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Peng J, Wang J, Chen J, Li G, Xiao H, Liu Y, Zhang Q, Wu X, Zhang Y. Mobile phone addiction was the mediator and physical activity was the moderator between bullying victimization and sleep quality. BMC Public Health 2025; 25:1577. [PMID: 40295987 PMCID: PMC12036171 DOI: 10.1186/s12889-025-22813-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2024] [Accepted: 04/15/2025] [Indexed: 04/30/2025] Open
Abstract
BACKGROUND AND OBJECTIVES Bullying victimization is strongly associated with sleep quality issues in primary school students, yet the underlying mechanisms among these variables require further exploration. This study investigates the mediating role of mobile phone addiction and the moderating role of physical activity in the relationship between bullying victimization and sleep quality among primary school students, contributing to a deeper understanding of these psychological processes. METHODS This study utilized a convenience sampling method to recruit 502 primary school students in 2023. The sample included 232 boys and 270 girls, with ages ranging from 10 to 12 years (mean age = 11.15 ± 0.62). Participants were recruited from specific region or school district to ensure a diverse representation of the target population. Ethical approval was obtained from the relevant institutional review board, and informed consent was obtained from both the students and their parents or guardians prior to data collection. RESULTS Bullying victimization was significantly positively correlated with both sleep quality issues and mobile phone addiction. Additionally, mobile phone addiction was significantly positively correlated with sleep quality issues. The analysis confirmed that mobile phone addiction mediates the relationship between bullying victimization and sleep quality. Furthermore, physical activity was found to moderate the relationship between bullying victimization and mobile phone addiction. CONCLUSIONS This study elucidates the psychological mechanisms underlying the relationship between bullying victimization and sleep quality among primary school students. Mobile phone addiction serves as a mediating factor, while physical activity acts as a moderating factor in the link between bullying victimization and mobile phone addiction. These findings underscore the importance of addressing mobile phone addiction and promoting physical activity as part of targeted interventions to improve sleep quality among primary school students.
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Affiliation(s)
- Jinyin Peng
- School of Sports Science, Jishou University, Jishou, China
| | - Jiale Wang
- School of Sports Science, Jishou University, Jishou, China
| | - Jiawei Chen
- Hunan Mechanical Electrical Polytechnic, Changsha, China
| | - Geng Li
- School of Psychology, Research Center for Exercise and Brain Science, Shanghai University of Sport, Shanghai, China
| | - Hongqing Xiao
- School of Sports Science, Jishou University, Jishou, China.
| | - Yang Liu
- School of Sports Science, Jishou University, Jishou, China.
| | - Qing Zhang
- Akademia Wychowania Fizycznego i Sportu, Jedrzej Sniadecki Academy of Physical Education and Sport in Gdańsk, Gdańsk, Poland.
| | - Xiaozhen Wu
- School of Sports Science, Jishou University, Jishou, China
- School of Physical Education, Fuyang Normal University, Fuyang, China
| | - Yiping Zhang
- School of Physical Education, Xichang University, Xichang, China
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Wang Y, Cai J, Wang C, Mu YF, Deng ZY, Deng AP, Song HJ, Huang Y, Yin L, Zhang W, Jiang TT, Shen WW, Ran MS. The prevalence and association of traditional bullying and cyber bullying with mental health among adolescent and youth students in China: a study after the lifting of COVID-19 restrictions. BMC Public Health 2025; 25:618. [PMID: 39953415 PMCID: PMC11829525 DOI: 10.1186/s12889-024-20940-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2024] [Accepted: 12/03/2024] [Indexed: 02/17/2025] Open
Abstract
BACKGROUND Although bullying may affect students' mental health, its prevalence and impact on mental health among students in China after the lifting of COVID-19 restrictions remains unclear. This study aimed to explored the prevalence and association of traditional and cyber bullying with mental health among Chinese adolescent and youth students post-COVID-19 restrictions. METHODS An online survey included 82,873 students from various educational levels in Sichuan Province, China, assessing traditional and cyber victimization, cyber perpetration, COVID-19 experiences, insomnia, anxiety, depression, and post-traumatic stress disorder (PTSD). Logistic regression analyses were conducted to explore the associations between bullying and mental health problems. RESULTS A total of 28.3% of students reported experiencing bullying, with 23.2% traditional victimization, 17.7% cyber victimization, and 8.1% cyber perpetration. Males had significantly higher prevalence of bullying, while females had significantly higher prevalence of mental health problems. All forms of bullying significantly increased the risk of mental health problems, with traditional bullying showing the strongest association. Students who experienced all three types of bullying had significantly higher risks of insomnia (adjusted odds ratio [aOR] 4.89 [95% CI, 4.57-5.23]), anxiety (aOR 11.42, [95% CI, 10.55-12.36]), depression (aOR 11.52, [95% CI, 10.58-12.53]), and PTSD (aOR 15.48, [95% CI, 14.17-16.92]). CONCLUSION This study highlights the high prevalence of bullying, as well as its cumulative impact on mental health problems among adolescent and youth students. Addressing and preventing bullying is crucial to promote positive mental well-being in adolescent and youth students.
