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Ji W, Shi L, Lin X, Shen Z, Chen Q, Song D, Huang P, Zhao Z, Fan J, Hu Y, Xie M, Yang J, Chen X. The relationship between sleep quality and daytime dysfunction among college students in China during COVID-19: a cross-sectional study. Front Public Health 2023; 11:1253834. [PMID: 38026404 PMCID: PMC10667466 DOI: 10.3389/fpubh.2023.1253834] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2023] [Accepted: 10/30/2023] [Indexed: 12/01/2023] Open
Abstract
Objective College Students' sleep quality and daytime dysfunction have become worse since the COVID-19 outbreak, the purpose of this study was to explore the relationship between sleep quality and daytime dysfunction among college students during the COVID-19 (Corona Virus Disease 2019) period. Methods This research adopts the form of cluster random sampling of online questionnaires. From April 5 to 16 in 2022, questionnaires are distributed to college students in various universities in Fujian Province, China and the general information questionnaire and PSQI scale are used for investigation. SPSS26.0 was used to conduct an independent sample t-test and variance analysis on the data, multi-factorial analysis was performed using logistic regression analysis. The main outcome variables are the score of subjective sleep quality and daytime dysfunction. Results During the COVID-19 period, the average PSQI score of the tested college students was 6.17 ± 3.263, and the sleep disorder rate was 29.6%, the daytime dysfunction rate was 85%. Being female, study liberal art/science/ engineering, irritable (due to limited outdoor), prolong electronic entertainment time were associated with low sleep quality (p < 0.001), and the occurrence of daytime dysfunction was higher than other groups (p < 0.001). Logistics regression analysis showed that sleep quality and daytime dysfunction were associated with gender, profession, irritable (due to limited outdoor), and prolonged electronic entertainment time (p < 0.001). Conclusion During the COVID-19 epidemic, the sleep quality of college students was affected, and different degrees of daytime dysfunction have appeared, both are in worse condition than before the COVID-19 outbreak. Sleep quality may was inversely associated with daytime dysfunction.
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Affiliation(s)
- Wei Ji
- The Second Clinical College of Fujian Medical University, Quanzhou, Fujian Province, China
| | - Liyong Shi
- Department of Respiratory and Critical Care Medicine, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian Province, China
| | - Xinjun Lin
- The Second Clinical College of Fujian Medical University, Quanzhou, Fujian Province, China
| | - Zhiyong Shen
- Department of Respiratory and Critical Care Medicine, Jinjiang City Hospital, Quanzhou, Fujian Province, China
| | - Qingquan Chen
- The School of Public Health, Fujian Medical University, Fuzhou, Fujian Province, China
| | - Duanhong Song
- Department of Respiratory and Critical Care Medicine, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian Province, China
| | - Pengxiang Huang
- Department of Respiratory and Critical Care Medicine, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian Province, China
| | - Zhihuang Zhao
- The Second Clinical College of Fujian Medical University, Quanzhou, Fujian Province, China
| | - Jimin Fan
- Department of Respiratory and Critical Care Medicine, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian Province, China
| | - Yiming Hu
- National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China
| | - Mianmian Xie
- Department of Respiratory and Critical Care Medicine, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian Province, China
| | - Jiaohong Yang
- Department of Respiratory and Critical Care Medicine, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian Province, China
| | - Xiaoyang Chen
- Department of Respiratory and Critical Care Medicine, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian Province, China
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Ho HY, Chen YL, Yen CF. Moderating Effects of Friendship and Family Support on the Association Between Bullying Victimization and Perpetration in Adolescents. JOURNAL OF INTERPERSONAL VIOLENCE 2022; 37:NP4640-NP4659. [PMID: 33446012 DOI: 10.1177/0886260520985503] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
School bullying can cause severe mental health problems for both victims and perpetrators. However, the association between bullying victimization and perpetration has rarely been discussed, and no study has investigated the effects of social support, such as friendship and family support, in moderating this association. Therefore, the authors examined the moderating effects of friendship and family support on the association between bullying victimization and perpetration in adolescents. Data were obtained from the 2009 Project for the Health of Adolescents. Through multistage stratified cluster sampling, 13 junior and 10 senior high schools in southern Taiwan were selected, resulting in a representative sample of 6,445 students from grades 7 to 12. School bullying and family support were examined using the Chinese version of the School Bullying Experience Questionnaire and the Family adaptability, partnership, growth, affection, resolve instrument, respectively. Friendship support was measured using the subscale of the Taiwanese Quality of Life Questionnaire for Adolescents and adolescents' number of friends, time spent with friends, and friend distributions. Linear regression modeling and the Johnson-Neyman technique were used to examine the moderating effects of friendship and family support on the association between bullying victimization and perpetration. For active bullying, having fun and talkative friends and friends outside school negatively moderated the intensity of the association between bullying victimization and perpetration (regression coefficients: -0.02 to -0.05), whereas, for passive bullying, only friends outside school negatively moderated the intensity of the association (regression coefficient: -0.05). By contrast, some components of friendship support positively moderated the associations. These findings suggest that higher friendship quality and having more friends outside of school attenuate the association between bullying victimization and perpetration in adolescents, thus increasing the understanding of the moderating role that social support play in such associations.
