Hutson Elizabeth, Kelly Stephanie, Militello Lisa K
Doctoral Student, The Ohio State University, College of Nursing, Columbus, OH, USA.
Research Assistant Professor, The Ohio State University, College of Nursing, Columbus, OH, USA.
Worldviews Evid Based Nurs. 2018 Feb;15(1):72-79. doi: 10.1111/wvn.12257. Epub 2017 Aug 31.
Cyberbullying is a new risk factor for the well-being of pediatric populations. Consequences of cyberbullying include both physical and mental health concerns such as depression, anxiety, and somatic concerns. Adolescents who have been victims of cyberbullying and developed secondary symptoms are often recommended to visit a healthcare provider to obtain effective, evidence-based treatment. To date, no interventions exist in the healthcare setting for adolescents who are victims of cyberbullying.
The purpose of this project is to review interventional studies on cyberbullying that have components for adolescents who have been involved with cyberbullying and their parents and to provide recommendations on effective intervention components with the goal of guiding clinical practice.
A systematic review was conducted using the Institute of Medicine guidelines. A comprehensive electronic literature search was completed targeting interventions of cyberbullying in any setting. No date limits were used. Literature was searched in MEDLINE, Cumulative Index of Nursing and Allied Health Literature (CINAHL), PubMed, Communication and Mass Media Complete, Education Information Resource Center (ERIC), and PsycINFO databases. The following search terms were applied "cyberbullying" + "intervention" or "treatment" or "therapy" or "program." Only articles with a pediatric population were selected for review.
Seventeen cyberbullying intervention programs in 23 articles were found to meet the search criteria. The most frequently used intervention components included education on cyberbullying for the adolescent, coping skills, empathy training, communication and social skills, and digital citizenship. Parent education on cyberbullying was also found to be important and was included in programs with significant outcomes.
As youth present to healthcare providers with symptoms related to cyberbullying, effective interventions are needed to guide evidence-based practice. This review supports educating the individual youth and parent on cyberbullying and teaching the youth skills in communication and social, empathy, coping with cyberbullying, and digital citizenship.
网络欺凌是影响儿童群体福祉的一个新的风险因素。网络欺凌的后果包括身心健康问题，如抑郁、焦虑和躯体不适。曾遭受网络欺凌并出现继发症状的青少年通常会被建议去看医疗服务提供者，以获得有效、基于证据的治疗。迄今为止，在医疗环境中尚未存在针对网络欺凌受害者青少年的干预措施。
本项目的目的是回顾有关网络欺凌的干预性研究，这些研究包含针对涉及网络欺凌的青少年及其父母的内容，并就有效的干预内容提供建议，目标是指导临床实践。
按照医学研究所的指南进行了系统综述。针对任何环境下的网络欺凌干预措施完成了全面的电子文献检索。未设置日期限制。在MEDLINE、护理及相关健康文献累积索引（CINAHL）、PubMed、通信与大众传媒全文数据库、教育信息资源中心（ERIC）和PsycINFO数据库中进行了文献检索。应用了以下检索词：“网络欺凌”+“干预”或“治疗”或“疗法”或“项目”。仅选择有儿童群体参与的文章进行综述。
在23篇文章中发现有17个网络欺凌干预项目符合检索标准。最常用的干预内容包括对青少年进行网络欺凌教育、应对技巧、同理心训练、沟通和社交技巧以及数字公民素养。针对父母的网络欺凌教育也被认为很重要，并被纳入到有显著效果的项目中。
由于青少年带着与网络欺凌相关的症状前来就医，需要有效的干预措施来指导循证实践。本综述支持对青少年个体及其父母进行网络欺凌教育，并教授青少年沟通、社交、同理心、应对网络欺凌以及数字公民素养方面的技能。
