Nagata Jason M, Shim Joan, Balasubramanian Priyadharshini, Leong Alicia W, Smith-Russack Zacariah, Shao Iris Y, Al-Shoaibi Abubakr A A, Helmer Christiane K, Ganson Kyle T, Testa Alexander, Kiss Orsolya, He Jinbo, Groves Allison K, Baird Sarah, Baker Fiona C
Division of Adolescent and Young Adult Medicine, Department of Pediatrics, University of California, San Francisco, CA, USA.
Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, Canada.
Lancet Reg Health Am. 2025 May 20;46:101002. doi: 10.1016/j.lana.2025.101002. eCollection 2025 Jun.
Although cyberbullying has been linked with adverse health outcomes, most prior studies have been cross-sectional, and there are limited large-scale, prospective analyses examining cyberbullying and mental health and substance use outcomes in early adolescents. Therefore, the aim of this study was to determine prospective associations between cyberbullying, mental health, and substance use experimentation one year later in a US national cohort of early adolescents (11-12 years old).
We analyzed prospective cohort data from the Adolescent Brain Cognitive Development (ABCD) Study (Year 2, N = 9799). Linear and logistic regression analyses were used to determine associations between cyberbullying victimization (exposure variable, Year 2) and mental health (depressive, anxiety, attention, somatic, oppositional defiant, conduct problems, and suicidal behaviours), and substance (alcohol, nicotine, cannabis) use experimentation outcomes (Year 3), adjusting for sociodemographic variables and mental health outcomes, suicidal behaviours, or reported substance use experimentation at Year 2.
The total analysed sample comprised 9799 who were 48.4% female and racially/ethnically diverse (45.1% non-White). 8.7% reported lifetime cyberbullying victimization. Cyberbullying victimization was prospectively associated with higher depressive (β = 0.61, 95% CI 0.02-1.19), somatic (β = 1.00, 95% CI 0.42-1.57), and attention problems (β = 0.52, 95% CI 0.03-1.00), as well as suicidal behaviors (adjusted odds ratio [AOR] 2.62, 95% CI 1.73-3.98) one year later. Cyberbullying victimization was prospectively associated with higher odds of alcohol (AOR 1.98, 95% CI 1.53-2.57), nicotine (AOR 3.37, 95% 2.16-5.26), and cannabis (AOR 4.65, 95% 2.46-8.77) experimentation one year later. While cyberbullying victimization was associated with anxiety, oppositional defiant, and conduct problems in the unadjusted model, this was no longer significant after adjusting for covariates.
Given associations with poor mental health and substance use in early adolescents, it is important to develop interventions to prevent and reduce cyberbullying. Pediatricians, parents, and educators can provide mental health support for early adolescent victims of cyberbullying.
This research was supported by the Bill and Melinda Gates Foundation (INV-048897). J.M.N. was funded by the National Institutes of Health (K08HL159350 and R01MH135492) and the Doris Duke Charitable Foundation (2022056).
尽管网络欺凌与不良健康后果有关，但大多数先前的研究都是横断面研究，而针对青少年早期网络欺凌与心理健康及物质使用结果的大规模前瞻性分析有限。因此，本研究的目的是在美国一个全国性的青少年早期队列（11 - 12岁）中确定一年后网络欺凌、心理健康和物质使用尝试之间的前瞻性关联。
我们分析了青少年大脑认知发展（ABCD）研究（第2年，N = 9799）的前瞻性队列数据。使用线性和逻辑回归分析来确定网络欺凌受害情况（暴露变量，第2年）与心理健康（抑郁、焦虑、注意力、躯体、对立违抗、品行问题和自杀行为）以及物质（酒精、尼古丁、大麻）使用尝试结果（第3年）之间的关联，并对社会人口统计学变量以及第2年的心理健康结果、自杀行为或报告的物质使用尝试进行了调整。
分析的总样本包括9799人，其中48.4%为女性，种族/民族多样（45.1%为非白人）。8.7%的人报告有终生网络欺凌受害经历。网络欺凌受害情况与一年后更高的抑郁（β = 0.61，95%置信区间0.02 - 1.19）、躯体（β = 1.00，95%置信区间0.42 - 1.57）和注意力问题（β = 0.52，95%置信区间0.03 - 1.00）以及自杀行为（调整后的优势比[AOR] 2.62，95%置信区间1.73 - 3.98）存在前瞻性关联。网络欺凌受害情况与一年后更高的酒精（AOR 1.98，95%置信区间1.53 - 2.57）、尼古丁（AOR 3.37，95% 2.16 - 5.26）和大麻（AOR 4.65，95% 2.46 - 8.77）使用尝试几率存在前瞻性关联。虽然在未调整模型中网络欺凌受害情况与焦虑、对立违抗和品行问题有关，但在调整协变量后这种关联不再显著。
鉴于青少年早期网络欺凌与不良心理健康和物质使用之间的关联，制定预防和减少网络欺凌的干预措施很重要。儿科医生、家长和教育工作者可以为青少年早期网络欺凌受害者提供心理健康支持。
本研究由比尔及梅琳达·盖茨基金会（INV - 048897）资助。J.M.N.由美国国立卫生研究院（K08HL159350和R01MH135492）以及多丽丝·杜克慈善基金会（2022056）资助。
