scholarly journals Association of Chronic Spontaneous Urticaria With Anxiety and Depression in Adolescents: A Mediation Analysis

2021 ◽  
Vol 12 ◽  
Author(s):  
Yuzhou Huang ◽  
Yi Xiao ◽  
Danrong Jing ◽  
Jie Li ◽  
Jianglin Zhang ◽  
...  

Background: Chronic spontaneous urticaria (CSU) is related to psychiatric comorbidities. It is not clear whether the relationship is affected by modifiable factors.Objectives: To investigate whether the effect of CSU on anxiety and depression in adolescents is mediated by the symptoms of itching and sleep disturbance.Methods: Questionnaire survey was conducted among newly enrolled college students. Dermatologists diagnose skin diseases, including CSU, during health examination. Anxiety and depression were measured by the Generalized Anxiety Disorder Scale and Patient Health Questionnaire, respectively. Sleep quality was measured by the Pittsburgh Sleep Quality Index. The symptoms of itching were measured by the numeric rating scale. According to the hypothesis, the mediating effect model was put forward and the structural equation model is used to build the mediation effect model. The mediation effect model was proposed according to the hypothesis and established using a structural equation model.Results: A total of 2,358 students with no history of systemic disease and no pruritus disease (except CSU) were included in the analysis. A total of 393 CSU patients were included, and 1,965 healthy controls were selected based on age and sex matching. CSU was significantly associated with both anxiety and depression when the symptoms of itching and sleep quality were not modeled. A mediation model was proposed as CSU → itching → sleep disturbance → anxiety or depression. Itching and sleep quality mediated 65.4 and 77.6% of CSU's effects on anxiety and depression, respectively, and CSU had no significant direct effect on anxiety or depression in the mediation models.Conclusions: The associations of CSU with anxiety and depression were mediated by the symptoms of itching and sleep disturbance. Effectively reducing the symptoms of itching thereby could increase natural sleep, which can further treat the emotional disorders among patients with CSU.

2020 ◽  
Vol 12 (23) ◽  
pp. 9889
Author(s):  
Md. Alamgir Hossain ◽  
Nusrat Jahan ◽  
Minho Kim

This study examines the antecedents of social commerce intention by conceptualizing a model that includes two exogenous variables; relationship quality and social support, and an endogenous variable; social commerce, along with a mediation effect of relationship quality and moderation effect of cultures. This research model is tested by survey data collected in the United States and Korea, analyzed by a structural equation model. The results reveal that relationship quality generates the social commerce intention through commitment, satisfaction and trust, and becomes a maiden study with its mediating effect on social commerce intention. Social commerce intention is highly representative of social sharing and social shopping on social media. The social support is measured through emotional and informational support, proving to be a stronger predictor of relationship quality and social commerce intention. In addition, social support articulates differences in respect to the cultural differences. The model offers valuable insights to researchers and practitioners that aims to improve social commerce intention.


2019 ◽  
Author(s):  
Xuyu Chen ◽  
Li Ran ◽  
Yuting Zhang ◽  
Jinru Yang ◽  
Hui Yao ◽  
...  

Abstract Background: Global countries are suffering from a shortage of health professionals, turnover intention is closely related to job satisfaction and burnout, making good use of these relationship could alleviate the crises. Methods: This research was conducted in Huangpi, China. Convenience sampling methods and self-designed questionnaires was used. 1370 of valid samples were collected with 97.72% effective rate. Descriptive analyses were conducted to describe social demographic factors. The structural equation model (SEM) was performed to adjust model fitting, and the mediation effect test was carried out by using the bootstrap method. Sobel-Z test was used to verify the significance of mediation effect. Results: The mean age was 36.98 (SD=9.84). The fitting indices of hypothetical model is not good. After the adjustments, for job satisfaction, turnover intention and burnout, the Cronbach’s is 0.976, 0.910, 0.879, respectively. 2/df =5.590, GFI=0.932, AGFI=0.901, CFI=0.977, NFI=0.973, IFI=0.977, TLI=0.970, RESEA=0.058. The revised model fitted well, and the SEM was put up by using the bootstrap method. The mediating effect is partial, and Soble-Z test indicates that the mediation effect is significant. Burnout is negatively correlated with job satisfaction (p<0.01) and the standardized path coefficient is -0.41. Job satisfaction is also negatively correlated with turnover intention (p<0.01) and the standardized path coefficient is -0.18. Burnout is positively correlated with turnover intention (p<0.01) and the standardized path coefficient is 0.83. Conclusions: Job satisfaction is a mediating variable that affects the relationship between burnout and turnover intention. Turnover intention was negatively related to job satisfaction and positively related to burnout, job satisfaction was negative related to burnout. And the mediation effect has a low impact of 7.4%. Keywords: Turnover Intention, Burnout, Job satisfaction, Workers in primary care institution, Structural equation model


