Relationship between left-behind status and cognitive function in older Chinese adults: a prospective 3-year cohort study

Zhang, Hongguang; Fan, Fang; Zhong, Bao‐Liang; Chiu, Helen F. K.

doi:10.1136/gpsych-2023-101054

Cited by 8 publications

(2 citation statements)

References 44 publications

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“…In China, mental health service resources remain insufficient to meet the growing needs of the general population. 71 72 This inadequacy constitutes a significant barrier to accessing grief counselling and other mental health services. 73 74 Specifically, grief counselling services in China are still in their early developmental stages, which results in an insufficient and uneven distribution of these services in hospitals and communities.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of prolonged grief disorder and its symptoms among bereaved individuals in China: a systematic review and meta-analysis

Yuan,

Liu,

Zhong

2024

Gen Psych

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BackgroundThe prevalence of prolonged grief disorder (PGD) and its symptoms among the bereaved population in China vary considerably.AimsThis meta-analysis aims to estimate the prevalence of PGD and its symptoms among bereaved individuals in China.MethodsWe conducted a literature search in major Chinese and English databases from their inception to 4 October 2023, for cross-sectional studies on the prevalence of PGD or its symptoms in bereaved Chinese individuals. The risk of bias of the included studies and certainty of the evidence were assessed using the Joanna Briggs Institute Critical Appraisal Checklist for Studies Reporting Prevalence Data (‘JBI checklist’) and the Grading of Recommendations, Assessment, Development and Evaluations (GRADE), respectively. The ‘metaprop’ package in R V.4.1.2 was used to synthesise the prevalence.ResultsA total of 28 studies involving 10 994 bereaved individuals were included in the analysis, with JBI checklist scores between 3 and 7. The combined prevalence (95% confidence interval) of PGD and its symptoms was 8.9% (4.2% to 17.6%) and 32.4% (18.2% to 50.8%), respectively. PGD and its symptoms were most prevalent among those who had lost their only child (22.7%) and those bereaved by earthquakes (80.4%), respectively. The GRADE system assigned a very low certainty level to the evidence for the pooled prevalence of PGD and its symptoms.ConclusionsThe pooled prevalence of PGD and its symptoms indicate a potential high need for grief counselling services among bereaved individuals in China. This need is particularly pronounced in those who have lost their only child and those bereaved due to earthquakes. Further methodologically rigorous studies are needed to provide more accurate prevalence estimates.PROSPERO registration numberCRD42023432553.

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Section: Discussionmentioning

confidence: 99%

Prevalence of prolonged grief disorder and its symptoms among bereaved individuals in China: a systematic review and meta-analysis

Yuan,

Liu,

Zhong

2024

Gen Psych

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“…Loneliness can be caused by various factors, including social isolation, a lack of social support, changes in life circumstances, and mental health problems. 21,[28][29][30] The COVID-19 pandemic significantly exacerbated loneliness due to unprecedented restrictions on in-person social interactions. Examining the psychological network in times of COVID-19 is crucial and has public health implications, given the high prevalence of loneliness.…”

Section: Introductionmentioning

confidence: 99%

The Psychological Network of Loneliness Symptoms Among Chinese Residents During the COVID-19 Outbreak

Zhong,

Yuan,

et al. 2023

PRBM

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Social distancing measures implemented during the COVID-19 pandemic have contributed to increased levels of loneliness, but the specific interactions between loneliness symptoms in the context of the pandemic remain unknown. This study characterized the psychological network of loneliness symptoms in residents during the initial wave of COVID-19 outbreak in China. Patients and Methods:The study recruited 8472 Chinese residents (61.5% women, aged 33.0±10.6 years) through online snowball sampling. The Six-item De Jong Gierveld Loneliness Scale (DJGLS) was used to measure loneliness symptoms. Central symptoms of and bridge symptoms between emotional and social loneliness subscales were identified based on centrality and bridge centrality indices, respectively. Network stability was examined using the case-dropping procedures. Results:The nodes in the loneliness network were separated into two groups, corresponding to the social and emotional loneliness domains of the DJGLS. The strongest direction association was between "no reliable people" and "no trustworthy people" (edge weight=0.546). "No trustworthy people" has the highest node strength (1.047) in the loneliness network, followed by "emptiness sense" (0.767) and "no reliable people" (0.749). "Feeling of rejection" (1.672) and "no close people" (0.403) showed the first and second highest bridge strengths, respectively. Both the stability and accuracy tests supported robustness of the whole network. Conclusion: Interventions targeting central symptoms "no trustworthy people" and "emptiness sense" and central bridge symptom "feeling of rejection" may be effective for alleviating the overall level of loneliness in pandemic-affected Chinese residents.

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Elevated levels of loneliness in migrant children compared to nonmigrant children in urban China: a systematic review and meta-analysis of comparative studies

Ge,

Wu,

Zhong

2024

Current Opinion in Psychiatry

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Purpose of review About one in four children in China is a migrant child. This population has a higher risk of experiencing loneliness. However, existing studies present conflicting findings regarding the levels of loneliness among migrant children as compared to local urban children in urban China. This review performs a meta-analysis of studies comparing loneliness levels between these two groups. Recent findings A literature search of major Chinese- and English-language databases revealed 27 eligible comparative studies. These studies reported the means and standardized deviations of loneliness scores for both migrant and nonmigrant children in urban China. Meta-analysis results showed that migrant children experienced significantly higher levels of loneliness than their urban nonmigrant counterparts [standardized mean difference (SMD) = 0.21, P < 0.001]. Subgroup analysis revealed that studies enrolling migrant children from migrant children's schools had significantly higher pooled SMDs than those enrolling children from public schools (0.346 vs. 0.120, P = 0.047). Summary Migrant children in urban China experience higher levels of loneliness compared to their local urban peers. Efforts to create a socially inclusive, migrant-friendly environment and reduce social isolation among migrant children are crucial to help alleviate their feelings of loneliness.

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Relationship between left-behind status and cognitive function in older Chinese adults: a prospective 3-year cohort study

Cited by 8 publications

References 44 publications

Prevalence of prolonged grief disorder and its symptoms among bereaved individuals in China: a systematic review and meta-analysis

Prevalence of prolonged grief disorder and its symptoms among bereaved individuals in China: a systematic review and meta-analysis

The Psychological Network of Loneliness Symptoms Among Chinese Residents During the COVID-19 Outbreak

Elevated levels of loneliness in migrant children compared to nonmigrant children in urban China: a systematic review and meta-analysis of comparative studies

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