Impulsivity Drives Adolescents to Smoke and Drink: Gender Differences in the Mediating Effects of Resilience and Depression

Abstract

High and rising rates of smoking and drinking among Chinese adolescents are contributing to increasingly serious physical and mental health issues. While impulsivity has been demonstrated to be significantly related to adolescent cigarette and alcohol use, little is known about the mechanisms behind this association. The current study focused on resilience and depressive symptoms as potential mediators of this link, exploring the indirect pathways connecting impulsivity to teenage tobacco and alcohol use. Possible gender differences in this indirect pathway were also explored. Participants were secondary school students from southern China (N = 3466; 49.2% were female; M_age = 14.18; SD_age = 1.57). Results revealed that adolescents who were more impulsive used cigarettes and alcohol more frequently, and that this effect was partially mediated by lower resilience and more depressive symptoms. It is noteworthy that there were gender differences in this mediating effect, with the effect of impulsivity on cigarette use for girls being mediated by resilience and depressive symptoms, whereas this statistically significant association was not identified for boys. These findings show how adolescents’ impulsivity drives them to smoke and drink, and also emphasize gender as a crucial consideration for intervening with adolescents’ drinking and smoking behaviors.

Keywords

Impulsivity resilience depression alcohol use cigarette use gender difference

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References

Abdullah

A. S.

W. W.

(2006). What Chinese adolescents think about quitting smoking: A qualitative study. Substance Use & Misuse, 41(13), 1735–1743. https://doi.org/10.1080/10826080601006433

Audrain-McGovern

Leventhal

A. M.

Strong

D. R.

(2015). The role of depression in the uptake and maintenance of cigarette smoking. International Review of Neurobiology, 124, 209–243. https://doi.org/10.1016/bs.irn.2015.07.004

Audrain-McGovern

Rodriguez

Rodgers

Cuevas

Sass

Riley

(2012). Reward expectations lead to smoking uptake among depressed adolescents. Drug and Alcohol Dependence, 120(1–3), 181–189. https://doi.org/10.1016/j.drugalcdep.2011.07.020

Balevich

E. C.

Wein

N. D.

Flory

J. D.

(2013). Cigarette smoking and measures of impulsivity in a college sample. Substance Abuse, 34(3), 256–262. https://doi.org/10.1080/08897077.2012.763082

Beck

A. T.

(1983). Cognitive therapy of depression: New perspectives. In Clayton

P. J.

Barrett

J. E.

(eds), Treatment of depression: Old controversies and new approaches. Raven Press.

Bentler

P. M.

(1990). Comparative fit indexes in structural models. Psychological Bulletin, 107(2), 238–246. https://doi.org/10.1037/0033-2909.107.2.238

Bilsky

S. A.

Feldner

M. T.

Knapp

A. A.

Rojas

S. M.

Leen-Feldner

E. W.

(2016). The roles of sex, anxious reactivity to bodily arousal, and anxiety sensitivity in coping motives for cigarette smoking among adolescents. Experimental and Clinical Psychopharmacology, 24(3), 147–155. https://doi.org/10.1037/pha0000071

Brown

G. W.

Harris

(1989). Life Events and Illness. Guilford.

Chan

A. C. Y.

Piehler

T. F.

G. W. K.

(2021). Resilience and mental health during the COVID-19 pandemic: Findings from Minnesota and Hong Kong. Journal of Affective Disorders, 295, 771–780. https://doi.org/10.1016/j.jad.2021.08.144

10.

Chen

Dhingra

Chaudhary

Fucito

C. S. R.

(2022). Overnight abstinence is associated with smaller secondary somatosensory cortical volumes and higher somatosensory-motor cortical functional connectivity in cigarette smokers. Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco, 24(12), 1889–1897. https://doi.org/10.1093/ntr/ntac168

11.

Chen

Fan

(2023). Correlations among psychological resilience, cognitive fusion, and depressed emotions in patients with depression. Behavioral Sciences, 13(2), 100. https://doi.org/10.3390/bs13020100

12.

