1
|
Kodzo LD, Danso NAA, Budu JT, Akriti KB, Hussain A, Zhang R. Experience of psychosocial rehabilitation; perspectives of depressed adolescents. Eur Child Adolesc Psychiatry 2024:10.1007/s00787-024-02473-z. [PMID: 38809300 DOI: 10.1007/s00787-024-02473-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/28/2023] [Accepted: 05/18/2024] [Indexed: 05/30/2024]
Abstract
Given the multifaceted character of depression and its related symptoms, an adolescent living with it is at increased risk for a wide range of adverse events. This research aimed to understand and characterize the psychosocial rehabilitation experiences of depressed teenage participants in the Greater Accra Region of Ghana. A cross-sectional semi-structured interview design influenced by an interpretive phenomenological analysis (IPA) technique was adopted. We employed a nonprobability, purposeful sampling approach to recruit twenty-one adolescents (6 males, 15 females) diagnosed with depression from the community after one month of discharge from admission and undergoing psychosocial rehabilitation. Using separate interviews, we gathered and analyzed data using interpretive phenomenological analysis to produce themes and sub-themes. These were presented with the participants' direct quotations. We discovered that the perspectives of adolescents' psychosocial rehabilitation experience include hopelessness and suicide ideation, coping difficulties, undesirable attitudes from support networks, challenges related to school, and isolation. Participants suggested appropriate therapeutic environments, encouraging support systems, and the media's role in preventing and treating depression among young people as rehabilitation approaches that could assist adolescents to remain lucid for longer intervals. These results shed light on the tragic realities faced by depressed adolescents. There is an urgent need to put well-defined structures in place to aid their rehabilitation and develop coping strategies for a better life.
Collapse
Affiliation(s)
- Lalit Dzifa Kodzo
- School of Nursing and Health, Zhengzhou University, Zhengzhou, China
- Nursing and Midwifery Training College, Central Region, Twifo Praso, Ghana
- School of International Education, Southern Medical University, Guangzhou, China
- Organization of African Academic Doctors (OAAD), Off Kamiti Road, Nairobi, Kenya
| | | | | | | | - Abid Hussain
- School of Nursing and Health, Zhengzhou University, Zhengzhou, China
| | - Ruixing Zhang
- School of Nursing and Health, Zhengzhou University, Zhengzhou, China.
| |
Collapse
|
2
|
Wang D, Chen XY, Scherffius A, Yu Z, Wang X, Sun M, Fan F. Perceived school bullying and psychotic-like experiences in sexual minority adolescents: the mediating and moderating roles of resilience. Child Adolesc Psychiatry Ment Health 2024; 18:55. [PMID: 38755658 PMCID: PMC11100180 DOI: 10.1186/s13034-024-00747-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/13/2023] [Accepted: 05/06/2024] [Indexed: 05/18/2024] Open
Abstract
AIMS This two-wave, longitudinal study aimed to examine the potential moderating and mediating effects of resilience on the association between perceived school bullying and psychotic-like experiences among Chinese sexual minority adolescents. METHODS A total of 4192 senior high students were included and 984 (23.5%) of them were identified as a sexual minority (mean age = 16.68 years, SD = 0.71). Participants completed two online surveys during April 21 to May 12, 2021 and December 17 to 26, 2021, respectively, as well as completed self-report measures of sample characteristics, perceived school bullying, resilience, and psychotic-like experiences (including two dimensions: delusional experiences and hallucinatory experiences). RESULTS Perceived school bullying and resilience were associated with psychotic-like experiences in sexual minority adolescents. Resilience mediated the relationship between perceived school bullying and subsequent psychotic-like experiences (b = 0.03, 95% CI = 0.01 ~ 0.04)/ delusional experiences (b = 0.03, 95% CI = 0.01 ~ 0.04)/ hallucinatory experiences (b = 0.02, 95% CI = 0.01 ~ 0.03). Additionally, resilience only moderated the associations of perceived school bullying with hallucinatory experiences (b = -0.06, 95% CI = -0.12 ~ -0.01). CONCLUSIONS These findings indicated that resilience plays a crucial role in mediating or moderating the relationship between perceived school bullying and psychotic-like experiences. Assessing and reducing school bullying, as well as promoting resilience, may have important clinical implications for reducing the risk of psychotic-like experiences in sexual minority adolescents.
