Publications by authors named "Nancy Xiaonan Yu"

Purpose: Parental problem-solving is strongly associated with their psychosocial adjustment when facing their children's cancer. However, a comprehensive understanding of the major problems parents encounter and how they address these problems remains limited. This study aimed to explore parental problem-solving experiences during their children's cancer treatment processes.

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Background: Problem-solving skills training (PSST) has been shown to improve psychosocial outcomes for parents managing childhood cancer. However, accessibility barriers hinder its in-person delivery, particularly in regions with limited psychological resources. This study aimed to develop a WeChat-based PSST (WB-PSST) intervention and pilot-test its feasibility and preliminary impact.

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Chronic illness (CI) burdens both the patient and their romantic partner. CI management has been viewed as a dyadic process by theorists and clinical practitioners. Dyadic coping (DC) refers to the processes where one partner aids the other or both partners work together to cope with stress.

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Purpose: Although HIV is likely to be a couple-based issue among serodiscordant male couples due to cross-partner transmission, little is known about how they cope with HIV as a team. This study aimed to examine the dyadic coping process among serodiscordant couples.

Methods: A dyadic daily diary study was used to answer our research questions.

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Objective: Depressive symptoms are prevalent among parents of children with cancer, significantly impacting their well-being. Problem-solving skills, strongly linked to depressive symptoms, offer a promising avenue for intervention. This study aimed to identify latent profiles of parental problem-solving skills and evaluate differences in depressive symptoms across these profiles.

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This daily diary study drew on the allostatic load model to examine the predictive effect of COVID-19 stressful experiences (CSE) on somatic symptoms and anxious mood, as well as applying the biological sensitivity to context model to explore whether diurnal cortisol moderated the above associations. A total of 101 Chinese college students retrospectively reported CSE in October 2020, followed by 5-day diary reports on somatic symptoms and anxious mood in November 2020, with salivary cortisol collected on Days 2 to 4 to measure cortisol awakening response (CAR), diurnal cortisol slope (DCS), and daily cortisol output (area under the curve with respect to ground, AUC). Results of multilevel models showed that greater CSE predicted more somatic symptoms but not anxious mood, which was only observed at flatter CAR, flatter DCS, or low AUC.

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Men who have sex with men represent a significant portion of new HIV diagnoses in China. Guided by the systemic transactional model and interdependence theory, we examined the mediating role of 'we-ness' between dyadic coping and HIV-specific support among Chinese serodiscordant male couples, and how cultural interdependence shapes this we-ness. We employed a mixed-methods design which included a cross-sectional survey of 234 couples and qualitative interviews with 20 couples.

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Aims: To explore the mediating roles of family resources (at the individual [parental self-efficacy], family [family resilience] and social level [social support]) and parental problem-solving skills in the association between family functioning and family adaptation in families of children with cancer.

Design: A cross-sectional study.

Methods: This study recruited 318 parents of children with cancer from three tertiary hospitals in mainland China.

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Objective: To examine the effects of an internet-based Developmental Home Care Support program (DHCSP) to reduce maternal psychological symptoms and improve preterm infants' physical growth outcomes.

Methods: A randomized controlled trial was conducted. The mother-infant dyads ( nm  = 34, np  = 40) were randomly assigned to either the DHCSP intervention group or the control group.

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Introduction: This study examined the training effects of an online game-based cognitive bias modification for interpretation (CBM-I) program in reducing fear during the COVID-19 pandemic in Hong Kong. In addition to investigating the changes in both proximal (i.e.

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Introduction: Executive functions (EF), encompassing inhibition, updating, and shifting, are widely acknowledged as cognitive factors that promote resilience. However, prior research examining the association between EF and resilience has been hampered by inconsistent conceptualizations of resilience and an overreliance on cross-sectional designs. We embraced a process-oriented conceptualization of resilience and employed a longitudinal approach to investigate how EF components interplay with the dynamic processes of resilience resources and resilient functioning.

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Article Synopsis
  • Recent immigrants from mainland China to Hong Kong face psychological and sociocultural adaptation challenges, prompting research on intervention strategies.
  • The study implemented two interventions - an emotion regulation (ER) arm focused on reducing conflicts and improving emotions, and an information provision (IP) arm aimed at enhancing sociocultural knowledge about Hong Kong.
  • Results indicated that both interventions had unique benefits: the ER arm led to decreased parent-child conflicts and improved emotional states, while the IP arm resulted in increased knowledge and reduced adaptation difficulties, especially for participants with higher depressive symptoms.
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Aims And Objectives: To evaluate the effectiveness of positive psychological interventions on quality of life, positive psychological outcomes and negative psychological outcomes in patients with cancer.