Cheng

H. G.

Kendler

K. S.

Edwards

A. C.

(2020). Associations between major depressive symptoms and drinking onset: Do sex and age matter? Journal of Affective Disorders, 266, 549–555. https://doi.org/10.1016/j.jad.2020.01.176

13.

China Alcoholic Drinks Association . (2022). Green paper on underage drinking prevention in China. Chinese Center for Disease Control and Prevention, Chinese Association on Tobacco Control.

14.

Chui

W. Y.

Chan

S. W.

(2007). Stress and coping of Hong Kong Chinese family members during a critical illness. Journal of Clinical Nursing, 16(2), 372–381. https://doi.org/10.1111/j.1365-2702.2005.01461.x

15.

Cicchetti

Rogosch

F. A.

(2002). A developmental psychopathology perspective on adolescence. Journal of Consulting and Clinical Psychology, 70(1), 6–20. https://doi.org/10.1037//0022-006x.70.1.6

16.

Crone

M. R.

Reijneveld

S. A.

(2007). The association of behavioural and emotional problems with tobacco use in adolescence. Addictive Behaviors, 32(8), 1692–1698. https://doi.org/10.1016/j.addbeh.2006.11.006

17.

Dalley

J. W.

Mar

A. C.

Economidou

Robbins

T. W.

(2008). Neurobehavioral mechanisms of impulsivity: Fronto-striatal systems and functional neurochemistry. Pharmacology, Biochemistry, and Behavior, 90(2), 250–260. https://doi.org/10.1016/j.pbb.2007.12.021

18.

DeLay

Shen

Cook

R. E.

Zhao

Logis

French

D. C.

(2023). Peers influence the tobacco and alcohol use of Chinese adolescents. Journal of Research on Adolescence: The Official Journal of the Society for Research on Adolescence, 33(2), 591–602. https://doi.org/10.1111/jora.12828

19.

DeVito

E. E.

Weinberger

A. H.

Pang

R. D.

Petersen

Fagle

Allen

A. M.

(2020). Impulsivity across substance use categories: Consideration of sex/gender. Current Behavioral Neuroscience Reports, 7(3), 109–127. https://doi.org/10.1007/s40473-020-00213-6

20.

Dou

Shek

D. T. L.

Zhu

Zhao

(2021). Dimensionality of the Chinese CES-D: Is it stable across gender, time, and samples? International Journal of Environmental Research and Public Health, 18(22), 11818. https://doi.org/10.3390/ijerph182211818

21.

Dubas

J. S.

Baams

Doornwaard

S. M.

van Aken

M. A. G.

(2017). Dark personality traits and impulsivity among adolescents: Differential links to problem behaviors and family relations. Journal of Abnormal Psychology, 126(7), 877–889. https://doi.org/10.1037/abn0000290

22.

Elmore

A. L.

Crouch

Kabir Chowdhury

M. A.

(2020). The interaction of adverse childhood experiences and resiliency on the outcome of depression among children and youth, 8-17 year olds. Child Abuse & Neglect, 107, 104616. https://doi.org/10.1016/j.chiabu.2020.104616

23.

Evenden

J. L.

(1999). Varieties of impulsivity. Psychopharmacology, 146(4), 348–361. https://doi.org/10.1007/pl00005481

24.

Fattore

Melis

(2016). Sex differences in impulsive and compulsive behaviors: A focus on drug addiction. Addiction Biology, 21(5), 1043–1051. https://doi.org/10.1111/adb.12381

25.

Fava

N. M.

Bay-Cheng

L. Y.

Nochajski

T. H.

Bowker

J. C.

Hayes

(2018). A resilience framework: Sexual health trajectories of youth with maltreatment histories. Journal of Trauma & Dissociation: The Official Journal of the International Society for the Study of Dissociation (ISSD), 19(4), 444–460. https://doi.org/10.1080/15299732.2018.1451974

26.

Fergus

Zimmerman

M. A.

(2005). Adolescent resilience: A framework for understanding healthy development in the face of risk. Annual Review of Public Health, 26, 399–419. https://doi.org/10.1146/annurev.publhealth.26.021304.144357

27.