Collapse
Affiliation(s)
- Dongfang Wang
- School of Psychology, Centre for Studies of Psychological Applications, Guangdong Key Laboratory of Mental Health and Cognitive Science, Ministry of Education Key Laboratory of Brain Cognition and Educational Science, Guangdong Emergency Response Technology Research Center for Psychological Assistance in Emergencies, South China Normal University, Guangzhou, China
| | - Xiao-Yan Chen
- School of Psychology, Fujian Normal University, Fuzhou, China
| | - Andrew Scherffius
- Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
| | - Zhijun Yu
- School of Psychology, Centre for Studies of Psychological Applications, Guangdong Key Laboratory of Mental Health and Cognitive Science, Ministry of Education Key Laboratory of Brain Cognition and Educational Science, Guangdong Emergency Response Technology Research Center for Psychological Assistance in Emergencies, South China Normal University, Guangzhou, China
| | - Xuan Wang
- School of Psychology, Centre for Studies of Psychological Applications, Guangdong Key Laboratory of Mental Health and Cognitive Science, Ministry of Education Key Laboratory of Brain Cognition and Educational Science, Guangdong Emergency Response Technology Research Center for Psychological Assistance in Emergencies, South China Normal University, Guangzhou, China
| | - Meng Sun
- Department of Social Psychiatry, The Affiliated Brain Hospital of Guangzhou Medical University (Guangzhou Huiai Hospital), Guangzhou, China
| | - Fang Fan
- School of Psychology, Centre for Studies of Psychological Applications, Guangdong Key Laboratory of Mental Health and Cognitive Science, Ministry of Education Key Laboratory of Brain Cognition and Educational Science, Guangdong Emergency Response Technology Research Center for Psychological Assistance in Emergencies, South China Normal University, Guangzhou, China.
- School of Psychology, South China Normal University, Shipai Road, Guangzhou, China.
| |
Collapse
|
3
|
Lin CJ, Tu CY, Lin YH, Wu CY, Chang PY, Hsiao IY, Chiou HY. Association of Childhood Attention Deficit/Hyperactivity Disorder With Adolescent Traditional and Cyberbullying Victimization in the Digital Generation: A Population-Based Cohort Study. J Adolesc Health 2024:S1054-139X(24)00158-7. [PMID: 38739055 DOI: 10.1016/j.jadohealth.2024.02.039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/23/2023] [Revised: 01/29/2024] [Accepted: 02/27/2024] [Indexed: 05/14/2024]
Abstract
PURPOSE This population-based cohort study aimed to examine the association with childhood attention deficit/hyperactivity disorder (ADHD) and bullying experiences during adolescence among Digital Generation individuals, exploring both traditional and cyberbullying. METHODS This study included data from 15,240 participants, collected from the Taiwan Adolescent to Adult Longitudinal Study project. Participants, initially in seventh and 10th grade in 2015, were selected through a multistage stratified sampling approach. Self-report questionnaires assessed traditional and cyberbullying victimization experiences during adolescence, with 5-year longitudinal follow-up. Childhood ADHD diagnoses were identified by linking data to Taiwan's National Health Insurance Research Database from 2000 to 2015. Logistic regression models were employed to examine the relationship between childhood ADHD and bullying victimization while controlling for relevant covariates. RESULTS Individuals diagnosed with childhood ADHD exhibited a significantly higher likelihood of experiencing bullying during adolescence (adjusted odds ratio (aOR) = 1.52, 95% confidence interval (CI): 1.28-1.80). This association extended to various forms of bullying, including physical (aOR = 1.42, 95% CI: 1.20-1.68), verbal (aOR = 1.42, 95% CI: 1.20-1.67), relational (aOR = 1.45, 95% CI: 1.22-1.71), and cyber (aOR = 1.35, 95% CI: 1.14-1.61). Additional factors positively associated with bullying victimization included male, binge drinking, and depression, while a positive campus atmosphere was protective against bullying. However, there is no evidence for interactions between these factors and ADHD in their associations with bullying. DISCUSSION Childhood ADHD increases the risk of both traditional and cyberbullying during adolescence. Recognizing this risk is essential for targeted interventions and further research on underlying mechanisms.
