{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T10:25:20Z","timestamp":1771583120797,"version":"3.50.1"},"reference-count":60,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T00:00:00Z","timestamp":1771545600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T00:00:00Z","timestamp":1771545600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"funder":[{"name":"Noncommunicable Chronic Diseases-National Science and Technology Major Project","award":["2023ZD0508200, 2023ZD0508204"],"award-info":[{"award-number":["2023ZD0508200, 2023ZD0508204"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Child Psychiatry Hum Dev"],"DOI":"10.1007\/s10578-026-01989-6","type":"journal-article","created":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T09:34:36Z","timestamp":1771580076000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Mediator Testing of Association Between Fear of Hypoglycemia and Diabetes Self-Management in Chinese Adolescents with T1DM: Diabetes Distress or Depressive Symptoms?"],"prefix":"10.1007","author":[{"given":"Qingting","family":"Li","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jundi","family":"Yang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Li","family":"Fan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruiling","family":"Lei","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhumin","family":"Jia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiaxin","family":"Luo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jingchen","family":"Shi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jia","family":"Guo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2026,2,20]]},"reference":[{"issue":"9911","key":"1989_CR1","doi-asserted-by":"publisher","first-page":"69","DOI":"10.1016\/S0140-6736(13)60591-7","volume":"383","author":"MA Atkinson","year":"2014","unstructured":"Atkinson MA, Eisenbarth GS, Michels AW (2014) Type 1 diabetes. Lancet 383(9911):69\u201382","journal-title":"Lancet"},{"key":"1989_CR2","doi-asserted-by":"publisher","first-page":"109083","DOI":"10.1016\/j.diabres.2021.109083","volume":"183","author":"GD Ogle","year":"2022","unstructured":"Ogle GD et al (2022) Global estimates of incidence of type 1 diabetes in children and adolescents: Results from the International Diabetes Federation Atlas, 10th edition. Diabetes Res Clin Pract 183:109083","journal-title":"Diabetes Res Clin Pract"},{"key":"1989_CR3","doi-asserted-by":"crossref","unstructured":"Urbano F et al (2023) Pediatric type 1 diabetes: mechanisms and impact of technologies on comorbidities and life expectancy. Int J Mol Sci, 24(15) :11980","DOI":"10.3390\/ijms241511980"},{"issue":"3","key":"1989_CR4","doi-asserted-by":"publisher","first-page":"169","DOI":"10.1207\/s15326888chc3303_1","volume":"33","author":"L Mednick","year":"2004","unstructured":"Mednick L, Cogen FR, Streisand R (2004) Satisfaction and quality of life in children with type 1 diabetes and their parents following transition to insulin pump therapy. Children\\s Health Care 33(3):169\u2013183","journal-title":"Children\\s Health Care"},{"issue":"1\u20132","key":"1989_CR5","doi-asserted-by":"publisher","first-page":"69","DOI":"10.1111\/j.1365-2702.2012.04299.x","volume":"22","author":"J Guo","year":"2013","unstructured":"Guo J et al (2013) Diabetes self-management, depressive symptoms, quality of life and metabolic control in youth with type 1 diabetes in China. J Clin Nurs 22(1\u20132):69\u201379","journal-title":"J Clin Nurs"},{"key":"1989_CR6","doi-asserted-by":"publisher","first-page":"1415","DOI":"10.2147\/PPA.S341061","volume":"16","author":"YI Elhenawy","year":"2022","unstructured":"Elhenawy YI et al (2022) Adherence to insulin therapy among children with type 1 diabetes: