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已发表论文
大学生抑郁与社交痛苦关系中认知重评的中介与调节作用
Authors Li W, Zu H, Wang Z, Zhang X, Wu Z, Cao J
Received 2 September 2025
Accepted for publication 11 December 2025
Published 17 December 2025 Volume 2025:18 Pages 2387—2399
DOI https://doi.org/10.2147/PRBM.S564779
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Professor Mei-Chun Cheung
Wei Li,1,* Haizhen Zu,2,* Zhengjun Wang,1 Xueqi Zhang,1 Zhengyu Wu,1 Jianqin Cao1
1Key Laboratory of Basic Research and Health Management on Chronic Diseases in Heilongjiang Province, Harbin Medical University Daqing Campus, Daqing, Heilongjiang, People’s Republic of China; 2Psychological Health Care Consultation Unit, Daqing Third Hospital, Daqing, Heilongjiang, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Jianqin Cao, Harbin Medical University, 39 Xinyang Road, Daqing, Heilongjiang, 163000, People’s Republic of China, Email cjq338@163.com
Purpose: Previous studies have identified depression as a risk factor for social pain. However, few studies have explored the underlying mechanisms. Therefore, this study employed the four-way decomposition method integrating mediation and interaction effects to investigate the potential role of cognitive reappraisal between depression and social pain.
Methods: This study utilized convenience sampling to survey university students from three higher education institutions in Daqing City. Correlation analysis and Linear regression analysis was conducted using SPSS 29.0 to examine the relationships among depression, cognitive reappraisal, and social pain. Four-way decomposition analysis was performed using SAS to investigate the mediation and interaction effects of cognitive reappraisal between depression and social pain.
Results: A total of 773 college students participated in the survey, with females accounting for 74.26% (n=574) and males 25.74% (n=199). Linear regression analyses revealed significant positive associations between depression and social pain (β = 0.30, p < 0.001). Cognitive reappraisal demonstrated negative correlations with both depression (β = − 0.20, p < 0.001) and social pain (β = − 0.63, p < 0.001). Four-way decomposition analysis revealed that cognitive reappraisal plays a dual role in the relationship between depression and social pain. The total mediation effect accounted for 54.20% of the total effect, while the total interaction effect reached − 263.92%, with the eliminable proportion of cognitive reappraisal calculated as − 221.43%.
Conclusion: This study elucidates the underlying mechanisms through which depression and cognitive reappraisal influence social pain among college students, providing a novel perspective for improving their mental health.
Keywords: depression, cognitive reappraisal, social pain, college students, four-way decomposition analysis
1Key Laboratory of Basic Research and Health Management on Chronic Diseases in Heilongjiang Province, Harbin Medical University Daqing Campus, Daqing, Heilongjiang, People’s Republic of China; 2Psychological Health Care Consultation Unit, Daqing Third Hospital, Daqing, Heilongjiang, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Jianqin Cao, Harbin Medical University, 39 Xinyang Road, Daqing, Heilongjiang, 163000, People’s Republic of China, Email cjq338@163.com
Purpose: Previous studies have identified depression as a risk factor for social pain. However, few studies have explored the underlying mechanisms. Therefore, this study employed the four-way decomposition method integrating mediation and interaction effects to investigate the potential role of cognitive reappraisal between depression and social pain.
Methods: This study utilized convenience sampling to survey university students from three higher education institutions in Daqing City. Correlation analysis and Linear regression analysis was conducted using SPSS 29.0 to examine the relationships among depression, cognitive reappraisal, and social pain. Four-way decomposition analysis was performed using SAS to investigate the mediation and interaction effects of cognitive reappraisal between depression and social pain.
Results: A total of 773 college students participated in the survey, with females accounting for 74.26% (n=574) and males 25.74% (n=199). Linear regression analyses revealed significant positive associations between depression and social pain (β = 0.30, p < 0.001). Cognitive reappraisal demonstrated negative correlations with both depression (β = − 0.20, p < 0.001) and social pain (β = − 0.63, p < 0.001). Four-way decomposition analysis revealed that cognitive reappraisal plays a dual role in the relationship between depression and social pain. The total mediation effect accounted for 54.20% of the total effect, while the total interaction effect reached − 263.92%, with the eliminable proportion of cognitive reappraisal calculated as − 221.43%.
Conclusion: This study elucidates the underlying mechanisms through which depression and cognitive reappraisal influence social pain among college students, providing a novel perspective for improving their mental health.
Keywords: depression, cognitive reappraisal, social pain, college students, four-way decomposition analysis