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Affiliation(s)
- Yu Wang
- Mental Health Center, West China Hospital of Sichuan University, Chengdu, China
- Institute of Psychiatry, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, China
| | - Jia Cai
- Mental Health Center, West China Hospital of Sichuan University, Chengdu, China
| | - Cong Wang
- Mental Health Center, West China Hospital of Sichuan University, Chengdu, China
- Institute of Psychiatry, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, China
| | - Yun-Fei Mu
- Mental Health Center, West China Hospital of Sichuan University, Chengdu, China
- Institute of Psychiatry, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, China
| | - Zhong-Yue Deng
- Mental Health Center, West China Hospital of Sichuan University, Chengdu, China
- Institute of Psychiatry, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, China
| | - Ai-Ping Deng
- West China School of Nursing, Sichuan University, Chengdu, Sichuan, 610041, China
- West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, China
| | - Hong-Jun Song
- West China School of Nursing, Sichuan University, Chengdu, Sichuan, 610041, China
- West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, China
| | - Yi Huang
- Mental Health Center, West China Hospital of Sichuan University, Chengdu, China
| | - Li Yin
- Mental Health Center, West China Hospital of Sichuan University, Chengdu, China
| | - Wei Zhang
- Mental Health Center, West China Hospital of Sichuan University, Chengdu, China
| | - Ting-Ting Jiang
- West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, China
| | - Wen-Wu Shen
- West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, China.
| | - Mao-Sheng Ran
- Mental Health Center, West China Hospital of Sichuan University, Chengdu, China.
- Institute of Psychiatry, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, China.
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Tang W, Chen M, Wang N, Deng R, Tang H, Xu W, Xu J. Bullying victimization and internalizing and externalizing problems in school-aged children: The mediating role of sleep disturbance and the moderating role of parental attachment. CHILD ABUSE & NEGLECT 2023; 138:106064. [PMID: 36731288 DOI: 10.1016/j.chiabu.2023.106064] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/28/2022] [Revised: 12/15/2022] [Accepted: 01/23/2023] [Indexed: 06/18/2023]
Abstract
BACKGROUND Studies have shown that bullying victimization may be related to internalizing and externalizing problems; however, the mechanism underlying this relationship remains unknown. This study explored the mediating role of sleep disturbance and the moderating role of parental attachment. METHODS A total of 1543 Chinese primary school students (M age = 8.92 years, SD1.7 years; range, 6-12) completed bullying victimization, sleep disturbance, and parental attachment measures, and provided information on their parents' occupations. The parents or guardians (n = 1995) also completed ratings on their children's internalizing and externalizing problems. RESULTS It was found that bullying victimization directly affected internalizing and externalizing problems and also influenced sleep disturbance. Regardless of the parent's socioeconomic status, parental attachment was found to moderate the relationship between bullying victimization and internalizing problems. CONCLUSIONS These findings contribute to understanding the partial mediating mechanism of sleep disturbance in the association between bullying victimization and internalizing and externalizing problems. The protective role of parental attachment proved central to preventing internalizing problems in bullied children. Intervention programs that enhance parental attachment and improve sleep quality could assist in mitigating the impact of bullying victimization on internalizing or externalizing problems.