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He Y, Chen SS, Xie GD, Chen LR, Zhang TT, Yuan MY, Li YH, Chang JJ, Su PY. Bidirectional associations among school bullying, depressive symptoms and sleep problems in adolescents: A cross-lagged longitudinal approach. J Affect Disord 2022; 298:590-598. [PMID: 34800574 DOI: 10.1016/j.jad.2021.11.038] [Citation(s) in RCA: 15] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/31/2021] [Revised: 10/14/2021] [Accepted: 11/14/2021] [Indexed: 12/28/2022]
Abstract
BACKGROUND Adolescence is a life stage with a high risk of depression, sleep disorders and school bullying. The aim of this study is to examine the longitudinal relationships between school bullying (bullying victimization and bullying perpetration), depressive symptoms and sleep problems among adolescents and to consider whether the direct pathways vary by gender. METHODS The study included 1687 7th grade students (60.4% boys) recruited from a middle school in southeastern China. We collected self-reports of school bullying, depressive symptoms and sleep problems from 2019 (T1) and 2020 (T2) among adolescents. A series of gender-specified cross-lagged paths in a structural equation model was used for the primary analysis. RESULTS The models revealed evidence for bidirectional associations between school bullying, depressive symptoms and sleep problems. Among girls, higher bullying perpetration at T1 predicted fewer sleep problems and depressive symptoms at T2, while bullying victimization significantly predicted poor quality of sleep and severe depressive symptoms. Furthermore, sleep problems at T1 positively predicted bullying perpetration and victimization at T2 in boys but not in girls. For both boys and girls, severe depressive symptoms significantly predicted more victimization and sleep problems, and sleep problems were positively associated with depressive symptoms. LIMITATIONS The sample is unrepresentative, as it is from only one middle school. CONCLUSIONS Our findings highlight that school bullying, depressive symptoms and sleep problems were interrelated across time and that acknowledging gender differences is important.
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Affiliation(s)
- Yang He
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, No.81 Meishan Road, Hefei 230032, Anhui, China
| | - Shan-Shan Chen
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, No.81 Meishan Road, Hefei 230032, Anhui, China
| | - Guo-Die Xie
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, No.81 Meishan Road, Hefei 230032, Anhui, China
| | - Li-Ru Chen
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, No.81 Meishan Road, Hefei 230032, Anhui, China
| | - Ting-Ting Zhang
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, No.81 Meishan Road, Hefei 230032, Anhui, China
| | - Meng-Yuan Yuan
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, No.81 Meishan Road, Hefei 230032, Anhui, China
| | - Yong-Han Li
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, No.81 Meishan Road, Hefei 230032, Anhui, China
| | - Jun-Jie Chang
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, No.81 Meishan Road, Hefei 230032, Anhui, China
| | - Pu-Yu Su
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, No.81 Meishan Road, Hefei 230032, Anhui, China; Key Laboratory of Population Health Across Life Cycle (Anhui Medical University), Ministry of Education of the People's Republic of China, No 81 Meishan Road, Hefei 230032, Anhui, China; Anhui Provincial Key Laboratory of Population Health and Aristogenics, No 81 Meishan Road, Hefei 230032, Anhui, China.
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Hysing M, Askeland KG, La Greca AM, Solberg ME, Breivik K, Sivertsen B. Bullying Involvement in Adolescence: Implications for Sleep, Mental Health, and Academic Outcomes. JOURNAL OF INTERPERSONAL VIOLENCE 2021; 36:NP8992-NP9014. [PMID: 31179829 DOI: 10.1177/0886260519853409] [Citation(s) in RCA: 28] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Adolescents' involvement in bullying is associated with both sleep and mental health problems, but the nature of this association remains unclear; further, its association with academic outcomes has received little attention. Thus, the aims of the current study were to (a) determine whether involvement in bullying as a victim, bully, or bully-victim was associated with greater sleep and mental health problems and (b) explore the potential mediating effect of sleep and mental health problems on the association between bullying and academic outcomes. A large 2012 population-based study in Hordaland County, Norway, surveyed 10,220 adolescents (16-19 years; 54% girls) about bullying involvement using the revised version of the Olweus Bully/Victim Questionnaire, detailed sleep assessment, and mental health questionnaires. Academic outcomes were obtained from official administrative registries. 1.7% of the adolescents (n = 156) reported being victims of bullying, 1.0% (n = 92) reported being a bully, and 0.5% (n = 50) reported being a bully-victim. All categories of bullying involvement had higher rates of mental health problems compared with adolescents not involved in bullying. Victims reported more symptoms of anxiety and depression, whereas bullies reported higher rates of conduct problems. Adolescents in all bullying categories also reported significantly shorter sleep duration and higher prevalence of insomnia as well as lower grade point average (GPA) compared with adolescents not involved; however, school absence was not associated with bullying involvement. Bullying involvement and GPA showed complete mediation for bullies and bully-victims and partial mediation for victims through sleep duration, conduct problems, and symptoms of depression and attention deficit hyperactivity disorder (ADHD). Bullying is strongly associated with mental health and sleep problems, in addition to lower academic performance. Findings support the importance of addressing bullying involvement during this important developmental period.