Fidler

J. A.

West

(2009). Self-perceived smoking motives and their correlates in a general population sample. Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco, 11(10), 1182–1188. https://doi.org/10.1093/ntr/ntp120

28.

Fluharty

Taylor

A. E.

Grabski

Munafò

M. R.

(2017). The association of cigarette smoking with depression and anxiety: A systematic review. Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco, 19(1), 3–13. https://doi.org/10.1093/ntr/ntw140

29.

González-Navarro

Talavera-Escribano

Zurriaga-Lloréns

Llinares-Insa

L. I.

(2019). Culture, work, and subjective well-being: The role of LMX and resilience in Spanish and Chinese cultures. International Journal of Environmental Research and Public Health, 16(24), 4945. https://doi.org/10.3390/ijerph16244945

30.

Gullo

M. J.

Dawe

(2008). Impulsivity and adolescent substance use: Rashly dismissed as “all-bad”. Neuroscience & Biobehavioral Reviews, 32(8), 1507–1518. https://doi.org/10.1016/j.neubiorev.2008.06.003

31.

Hao

Chen

(2005). China: Alcohol today. Addiction, 100(6), 737–741. https://doi.org/10.1111/j.1360-0443.2005.01036.x

32.

Hayaki

Herman

D. S.

Hagerty

C. E.

de Dios

M. A.

Anderson

B. J.

Stein

M. D.

(2011). Expectancies and self-efficacy mediate the effects of impulsivity on marijuana use outcomes: An application of the acquired preparedness model. Addictive Behaviors, 36(4), 389–396. https://doi.org/10.1016/j.addbeh.2010.12.018

33.

Chen

Guo

Liang

(2023). An analysis of the latent profile and influencing factors of the sense of the meaning of life amongst medical students post-COVID-19 from the perspective of Chinese Collectivist Culture. Current Psychology. https://doi.org/10.1007/s12144-023-04957-8

34.

Hershberger

Connors

Cyders

M. A.

(2018). The theory of planned behavior and e-cig use: Impulsive personality, e-cig attitudes, and e-cig use. International Journal of Mental Health and Addiction, 16(2), 366–376. https://doi.org/10.1007/s11469-017-9783-6

35.

Hilbert

Goerigk

Padberg

Nadjiri

Übleis

Jobst

Dewald-Kaufmann

Falkai

Bühner

Naumann

Sarubin

(2019). The role of self-esteem in depression: A longitudinal study. Behavioural and Cognitive Psychotherapy, 47(2), 244–250. https://doi.org/10.1017/S1352465818000243

36.

Hiyoshi

Sabet

J. A.

Sjöqvist

Melinder

Brummer

R. J.

Montgomery

(2017). Precursors in adolescence of adult-onset bipolar disorder. Journal of Affective Disorders, 218, 353–358. https://doi.org/10.1016/j.jad.2017.04.071

37.

Holmes

A. J.

Hollinshead

M. O.

Roffman

J. L.

Smoller

J. W.

Buckner

R. L.

(2016). Individual differences in cognitive control circuit anatomy link sensation seeking, impulsivity, and substance use. Journal of Neuroscience: The Official Journal of the Society for Neuroscience, 36(14), 4038–4049. https://doi.org/10.1523/JNEUROSCI.3206-15.2016

38.

Y. Q.

Gan

Y. Q.

(2008). Development and psychometric validity of the resilience scale for Chinese adolescents. Acta Psychologica Sinica, 40(8), 902–912. https://doi.org/10.3724/sp.j.1041.2008.00902

39.

Izadpanah

Najafi

Khosravani

(2021). Anxiety in social interactions and nicotine dependence in nicotine-dependent men: The role of metacognitions about smoking. Addictive Behaviors, 112, 106656. https://doi.org/10.1016/j.addbeh.2020.106656

40.

Kline

R. B.

(2015). Principles and practice of structural equation modeling. Guilford Press.

41.

Kubicka

Matejcek

Dytrych

Roth

(2001). IQ and personality traits assessed in childhood as predictors of drinking and smoking behaviour in middle-aged adults: A 24-year follow-up study. Addiction, 96(11), 1615–1628. https://doi.org/10.1080/09652140120080741

42.

