Evidence map›Paper›PMID 40160549›Full record

ArticleFrontiers in psychology2025

The mediating role of cognitive flexibility in the relationship between social support and non-suicidal self-injury among adolescents: a multicenter cross-sectional study.

Chenchen Wang, Jiaqi Zheng, Guanghui Shen, Hong Chen, Xinwu Ye, Cheng-Han Li, Bin Wu

Abstract read
In one paragraph

Article in Frontiers in psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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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

7 authors.

Chenchen Wang *Department of Psychiatry, Wenzhou Seventh People's Hospital, Wenzhou, China.
Jiaqi Zheng *School of Mental Health, Wenzhou Medical University, Wenzhou, China.
Guanghui ShenDepartment of Psychiatry, Wenzhou Seventh People's Hospital, Wenzhou, China.
Hong ChenDeparment of Mental Health, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Xinwu YeDepartment of Psychiatry, Wenzhou Seventh People's Hospital, Wenzhou, China.
Cheng-Han LiThird Affiliated Hospital of Wenzhou Medical University, Huzhou, China.
Bin WuThird Affiliated Hospital of Wenzhou Medical University, Huzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Non-suicidal self-injury (NSSI) is a prevalent and concerning behavior among adolescents worldwide, particularly in China. This study aimed to investigate the relationships between social support, cognitive flexibility, and NSSI, and to examine the potential mediating role of cognitive flexibility in the association between social support and NSSI among adolescents. Method: A multicenter cross-sectional study was conducted with 2,109 adolescents (aged 12-18 years, mean age 15.00 ± 1.65 years, 52.3% female) recruited from 14 psychiatric hospitals/outpatient clinics. Participants completed self-report measures of social support and NSSI, along with a cognitive flexibility assessment using the Wisconsin Card Sorting Test. Structural equation modeling was employed to test the hypothesized mediation model. Results: Social support was negatively associated with NSSI frequency ( Conclusion: This multicenter study provides evidence for the protective roles of social support and cognitive flexibility against NSSI in adolescents. The findings suggest that cognitive flexibility partially mediates the relationship between social support and NSSI, with notable gender differences. These results highlight the importance of enhancing both social support and cognitive flexibility in interventions aimed at reducing NSSI among adolescents.

Indexed as

adolescentscognitive flexibilityneuropsychologicalnon-suicidal self-injurysocial support

Identifiers

PMID40160549
PMCPMC11949872

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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 OpenQuestion graph.