尼泊尔迪乌玛伊市女性青少年网络欺凌受害及其与抑郁、焦虑和压力的关系：一项横断面调查。

Cyberbullying victimisation and its association with depression, anxiety and stress among female adolescents in Deumai Municipality, Nepal: a cross-sectional survey.

机构信息

Department of Public Health, CiST College, Pokhara University, Kathmandu, Nepal.

Center for Research on Environment, Health and Population Activities (CREHPA), Lalitpur, Nepal.

出版信息

BMJ Open. 2024 Oct 22;14(10):e081797. doi: 10.1136/bmjopen-2023-081797.

DOI:10.1136/bmjopen-2023-081797

PMID:39438093

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11499772/

Abstract

OBJECTIVE

To estimate the prevalence of cyberbullying and its association with depression, anxiety and stress among female adolescents attending higher secondary schools in Deumai Municipality, Nepal.

DESIGN

Cross-sectional survey study.

SETTING

The survey was conducted at all available higher secondary schools of Deumai Municipality, Ilam District, Nepal, from February to April 2022.

PARTICIPANTS

A total of 501 female adolescents enrolled in grades 11 and 12 were included in the study. All eligible participants available on the day of data collection were approached until the calculated sample size was reached.

OUTCOME MEASURES

The study assessed the prevalence of cyberbullying victimisation, along with the prevalence of depression, anxiety and stress and their associated factors. The level of psychological distress was explored using the Depression Anxiety Stress Scale-21. Pearson's χ test and multivariate logistic regression analysis were applied to determine the association between psychological distress and related variables, including cyberbullying victimisation, at 95% CI and 5% level of significance.

RESULTS

Nearly a third (32.5%) of the female adolescents included in the study had experienced cyberbullying. The overall prevalence of depression, anxiety and stress was 46.5%, 52.7% and 34.9%, respectively. Cyberbullying victims were observed to have increased odds of experiencing depression (adjusted OR (aOR): 1.64, 95% CI 1.11 to 2.42), anxiety (aOR: 2.49, 95% CI 1.67 to 3.70) and stress (aOR: 2.59, 95% CI 1.74 to 3.86) in comparison with non-victims.

CONCLUSION

Cyberbullying victims are significantly more likely to experience psychological distress. There is an urgent need to strengthen cybersecurity and to have strong legislative measures to address cyberbullying in order to safeguard the mental health of adolescents in the digital age.

摘要

目的

评估尼泊尔德迈市高中女生网络欺凌的流行率及其与抑郁、焦虑和压力的关系。

设计

横断面调查研究。

地点

2022 年 2 月至 4 月，在尼泊尔伊拉姆地区德迈市所有可用的高中进行了这项调查。

参与者

共有 501 名 11 年级和 12 年级的女青少年参与了这项研究。在数据收集当天，所有符合条件的参与者都被接触，直到达到计算出的样本量。

结果

该研究评估了网络欺凌受害的流行率，以及抑郁、焦虑和压力的流行率及其相关因素。使用抑郁焦虑压力量表-21 评估心理困扰的程度。应用 Pearson χ检验和多元逻辑回归分析，以确定在 95%置信区间和 5%显著水平下，心理困扰与相关变量（包括网络欺凌受害）之间的关联。

结果

研究中纳入的女青少年中，近三分之一（32.5%）曾遭受过网络欺凌。抑郁、焦虑和压力的总患病率分别为 46.5%、52.7%和 34.9%。与非受害者相比，网络欺凌受害者更有可能出现抑郁（调整后的比值比（aOR）：1.64，95%置信区间（CI）：1.11 至 2.42）、焦虑（aOR：2.49，95%CI：1.67 至 3.70）和压力（aOR：2.59，95%CI：1.74 至 3.86）。