Lau

W. K. W.

(2022). The role of resilience in depression and anxiety symptoms: A three-wave cross-lagged study. Stress and Health: Journal of the International Society for the Investigation of Stress, 38(4), 804–812. https://doi.org/10.1002/smi.3136

43.

Lee

S. J.

Park

C. S.

Kim

B. J.

Lee

C. S.

Cha

Seo

J. Y.

Choi

J. W.

(2019). The mediating effect of impulsivity on resilience and depressive symptoms in Korean conscripts. Psychiatry Investigation, 16(10), 773–776. https://doi.org/10.30773/pi.2019.04.02.3

44.

Lima

Sims

O’Donnell

(2020). Harmful drinking is associated with mental health conditions and other risk behaviours in Australian young people. Australian & New Zealand Journal of Public Health, 44(3), 201–207. https://doi.org/10.1111/1753-6405.12978

45.

López-Aguilar

Burgueño

Castillo-Rodriguez

Onetti-Onetti

(2022). Analyzing the relationship between self-efficacy and impulsivity in amateur soccer referees. PeerJ, 10, e13058. https://doi.org/10.7717/peerj.13058

46.

C. F.

Jia

C. X.

A. Q.

Dai

A. Y.

Qin

(2012). Psychometric characteristics of Chinese version of Barratt Impulsiveness Scale-11 in suicides and living controls of rural China. Omega, 66(3), 215–229. https://doi.org/10.2190/om.66.3.b

47.

Lui

C. K.

Witbrodt

Tam

C. C.

Williams

Guo

Mulia

(2023). Associations between early childhood adversity and behavioral, substance use, and academic outcomes in childhood through adolescence in a U.S. longitudinal cohort. Drug and Alcohol Dependence, 244, 109795. https://doi.org/10.1016/j.drugalcdep.2023.109795

48.

Luthar

S. S.

Cicchetti

Becker

(2000). The construct of resilience: A critical evaluation and guidelines for future work. Child Development, 71(3), 543–562. https://doi.org/10.1111/1467-8624.00164

49.

Luthar

S. S.

Zelazo

L. B.

(2003). Research on resilience: An integrative review. In Luthar

S. S.

(Ed.), Resilience and vulnerability: Adaptation in the context of childhood adversities (pp. 510–549). Cambridge University Press.

50.

Hoang

Samet

J. M.

Wang

Mei

Stillman

F. A.

(2008). Myths and attitudes that sustain smoking in China. Journal of Health Communication, 13(7), 654–666. https://doi.org/10.1080/10810730802412222

51.

MacPherson

Tull

M. T.

Matusiewicz

A. K.

Rodman

Strong

D. R.

Kahler

C. W.

Hopko

D. R.

Zvolensky

M. J.

Brown

R. A.

Lejuez

C. W.

(2010). Randomized controlled trial of behavioral activation smoking cessation treatment for smokers with elevated depressive symptoms. Journal of Consulting and Clinical Psychology, 78(1), 55–61. https://doi.org/10.1037/a0017939

52.

Mai

Lin

Zhou

Guan

Zhu

Zhou

(2022). Will personality traits affect the use of e-cigar among college students? A cross-sectional study in Guangdong Province, China. Frontiers in Public Health, 10, 1032606. https://doi.org/10.3389/fpubh.2022.1032606

53.

Maltenfort

M. G.

(2015). Understanding a normal distribution of data. Journal of Spinal Disorders & Techniques, 28(10), 377–378. https://doi.org/10.1097/BSD.0000000000000337

54.

McEwen

West

McRobbie

(2008). Motives for smoking and their correlates in clients attending Stop Smoking treatment services. Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco, 10(5), 843–850. https://doi.org/10.1080/14622200802027248

55.

Monroe

S. M.

Simons

A. D.

(1991). Diathesis-stress theories in the context of life stress research: Implications for the depressive disorders. Psychological Bulletin, 110(3), 406–425. https://doi.org/10.1037/0033-2909.110.3.406

56.

