neighbourhood. The needs of these children should be addressed through an integrated, holistic approach for improving their long‐term health outcomes. [ABSTRACT FROM AUTHOR]

Assessing the psychological effects on children and adolescents of suffering atopic dermatitis (AD) is essential, when planning successful management. This study aimed to systematically review the literature regarding risk of mental disorders in children and adolescents with, or without, AD; and to explore confounders. We identified potentially relevant studies from EMBASE, MEDLINE, PsycINFO, ERIC, the British Nursing Index, the Family and Society Studies Worldwide, the Social Work Abstracts, and the Sociological Abstracts from inception to Sep 30, 2018. Investigators independently screened titles and abstracts, and then full-texts. Investigators independently extracted data from included studies. Meta-analyses using random-effects models were performed, reporting odds ratios (ORs; 95% CIs). Thirty-seven studies (n = 2,068,911 children/ adolescents) were included. Meta-analysis of 35 studies found that children and adolescents with AD had significantly higher risk of total mental disorders than those without AD (OR = 1.652; 95% CI, 1.463–1.864). There was no significant difference in risks for ADHD (OR = 1.563; 95% CI, 1.382–1.769); sleep disorders (OR = 2.100; 95% CI, 1.322–3.336); anxiety (OR = 1.339; 95% CI, 1.062–1.687); depression (OR = 1.402 95% CI, 1.256–1.565); conduct disorder (OR = 1.494 95% CI, 1.230–1.815); or ASD (OR = 2.574; 95% CI, 1.469–4.510; Q b = 8.344, p = 0.138). Race/ethnicity of child, target of comparison, type of studies, representativeness of the sample, measures of AD and mental disorders were significant moderators for total mental disorders. Integrated, holistic, multidisciplinary management of pediatric AD is significantly important, which emphasizes the well-being of the whole person. [ABSTRACT FROM AUTHOR]

This study aims to examine the quality of life of Chinese migrant children and to explore whether social capital mediates the relationship between a child's migration status and quality of life. A cross-sectional survey was conducted in a district of Shanghai, China. Based on a sample consists of 1,577 Chinese children in fourth to sixth grade, we used multivariable linear regression to examine the associations and mechanisms among migration, social capital and quality of life. Migrant children reported lower scores for quality of life than their urban counterparts. However, we identified higher levels of neighbourhood social cohesion, trust in their school and neighbourhood, and higher level of maternal autonomy support can mediate the damaging effects of migration status on quality of life. The results indicate that hukou restrictions put migrant children at a disadvantageous position and negatively affect their quality of life. While their migration status is unlikely to change soon, we found that higher levels of certain social capital can alleviate the negative effects of migration status on children's quality of life, and thus can be utilised for welfare programme design. [ABSTRACT FROM AUTHOR]