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Affiliation(s)
- Mari Hysing
- Department of Psychosocial Science, Faculty of Psychology, University of Bergen, Norway
- Regional Centre for Child and Youth Mental Health and Child Welfare, NORCE Norwegian Research Centre, Bergen, Norway
| | - Kristin Gärtner Askeland
- Regional Centre for Child and Youth Mental Health and Child Welfare, NORCE Norwegian Research Centre, Bergen, Norway
| | | | - Mona E Solberg
- Regional Centre for Child and Youth Mental Health and Child Welfare, NORCE Norwegian Research Centre, Bergen, Norway
| | - Kyrre Breivik
- Regional Centre for Child and Youth Mental Health and Child Welfare, NORCE Norwegian Research Centre, Bergen, Norway
| | - Børge Sivertsen
- Norwegian Institute of Public Health, Bergen, Norway
- Helse Fonna HF, Haugesund, Norway
- Norwegian University of Science and Technology, Trondheim, Norway
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Çetinkaya-Yıldız E, Hatipoğlu-Sümer Z. The Impact of Parental Factors on Physical Aggression Perpetration among Turkish Urban Adolescents: The Mediating Role of Beliefs Supporting Aggression. VIOLENCE AND VICTIMS 2021; 36:132-156. [PMID: 33122284 DOI: 10.1891/vv-d-18-00216] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
This study investigated parental factors and beliefs supporting aggression as predictors of physical aggression by adolescents. The participants were 2,443 junior high school students from Ankara, Turkey, who completed measures of parental support for aggression, family conflict, parental monitoring, beliefs supporting aggression, and physical aggression. The findings showed both direct and indirect effects of parental factors on physical aggression through beliefs supporting aggression. Furthermore, a multigroup model comparison indicated invariance of the structural relationships among variables in the model across gender and that the hypothesized structural model was a close fit for both the girl and the boy data. The findings suggest that it might be beneficial to consider beliefs supporting aggression and parental factors as risk factors when designing interventions to target physical aggression among adolescents.
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Kwon M, Seo YS, Nickerson AB, Dickerson SS, Park E, Livingston JA. Sleep Quality as a Mediator of the Relationship Between Cyber Victimization and Depression. J Nurs Scholarsh 2020; 52:416-425. [PMID: 32510831 DOI: 10.1111/jnu.12569] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/15/2020] [Indexed: 11/27/2022]
Abstract
PURPOSE Cyber victimization is a national mental health concern, especially among adolescents who are digital natives. The current study examined sleep quality as a mediator of the association between cyber victimization and depressive symptoms among adolescents. DESIGN AND METHOD A prospective study design was utilized with a community sample of adolescents (N = 801; 57% female; mean age = 14.45, SD = .85) from the eastern United States. Participants completed (a) the Pittsburgh Sleep Quality Index; (b) the Cyber Victimization Scale; and (c) the Center for Epidemiologic Studies Depression Scale Revised via online surveys at baseline and 6-month follow-up. The inter-relationship between variables was analyzed by Hayes' mediation approach. FINDINGS Cyber victimization was not directly associated with having depressive symptoms 6 months later when controlling for adolescents' poor sleep quality, sex, and age (direct effect [c'] = .012, t(676) = 1.12, p < .05, confidence interval [CI] -.008, .036). The mediation analysis indicated a significant indirect effect of poor sleep quality on the relationship between cyber victimization and depressive symptoms (ab = .005, bootstrapped standard error [SE] = .003, bootstrapped CI .001, .011; a is the effect of cyber victimization on poor sleep quality; b is the effect of poor sleep quality on depressive symptoms). Specifically, adolescents' cyber victimization led to poor sleep quality (a = .039, SE = .041, p < .05), which also led to increased depressive symptoms (b = .116, SE = .019, p < .001), after controlling for depressive symptoms at baseline, sex, and age. The indirect effect of cyber victimization on depressive symptoms was estimated through poor sleep quality (a*b = .039(.116) = .0045). CONCLUSIONS The findings suggest that poor sleep quality may be a mechanism through which cyber bullying is related prospectively to depressive symptoms. Interventions for cyber-victimized adolescents should include assessment of sleep quality and incorporate sleep hygiene education. CLINICAL RELEVANCE Adolescents should be screened for cyber victimization and sleep quality. Moreover, promotion of sleep hygiene among cyber-victimized adolescents may help to reduce depression.