reliability and validity of the Arabic version of the 4-Item Morisky medication adherence scale. Patient Prefer Adherence 16:1415\u20131421","journal-title":"Patient Prefer Adherence"},{"issue":"1","key":"1989_CR7","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1093\/jpepsy\/jsy064","volume":"44","author":"SC Westen","year":"2019","unstructured":"Westen SC et al (2019) Objectively measured adherence in adolescents with type 1 diabetes on multiple daily injections and insulin pump therapy. J Pediatr Psychol 44(1):21\u201331","journal-title":"J Pediatr Psychol"},{"key":"1989_CR8","doi-asserted-by":"crossref","unstructured":"Guo J et al (2015 ) Diabetes self-management, depressive symptoms, metabolic control and satisfaction with quality of life over time in Chinese youth with type 1 diabetes. J Clin Nurs 24(9-10):1258-68","DOI":"10.1111\/jocn.12698"},{"issue":"6","key":"1989_CR9","doi-asserted-by":"publisher","first-page":"627","DOI":"10.2217\/dmt.11.60","volume":"1","author":"L Gonder-Frederick","year":"2011","unstructured":"Gonder-Frederick L et al (2011) Assessing fear of hypoglycemia in children with type 1 diabetes and their parents. Diabetes Manag 1(6):627\u2013639","journal-title":"Diabetes Manag"},{"issue":"11","key":"1989_CR10","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1007\/s11892-015-0660-z","volume":"15","author":"J Sturt","year":"2015","unstructured":"Sturt J et al (2015) The detection and management of diabetes distress in people with type 1 diabetes. Curr Diab Rep 15(11):1\u201314","journal-title":"Curr Diab Rep"},{"issue":"12","key":"1989_CR11","doi-asserted-by":"publisher","first-page":"2398","DOI":"10.2337\/dc08-1341","volume":"31","author":"JS Gonzalez","year":"2009","unstructured":"Gonzalez JS et al (2009) Depression and diabetes treatment nonadherence: A Meta-Analysis. Diabetes Care 31(12):2398\u20132403","journal-title":"Diabetes Care"},{"key":"1989_CR12","doi-asserted-by":"crossref","unstructured":"Krawczyk J et al (2020) Fear of hypoglycaemia - from normality to pathology. Diagnostic criteria and therapeutic directions. Clin Diabetol 9(6):479\u2013484","DOI":"10.5603\/DK.2020.0046"},{"key":"1989_CR13","doi-asserted-by":"publisher","first-page":"70","DOI":"10.1016\/j.psyneuen.2016.04.019","volume":"70","author":"Barbara","year":"2016","unstructured":"Barbara et al (2016) Symptoms of depression and anxiety in youth with type 1 diabetes: A systematic review and meta-analysis. Psychoneuroendocrinology 70:70\u201384","journal-title":"Psychoneuroendocrinology"},{"key":"1989_CR14","doi-asserted-by":"crossref","unstructured":"Ayed F et al (2025) Self-Care behaviors and their association with self-efficacy and health literacy among adolescents with type 1 diabetes mellitus in palestine: a cross-sectional study. BMC Psychol, 13(1):793","DOI":"10.1186\/s40359-025-03136-7"},{"key":"1989_CR15","doi-asserted-by":"crossref","unstructured":"Hilliard ME (2012) Diabetes resilience: A model of risk and protection in type 1 diabetes. Curr Diab Rep 12(6):739\u2013748","DOI":"10.1007\/s11892-012-0314-3"},{"issue":"7","key":"1989_CR16","doi-asserted-by":"publisher","first-page":"1277","DOI":"10.1111\/pedi.13092","volume":"21","author":"AJ Roberts","year":"2020","unstructured":"Roberts AJ et al (2020) Association between fear of hypoglycemia and physical activity in youth with type 1 diabetes: the SEARCH for diabetes in youth study. Pediatr Diabetes 21(7):1277\u20131284","journal-title":"Pediatr Diabetes"},{"key":"1989_CR17","doi-asserted-by":"crossref","unstructured":"Therese et al (2018) A longitudinal study of fear of hypoglycaemia in adults with type 1 diabetes. Endocrinology, diabetes & metabolism","DOI":"10.1002\/edm2.13"},{"issue":"3","key":"1989_CR18","doi-asserted-by":"publisher","first-page":"465","DOI":"10.1177\/0145721709333492","volume":"35","author":"AM Di Battista","year":"2009","unstructured":"Di Battista AM et al (2009) Type 1 diabetes among adolescents: reduced diabetes self-care caused by social fear and fear of hypoglycemia. Diabetes Educ 35(3):465\u2013475","journal-title":"Diabetes Educ"},{"issue":"2","key":"1989_CR19","doi-asserted-by":"publisher","first-page":"267","DOI":"10.1037\/0033-2909.127.2.267","volume":"127","author":"GF Loewenstein","year":"2001","unstructured":"Loewenstein GF et al (2001) Risk as feelings. Psychol Bull 127(2):267","journal-title":"Psychol Bull"},{"issue":"6","key":"1989_CR20","doi-asserted-by":"publisher","first-page":"754","DOI":"10.2337\/diacare.18.6.754","volume":"18","author":"WH Polonsky","year":"1995","unstructured":"Polonsky WH et al (1995) Assessment of diabetes-related distress. Diabetes Care 18(6):754","journal-title":"Diabetes Care"},{"key":"1989_CR21","unstructured":"Lu XY et al (2024) Meta-analysis of factors related to diabetic distress in adolescent patients with type 1 diabetes. Sichuan Mental Health 37(2):173\u2013178"},{"issue":"1","key":"1989_CR22","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1007\/s11892-015-0694-2","volume":"16","author":"V Hagger","year":"2016","unstructured":"Hagger V et al (2016) Diabetes distress among adolescents with type 1 diabetes: a systematic review. Curr Diab Rep 16(1):9","journal-title":"Curr Diab Rep"},{"key":"1989_CR23","unstructured":"Luo QQ et al (2025) Structural equation model of mediators in diabetes distress among adolescents with type 1 diabetes mellitus. Chin Nurs Manage 25(5) :758-763"},{"key":"1989_CR24","doi-asserted-by":"crossref","unstructured":"McCarthy MM et al (2019) Diabetes Distress, depressive symptoms and cardiovascular health in adults with type 1 diabetes. Nurs Res 1","DOI":"10.1097\/NNR.0000000000000387"},{"issue":"4","key":"1989_CR25","doi-asserted-by":"publisher","first-page":"1668","DOI":"10.1002\/nop2.800","volume":"8","author":"S Li","year":"2021","unstructured":"Li S et al (2021) The association between diabetes-related distress and fear of hypoglycaemia in patients with type 2 diabetes mellitus: A cross-sectional descriptive study. Nurs Open 8(4):1668\u20131677","journal-title":"Nurs Open"},{"issue":"13\u201314","key":"1989_CR26","doi-asserted-by":"publisher","first-page":"1893","DOI":"10.1111\/jocn.15742","volume":"30","author":"J Luo","year":"2021","unstructured":"Luo J et al (2021) Factors associated with diabetes distress among adolescents with type 1 diabetes. J Clin Nurs 30(13\u201314):1893\u20131903","journal-title":"J Clin Nurs"},{"key":"1989_CR27","doi-asserted-by":"publisher","first-page":"697051","DOI":"10.3389\/fpsyg.2021.697051","volume":"12","author":"J Huang","year":"2021","unstructured":"Huang J et al (2021) The mediating effects of diabetes Distress, Anxiety, and cognitive fusion on the association between neuroticism and fear of hypoglycemia in patients with type 2 diabetes. Front Psychol 12:697051","journal-title":"Front Psychol"},{"issue":"2","key":"1989_CR28","doi-asserted-by":"publisher","first-page":"385","DOI":"10.1007\/s10880-019-09676-6","volume":"27","author":"B Jurgen","year":"2020","unstructured":"Jurgen B et al (2020) Associations between depressive Symptoms, fear of Hypoglycemia, adherence to management behaviors and metabolic control in children and adolescents with type 1 diabetes. J Clin Psychol Med Settings 27(2):385\u2013395","journal-title":"J Clin Psychol Med Settings"},{"key":"1989_CR29","doi-asserted-by":"publisher","first-page":"3458969","DOI":"10.1155\/2016\/3458969","volume":"2016","author":"D Maneze","year":"2016","unstructured":"Maneze D et al (2016) The influence of health literacy and depression on diabetes self-management: a cross-sectional study. J Diabetes Res 2016(1):3458969","journal-title":"J Diabetes Res"},{"issue":"5","key":"1989_CR30","doi-asserted-by":"publisher","first-page":"242","DOI":"10.1016\/j.outlook.2010.05.001","volume":"58","author":"R Whittemore","year":"2010","unstructured":"Whittemore R et al (2010) A conceptual model of childhood adaptation to type 1 diabetes. Nurs Outlook 58(5):242\u2013251","journal-title":"Nurs Outlook"},{"issue":"2","key":"1989_CR31","doi-asserted-by":"publisher","first-page":"259","DOI":"10.2337\/dc11-1572","volume":"35","author":"L Fisher","year":"2012","unstructured":"Fisher L et al (2012) When is diabetes distress clinically meaningful? Establishing cut points for the diabetes distress scale. Diabetes Care 35(2):259","journal-title":"Diabetes Care"},{"issue":"3","key":"1989_CR32","doi-asserted-by":"publisher","first-page":"174","DOI":"10.1016\/j.jpsychores.2014.06.015","volume":"77","author":"RBY Strandberg","year":"2014","unstructured":"Strandberg RBY et al (2014) Relationships of diabetes-specific emotional distress, depression, anxiety, and overall well-being with HbA1c in adult persons with type 1 diabetes. J Psychosom Res 77(3):174\u2013179","journal-title":"J Psychosom Res"},{"key":"1989_CR33","doi-asserted-by":"crossref","unstructured":"Tsujii H, Ishii (2012) Diabetes distress, but not depressive symptoms, is associated with glycaemic control among Japanese patients with Type 2 diabetes: Diabetes Distress and Care Registry at Tenri (DDCRT 1). Diabet Med: J Br Diabet Assoc","DOI":"10.1111\/j.1464-5491.2012.03647.x"},{"issue":"8","key":"1989_CR34","doi-asserted-by":"publisher","first-page":"1182","DOI":"10.1017\/S1368980008003649","volume":"12","author":"E Cerin","year":"2009","unstructured":"Cerin E, Mackinnon DP (2009) A commentary on current practice in mediating variable analyses in behavioural nutrition and physical activity. Public Health Nutr 12(8):1182\u20131188","journal-title":"Public Health Nutr"},{"issue":"Suppl 1","key":"1989_CR35","doi-asserted-by":"publisher","first-page":"S15","DOI":"10.2337\/dc21-S002","volume":"44","author":"AD Association","year":"2021","unstructured":"Association AD (2021) 2. Classification and diagnosis of diabetes: standards of medical care in Diabetes-2021. Diabetes Care 44(Suppl 1):S15\u2013s33","journal-title":"Diabetes Care"},{"issue":"4 Pt 1","key":"1989_CR36","doi-asserted-by":"publisher","first-page":"341","DOI":"10.1111\/j.1399-5448.2010.00720.x","volume":"12","author":"J Weissberg-Benchell","year":"2011","unstructured":"Weissberg-Benchell J, Antisdel-Lomaglio J (2011) Diabetes-specific emotional distress among adolescents: feasibility, reliability, and validity of the problem areas in diabetes-teen version. Pediatr Diabetes 12(4 Pt 1):341\u2013344","journal-title":"Pediatr Diabetes"},{"key":"1989_CR37","unstructured":"Sun Z, Xu Y, Medical statistics (2014) : People\u2019s Medical Publishing House"},{"issue":"4","key":"1989_CR38","doi-asserted-by":"publisher","first-page":"960","DOI":"10.1111\/j.1365-2648.2012.06129.x","volume":"69","author":"J Guo","year":"2013","unstructured":"Guo J et al (2013) Instrument translation and initial psychometric evaluation of the Chinese version of the Self-Management of type 1 diabetes for adolescents scale. J Adv Nurs 69(4):960\u2013969","journal-title":"J Adv Nurs"},{"key":"1989_CR39","doi-asserted-by":"crossref","unstructured":"Shapiro et al (2018) Psychometric properties of the problem areas in diabetes: teen and parent of teen versions. J Pediatr Psychol","DOI":"10.1037\/t78174-000"},{"issue":"4","key":"1989_CR40","first-page":"3","volume":"14","author":"D Yu","year":"2000","unstructured":"Yu