{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T06:09:36Z","timestamp":1770962976905,"version":"3.50.1"},"reference-count":48,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2023,5,20]],"date-time":"2023-05-20T00:00:00Z","timestamp":1684540800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"Central Committee of the Communist Young League","award":["22JH108"],"award-info":[{"award-number":["22JH108"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,11,29]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>China has a significant number of left-behind families. This study focuses on the long-term effects of childhood left-behind experience on different type of childhood trauma and mental health outcomes in later life development.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>participants were 67\u00a0795 Chinese young adults. Psychosocial characteristics were screened by sleep quality, the nine-item Patient Health Questionnaire for depressive symptoms, the generalized anxiety disorder-7 for anxiety symptoms, trauma screening questionnaire for post-traumatic stress, a short form of the Childhood Trauma Questionnaire for childhood trauma. Propensity score matching (PSM) and multivariate linear regression were applied to analyze the data.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>the results of the post-PSM analysis showed that the distributions of propensity scores for the two groups were approximately equal. And the total sample size in post-analysis dropped to 2358 (Nnuclear family\u00a0=\u00a01179, Nleft-behind family\u00a0=\u00a01179), with unmatched cases excluded. Post-matching results showed that the students from left-behind family were significantly associated with severer post-traumatic stress (b\u00a0=\u00a00.39, 95% CI\u00a0=\u00a0[0.15, 0.62]), loneliness (b\u00a0=\u00a00.29, 95% CI\u00a0=\u00a0[0.16, 0.42]), depressive symptoms (b\u00a0=\u00a00.44, 95% CI\u00a0=\u00a0[0.06, 0.82]) and CTQ-physical neglect (b\u00a0=\u00a00.34, 95% CI\u00a0=\u00a0[0.11, 0.58]).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>our study showed that childhood left-behind experiences are tightly related to childhood trauma experience and mental health issues (post-traumatic stress, loneliness and depression) in late adolescents.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/pubmed\/fdad060","type":"journal-article","created":{"date-parts":[[2023,5,21]],"date-time":"2023-05-21T08:34:59Z","timestamp":1684658099000},"page":"785-793","source":"Crossref","is-referenced-by-count":10,"title":["The role of childhood left-behind experience on childhood trauma exposure and mental health outcomes: a propensity score matching (PSM) analysis"],"prefix":"10.1093","volume":"45","author":[{"given":"Zhizhou","family":"Duan","sequence":"first","affiliation":[{"name":"Key Laboratory of Brain , Cognition and Education Sciences, Ministry of Education, China; School of Psychology, Center for Studies of Psychological Application, and Guangdong Key Laboratory of Mental Health and Cognitive Science, , Guangzhou , China"},{"name":"South China Normal University , Cognition and Education Sciences, Ministry of Education, China; School of Psychology, Center for Studies of Psychological Application, and Guangdong Key Laboratory of Mental Health and 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GAD-7","volume":"166","author":"Spitzer","year":"2006","journal-title":"Arch Intern Med"},{"issue":"4","key":"2023113020561761800_ref32","first-page":"200","article-title":"Reliability and validity of a generalized anxiety disorder scale in general hospital outpatients","volume":"22","author":"He","year":"2010","journal-title":"Shanghai Arch Psychiatry"},{"issue":"1","key":"2023113020561761800_ref33","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1017\/S0033291706008658","article-title":"Predicting post-traumatic stress disorder: validation of the trauma screening questionnaire in victims of assault","volume":"37","author":"Walters","year":"2007","journal-title":"Psychol Med"},{"issue":"6","key":"2023113020561761800_ref34","doi-asserted-by":"crossref","first-page":"655","DOI":"10.1177\/0164027504268574","article-title":"A short scale for measuring loneliness in large surveys: results from two population-based 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