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Affiliation(s)
- Misol Kwon
- Gamma Kappa, Doctoral Student, School of Nursing, University at Buffalo, The State University of New York, Buffalo, NY, USA
| | - Young S Seo
- Database Manager, School of Nursing, University at Buffalo, The State University of New York, Buffalo, NY, USA
| | - Amanda B Nickerson
- Professor and Director, Alberti Center for Bullying Abuse Prevention, Counseling, School, and Educational Psychology, Graduate School of Education, University at Buffalo, The State University of New York, Buffalo, NY, USA
| | - Suzanne S Dickerson
- Gamma Kappa, Department Chair, Biobehavioral Health & Clinical Sciences, and Professor, School of Nursing, University at Buffalo, The State University of New York, Buffalo, NY, USA
| | - Eunhee Park
- Assistant Professor, School of Nursing, University at Buffalo, The State University of New York, Buffalo, NY, USA
| | - Jennifer A Livingston
- Associate Professor, School of Nursing, University at Buffalo, The State University of New York, Buffalo, NY, USA
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Carvalho F, Vilaça J, Carvalho AL, Pontes T, Carvalho S. Sleep quality and bullying - prevalence in a cohort of Portuguese students. Int J Adolesc Med Health 2020; 34:163-169. [PMID: 32549176 DOI: 10.1515/ijamh-2020-0018] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2019] [Accepted: 02/04/2020] [Indexed: 11/15/2022]
Abstract
Objectives The involvement of adolescents in violent behaviors is becoming an important public health problem that is concerning physicians as it is associated with a decrease in adult life quality. In this context, bullying is a type of aggressive behavior that occurs repeatedly in interpersonal relationship where power imbalance exists increasing the risk of physical and psychosocial problems in all its intervenient. Prevalence of bullying in Portuguese adolescents is estimated to be ranging from 16.2 to 27.5%. Sleep disorders are a well-known problem related to bullying situations, either as a consequence or a risk factor; estimated prevalence in adolescence is 25% worldwide. In the present study we aimed to investigate the association between sleep quality and the involvement in school bullying in Portuguese adolescents in two high schools. Methods Data collected from a cross-sectional survey addressing questions on bullying behaviors and sleep quality was analyzed using SPSS 22.0. A two-tailed p-value of less than 0.05 was considered significant for all tests. Results We have included 171 adolescents, mean age of 14.39 ± 1.149 years, 59.6% were boys; prevalence of bullying behaviors was 28.1%. Among the students 15.2% were identified as "pure victims", 8.8% as "pure bullies", 4.1% as "bully-victims" and 71.9% as "neutrals". "Pure bullies" and "bully-victims" present higher Athens Insomina Scale (AIS) scores (p = 0.004) and higher prevalence of insomnia (p = 0.004). The prevalence of insomnia was significantly higher in the group involved in bullying behaviors comparing with the neutrals (58.3% vs 30%, p = 0.001). We verified that 65.4% of the reported bullying situations took place inside the school and 8.8% of those teachers did nothing to help the victim and in 17.5% school staff took the same attitude. Conclusions We found a prevalence of bullying behaviors higher than the one reported in previous studies and a prevalence of insomnia of 38.0%, proving that bullying and sleep disturbances are two major problems in adolescence which may increase future risk for psychiatric symptoms, involvement in criminal activities, hyperactive, and inattentive behaviors. We verified a strong relation between insomnia and involvement in bullying situations with those who are involved reporting difficulties in sleep induction. The group of "bully-victims" was identified as potentially being the one with the most troubled adolescents since they combine characteristics of both bullies and victims. The authors conclude that there should be an investment in school-based interventions that help recognize and reduce school bullying and change lifestyle behaviors that may negatively influence adolescents' development.
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Affiliation(s)
- Fábia Carvalho
- Pediatrics Department of Hospital de Braga, Braga, Portugal
| | - Joana Vilaça
- Pediatrics Department of Hospital de Braga, Braga, Portugal
| | | | - Teresa Pontes
- Unit of Adolescent Medicine in Pediatrics, Department of Hospital de Braga, Braga, Portugal
| | - Susana Carvalho
- Unit of Adolescent Medicine in Pediatrics, Department of Hospital de Braga, Braga, Portugal
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Osuka Y, Nishimura T, Wakuta M, Takei N, Tsuchiya KJ. Reliability and validity of the Japan Ijime Scale and estimated prevalence of bullying among fourth through ninth graders: A large-scale school-based survey. Psychiatry Clin Neurosci 2019; 73:551-559. [PMID: 31102302 PMCID: PMC6851761 DOI: 10.1111/pcn.12864] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/18/2018] [Revised: 04/26/2019] [Accepted: 05/13/2019] [Indexed: 11/27/2022]
Abstract
AIM The present study aimed at developing a novel scale, the Japan Ijime Scale (JaIS), to measure bullying in Japan with substantial reliability and validity, with which we estimated the prevalence of bullying among children and adolescents of school age. METHODS The JaIS is a self-report questionnaire and consists of three parts: subscales measuring victimization and witnessing, and an item measuring perpetration. To test the reliability and validity of the two subscales, the authors analyzed responses to the JaIS from 2334 school students (Grades 4-9) in six elementary and three junior high schools in a middle-sized industrial city in central Japan, using exploratory factor analysis, item response theory, and examination of the external validity of the items. The prevalence of bullying victimization, witnessing, and perpetration was estimated. RESULTS Item response theory models revealed that both the Victimization and Witness subscales have sufficient discrimination power and measurement precision, and the external validity of each scale has been confirmed. Using the JaIS, we found that 35.8% of students had been victims of bullying every 2-3 months (27.6% were solely victims and 8.3% were bully/victims), 32.8% had witnessed some type of bullying act, and 11.8% had perpetrated some type of bullying (3.5% as perpetrators, and 8.3% as bully/victims). CONCLUSION The JaIS is a reliable and valid measure. Using this scale, we found a high prevalence of bullying victimization in Japanese schools.