D, Li X (2000) The initial application of childhood depression scale (CDI) in Chinese children. Chin J Mental Health 14(4):3","journal-title":"Chin J Mental Health"},{"key":"1989_CR41","unstructured":"Kovacs MS (1992) The Children\u2019s Depression Inventory (CDI) Technical Manual Update. Psychopharmacol Bull"},{"key":"1989_CR42","unstructured":"Long S (2022) *Zhongguo Shehui Jiuzhu zhidu*. Social Sciences Academic Press (China)"},{"issue":"8","key":"1989_CR43","doi-asserted-by":"publisher","first-page":"1270","DOI":"10.1111\/pedi.13455","volume":"23","author":"de Bock","year":"2022","unstructured":"de Bock et al (2022) ISPAD clinical practice consensus guidelines 2022: glycemic targets and glucose monitoring for children, adolescents, and young people with diabetes. Pediatr Diabetes 23(8):1270","journal-title":"Pediatr Diabetes"},{"issue":"3","key":"1989_CR44","doi-asserted-by":"publisher","first-page":"311","DOI":"10.1177\/1054773819867252","volume":"30","author":"Zhi","year":"2021","unstructured":"Zhi et al (2021) Diabetes-Related emotional distress among Children\/Adolescents and their parents: A descriptive Cross-Sectional study. Clin Nurs Res 30(3):311\u2013321","journal-title":"Clin Nurs Res"},{"issue":"5","key":"1989_CR45","doi-asserted-by":"publisher","first-page":"691","DOI":"10.1111\/dme.13321","volume":"34","author":"L Indelicato","year":"2017","unstructured":"Indelicato L et al (2017) Influence of health locus of control and fear of hypoglycaemia on glycaemic control and treatment satisfaction in people with type 1 diabetes on insulin pump therapy. Diabet Med 34(5):691\u2013697","journal-title":"Diabet Med"},{"issue":"2","key":"1989_CR46","doi-asserted-by":"publisher","first-page":"113","DOI":"10.1037\/hea0001037","volume":"40","author":"A Schmitt","year":"2021","unstructured":"Schmitt A et al (2021) Associations of depression and diabetes distress with self-management behavior and glycemic control. Health Psychol 40(2):113\u2013124","journal-title":"Health Psychol"},{"key":"1989_CR47","doi-asserted-by":"crossref","unstructured":"Ying L et al (2022) Effect and safety of adding metformin to insulin therapy in treating adolescents with type 1 diabetes Mellitus: an updated meta-analysis of 10 randomized controlled trials. Front Endocrinol (Lausanne), 13(0)","DOI":"10.3389\/fendo.2022.878585"},{"key":"1989_CR48","unstructured":"Lei YX (2023) Research status of hypoglycemic fear among parents of children\/Adolescents with type 1 diabetes. Tianjin J Nurs, 31(4):490-494"},{"key":"1989_CR49","doi-asserted-by":"crossref","unstructured":"Shiu AT, Wong RY (2010) Reliability and validity of the Chinese version of the worry scale. Public Health Nurs, 21(3):257-265","DOI":"10.1111\/j.0737-1209.2004.21308.x"},{"key":"1989_CR50","doi-asserted-by":"crossref","unstructured":"Jurgen B et al(2020) Associations between depressive Symptoms, fear of Hypoglycemia, adherence to management behaviors and metabolic control in children and adolescents with type 1 diabetes. Math Res Lett 27(2)","DOI":"10.1007\/s10880-019-09676-6"},{"key":"1989_CR51","unstructured":"Sun XX et al (2016) Analysis of hypoglycemic cognition status and influencing factors among parents of children with type 1 diabetes. J Nurs Sci 31(9):3"},{"issue":"4","key":"1989_CR52","doi-asserted-by":"publisher","first-page":"625","DOI":"10.1037\/a0033413","volume":"60","author":"M Wei","year":"2013","unstructured":"Wei M et al (2013) Suppression and interpersonal harmony: a cross-cultural comparison between Chinese and European Americans. J Couns Psychol 60(4):625\u2013633","journal-title":"J Couns Psychol"},{"key":"1989_CR53","doi-asserted-by":"crossref","unstructured":"Ahola AJ et al (2016) Fear of hypoglycaemia and