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青少年中的网络欺凌与非自杀性自伤行为:通过系统综述探索调节因素和中介因素

Cyberbullying and Non-Suicidal Self-Injury (NSSI) in Adolescence: Exploring Moderators and Mediators through a Systematic Review.

作者信息

Predescu Elena, Calugar Iulia, Sipos Roxana

机构信息

Department of Neuroscience, Psychiatry and Pediatric Psychiatry, "IuliuHatieganu" University of Medicine and Pharmacy, Republicii Street No. 57, 400489 Cluj-Napoca, Romania.

Clinic of Pediatric Psychiatry and Addiction, Clinical Emergency Hospital for Children, 400489 Cluj-Napoca, Romania.

出版信息

Children (Basel). 2024 Mar 29;11(4):410. doi: 10.3390/children11040410.

Abstract

(1) Objective: This systematic review explores the intricate relationship between cyberbullying and non-suicidal self-injury (NSSI) in adolescents, acknowledging the dynamic nature of these phenomena in the evolving landscape of technology and social norms. (2) Methods: PubMed/MEDLINE, Web of Science, and EMBASE were searched, and 14 studies were selected based on the eligibility criteria, focusing on participants aged 10 to 19, cyberbullying roles, and NSSI as the predictor and outcome variables, respectively. (3) Results: Internalizing symptoms, specifically depression and anxiety, emerged as the most prominent mediators. However, factors such as externalizing symptoms, stress, and negative emotional responses (emotion reactivity, negative emotions) were also identified to play a significant role in the relationship between cyberbullying and NSSI. On the other hand, protective factors against the negative impact of cyberbullying on NSSI risk, such as strong peer connections and school engagement, were identified. (4) Discussions: This review underscores the multidimensional nature of the cyberbullying-NSSI association, emphasizing the roles of potential risk factors such as internalizing and externalizing symptoms, stress, and negative emotional response. Internalizing symptoms played a central role as pathways between cyberbullying victimization and NSSI. Additionally, social factors, including peer connections and school engagement, were found to act as protective elements. (4) Conclusion: Continuous investigation is crucial in order to adapt interventions to the evolving technological and social landscape. The study advocates for targeted interventions that prioritize positive social connections to mitigate the impact of cyberbullying on adolescent well-being.

摘要

(1)目的:本系统综述探讨青少年网络欺凌与非自杀性自伤(NSSI)之间的复杂关系,同时认识到在技术和社会规范不断演变的背景下,这些现象具有动态性。(2)方法:检索了PubMed/MEDLINE、科学网和EMBASE,根据纳入标准选取了14项研究,重点关注年龄在10至19岁的参与者、网络欺凌角色,以及分别作为预测变量和结果变量的非自杀性自伤行为。(3)结果:内化症状,特别是抑郁和焦虑,成为最突出的中介因素。然而,外化症状、压力和负面情绪反应(情绪反应性、负面情绪)等因素也被确定在网络欺凌与非自杀性自伤行为的关系中发挥重要作用。另一方面,也确定了一些可抵御网络欺凌对非自杀性自伤行为风险产生负面影响的保护因素,如牢固的同伴关系和学校参与度。(4)讨论:本综述强调了网络欺凌与非自杀性自伤行为关联的多维度性质,强调了内化和外化症状、压力及负面情绪反应等潜在风险因素的作用。内化症状作为网络欺凌受害与非自杀性自伤行为之间的途径发挥了核心作用。此外,包括同伴关系和学校参与度在内的社会因素被发现起到了保护作用。(4)结论:持续开展调查对于使干预措施适应不断变化的技术和社会环境至关重要。该研究提倡采取有针对性的干预措施,优先考虑积极的社会联系,以减轻网络欺凌对青少年幸福感的影响。

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