Evidence map›Paper›PMID 41910941›Full record

ArticleJournal of autism and developmental disorders2026

Attention Deficit Hyperactivity Disorder (ADHD) and Self-harm in Chinese Children and Adolescents: A Mediation by Resilience.

Yi Xiang, Jin Lu, Hailiang Ran, Yusan Che, Die Fang, Sifan Wang, Lin Chen, Xuemeng Liang, Junwei Peng, Hao Sun and 3 more

Abstract read
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Article in Journal of autism and developmental disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Yi Xiang *Department of Epidemiology and Health Statistics, School of Public Health, Kunming Medical University, 1168 West Chunrong Road, Kunming, 650500, Yunnan, China.
Jin Lu *Psychiatry Department, The First Affiliated Hospital, Kunming Medical University, Kunming, Yunnan, China.
Hailiang RanDepartment of Epidemiology and Health Statistics, School of Public Health, Kunming Medical University, 1168 West Chunrong Road, Kunming, 650500, Yunnan, China.
Yusan CheDepartment of Epidemiology and Health Statistics, School of Public Health, Kunming Medical University, 1168 West Chunrong Road, Kunming, 650500, Yunnan, China.
Die FangDepartment of Epidemiology and Health Statistics, School of Public Health, Kunming Medical University, 1168 West Chunrong Road, Kunming, 650500, Yunnan, China.
Sifan WangDepartment of Epidemiology and Health Statistics, School of Public Health, Kunming Medical University, 1168 West Chunrong Road, Kunming, 650500, Yunnan, China.
Lin ChenDepartment of Epidemiology and Health Statistics, School of Public Health, Kunming Medical University, 1168 West Chunrong Road, Kunming, 650500, Yunnan, China.
Xuemeng LiangDepartment of Epidemiology and Health Statistics, School of Public Health, Kunming Medical University, 1168 West Chunrong Road, Kunming, 650500, Yunnan, China.
Junwei PengDepartment of Epidemiology and Health Statistics, School of Public Health, Kunming Medical University, 1168 West Chunrong Road, Kunming, 650500, Yunnan, China.
Hao SunDepartment of Epidemiology and Health Statistics, School of Public Health, Kunming Medical University, 1168 West Chunrong Road, Kunming, 650500, Yunnan, China.
Qiongxian LiDepartment of Epidemiology and Health Statistics, School of Public Health, Kunming Medical University, 1168 West Chunrong Road, Kunming, 650500, Yunnan, China.
Yuanyu ShiDepartment of Epidemiology and Health Statistics, School of Public Health, Kunming Medical University, 1168 West Chunrong Road, Kunming, 650500, Yunnan, China.
Yuanyuan XiaoDepartment of Epidemiology and Health Statistics, School of Public Health, Kunming Medical University, 1168 West Chunrong Road, Kunming, 650500, Yunnan, China. 33225647@qq.com.ORCID http://orcid.org/0000-0003-2441-7209

Funding

Applied foundation of Kunming Medical University and Yunnan Provincial Department of Science 202401AY070001-001First Class Discipline Team of Kuning Medical University 2024XKTDTS16National Natural Science Foundation of China 72264019National Natural Science Foundation of China 82360670NHC Key Laboratory of Drug Addiction Medicine 2020DAMARA-006
6 · The paper itself

Abstract

objectiveExisting evidence suggests that resilience may play as a mediator in the association between attention deficit hyperactivity disorder (ADHD) and self-harm (SH) in youths. However, no published studies have ever thoroughly discussed this topic. We aim to analyze the mediation by resilience in ADHD-SH association by using a large representative sample of Chinese children and adolescents.

methodA total of 17,151 study subjects chosen from 3 study sites of the ongoing Mental Health Survey for Children and Adolescents in Yunnan (MHSCAY) were included into the final analysis. Valid self-reporting instruments for measuring ADHD symptoms, resilience, and SH among children and adolescents were used for data collection. Based on sequential multivariate logistic regression models fitting results, a series of path models were constructed to estimate the mediation by resilience in ADHD-SH association. Stratified analysis was used to check for possible effect modification by key factors.

resultsResilience played as a significant mediator, mediated 33.12%, 28.10%, 37.78% of the total associations between ADHD symptoms and SH prevalence, SH repetition, SH severity. The “outer resources” dimensions of resilience, which largely measure social support from parents and peers, presented much stronger mediation. Stratified analysis by age, sex, ethnicity, and left-behind status revealed prominent effect modification by the four factors in mediation of resilience.

conclusionsResilience-based intervention measures, especially those targeting at rebuilding parental and peer social support, might be effective in preventing ADHD symptoms related SH in Chinese children and adolescents.

Indexed as

Attention deficit hyperactivity disorder (ADHD)Children and adolescentsMediationResilienceSelf-harm

Identifiers

PMID41910941

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.