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Cyberbully victimization and its association with residual depressive symptoms among clinically stable adolescents with psychiatric disorders during the COVID-19 pandemic: A perspective from network analysis
Xie, Xiao Meng1; Cai, Hong2,3; Li, Shu Ying4; Li, Zong Lei5; Zhang, Wu Yang6; Zhao, Yan Jie1; Zhang, Yao4; Ungvari, Gabor S.7,8; Tang, Yi Lang9,10; He, Fan1; Xiang, Yu Tao2,3
2023-02-01
Source PublicationFrontiers in Psychology
ABS Journal Level1
ISSN1664-1078
Volume13Pages:1080192
Abstract

Objective: This study examined the prevalence of cyberbullying and its relationship with residual depressive symptoms in this patient population during the COVID-19 outbreak using network analysis. Methods: This was a multicenter, cross-sectional study. Adolescent patients attending maintenance treatment at outpatient departments of three major psychiatric hospitals were included. Experience of cyberbullying was measured with a standard question, while the severity of Internet addiction and depressive symptoms were measured using the Internet Addiction Test and the Patient Health Questionnaire-9, respectively. The network structure of depression and cyberbully were characterized and indices of “Expected Influence” was used to identify symptoms central to the network. To identify particular symptoms that were directly associated with cyberbully, the flow function was used. Results: Altogether 1,265 patients completed the assessments. The overall prevalence of cyberbullying was 92.3% (95% confidence interval (CI): 90.8–93.7%). Multiple logistic regression analysis revealed that male gender (p = 0.04, OR = 1.72, 95%CI: 1.04–2.85) was significantly associated with higher risk of cyberbullying, while a relapse of illness during the COVID-19 pandemic was significantly associated with a lower risk of cyberbullying (p = 0.03, OR = 0.50, 95%CI: 0.27–0.93). In the network of depression and cyberbully, “Sad mood,” “Anhedonia” and “Energy” were the most central (influential) symptoms. Furthermore, “Suicidal ideation” had the strongest negative association with cyberbully followed by “Guilt”. Conclusion: During the COVID-19 pandemic, the experience of cyberbullying was highly prevalent among clinically stable adolescent psychiatric patients, particularly male patients. This finding should raise awareness of this issue emphasizing the need for regular screening and interventions for adolescent patients. Central symptoms (e.g., “Sad mood,” “Anhedonia” and “Energy”) identified in this study should be targeted in interventions and preventive measures.

KeywordAdolescent Patients Covid-19 Cyberbullying Network Analysis Psychiatric Disorder Victimization
DOI10.3389/fpsyg.2022.1080192
URLView the original
Indexed BySSCI
Language英語English
WOS Research AreaPsychology
WOS SubjectPsychology, Multidisciplinary
WOS IDWOS:001068303300001
Scopus ID2-s2.0-85148378676
Fulltext Access
Citation statistics
Document TypeJournal article
CollectionDEPARTMENT OF PUBLIC HEALTH AND MEDICINAL ADMINISTRATION
Faculty of Health Sciences
INSTITUTE OF COLLABORATIVE INNOVATION
Institute of Translational Medicine
Co-First AuthorXie, Xiao Meng; Cai, Hong; Li, Shu Ying; Li, Zong Lei
Corresponding AuthorHe, Fan; Xiang, Yu Tao
Affiliation1.The National Clinical Research Center for Mental Disorders and Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital and the Advanced Innovation Center for Human Brain Protection, School of Mental Health, Capital Medical University
2.Unit of Psychiatry, Department of Public Health and Medicinal Administration, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Taipa, Macao
3.Centre for Cognitive and Brain Sciences, University of Macau, Taipa, Macao
4.Department of Psychiatry, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
5.Department of Psychiatry, Xiamen Xianyue Hospital, Xiamen, China
6.Department of Pediatric Development and Behavior, The Third Affiliated Hospital of Zhengzhou University, Zhengzhou, China
7.Section of Psychiatry, University of Notre Dame Australia, Fremantle, Australia
8.Division of Psychiatry, School of Medicine, University of Western Australia / Graylands Hospital, Perth, Australia
9.Department of Psychiatry and Behavioral Sciences, Emory University, Atlanta, United States
10.Mental Health Service Line, Atlanta VA Medical Center, Decatur, United States
Corresponding Author AffilicationFaculty of Health Sciences;  University of Macau
Recommended Citation
GB/T 7714
Xie, Xiao Meng,Cai, Hong,Li, Shu Ying,et al. Cyberbully victimization and its association with residual depressive symptoms among clinically stable adolescents with psychiatric disorders during the COVID-19 pandemic: A perspective from network analysis[J]. Frontiers in Psychology, 2023, 13, 1080192.
APA Xie, Xiao Meng., Cai, Hong., Li, Shu Ying., Li, Zong Lei., Zhang, Wu Yang., Zhao, Yan Jie., Zhang, Yao., Ungvari, Gabor S.., Tang, Yi Lang., He, Fan., & Xiang, Yu Tao (2023). Cyberbully victimization and its association with residual depressive symptoms among clinically stable adolescents with psychiatric disorders during the COVID-19 pandemic: A perspective from network analysis. Frontiers in Psychology, 13, 1080192.
MLA Xie, Xiao Meng,et al."Cyberbully victimization and its association with residual depressive symptoms among clinically stable adolescents with psychiatric disorders during the COVID-19 pandemic: A perspective from network analysis".Frontiers in Psychology 13(2023):1080192.
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