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传统的欺凌和数字时代的网络欺凌及其与儿童和青少年心理健康问题的关联:一项荟萃分析。

Traditional bullying and cyberbullying in the digital age and its associated mental health problems in children and adolescents: a meta-analysis.

机构信息

Faculty of Medicine, Autonomous University of Madrid, Madrid, Spain.

Department of Psychiatry, Puerta de Hierro University Hospital, Health Research Institute Puerta de Hierro-Segovia de Arana (IDIPHISA), Majadahonda, Madrid, Spain.

出版信息

Eur Child Adolesc Psychiatry. 2024 Sep;33(9):2895-2909. doi: 10.1007/s00787-022-02128-x. Epub 2022 Dec 31.

Abstract

Bullying is a risk factor for the physical and mental health of adolescents. The advent of new technologies has resulted in a brand-new type of bullying, cyberbullying (CB). The co-occurring effects of cyberbullying and traditional bullying(TB) forms of bullying on adolescent mental health are unclear. We performed a meta-analysis to explore the unique and combined effects of CB and TB on adverse psychological outcomes in victims by conducting a joint study of both types of bullying. By doing so, we provide the basis for a comprehensive community bullying prevention program. The database PubMed, PsyclNFO, and Web of Science were searched for studies from 2010 to 2021. The Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) reporting guideline was followed for data abstraction, and the NIH tool was used to evaluate study-level risk of bias. 42 studies with 266,888 participants were identified. Random-Effect models were used for our study. The moderator analysis was used to explore the moderator of prevalence. Studies with three groups of victims (TB only, CB only, and Both) and two groups of victims (TB and CB) were compared in subgroup analysis. The mean victimization rate was 24.32% (95% CI 20.32-28.83%) for TB and 11.10% (95% CI 9.12-13.44%) for CB. Roughly one-third of TB victims were also victimized by CB. Conversely, only about one-third of CB victims were free from TB. The estimated ORs for depression, suicidal ideation, suicide attempts, and self-harm in the three-group (TB only, CB only and Both) analysis were: depression [TB only: 3.33 (2.22-5.00); CB only: 3.38 (2.57-4.46); Both: 5.30 (2.43-11.56)]; suicidal ideations [TB only: 3.08 (2.12-4.46); CB only: 3.52 (2.38-5.20); Both: 6.64 (4.14-10.64)]; self-harm [TB only: 2.70 (1.86-3.91); CB only: 3.57 (3.20-3.98); Both: 5.57 (2.11-16.00)]; and suicide attempts: [TB only: 2.61 (1.50-4.55); CB only: 3.52 (2.50-4.98); Both: 7.82 (3.83-15.93)]. TB and CB victimization among youth are a matter of public health concern. Victimization appears to be a marker of greater psychopathological severity, particularly suicide-related issues.

摘要

欺凌是青少年身心健康的一个风险因素。新技术的出现导致了一种全新的欺凌形式,即网络欺凌(CB)。网络欺凌和传统欺凌(TB)形式的欺凌对青少年心理健康的共同影响尚不清楚。我们通过对这两种类型的欺凌进行联合研究,进行了一项荟萃分析,以探讨 CB 和 TB 对受害者不良心理结果的独特和综合影响。这样做为全面的社区欺凌预防计划提供了依据。我们从 2010 年到 2021 年在 PubMed、PsyclNFO 和 Web of Science 数据库中搜索了研究。数据提取遵循系统评价和荟萃分析的首选报告项目(PRISMA)报告准则,并使用 NIH 工具评估研究水平的偏倚风险。确定了 42 项研究,涉及 266888 名参与者。使用随机效应模型进行我们的研究。使用调节分析来探索患病率的调节因素。在亚组分析中,比较了三组受害者(仅 TB、仅 CB 和两者都有)和两组受害者(TB 和 CB)的研究。TB 的平均受害率为 24.32%(95%CI 20.32-28.83%),CB 为 11.10%(95%CI 9.12-13.44%)。大约三分之一的 TB 受害者也受到 CB 的伤害。相反,只有大约三分之一的 CB 受害者没有受到 TB 的伤害。在三组分(TB 仅、CB 仅和两者都有)分析中,抑郁、自杀意念、自杀企图和自残的估计 OR 为:抑郁[TB 仅:3.33(2.22-5.00);CB 仅:3.38(2.57-4.46);两者都有:5.30(2.43-11.56)];自杀意念[TB 仅:3.08(2.12-4.46);CB 仅:3.52(2.38-5.20);两者都有:6.64(4.14-10.64)];自残[TB 仅:2.70(1.86-3.91);CB 仅:3.57(3.20-3.98);两者都有:5.57(2.11-16.00)];和自杀企图:[TB 仅:2.61(1.50-4.55);CB 仅:3.52(2.50-4.98);两者都有:7.82(3.83-15.93)]。青少年中 TB 和 CB 的受害是公共卫生关注的问题。受害似乎是更严重精神病理学的标志,特别是与自杀相关的问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d295/11424704/638278e9d496/787_2022_2128_Fig1_HTML.jpg

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