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Affiliation(s)
- Yuko Osuka
- United Graduate School of Child Development, Hamamatsu University School of Medicine, Shizuoka, Japan.,Institute of Child Developmental Science Research, Shizuoka, Japan
| | - Tomoko Nishimura
- United Graduate School of Child Development, Hamamatsu University School of Medicine, Shizuoka, Japan.,Institute of Child Developmental Science Research, Shizuoka, Japan.,Research Centre for Child Mental Development, Hamamatsu University School of Medicine, Shizuoka, Japan
| | - Manabu Wakuta
- Institute of Child Developmental Science Research, Shizuoka, Japan.,United Graduate School of Child Development, Osaka University, Osaka, Japan
| | - Nori Takei
- United Graduate School of Child Development, Hamamatsu University School of Medicine, Shizuoka, Japan.,Research Centre for Child Mental Development, Hamamatsu University School of Medicine, Shizuoka, Japan.,Institute of Psychiatry, King's College London, London, UK
| | - Kenji J Tsuchiya
- United Graduate School of Child Development, Hamamatsu University School of Medicine, Shizuoka, Japan.,Institute of Child Developmental Science Research, Shizuoka, Japan.,Research Centre for Child Mental Development, Hamamatsu University School of Medicine, Shizuoka, Japan
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Tsimtsiou Z, Haidich AB, Drontsos A, Dantsi F, Sekeri Z, Drosos E, Trikilis N, Dardavesis T, Nanos P, Arvanitidou M. Pathological Internet use, cyberbullying and mobile phone use in adolescence: a school-based study in Greece. Int J Adolesc Med Health 2017; 30:/j/ijamh.ahead-of-print/ijamh-2016-0115/ijamh-2016-0115.xml. [PMID: 28432846 DOI: 10.1515/ijamh-2016-0115] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2016] [Accepted: 01/03/2017] [Indexed: 11/15/2022]
Abstract
Purpose This study investigated the prevalence of Internet addiction (IA) and cyberbullying and examined profiles of adolescents with increased risk to develop pathological behaviors. Methods In this cross-sectional, school-based study, 8053 students of 30 middle and 21 high schools (12-18 years old) were invited to participate, based on a multistage stratified random sampling technique. The Internet aiddiction test (IAT) was used along with information on socio-demographics, Internet activities and cyberbullying experience. Results Five thousand five hundred and ninety students participated (response rate 69.4%). Pathological Internet use (IAT ≥50) was found in 526 (10.1%), while 403 (7.3%) experienced cyberbullying as victims and 367 (6.6%) as perpetrators during the last year. In multivariable models, the odds of IA increased with online hours on mobile phones and Internet use during weekends, Internet café visits, chatrooms usage and engagement in cyberbullying. Cyberbullying victims were more likely to be older, female, Facebook and chatrooms users, while perpetrators were more likely to be male, older Internet users and fans of pornographic sites. A perpetrator was significantly more likely to have also been a victim [odds ratio (OR) = 5.51, confidence interval (CI): 3.92-7.74]. Hours of daily Internet use on a mobile phone was independently associated with IA and cyberbullying (OR) 1.41, 95% CI 1.30, 1.53 and OR 1.11, 95% CI 1.01, 1.21, respectively. Conclusions Cyberbullying is associated with IA and the hours spent online on a mobile phone affected both conditions. The increasing Internet access through mobile phones or other devices should be accompanied by the appropriate education of both parents and adolescents on safe Internet use.
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Affiliation(s)
- Zoi Tsimtsiou
- Department of Hygiene, Aristotle University of Thessaloniki, School of Medicine, Thessaloniki, Greece
- Urban Health Center of Evosmos, Thessaloniki, Greece
| | - Anna-Bettina Haidich
- Department of Hygiene, Aristotle University of Thessaloniki, School of Medicine, Thessaloniki, Greece
| | | | - Fotini Dantsi
- Urban Health Center of Evosmos, Thessaloniki, Greece
| | | | | | | | - Theodoros Dardavesis
- Department of Hygiene, Aristotle University of Thessaloniki, School of Medicine, Thessaloniki, Greece
| | | | - Malamatenia Arvanitidou
- Department of Hygiene, Aristotle University of Thessaloniki, School of Medicine, Thessaloniki, Greece
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Kozasa S, Oiji A, Kiyota A, Sawa T, Kim SY. Relationship between the experience of being a bully/victim and mental health in preadolescence and adolescence: a cross-sectional study. Ann Gen Psychiatry 2017; 16:37. [PMID: 29075310 PMCID: PMC5648489 DOI: 10.1186/s12991-017-0160-4] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/03/2017] [Accepted: 10/11/2017] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Several studies have proven that the experiences of being bullied or bullying others are associated with poor mental health among adolescent youths. Our study aims to investigate the relationship between the experience of the bully/victim and mental health among preadolescents and adolescents. METHODS Subjects were the Japanese fifth and sixth grade elementary school students (preadolescents: mean age = 11.3 years; n = 338) and junior high school students (adolescents: mean age = 13.8 years; n = 486). A self-report questionnaire was administered containing items concerning the experience of being a bully/victim and the Youth Self Report (YSR). RESULTS Four groups relating to the experience of being a bully/victim were formed: "Victim Only," "Bully Only," "Victim and Bully," and "Neither." Approximately 65% of preadolescents and approximately 25% of adolescents engaged in bullying behaviors. Of these, the rate of participants in the "Bully Only" group was low, and that in the "Victim and Bully" group was high. Regarding the relationship between the experience of being a bully/victim and mental health, both preadolescents and adolescents of the "Victim Only" group had significantly higher scores on the YSR's internalizing problems compared with the "Neither" group. Moreover, both preadolescents and adolescents of the "Bully Only" group had significantly higher scores on the YSR's externalizing problems compared with the "Neither" group. Regarding the relationship between the experience of being a bully/victim and suicidal ideation for both preadolescent and adolescent girls, the relative risks of suicidal ideation were significantly higher in the "Victim and Bully" group than in the "Neither" group. CONCLUSIONS Preadolescents indicated a higher rate of bullying behaviors than adolescents. In both preadolescents and adolescents, different effect patterns on mental health were found for the "Victim Only," "Bully Only," and "Victim and Bully" groups. The prevention and intervention methods for mental health should be tailored according to the type of experience associated with being a bully/victim and according to the developmental stages of preadolescence or adolescence.