2020 ◽  
Vol 58 (2) ◽  
pp. 149-161
Author(s):  
Hye Jeong Choi ◽  
Jeong Shin An

This study showed that the association between grandmother-mother relationship and grandmother-grandchildren ties is mediated by the coparenting. Participants consisted of 329 grandmothers who were rearing preschool aged grandchildren in the Seoul and Gyeonggido area. SPSS 23.0 performed descriptive statistical analysis and correlation analysis. The structural equation model was estimated with AMOS 23.0. Parameters were estimated using the maximum likelihood method. Model fit index used the chi-square statistic, the goodness of fit index (GFI), the Turker-Lewis index (TLI), the comparative fit index (CFI), the root mean square error of approximation (RMSEA). The mediation effect analysis followed a two-step verification process; direct and indirect effect. In addition, statistical significance of the indirect effect was examined using a bootstrapping procedure. The results are as follows. First, a positive correlation was found between the grandmother-mother relationship, grandmother-grandchildren ties, and coparenting. Second, the association between grandmother-mother relationship and grandmother-grandchildren ties is mediated by coparenting. The results of this study suggest that the quality of the grandmother’s relationship with mothers and cooperative coparenting is important to building relationships with grandchildren. In addition, coparenting can be an important mechanism for grandmother-mother relationships and grandmother-grandchild ties. Based on the results of this study, we discussed ways to improve the grandmothers’ relationship quality with the mother and strengthen parenting ability.


Complexity ◽  
2021 ◽  
Vol 2021 ◽  
pp. 1-13
Author(s):  
Jing Zhang ◽  
Qiang Li

Using a structural equation model, this study explores the complex influence mechanism between the place experience and satisfaction of the historical and cultural blocks in the old city of Beijing and the mechanism differences between different types. Based on the data obtained in the questionnaire survey, this study uses the structural equation model method to propose a theoretical model of the relationship between place experience and satisfaction, and through path analysis, the theoretical model of the path relationship between the dimensions of placeness, sense of place, and satisfaction is estimated and tested. Through the mathematical verification of the structural model, on the basis of establishing the final theoretical model, the hypothesis to be proved is further verified. This study also uses the bootstrap method to test the significance of the mediating effect of place experience and uses multiple-group analysis to try to explore the moderating role of residents’ and tourists’ identity types in the model. The study found that there are multiple correlations among placeness, sense of place, and place satisfaction in the historical and cultural blocks in the old city of Beijing. The placeness is the foundation and the sense of place is the intermediary variable, which both affect satisfaction; furthermore, tourists and residents have differences in the mechanism of placeness and sense of place on satisfaction. On the one hand, the perception of placeness directly affects satisfaction, and on the other hand, the sense of place has an indirect effect on satisfaction. The positive effects of tourists' placeness on sense of place and sense of place on satisfaction are greater than that of residents. However, the positive effect of residents' placeness on satisfaction is greater than that of tourists.


2014 ◽  
Vol 40 (10) ◽  
pp. 767-782 ◽  
Author(s):  
Allan B. de Guzman ◽  
Erika Largo ◽  
Lillianne Mandap ◽  
Virnalyn Mae Muñoz

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