Affiliation with depressive peer groups and social and school adjustment in Chinese adolescents

Bullying and depression among adolescents in East Asia: a scoping review on prevalence rates, risk and protective factors

Introduction

Bullying and victimization in adolescence is associated with mental health problems including depression. Depression in East Asian adolescents presents similarities and differences from that in Western adolescents. This review reports on the prevalence and psychosocial associations of bullying and depression in East Asian adolescents.

Methods

Electronic databases (Medline, and Embase) were searched for English language articles on bullying and its associations for a span of 10 years (1st January 2013 to 19th January 2024). Searches were limited to studies conducted in East Asia involving adolescents 10-19 years of age.

Results

Out of 1,231 articles initially identified, 65 full-text articles (consisting of 44 cross-sectional and 21 cohort studies) met the inclusion criteria and were included for qualitative synthesis & analysis. Prevalence rates of bullying ranged from 6.1% - 61.3% in traditional bullying victimization and 3.3% to 74.6% in cyberbullying victimization with higher rates in at-risk groups (e.g., adolescents with internet addiction). Psychosocial associations of bullying and depression which were similarly found in Western cultures include individual factors of coping style and gender; family factors of functioning and sibling relationships; and community factors of friendship and school-connectedness. In contrast, unique East Asian risk factors included being different (i.e., sexual minority status) and teachers as bullies.

Conclusion

Findings of this scoping review suggest that strong relationships within families, peers and the school community coupled with adolescents' positive coping style are protective against the negative effects of bullying. Conversely, poor parent-child attachment in the midst of family dysfunction, poor engagement with peers and the school community together with low self-esteem predispose East Asian adolescents to depressive symptoms as a result of victimization. Similar to Western cultures, adolescents who are bully-victims and poly-victims are most vulnerable to depression. As a significant proportion of bullying occurred in school, future research could focus on a whole-school intervention approach to counter bullying.

The Development of School Satisfaction in Chinese Early Adolescents: The Contributions of Peer Liking and Academic Performance

Research in Western countries has shown a general declining trend of school satisfaction over time among adolescents, yet it remains unclear how social and school factors predict the developmental pattern. Moreover, relative to their Western counterparts, adolescents in China tend to report lower levels of school satisfaction, but little is known about how it develops and the predictors of the development. To fill the gaps, this four-wave longitudinal study explored the developmental patterns of school satisfaction and the contributions of peer liking and academic performance. Six hundred and eighty-nine Chinese adolescents (M_age = 11.39, SD_age = 0.53 at Time 1; 53.7% girls) participated in this study from Grade 6 to Grade 9 in 2017 to 2020. School satisfaction was measured each academic year using self-reports. Peer liking was assessed by classroom-based sociometric nominations, and information on academic performance was collected through school records in Grade 6. The conditional growth curve model results showed that peer liking and academic performance positively predicted the intercept of school satisfaction. School satisfaction decreased over time among students with low initial academic achievement, but increased in an exponential manner among students with high initial academic achievement. The results indicated that peer relationships and academic performance might play a role in affecting the level and the development of school satisfaction in the Chinese context.

Unsociability and Psychological and School Adjustment in Chinese Children: The Moderating Effects of Peer Group Cultural Orientations

This study examined the moderating effects of cultural orientations of peer groups on the relations between unsociability and psychological and school adjustment in Chinese children. Participants included 1,092 students (527 boys, M age = 12.21 years) in the sixth grade in elementary schools. Data on individualistic and collectivistic cultural orientations, unsociability, and adjustment were obtained from multiple sources including peer nominations, teacher ratings, self-reports, and school records. Using the Social Cognitive Map method, 193 peer groups were identified. Among the results, unsociability was negatively associated with peer preference and academic achievement in groups low on individualistic orientation but not in groups high on individualistic orientation. Unsociability was also negatively associated with peer preference more strongly in groups with higher scores of collectivistic orientation. The results suggested that, in general, unsociable children performed better in social and academical areas in more individualistically oriented groups and less collectivistically oriented groups. The cultural context of peer groups may play a significant role in shaping social and school adjustment of unsociable children.

Cortisol Reactivity as a Mediator of Peer Victimization on Child Internalizing and Externalizing Problems: The Role of Gender Differences

Children exposed to peer victimization are at increased risk for psychopathology. However, the physiological mechanisms linking peer victimization to child psychopathology and the potential gender differences in these links remain inadequately understood. The present study examined whether cortisol reactivity to acute stress mediated the associations between relational and physical victimization and internalizing and externalizing problems and whether these associations differed between boys and girls. A sample of 150 Chinese children (aged 9-13 years; M_age = 10.69 years; 51% boys) reported experiences of relational and physical victimization and participated in a standardized laboratory psychosocial stress task, during which six salivary cortisol samples were collected. Parents or primary caregivers reported their children's internalizing and externalizing problems. Overall, neither physical nor relational victimization was associated with cortisol reactivity. However, when examined separately by gender, relational victimization was associated with blunted cortisol reactivity for boys but not for girls. Further, among boys but not girls, relational victimization was indirectly associated with internalizing and externalizing problems via blunted cortisol reactivity. Our findings suggest that blunted cortisol reactivity may serve as a physiological pathway linking peer victimization to psychopathology for boys but not for girls.

The Influence of Personality Traits on School Bullying: A Moderated Mediation Model

We recruited 1,631 middle and high school students to explore the relationship between personality traits and school bullying, and the moderated and mediating roles of self-concept and loneliness on this relationship. Results showed that (1) neuroticism had a significant positive predictive effect on being bullied, extroversion had a significant negative predictive effect on being bullied, and agreeableness had a significant negative predictive effect on bullying/being bullied; (2) loneliness played a mediating role between neuroticism and bullied behaviors, extroversion and bullying behaviors, and agreeableness and bullying/bullied behaviors; (3) self-concept played a moderating role on the mediation pathway of loneliness on neuroticism, extraversion, agreeableness and bullying behaviors. Therefore, to reduce the frequency of school bullying among adolescents, we should not only reduce their levels of loneliness but also improve their levels of self-concept.

Systematic Review and Meta-analysis: The Association Between Child and Adolescent Depression and Later Educational Attainment

OBJECTIVE

The association between depression and educational attainment in young people is unclear. This systematic review and meta-analysis examines the longitudinal association between depression and subsequent attainment, and its potential effect modifiers and mediators.

METHOD

We searched Embase, PsycINFO, PubMed, ERIC, and the British Education Index from inception to October 23, 2019, conducted citation searching, and contacted authors for articles. Eligible studies reported on the longitudinal association between depression in children and adolescents 4 to 18 years of age and later educational attainment. Two reviewers independently conducted screening, data extraction, and risk of bias assessment. Correlation coefficients were pooled in meta-analysis, and effect modifiers were explored using meta-regression and stratification. Other evidence on confounders, modifiers, and mediators was narratively synthesized. The PROSPERO record for the study is CRD42019123068.

RESULTS

A total of 31 studies were included, of which 22 were pooled in meta-analysis. There was a small but statistically significant association between depression and lower subsequent attainment (pooled Fisher z = -0.19, 95% CI = -0.22 to -0.16, I2 = 62.9%). A total of 15 studies also reported an enduring effect after adjusting for various confounders. No statistically significant effect modifiers were identified. Social and school problems may mediate between depression and low attainment.

CONCLUSION

Depression was associated with lower educational attainment, but further research is needed to establish mechanisms. Nonetheless, there is a clear need for mental health and educational support among children and adolescents with depression.