Evidence map›Paper›PMID 42656723›Full record

ArticleFrontiers in psychiatry2026

Physical exercise and psychological resilience in the link between adverse childhood experiences and non-suicidal self-injury: chain mediation and network analysis in college students.

Faxiang Fan, Hao Gou, Pan Liu, Luyao Xiang, Yi Huang

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

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1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Faxiang Fan *College of Physical Education, Qiannan Normal University for Nationalities, Duyun, China.
Hao Gou *College of Physical Education, Qiannan Normal University for Nationalities, Duyun, China.
Pan LiuSports Institute of Chengdu University of Technology, Chengdu, China.
Luyao XiangZunyi Medical University, Zhuhai, China.
Yi HuangThe First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Non-suicidal self-injury is highly prevalent among college students, and adverse childhood experiences are an important risk factor. Physical exercise and psychological resilience may serve as protective factors in this association, while the item-level structure of NSSI behaviors requires further clarification. Methods: A cross-sectional design was adopted. A total of 2,626 college students were assessed using the Adverse Childhood Experiences Scale, the Physical Activity Rating Scale (PARS-3), the Psychological Resilience Scale, and the Non-Suicidal Self-Injury Behavior Assessment Questionnaire. Chain mediation analysis was conducted using SPSS 27.0 to examine theory-driven statistical indirect effects, and psychological network analysis was performed using R 4.3.2 to identify relatively central symptom nodes. Results: Adverse childhood experiences were significantly and positively associated with non-suicidal self-injury, and the PROCESS Model 6 analysis indicated a statistically significant indirect association through lower physical exercise and weaker psychological resilience. Further network analysis showed that "deliberately pinching oneself" had the highest expected influence and was involved in the relatively strongest edges in the NSSI symptom network. Conclusion: This study supported the statistical indirect roles of physical exercise and psychological resilience in the association between adverse childhood experiences and non-suicidal self-injury, and suggested that "pinching" was a noteworthy symptom in the NSSI behavioral network. The chain mediation and network analyses should be understood as complementary but parallel analyses, providing evidence at the total-score and symptom-item levels, respectively.

Indexed as

adverse childhood experiencescollege studentsnetwork analysisnon-suicidal self-injuryphysical exercisepsychological resilience

Identifiers

PMID42656723
PMCPMC13506935

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