Evidence map›Paper›PMID 42204629›Full record

ArticleBMC psychology2026

Depression in left-behind children: a network analysis and chained mediation of attachment and emotion regulation.

Kemeng Li, Ting Xu, Lewen Shang, Yi Chen, Wenjie Dou, Baoming Li, Zhong Yang

Abstract read
In one paragraph

Article in BMC psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Initial Psychometric Evaluation of the Inventory of Parent and Peer Attachment in Greek Adolescents.European journal of investigation in health, psychology and education · 2026
    Article
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.

Kemeng LiLaboratory of Infant Development and Childcare, Hangzhou Normal University, Hangzhou, China.
Ting XuLaboratory of Infant Development and Childcare, Hangzhou Normal University, Hangzhou, China.
Lewen ShangLaboratory of Infant Development and Childcare, Hangzhou Normal University, Hangzhou, China.
Yi ChenLaboratory of Infant Development and Childcare, Hangzhou Normal University, Hangzhou, China.
Wenjie DouLaboratory of Infant Development and Childcare, Hangzhou Normal University, Hangzhou, China.
Baoming Li *Laboratory of Infant Development and Childcare, Hangzhou Normal University, Hangzhou, China. bmli@hznu.edu.cn.
Zhong Yang *Laboratory of Infant Development and Childcare, Hangzhou Normal University, Hangzhou, China. yangzhong@hznu.edu.cn.

Funding

Hangzhou Normal University Starting Research FundHangzhou Normal University Talent Cultivation and Discipline Construction FundMinistry of Science and Technology of the People's Republic of China STI 2030-Major Projects 2021ZD0201705National Natural Science Foundation of China 32300857
6 · The paper itself

Abstract

backgroundUrbanization has swelled the ranks of left-behind children (LBC), whose mental health - especially depression - now draws mounting global concern. Previous studies have shown that LBC are more prone to develop insecure parental attachments and tend to adopt maladaptive emotion regulation strategies, both established predictors of depression.

objectiveInvestigate the specific pathways through which attachment and emotion regulation mediate the impact of left-behind experiences on depression. PARTICIPANTS AND

settingIn three middle schools in Qiqihar, a total of 1,125 children aged 12-17 were sampled, including 573 LBC and 552 non‑left‑behind children (NLBC).

methodsThe questionnaire survey includes a Left-behind Status Questionnaire, the Inventory of Parent and Peer Attachment (IPPA), the Emotion Regulation Questionnaire for Children and Adolescents (ERQ-CA), and the Children's Depression Inventory (CDI).

results(1) LBC scored significantly lower than NLBC in maternal attachment, paternal attachment, and cognitive reappraisal, while scoring significantly higher in expressive suppression and depression; (2) LBC showed network structure distinct from NLBC, with maternal attachment showing lower centrality and weaker coupling with paternal attachment; (3) LBC with both parents absent showed network structure and global strength distinct from NLBC, along with weaker maternal-paternal attachment correlation; (4) all four mediating pathways exhibited significant chain effects.

conclusions(1) Left-behind experiences are associated with weakened parent-child attachment, reduced cognitive reappraisal, increased expressive suppression, and a heightened risk of depression; (2) In LBC, maternal attachment shows lower centrality, and the coupling between maternal and paternal attachment is significantly weaker, indicating a less coordinated parental attachment system. (3) The absence of both parents has a far greater effect on reshaping children's psychological networks than the absence of the father alone. (4) parent-child attachment and emotion regulation mediated the association between left-behind experiences and depression.

Indexed as

Child, AbandonedDepressionEmotional RegulationObject AttachmentParent-Child RelationsAdolescentChildChinaFemaleHumansMaleUnaccompanied MinorsAttachmentDepressionEmotion regulationLeft-behind childrenNetwork analysis

Identifiers

PMID42204629
PMCPMC13397604

What OpenQuestion holds

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LicenceCC BY
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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 OpenQuestion graph.