Morrell

H. E.

Cohen

L. M.

McChargue

D. E.

(2010). Depression vulnerability predicts cigarette smoking among college students: Gender and negative reinforcement expectancies as contributing factors. Addictive Behaviors, 35(6), 607–611. https://doi.org/10.1016/j.addbeh.2010.02.011

57.

Muthén

L. K.

Muthén

B. O.

(2017). Mplus User’s Guide (8th ed.). Muthén & Muthén.

58.

Parker

Brotchie

(2010). Gender differences in depression. International Review of Psychiatry, 22(5), 429–436. https://doi.org/10.3109/09540261.2010.492391

59.

Patrick

M. E.

Schulenberg

J. E.

O’Malley

P. M.

Maggs

J. L.

Kloska

D. D.

Johnston

L. D.

Bachman

J. G.

(2011). Agerelated changes in reasons for using alcohol and marijuana from ages 18 to 30 in a national sample. Psychology of Addictive Behaviors: Journal of the Society of Psychologists in Addictive Behaviors, 25(2), 330–339. https://doi.org/10.1037/a0022445

60.

Patton

J. H.

Stanford

M. S.

Barratt

E. S.

(1995). Factor structure of the Barratt impulsiveness scale. Journal of Clinical Psychology, 51(6), 768–774. https://doi.org/10.1002/1097-4679(199511)51:6<768::aid-jclp2270510607>3.0.co;2-1

61.

Peltier

M. R.

Verplaetse

T. L.

Mineur

Y. S.

Petrakis

I. L.

Cosgrove

K. P.

Picciotto

M. R.

McKee

S. A.

(2019). Sex differences in stress-related alcohol use. Neurobiology of Stress, 10, 100149. https://doi.org/10.1016/j.ynstr.2019.100149

62.

Poudel-Tandukar

Chandler

G. E.

Jacelon

C. S.

Gautam

Bertone-Johnson

E. R.

Hollon

S. D.

(2019). Resilience and anxiety or depression among resettled Bhutanese adults in the United States. International Journal of Social Psychiatry, 65(6), 496–506. https://doi.org/10.1177/0020764019862312

63.

Prins

S. J.

Kajeepeta

Hatzenbuehler

M. L.

Branas

C. C.

Metsch

L. R.

Russell

S. T.

(2022). School health predictors of the school-to-prison pipeline: Substance use and developmental risk and resilience factors. The Journal of adolescent health: Official Publication of the Society for Adolescent Medicine, 70(3), 463–469. https://doi.org/10.1016/j.jadohealth.2021.09.032

64.

Radloff

L. S.

(1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385–401. https://doi.org/10.1177/014662167700100306

65.

Ran

Fang

Che

Donald

A. R.

Peng

Chen

Wang

Xiao

(2022). Resilience mediates the association between impulsivity and self-harm in Chinese adolescents. Journal of Affective Disorders, 300, 34–40. https://doi.org/10.1016/j.jad.2021.12.077

66.

Repetto

P. B.

Caldwell

C. H.

Zimmerman

M. A.

(2005). A longitudinal study of the relationship between depressive symptoms and cigarette use among African American adolescents. Health Psychology: Official Journal of the Division of Health Psychology, American Psychological Association, 24(2), 209–219. https://doi.org/10.1037/0278-6133.24.2.209

67.

Rich

Xiao

(2012). Tobacco as a social currency: Cigarette gifting and sharing in China. Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco, 14(3), 258–263. https://doi.org/10.1093/ntr/ntr156

68.

Rodríguez-Enríquez

Bennasar-Veny

Leiva

Yañez

A. M.

(2019). Alcohol and tobacco consumption, personality, and cybervictimization among adolescents. International Journal of Environmental Research and Public Health, 16(17), 3123. https://doi.org/10.3390/ijerph16173123

69.

Rømer Thomsen

Callesen

M. B.

Hesse

Kvamme

T. L.

Pedersen

M. M.

Pedersen

M. U.

Voon

(2018). Impulsivity traits and addiction-related behaviors in youth. Journal of Behavioral Addictions, 7(2), 317–330. https://doi.org/10.1556/2006.7.2018.22

70.