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Affiliation(s)
- Sachiko Kozasa
- Graduate School of Medical Sciences, Kitasato University, Sagamihara, Kanagawa Japan
| | - Arata Oiji
- Graduate School of Medical Sciences, Kitasato University, Sagamihara, Kanagawa Japan
| | - Akio Kiyota
- Division of Child and Adolescent Psychiatry, Department of Pediatrics, Faculty of Medicine, Oita University, Yufu, Oita Japan
| | - Tetsuji Sawa
- Division of Psychology, School of Psychology, Tokyo University of Social Welfare, Kita-Ku, Tokyo, Japan
| | - Soo-Yung Kim
- Graduate School of Medical Sciences, Kitasato University, Sagamihara, Kanagawa Japan.,National Rehabilitation Center for Persons with Disabilities, Tokorozawa, Saitama Japan
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Fujikawa S, Ando S, Shimodera S, Koike S, Usami S, Toriyama R, Kanata S, Sasaki T, Kasai K, Okazaki Y, Nishida A. The Association of Current Violence from Adult Family Members with Adolescent Bullying Involvement and Suicidal Feelings. PLoS One 2016; 11:e0163707. [PMID: 27711150 PMCID: PMC5053540 DOI: 10.1371/journal.pone.0163707] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2016] [Accepted: 09/13/2016] [Indexed: 11/18/2022] Open
Abstract
Although several studies have reported that child physical abuse increased the risk for bullying involvement, the effect of current violence from adult family members (CVA) on bullying involvement and suicidal feelings among adolescents has not been sufficiently examined. This study investigated the association of CVA with adolescent bullying involvement and the interaction effect of CVA and bullying involvement on suicidal feelings. This cross-sectional study used data from a school-based survey with a general population of adolescents (grades 7 to 12). Data were collected using a self-report questionnaire completed by 17,530 students. Logistic regression analyses were performed to explore the association of CVA with adolescent bullying involvement and suicidal feelings. The overall response rate was 90.2%. The odds of students being characterized as bullies, victims, and bully-victims were higher among adolescents with CVA than without CVA (odds ratios (OR) = 2.9, 95% confidence interval (CI), [2.3–3.7], 4.6 [3.6–5.8], and 5.8 [4.4–7.6], respectively). Both CVA (OR = 3.4 [95% CI 2.7–4.3]) and bullying (bullies, victims, and bully-victims; OR = 2.0 [95% CI 1.6–2.6], 4.0 [3.1–5.1], 4.1 [3.0–5.6], respectively), were associated with increased odds of current suicidal feelings after adjusting for confounding factors. Furthermore, positive additive effects of CVA and all three types of bullying involvement on suicidal feelings were found. For example, bully-victims with CVA had about 19-fold higher odds of suicidal feelings compared with uninvolved adolescents without CVA. This study, although correlational, suggested that CVA avoidance might prevent bullying involvement and suicidal feelings in adolescents.