self-management in type 1 diabetes. J Clin Translational Endocrinol, 4(2016):13-18","DOI":"10.1016\/j.jcte.2016.02.002"},{"issue":"7","key":"1989_CR54","doi-asserted-by":"publisher","first-page":"e2633","DOI":"10.1002\/brb3.2633","volume":"12","author":"A Przezak","year":"2022","unstructured":"Przezak A (2022) Fear of hypoglycemia-An underestimated problem. Brain Behav 12(7):e2633","journal-title":"Brain Behav"},{"issue":"1","key":"1989_CR55","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.psym.2010.11.007","volume":"52","author":"SM Markowitz","year":"2011","unstructured":"Markowitz SM et al (2011) A review of treating depression in diabetes: emerging findings. Psychosomatics 52(1):1\u201318","journal-title":"Psychosomatics"},{"issue":"4","key":"1989_CR56","doi-asserted-by":"publisher","first-page":"840","DOI":"10.1111\/pedi.12641","volume":"19","author":"V Hagger","year":"2018","unstructured":"Hagger V et al (2018) Diabetes distress is more strongly associated with HbA1c than depressive symptoms in adolescents with type 1 diabetes: results from diabetes MILES Youth-Australia. Pediatr Diabetes 19(4):840\u2013847","journal-title":"Pediatr Diabetes"},{"key":"1989_CR57","unstructured":"Peterson, MF (2003) Book review: culture\u2019s consequences: comparing values, behaviors, institutions and organizations across nations. Adm Sci Q, 48(2):338-341"},{"issue":"05","key":"1989_CR58","first-page":"277","volume":"13","author":"BR Shi","year":"2025","unstructured":"Shi BR, Wang GX (2025) The Psychophysiological effects of acceptance and Inhibition of emotion regulation strategies in the context of Chinese culture. Psychol Techniques Appl 13(05):277","journal-title":"Psychol Techniques Appl"},{"key":"1989_CR59","doi-asserted-by":"crossref","unstructured":"Zeitoun MH et al(2023) Relationship between depressive and anxiety symptoms and fear of hypoglycemia among adolescents and adults with type 1 diabetes mellitus. Prim Care Diabetes 17(3):255\u2013259","DOI":"10.1016\/j.pcd.2023.03.002"},{"issue":"3","key":"1989_CR60","doi-asserted-by":"publisher","first-page":"201","DOI":"10.1089\/dia.2009.0121","volume":"12","author":"J Halford","year":"2010","unstructured":"Halford J, Harris C (2010) Determining clinical and psychological benefits and barriers with continuous glucose monitoring therapy. Diabetes Technol Ther 12(3):201\u2013205","journal-title":"Diabetes Technol Ther"}],"container-title":["Child Psychiatry & Human Development"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10578-026-01989-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10578-026-01989-6","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10578-026-01989-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T09:34:42Z","timestamp":1771580082000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10578-026-01989-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,20]]},"references-count":60,"alternative-id":["1989"],"URL":"https:\/\/doi.org\/10.1007\/s10578-026-01989-6","relation":{},"ISSN":["0009-398X","1573-3327"],"issn-type":[{"value":"0009-398X","type":"print"},{"value":"1573-3327","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,20]]},"assertion":[{"value":"27 March 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 February 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 February 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"Ethical approval was obtained from the Ethical Review Board of the Xiangya School of Nursing, Central South University (E2020184). The conduct of the study follows the Declaration of Helsinki. Informed consent was obtained from all adolescents and their mothers and\/or fathers prior to participation.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}}]}}