Publications by authors named "Hong Wang Fung"

Article Synopsis
  • * It includes a sample of 146 young adults who completed surveys on childhood trauma, self-stigma, and dissociative symptoms at the start and again after three months.
  • * The findings suggest that self-stigma may worsen the effects of childhood trauma on dissociative symptoms, highlighting the importance of addressing self-stigma in childhood trauma survivors for better mental health outcomes.
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Background: Dissociative symptoms are often conceptualized as a response to childhood trauma. However, most previous studies did not consider dissociation as a multidimensional phenomenon and only focused on English-speaking samples.

Objectives: To establish the cross-cultural validity of dissociation and examine the relationship of childhood trauma with different specific dissociative symptoms across two different samples.

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Article Synopsis
  • The study looked at how irritability relates to PTSD (a condition from trauma) and depression in kids and adults who have experienced trauma.
  • They used tests to measure levels of irritability, PTSD, and depression in a lot of people.
  • The results showed that irritability is a key symptom, separate from PTSD and depression, but still linked to feelings like negative thoughts and wanting to harm oneself.
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There is an ongoing debate regarding whether ICD-11 complex PTSD and DSM-5 borderline personality disorder (BPD) are the same syndrome. Little is known about the extent to which these two conditions overlap and whether they exhibit distinct clinical correlates in Asian cultures. This study examined the co-occurrence of ICD-11 complex PTSD and DSM-5 BPD in a sample of treatment seekers in Hong Kong (N = 220).

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The classification of internet gaming disorder (IGD) as a mental condition for further study in 2013 marked the emerging recognition of potential mental health issues associated with internet and gaming addiction. The COVID-19 pandemic and the rapid growth of gaming technology have combined to increase internet gaming, resulting in unhealthy lifestyle behaviors, poor sleep quality and psychological distress. Identifying the complex interplay between internet problem use, sleep disorders and psychological distress is crucial.

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Article Synopsis
  • - **Purpose**: The study examines how factors like impulsivity, inattention, childhood trauma, PTSD, and depression contribute to alcohol abuse among college students with ADHD, highlighting the need for a better understanding of these connections.
  • - **Method**: Researchers surveyed 521 college students (mostly females, average age 20.34) through online platforms, assessing their ADHD symptoms, trauma history, PTSD, and drinking problems using various questionnaires and statistical analyses.
  • - **Results and Conclusions**: Findings indicate that childhood trauma and PTSD play significant roles in the relationship between ADHD symptoms and problematic drinking. The study suggests that future treatments for ADHD-related alcohol abuse should prioritize self-control and emotional regulation strategies.
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Trauma can give rise to mental health problems and emotional and interpersonal difficulties, which in turn can perpetuate the cycle of trauma and adversity for future generations. However, little is known about the prevalence and potential effects of trauma and trauma-related mental health problems among parents. The primary goal of this study was to examine childhood and adulthood trauma and trauma-related symptoms among mothers of children aged between 6 and 18.

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Article Synopsis
  • The study examined the relationship between complex post-traumatic stress disorder (C-PTSD) and dissociative symptoms among individuals seeking treatment.
  • Out of 165 participants meeting C-PTSD criteria, only 42.3% showed clinically significant dissociative symptoms.
  • The results suggest that while C-PTSD does not categorize it as a dissociative disorder, it’s crucial to acknowledge dissociation as a significant aspect of C-PTSD experiences.
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Objective: Dissociative symptoms are prevalent and are associated with considerable impairments. There are ongoing debates regarding how to conceptualize these phenomena. This study examined whether dissociative symptoms could be explained by coping and emotion regulation strategies.

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Article Synopsis
  • The study assessed the prevalence of ICD-11 posttraumatic stress disorder (PTSD) and complex PTSD (CPTSD) in Hong Kong's adult population, revealing a combined prevalence of 5.9% among 1,070 participants aged 18-64.
  • Findings showed that CPTSD (4.2%) was more prevalent than PTSD (1.7%).
  • The Chinese International Trauma Questionnaire (ITQ) proved to be a valid tool for diagnosing these conditions, and future research can expand the understanding of PTSD and CPTSD in specific subgroups using this questionnaire.
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Objectives: Previous studies showed that nightmares are prevalent and are associated with negative health outcomes. However, no empirical data is available demonstrating the extent to which nightmare disorder persists over time. Current literature provides a limited understanding of the trajectory and wider mental health outcomes of nightmare disorder.

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Adverse childhood experiences (ACEs) are well-established risk factors for psychotic symptoms. This study replicated the relationship between ACEs and positive symptoms of psychosis in the Asian context and explored the moderating effect of dissociation. We analyzed data from 1439 high school students in China who completed validated measures of ACEs, positive symptoms of psychosis, and dissociative symptoms.

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Depression is a major public health concern. Recent studies suggest that dissociative symptoms are associated with depressive symptoms, and the concept of "dissociative depression" has been proposed. Yet, only cross-sectional evidence is available in the literature.

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Article Synopsis
  • The study investigates the reliability and mental health associations of single-item self-rated mental health (SRMH) measures in Chinese populations, using data from Hong Kong, Taiwan, and psychiatric inpatients.
  • It found that SRMH demonstrated moderate to good reliability, with a high positive correlation with self-esteem and a negative correlation with depression and other mental health disorders like borderline personality disorder and PTSD.
  • Overall, the findings support the effectiveness of using single-item SRMH assessments for understanding mental health perceptions in Chinese communities.
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The association and overlap between psychotic and dissociative phenomena have been increasingly recognized. Previous studies found that psychotic symptoms are closely associated with post-traumatic and dissociative symptoms and that these trauma-related phenomena may mediate the relationship between trauma and psychotic symptoms. It remained less explored which specific post-traumatic and dissociative symptom clusters are particularly associated with psychotic symptoms.

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Substance abuse is a serious problem in our society. In particular, household or parental substance abuse could lead to adverse childhood experiences for the affected children. However, little is known about the prevalence of substance abuse among parents, especially in Asian societies.

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Background: Recent studies found that post-traumatic and dissociative symptoms are common in people with depressive symptoms. Although a trauma-related subtype of depression has been proposed, little is known about the persistence and clinical consequences of these symptoms.

Objective: This one-year follow-up study investigated the persistence and clinical consequences of post-traumatic and dissociative symptoms in people with depressive symptoms.

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Article Synopsis
  • Childhood trauma significantly influences mental health, and teachers' behaviors can impact students since they spend a lot of time in school.
  • This study focused on young adults (ages 18-24) and analyzed the effects of exposure to teacher violence during high school on their mental health outcomes, such as depression and PTSD.
  • The research highlighted the need for more teacher training and monitoring to prevent violence in schools and validated the Teacher Violence Scale for future studies.
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Previous studies showed that self-stigma is associated with poor clinical outcomes in people with serious mental illness, and is associated with post-traumatic stress disorder (PTSD). However, less is known about self-stigma in people with dissociative symptoms, which are often related to psychological trauma. This study examined whether baseline self-stigma would be associated with dissociative, PTSD and depressive symptoms at post-intervention, after controlling for treatment usage and baseline symptom severity, in a sample of traumatized Chinese adults undertaking a psychoeducation intervention for dissociative symptoms.

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Previous research has demonstrated that stigma is strongly related to depressive symptoms among men who have sex with men (MSM). However, data are limited regarding the associations between stigma, state mindfulness, self-efficacy, and depression symptoms. The current study aimed to analyze state mindfulness and self-efficacy as possible mediators between internalized and perceived stigma and depression symptoms.

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