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Affiliation(s)
- Shinya Fujikawa
- Department of Neuropsychiatry, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
- * E-mail:
| | - Shuntaro Ando
- Department of Neuropsychiatry, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
- Department of Psychiatry & Behavioral Science, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan
| | - Shinji Shimodera
- Department of Neuropsychiatry, Kochi Medical School, Kochi University, Kochi, Japan
| | - Shinsuke Koike
- University of Tokyo Institute for Diversity & Adaptation of Human Mind (UTIDAHM), Tokyo, Japan
- Center for Evolutionary Cognitive Sciences, Graduate School of Art and Sciences, The University of Tokyo, Tokyo, Japan
| | - Satoshi Usami
- Faculty of Human Sciences, Division of Psychology, University of Tsukuba, Ibaraki, Japan
| | - Rie Toriyama
- Department of Neuropsychiatry, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
| | - Sho Kanata
- Department of Neuropsychiatry, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
- Department of Psychiatry, Teikyo University School of Medicine, Tokyo, Japan
| | - Tsukasa Sasaki
- Department of Physical and Health Education, Graduate School of Education and Division for Counseling and Support, The University of Tokyo, Tokyo, Japan
| | - Kiyoto Kasai
- Department of Neuropsychiatry, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
| | - Yuji Okazaki
- Department of Psychiatry, Tokyo Metropolitan Matsuzawa Hospital, Tokyo, Japan
| | - Atsushi Nishida
- Department of Psychiatry & Behavioral Science, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan
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Vernon L, Modecki KL, Barber BL. Tracking Effects of Problematic Social Networking on Adolescent Psychopathology: The Mediating Role of Sleep Disruptions. JOURNAL OF CLINICAL CHILD AND ADOLESCENT PSYCHOLOGY 2016; 46:269-283. [DOI: 10.1080/15374416.2016.1188702] [Citation(s) in RCA: 38] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
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Grover K, Pecor K, Malkowski M, Kang L, Machado S, Lulla R, Heisey D, Ming X. Effects of Instant Messaging on School Performance in Adolescents. J Child Neurol 2016; 31:850-7. [PMID: 26762509 DOI: 10.1177/0883073815624758] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/06/2015] [Accepted: 11/12/2015] [Indexed: 11/17/2022]
Abstract
Instant messaging may compromise sleep quality and school performance in adolescents. We aimed to determine associations between nighttime messaging and daytime sleepiness, self-reported sleep parameters, and/or school performance. Students from 3 high schools in New Jersey completed anonymous questionnaires assessing sleep duration, daytime sleepiness, messaging habits, and academic performance. Of the 2,352 students sampled, 1,537 responses were contrasted among grades, sexes, and messaging duration, both before and after lights out. Students who reported longer duration of messaging after lights out were more likely to report a shorter sleep duration, higher rate of daytime sleepiness, and poorer academic performance. Messaging before lights out was not associated with higher rates of daytime sleepiness or poorer academic performance. Females reported more messaging, more daytime sleepiness, and better academic performance than males. There may be an association between text messaging and school performance in this cohort of students.
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Affiliation(s)
- Karan Grover
- Department of Neurosciences, New Jersey Medical School, Rutgers Biomedical and Health Sciences, Newark, NJ, USA
| | - Keith Pecor
- Department of Biology, The College of New Jersey, Ewing, NJ, USA
| | | | - Lilia Kang
- Communications High School, Wall Township, NJ, USA
| | | | | | | | - Xue Ming
- Department of Neurosciences, New Jersey Medical School, Rutgers Biomedical and Health Sciences, Newark, NJ, USA Sleep Medicine Division, New Jersey Neuroscience Institute, JFK Medical Center, Seton Hall University, Edison, NJ, USA
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14
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van Geel M, Goemans A, Vedder PH. The relation between peer victimization and sleeping problems: A meta-analysis. Sleep Med Rev 2016; 27:89-95. [DOI: 10.1016/j.smrv.2015.05.004] [Citation(s) in RCA: 73] [Impact Index Per Article: 9.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2015] [Revised: 05/19/2015] [Accepted: 05/20/2015] [Indexed: 01/21/2023]
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15
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Paiva T, Gaspar T, Matos MG. Mutual relations between sleep deprivation, sleep stealers and risk behaviours in adolescents. ACTA ACUST UNITED AC 2016; 9:7-13. [PMID: 27226817 PMCID: PMC4867935 DOI: 10.1016/j.slsci.2016.02.176] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2015] [Revised: 01/25/2016] [Accepted: 02/16/2016] [Indexed: 12/25/2022]
Abstract
Objectives The aim is to evaluate the mutual influences between sleep duration/sleep deprivation (SD) and the sleep stealers/adolescent risk behaviours. Methods The national survey is a component of the Health Behaviour in School-Aged Children (HBSC) study, it is based on a school-based self-completed questionnaire; 3476 students were randomly selected from 139 randomly chosen Portuguese schools using as an unit the class, 53.8% were girls; 45.9% attended the 8th grade and 54.1% the 10th grade; the mean age was 14.9 years. The measured variables were: 1) gender and age; 2) sociodemographics; 3) sleep duration during the week and during weekends and computed SD; 4) screen time (computer use during the week and during the week end (PC use); watching TV and mobile phone use; 5) earlier sexual behaviour; 6) violent behaviours: fights, use of weapons; 7) use of tobacco, alcohol and drugs. The statistical analysis included Pearson chi-square tests and logistic regression. Results Excessive use of mobile phone, of computer use during weekdays, and internet facilities; substance use; violence and earlier sexual relations had significantly higher prevalence in sleep deprived adolescents. By logistic regression only using PC during weekdays, tobacco, drugs and weapons were associated to SD, while SD was associated to PC use during weekdays, tobacco use and drugs’ use. Computer uses tend to be associated among themselves. Mobile phone is associated with computer practices and with alcohol and tobacco use. Tobacco is associated with most risk behaviours. Alcohol use is associated with other substance use, computer use and violent behaviours. Violence behaviours, earlier sex and drugs use tend to be associated among themselves. Conclusions Sleep stealers use and risk behaviours are more prevalent in sleep deprived adolescents, but, in spite of significant individual associations, models of risk behaviours are still lacking.