Background: Patients with cancer often suffer from various psychological problems and have a poor quality of life. Positive psychological interventions have been increasingly applied to patients with cancer, but the results of these studies have not been synthesized.

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Objectives: By studying Mainland Chinese immigrant women who married Hong Kong men, this study examined the association between their perceived discrimination and psychological distress after the 2019-2020 social movement in Hong Kong. Additionally, this study examined the indirect effects of individual coping strategies (tolerance of uncertainty) and couples' coping strategies (common dyadic coping), guided by the cultural and developmental psychopathology framework.

Method: Ninety-nine Mainland Chinese immigrant women who married Hong Kong men participated in this cross-sectional survey.

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Daily cross-boundary schooling between Shenzhen and Hong Kong constitutes a constant challenge for Chinese cross-boundary families in terms of parenting burden. To address their most urgent parenting needs, we adapted and evaluated two intervention approaches-improving emotional regulation and providing knowledge about Hong Kong. A cluster randomized controlled trial with repeated assessments (pre-, post-intervention, and one-month follow-up) was adopted to evaluate the intervention effects on the increases of parental resilience resources and reduction of children's problem behaviors.

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Intersectionality has facilitated an understanding of the complexities of the adversities and challenges faced by individuals with multiple disadvantaged identities, including gay and bisexual men living with HIV. This study used deficiency- and empowerment-based perspectives together with an intersectionality lens to examine the intersections between sexuality minority and HIV-related stigma and resilience, as well as their compound effects on Chinese gay and bisexual men living with HIV. We conducted in-depth interviews with 21 gay and bisexual men living with HIV in Shenzhen, identifying two overarching themes and six subthemes in the provided accounts via thematic analysis.

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Objective: This study developed and evaluated a structured, 8-week community-based resilience group intervention for Chinese parents who have lost their only child and exhibit extended bereavement and suboptimal levels of resilience.

Method: Eighty parents were recruited from two communities and allocated to the intervention group ( = 42) or the waitlist-control group ( = 38). The 8-week community-based resilience group intervention was developed based on Kumpfer's resilience theory and previous studies.

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Objectives: Based on the "linked lives" tenant of the life course perspective, this longitudinal study aims to examine the actor and partner effects of social participation on cognitive function in older Chinese couples.

Methods: A total of 1,706 couples aged 60 and older were included in the final analyses. Social participation was measured using 2 questions regarding types of activities and frequency.

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Objective: Illness perceptions direct coping resources in the illness adaptation process. Previous studies regarding illness perception profiles have been conducted at the individual level, without considering the couple as a unit. This study aimed to investigate the dyadic topologies of illness perceptions in HIV-serodiscordant couples and the association between the identified profiles and individual- and couple-level outcomes.

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COVID-19 centralized quarantine may cause acute stress disorder (ASD). However, it is unknown how individuals present heterogeneous ASD trajectories during the COVID-19 centralized quarantine and what factors contribute to these patterns. This study aimed to identify the ASD trajectories and their determinants during the centralized quarantine period, and the mediating effects of resilience on these associations.

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Article Synopsis
  • College students during the COVID-19 pandemic often experienced somatic symptoms and engaged in rumination, indicating a complex, bidirectional relationship that is not fully understood.
  • A study involving 582 Chinese college students found that greater rumination led to increased somatic symptoms the following day and vice versa, suggesting a vicious cycle.
  • The analysis also identified four distinct stress patterns related to COVID-19 and daily hassles, revealing that the reciprocal effects were most pronounced in students experiencing high levels of both types of stress.
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Background: Since HIV has evolved into a lifelong but manageable condition, improving the quality of life (QoL) of persons living with HIV (PLWHs) has become increasingly important. Living with HIV is life-altering and poses substantial challenges for both PLWHs and their partners, so identifying how HIV serodiscordant couples cope with HIV together is crucial. Here, Bodenmann's Systemic Transaction Model highlights common dyadic coping (CDC), which refers to both partners working together to alleviate the negative effects of stress.

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Limited empirical evidence exists on the interpersonal challenges faced by Chinese serodiscordant male couples in HIV care. This study aimed to explore their coping experiences in HIV care by applying the communal coping process theoretical framework. A dyadic qualitative study using face-to-face interviews with 20 serodiscordant male couples (n = 40) was conducted between July and September 2021 in two Chinese metropolitan areas through purposive sampling.

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A large number of school-aged children traveling between Mainland China and Hong Kong every day to attend school are known as cross-boundary students (). Daily cross-boundary schooling is likely to be a constant challenge for cross-boundary students and their families, putting them at great risk of mental health problems (e.g.

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