Sampasa-Kanyinga H, Hamilton H A
Ottawa Public Health, 100, Constellation Crescent, K2G 6J8 Ottawa, Canada.
Centre for Addiction and Mental Health, 33, Russell St., Toronto, Canada; Department of Psychiatry, University of Toronto, Toronto, Canada; Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.
Eur Psychiatry. 2015 Nov;30(8):1021-7. doi: 10.1016/j.eurpsy.2015.09.011. Epub 2015 Oct 26.
Previous research has suggested an association between the use of social networking sites (SNSs) and mental health problems such as psychological distress, suicidal ideation and attempts in adolescents. However, little is known about the factors that might mediate these relationships. The present study examined the link between the use of social networking sites and psychological distress, suicidal ideation and suicide attempts, and tested the mediating role of cyberbullying victimization on these associations in adolescents.
The sample consisted of a group of 11-to-20-year-old individuals (n=5126, 48% females; mean±SD age: 15.2±1.9 years) who completed the mental health portion of the Ontario Student Drug Use and Health Survey (OSDUHS) in 2013. Multiple logistic regression analyses were used to test the mediation models.
After adjustment for age, sex, ethnicity, subjective socioeconomic status (SES), and parental education, use of SNSs was associated with psychological distress (adjusted odds ratio, 95% confidence interval=2.03, 1.22-3.37), suicidal ideation (3.44, 1.54-7.66) and attempts (5.10, 1.45-17.88). Cyberbullying victimization was found to fully mediate the relationships between the use of SNSs with psychological distress and attempts; whereas, it partially mediated the link between the use of SNSs and suicidal ideation.
Findings provide supporting evidence that addressing cyberbullying victimization and the use of SNSs among adolescents may help reduce the risk of mental health problems.
先前的研究表明,社交网站(SNS)的使用与青少年的心理健康问题之间存在关联,如心理困扰、自杀意念和自杀企图。然而,对于可能介导这些关系的因素知之甚少。本研究探讨了社交网站的使用与心理困扰、自杀意念和自杀企图之间的联系,并检验了网络欺凌受害在青少年这些关联中的中介作用。
样本包括一组11至20岁的个体(n = 5126,48%为女性;平均年龄±标准差:15.2±1.9岁),他们在2013年完成了安大略省学生药物使用与健康调查(OSDUHS)的心理健康部分。采用多元逻辑回归分析来检验中介模型。
在对年龄、性别、种族、主观社会经济地位(SES)和父母教育程度进行调整后,社交网站的使用与心理困扰(调整后的优势比,95%置信区间 = 2.03,1.22 - 3.37)、自杀意念(3.44,1.54 - 7.66)和自杀企图(5.10,1.45 - 17.88)相关。发现网络欺凌受害完全介导了社交网站使用与心理困扰和自杀企图之间的关系;而它部分介导了社交网站使用与自杀意念之间的联系。
研究结果提供了支持性证据,表明解决青少年中的网络欺凌受害问题和社交网站使用问题可能有助于降低心理健康问题的风险。