Ryan

K. K.

Mackillop

Carpenter

M. J.

(2013). The relationship between impulsivity, risk-taking propensity and nicotine dependence among older adolescent smokers. Addictive Behaviors, 38(1), 1431–1434. https://doi.org/10.1016/j.addbeh.2012.08.013

71.

Salk

R. H.

Hyde

J. S.

Abramson

L. Y.

(2017). Gender differences in depression in representative national samples: Meta-analyses of diagnoses and symptoms. Psychological Bulletin, 143(8), 783–822. https://doi.org/10.1037/bul0000102

72.

Sanchez

Gainza Perez

Field

C. A.

(2022). The role of resilience in alcohol use, drinking motives, and alcohol-related consequences among Hispanic college students. The American Journal of Drug and Alcohol Abuse, 48(1), 100–109. https://doi.org/10.1080/00952990.2021.1996584

73.

Schleicher

H. E.

Harris

K. J.

Catley

Nazir

(2009). The role of depression and negative affect regulation expectancies in tobacco smoking among college students. Journal of American College Health: J of ACH, 57(5), 507–512. https://doi.org/10.3200/JACH.57.5.507-512

74.

Scott

J. C.

Slomiak

S. T.

Jones

J. D.

Rosen

A. F. G.

Moore

T. M.

Gur

R. C.

(2018). Association of cannabis with cognitive functioning in adolescents and young adults: A systematic review and meta-analysis. JAMA Psychiatry, 75(6), 585–595. https://doi.org/10.1001/jamapsychiatry.2018.0335

75.

Settles

R. F.

Cyders

Smith

G. T.

(2010). Longitudinal validation of the acquired preparedness model of drinking risk. Psychology of Addictive Behaviors: Journal of the Society of Psychologists in Addictive Behaviors, 24(2), 198–208. https://doi.org/10.1037/a0017631

76.

Steiger

J. H.

(1990). Structural model evaluation and modification: An interval estimation approach. Multivariate Behavioral Research, 25(2), 173–180. https://doi.org/10.1207/s15327906mbr2502_4

77.

Sudhinaraset

Wigglesworth

Takeuchi

D. T.

(2016). Social and cultural contexts of alcohol use: Influences in a social-ecological framework. Alcohol Research: Current Reviews, 38(1), 35–45.

78.

Trivedi

M. H.

Nandy

Mayes

T. L.

Wang

Forbes

Anderson

J. R.

Fuller

Hughes

J. L.

(2022). Youth aware of mental health (YAM) program with Texas adolescents: Depression, anxiety, and substance use outcomes. The Journal of Clinical Psychiatry, 83(4), 21m14221. https://doi.org/10.4088/JCP.21m14221

79.

Tucker

L. R.

Lewis

(1973). A reliability coefficient for maximum likelihood factor analysis. Psychometrika, 38, 1–10. https://doi.org/10.1007/bf02291170

80.

Väänänen

J. M.

Marttunen

Helminen

Kaltiala-Heino

(2014). Low perceived social support predicts later depression but not social phobia in middle adolescence. Health Psychology and Behavioral Medicine, 2(1), 1023–1037. https://doi.org/10.1080/21642850.2014.966716

81.

Vaughan

C. L.

Stangl

B. L.

Schwandt

M. L.

Corey

K. M.

Hendershot

C. S.

Ramchandani

V. A.

(2019). The relationship between impaired control, impulsivity, and alcohol self-administration in nondependent drinkers. Experimental and Clinical Psychopharmacology, 27(3), 236–246. https://doi.org/10.1037/pha0000247

82.

Waddell

J. T.

King

S. E.

Okey

S. A.

Marohnic

S. D.

Corbin

W. R.

(2022). Prospective effects of UPPS-P impulsivity and typical drinking context on future drinking behavior. Journal of Studies on Alcohol and Drugs, 83(2), 212–222. https://doi.org/10.15288/jsad.2022.83.212

83.

Weckler

Kong

Larsen

Cousijn

Wiers

R. W.

Krishnan-Sarin

(2017). Impulsivity and approach tendencies towards cigarette stimuli: Implications for cigarette smoking and cessation behaviors among youth. Experimental and Clinical Psychopharmacology, 25(5), 363–372. https://doi.org/10.1037/pha0000139

84.

