Evidence map›Paper›PMID 42888452›Full record

ArticleBMC psychology2026

Beyond avoidance: negative lying flat and emotional distress among Chinese youth in a 10-day daily diary study.

Haoqian Li, Bei Zhang, Yingli Luo, Jin Zou, Mingtao Chen, Fankang Li, Zheng Zhang, Jian Sun

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Article in BMC psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Haoqian Li *Xihua University, Chengdu, 610039, Sichuan, China. 936557035@qq.com.ORCID http://orcid.org/0009-0004-7682-6375
Bei Zhang *Xihua University, Chengdu, 610039, Sichuan, China.
Yingli LuoZhonghe Vocational High School, Chengdu, Sichuan Province, China.
Jin ZouZhonghe Vocational High School, Chengdu, Sichuan Province, China.
Mingtao ChenPing Liang vocational & Technical College, Pingliang, 744000, Gansu, China.
Fankang LiPing Liang vocational & Technical College, Pingliang, 744000, Gansu, China.
Zheng Zhang *Department of Health Management Center, Third Xiangya Hospital, Central South University, Changsha, 410011, China. hldzzz@foxmail.com.
Jian Sun *Xihua University, Chengdu, 610039, Sichuan, China. 0120210048@mail.xhu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNegative lying flat (NLF) is a culturally salient form of withdrawal among Chinese youth. In this study, NLF was operationalized as diminished goal pursuit and reduced willingness to expend effort. We examined whether daily NLF is distinguishable from experiential avoidance (EA) and how both are temporally related to anxiety and depressive symptoms.

methodsParticipants were 201 Chinese university students (34.8% male; Mage = 21.04 years, SD = 1.40) who provided 1,863 valid observations across 10 scheduled weekday assessments over two weeks. Three DSEM models examined NLF and EA (Model A), anxiety with both withdrawal constructs (Model B), and depressive symptoms with both withdrawal constructs (Model C), while adjusting between-person components for age and gender. Corresponding NLF and EA paths were compared using posterior contrasts. Calendar-day sensitivity analyses represented the two weekend days as systematically missing within a 12-day calendar.

resultsModel A showed no reliable within-person cross-lagged associations between NLF and EA (NLF→EA: β = 0.030, 95% CrI [-0.046, 0.099]; EA→NLF: β = 0.053, 95% CrI [-0.010, 0.115]). In the joint emotional-distress models, anxiety predicted subsequent NLF (β = 0.113, 95% CrI [0.050, 0.184]) and NLF predicted subsequent anxiety (β = 0.082, 95% CrI [0.023, 0.153]); depressive symptoms predicted subsequent NLF (β = 0.085, 95% CrI [0.015, 0.152]) and NLF predicted subsequent depressive symptoms (β = 0.075, 95% CrI [0.006, 0.134]). Corresponding EA paths included zero, and posterior contrasts did not establish differences between corresponding NLF and EA paths. Calendar-day estimates were similar in direction and magnitude, but the NLF-to-anxiety and NLF-to-depressive-symptoms credible intervals marginally included zero.

conclusionsPrimary models identified reciprocal short-lag associations between NLF and emotional distress that were not observed for EA. Taken together, these findings support continued investigation of NLF as a goal-and-effort withdrawal process in daily emotional adjustment, without establishing stronger effects than EA.

Indexed as

AnxietyAvoidance LearningDepressionPsychological DistressAdolescentAdultChinaFemaleHumansMaleYoung AdultAnxietyChinese youthDaily diary studyDepressive symptomsExperiential avoidanceNegative lying flat

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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.