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Affiliation(s)
- Wanjie Tang
- Mental Health Centre, Sichuan University, Chengdu, China; Department of child and adolescent psychiatry, Institute of psychiatry, psychology and neuroscience, King's College London, London, United Kingdom; Institute of Emergency Management and Post-disaster Reconstruction, Business School, Sichuan University, Chengdu, China
| | - Mingxia Chen
- Experimental Primary School affiliated to Sichuan University, Chengdu, China
| | - Ning Wang
- Experimental Primary School affiliated to Sichuan University, Chengdu, China
| | - Renyu Deng
- Experimental Primary School affiliated to Sichuan University, Chengdu, China
| | - Huai Tang
- Experimental Primary School affiliated to Sichuan University, Chengdu, China
| | - Wenjian Xu
- School of Public Administration, Sichuan University, Chengdu, China.
| | - Jiuping Xu
- Institute of Emergency Management and Post-disaster Reconstruction, Business School, Sichuan University, Chengdu, China.
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Madrid-Valero JJ, Gregory AM. Behaviour genetics and sleep: A narrative review of the last decade of quantitative and molecular genetic research in humans. Sleep Med Rev 2023; 69:101769. [PMID: 36933344 DOI: 10.1016/j.smrv.2023.101769] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2022] [Revised: 02/21/2023] [Accepted: 02/22/2023] [Indexed: 03/05/2023]
Abstract
During the last decade quantitative and molecular genetic research on sleep has increased considerably. New behavioural genetics techniques have marked a new era for sleep research. This paper provides a summary of the most important findings from the last ten years, on the genetic and environmental influences on sleep and sleep disorders and their associations with health-related variables (including anxiety and depression) in humans. In this review we present a brief summary of the main methods in behaviour genetic research (such as twin and genome-wide association studies). We then discuss key research findings on: genetic and environmental influences on normal sleep and sleep disorders, as well as on the association between sleep and health variables (highlighting a substantial role for genes in individual differences in sleep and their associations with other variables). We end by discussing future lines of enquiry and drawing conclusions, including those focused on problems and misconceptions associated with research of this type. In this last decade our knowledge about genetic and environmental influences on sleep and its disorders has expanded. Both, twin and genome-wide association studies show that sleep and sleep disorders are substantially influenced by genetic factors and for the very first time multiple specific genetic variants have been associated with sleep traits and disorders.
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Affiliation(s)
- Juan J Madrid-Valero
- Department of Health Psychology, Faculty of Health Sciences, University of Alicante, Spain.
| | - Alice M Gregory
- Department of Psychology, Goldsmiths, University of London, London, United Kingdom
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Lewis KJS, Gregory AM. Heritability of Sleep and Its Disorders in Childhood and Adolescence. CURRENT SLEEP MEDICINE REPORTS 2021; 7:155-166. [PMID: 34840933 PMCID: PMC8607788 DOI: 10.1007/s40675-021-00216-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/07/2021] [Indexed: 01/23/2023]
Abstract
PURPOSE OF REVIEW This review summarizes recent literature on the heritability of sleep and sleep disorders in childhood and adolescence. We also identify gaps in the literature and priorities for future research. RECENT FINDINGS Findings indicate that age, measurement method, reporter, and timing of sleep measurements can influence heritability estimates. Recent genome-wide association studies (GWAS) have identified differences in the heritability of sleep problems when ancestral differences are considered, but sample sizes are small compared to adult GWAS. Most studies focus on sleep variables in the full range rather than on disorder. Studies using objective measures of sleep typically comprised small samples. SUMMARY Current evidence demonstrates a wide range of heritability estimates across sleep phenotypes in childhood and adolescence, but research in larger samples, particularly using objective sleep measures and GWAS, is needed. Further understanding of environmental mechanisms and the interaction between genes and environment is key for future research.
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Affiliation(s)
- Katie J. S. Lewis
- Division of Psychological Medicine & Clinical Neurosciences, MRC Centre for Neuropsychiatric Genetics & Genomics, Cardiff University School of Medicine, Hadyn Ellis Building, Maindy Road, CF24 4HQ Cardiff, UK
| | - Alice M. Gregory
- Department of Psychology, Goldsmiths, University of London, London, UK
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