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Affiliation(s)
- Teresa Paiva
- Clinical Director of CENC - Sleep Medicine Center, Associate Professor of the Medical Faculty and ISAMB, University of Lisbon, Rua Conde Antas 5, 1070-068 Lisbon, Portugal
| | - Tania Gaspar
- ISAMB/University of Lisbon, Lusiada University of Lisbon, Rua da Junqueira, 188-198, 1349-001 Lisbon, Portugal
| | - Margarida Gaspar Matos
- FMH & ISAMB, University of Lisbon, Faculdade de Motricidade Humana, Estrada da Costa 1499-002, Cruz-Quebrada, Dafundo, Portugal
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Stalin P, Abraham SB, Kanimozhy K, Prasad RV, Singh Z, Purty AJ. Mobile Phone Usage and its Health Effects Among Adults in a Semi-Urban Area of Southern India. J Clin Diagn Res 2016; 10:LC14-6. [PMID: 26894095 DOI: 10.7860/jcdr/2016/16576.7074] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2015] [Accepted: 11/20/2015] [Indexed: 11/24/2022]
Abstract
INTRODUCTION Worldwide, mobile phone usage has been increased dramatically which could affect the health of the people. India has the second largest number of mobile phone users. However there are only few studies conducted in India to assess its effects on health. AIM To determine the prevalence and pattern of mobile phone usage and to assess the relationship between certain selected health problems and mobile phone usage among adults. SETTINGS AND DESIGN Community-based cross-sectional study was conducted in Kottakuppam, a town panchayat in Villupuram district of Coastal Tamil Nadu, Southern India. It is a semi-urban area with a population of about 16,000. Majority of the residents are Muslim by religion and belong to different socio economic status. MATERIALS AND METHODS The study was approved by the Institutional Ethics Committee. A total of 2121 study participants were interviewed by the pre-final medical students through house-to-house survey using a pretested structured questionnaire. The questionnaire included the variables such as socio demographic profile, mobile phone usage and pattern, selected health problems, perceived benefits and threats and blood pressure. Selected health problems included headache, earache, neck pain, tinnitus, painful fingers, restlessness, morning tiredness, tingling fingers, fatigue, eye symptoms, sleep disturbance and hypertension. STATISTICAL ANALYSIS USED Only 2054 were included for data analysis using SPSS 17 version. Proportions were calculated. Chi-square test was used to measure the p-value. The p-value < 0.05 was considered as statistically significant. RESULTS The prevalence of mobile phone usage was 70%. Calling facility (94.2%) was used more than the SMS (67.6%). Health problems like headache, earache, tinnitus, painful fingers and restlessness etc., were found to be positively associated with mobile phone usage. There was negative association between hypertension and mobile phone usage. CONCLUSION The prevalence of mobile phone usage was high. There was significant association between selected health problems and mobile phone usage. In future, higher studies are required to confirm our findings.
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Affiliation(s)
- P Stalin
- Associate Professor, Department of Community Medicine, Pondicherry Institute of Medical Sciences , Puducherry, India
| | - Sherin Billy Abraham
- Assistant Professor, Department of Community Medicine, Pondicherry Institute of Medical Sciences , Puducherry, India
| | - K Kanimozhy
- Postgraduate Student, Department of Community Medicine, Pondicherry Institute of Medical Sciences , Puducherry, India
| | - R Vishnu Prasad
- Postgraduate Student, Department of Community Medicine, Pondicherry Institute of Medical Sciences , Puducherry, India
| | - Zile Singh
- Professor and Head, Department of Community Medicine, Pondicherry Institute of Medical Sciences , Puducherry, India
| | - Anil J Purty
- Professor, Department of Community Medicine, Pondicherry Institute of Medical Sciences , Puducherry, India
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Hunter SC, Durkin K, Boyle JME, Booth JN, Rasmussen S. Adolescent Bullying and Sleep Difficulties. EUROPES JOURNAL OF PSYCHOLOGY 2014. [DOI: 10.5964/ejop.v10i4.815] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
This study evaluated whether adolescents who report having been bullied, being bullies, or report both being a bully and being bullied experience more sleep difficulties than children uninvolved in bullying. The study drew upon cognitive theories of insomnia, investigating whether the extent to which young people report worrying about bullying can moderate associations between victimization and sleep difficulties. Participants were 5420 adolescents who completed a self-report questionnaire. Pure Victims (OR = 1.72, 95% CI [1.07, 2.75]), Pure Bullies (OR = 1.80, 95% CI [1.16, 2.81]), and Bully-Victims (OR = 2.90, 95% CI [1.17, 4.92]) were all more likely to experience sleep difficulties when compared to uninvolved young people. The extent to which young people reported worrying about being bullied did not moderate the links between victimization and sleep difficulties. In this way, bullying is clearly related to sleep difficulties among adolescents but the conceptual reach of the cognitive model of insomnia in this domain is questioned.
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Xenitidis K, Campbell C, Inoue K, Fujita Y. Effective suicide prevention measures for teenagers in Japan. Br J Psychiatry 2013; 203:312. [PMID: 24085738 DOI: 10.1192/bjp.203.4.312] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Affiliation(s)
- Kiriakos Xenitidis
- Ken Inoue, Department of Public Health, Faculty of Medicine, Shimane University, Japan. ; Yasuyuki Fujita, Department of Public Health, Faculty of Medicine, Shimane University, Japan
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