Weinberger

A. H.

Kashan

R. S.

Shpigel

D. M.

Esan

Taha

Lee

C. J.

Funk

A. P.

Goodwin

R. D.

(2017). Depression and cigarette smoking behavior: A critical review of population-based studies. The American Journal of Drug and Alcohol Abuse, 43(4), 416–431. https://doi.org/10.3109/00952990.2016.1171327

85.

Weine

S. M.

Ware

Hakizimana

Tugenberg

Currie

Dahnweih

Wagner

Polutnik

Wulu

(2014). Fostering resilience: Protective agents, resources, and mechanisms for adolescent refugees’ psychosocial well-being. Adolescent Psychiatry, 4(4), 164–176. https://doi.org/10.2174/221067660403140912162410

86.

Weinstein

S. M.

Mermelstein

R. J.

(2013). Influences of mood variability, negative moods, and depression on adolescent cigarette smoking. Psychology of Addictive Behaviors: Journal of the Society of Psychologists in Addictive Behaviors, 27(4), 1068–1078. https://doi.org/10.1037/a0031488

87.

Wright

K. D.

Asmundson

G. J.

McCreary

D. R.

Stewart

S. H.

McLaughlin

Comeau

M. N.

Walsh

T. M.

(2010). Confirmatory factor analysis of the childhood anxiety sensitivity index: A gender comparison. Cognitive Behaviour Therapy, 39(3), 225–235. https://doi.org/10.1080/16506073.2010.486840

88.

M. S.

Yan

Zhou

Chen

Zhu

Shen

Han

(2011). General belief in a just world and resilience: Evidence from a collectivistic culture. European Journal of Personality, 25(6), 431–442. https://doi.org/10.1002/per.807

89.

Xiao

Wang

(2019). Rising smoking epidemic among adolescents in China. The Lancet Respiratory Medicine, 7(1), 3–5. https://doi.org/10.1016/S2213-2600(18)30509-5

90.

Yang

H. Q.

Yao

S. Q.

Zhu

X. Z.

Auerbach

R. P.

Abela

J. R.

Tong

(2007). The Chinese version of the Barratt Impulsiveness Scale, 11th version (BIS-11) in adolescents: Its reliability and validity. Chinese Journal of Clinical Psychology, 15(1), 4–6. http://clinicalpsychojournal.yywkt.cn/Magazine/Show.aspx?ID=140180

91.

Yang

Lin

H. C.

(2019). Parental rejection, resilience, and health-risk behavior in emerging adults. American Journal of Health Behavior, 43(5), 898–911. https://doi.org/10.5993/AJHB.43.5.3

92.

Yoon

Lam

W. W. T.

Sham

J. T. L.

Lam

T. H.

(2017). Underage drinking, group identity and access to alcohol: A qualitative study of Chinese youths. Health Education Research, 32(3), 269–278. https://doi.org/10.1093/her/cyx045

93.

Young

D. A.

Neylan

T. C.

Zhang

O’Donovan

Inslicht

S. S.

(2020). Impulsivity as a multifactorial construct and its relationship to PTSD severity and threat sensitivity. Psychiatry Research, 293, 113468. https://doi.org/10.1016/j.psychres.2020.113468

94.

Yuan

L. X.

(2021). Childrens’ blue book: China child development report. Social Sciences Academic Press.

95.

Zeng

Greenfield

P. M.

(2015). Cultural evolution over the last 40 years in China: Using the Google Ngram Viewer to study implications of social and political change for cultural values. International Journal of Psychology: Journal International de Psychologie, 50(1), 47–55. https://doi.org/10.1002/ijop.12125

96.

Zhang

Lin

(2015). The moderating effect of social support on the relationship between impulsivity and suicide in rural China. Community Mental Health Journal, 51(5), 585–590. https://doi.org/10.1007/s10597-014-9811-y

97.

Zhang

Z. Y.

Fang

Han

B. X.

&Chen

Z. Y.

(2010). Development of the Chinese age norms of CES-D in urban area. Chinese Mental Health Journal, 24, 139–143.