Collapse
Affiliation(s)
- Chun-Ji Lin
- Institute of Population Health Sciences, National Health Research Institutes, Miaoli County, Taiwan
| | - Chao-Ying Tu
- Department of Psychiatry, National Taiwan University Hospital Yunlin Branch, Yunlin, Taiwan; Institute of Health Policy and Management, College of Public Health, National Taiwan University, Taipei, Taiwan
| | - Yu-Hsuan Lin
- Institute of Population Health Sciences, National Health Research Institutes, Miaoli County, Taiwan; Department of Psychiatry, National Taiwan University Hospital, Taipei, Taiwan; Institute of Health Behaviors and Community Sciences, College of Public Health, National Taiwan University, Taipei, Taiwan
| | - Chih-Yi Wu
- Institute of Population Health Sciences, National Health Research Institutes, Miaoli County, Taiwan
| | - Po-Ya Chang
- Department of Leisure Industry and Health Promotion, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan
| | - I-Ying Hsiao
- Institute of Population Health Sciences, National Health Research Institutes, Miaoli County, Taiwan
| | - Hung-Yi Chiou
- Institute of Population Health Sciences, National Health Research Institutes, Miaoli County, Taiwan; School of Public Health, College of Public Health, Taipei Medical University, Taipei, Taiwan.
| |
Collapse
|
4
|
Bansal S, Garg N, Singh J, Van Der Walt F. Cyberbullying and mental health: past, present and future. Front Psychol 2024; 14:1279234. [PMID: 38288359 PMCID: PMC10823540 DOI: 10.3389/fpsyg.2023.1279234] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2023] [Accepted: 12/27/2023] [Indexed: 01/31/2024] Open
Abstract
Purpose Cyberbullying has attracted the world's attention, and therefore researchers across the world have contributed to the literature on cyberbullying and mental health. Amongst others, they have conducted bibliometric analyses and associated cyberbullying with various factors but have not determined the impact of cyberbullying on people's mental health. Hence, the aim of this study was to conduct bibliometric analyses of cyberbullying and mental health to analyze the academic performance of the literature on impact of cyberbullying on people's mental health; and to propose future research avenues to make further contributions to this field of study. Methodology Spreadsheets and VOSviewer were used to conduct the bibliometric analysis. The data were extracted from the SCOPUS database which provided an extensive collection of data and journals. Findings Having explored the top active countries publishing on the impact of cyberbullying on people's mental health and the academic performance of such research articles by means of a qualitative bibliometric analysis, the results revealed that this research topic is still to be researched extensively. The study also suggests countries/regions where this research topic can be explored further, as well as possible journals for publication of research results, and further studies to be conducted. Discussion The literature presents a fragmented view on the impact of cyberbullying on people's mental health. Studies on cyberbullying are limited for the reasons as discussed in this article. Hence, bibliometric analysis was conducted to analyze the performance of academic literature on the impact of cyberbullying on people's mental health; the academic performance of research articles on cyberbullying and mental health; and to make proposals toward a future research agenda.
Collapse
Affiliation(s)
- Suhans Bansal
- University School of Management and Entrepreneurship (USME), Delhi Technological University, New Delhi, India
| | - Naval Garg
- University School of Management and Entrepreneurship (USME), Delhi Technological University, New Delhi, India
| | - Jagvinder Singh
- Department of Operational Research, University of Delhi, New Delhi, India
| | - Freda Van Der Walt
- Faculty of Management Sciences, Department of Business Management, Central University of Technology, Bloemfontein, South Africa
| |
Collapse
|
5
|
Zhang Y, Sun Q. How Interpersonal Sensitivity Affects Depression Under the COVID-19 Lockdown Among College Students in South China: A Moderated Mediation Model. Psychol Res Behav Manag 2023; 16:1271-1282. [PMID: 37095846 PMCID: PMC10122496 DOI: 10.2147/prbm.s407430] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2023] [Accepted: 04/12/2023] [Indexed: 04/26/2023] Open
Abstract
Purpose Based on the interpersonal theory of depression and resilience framework theory, this study tested the association between interpersonal sensitivity and depression in college students in the context of the COVID-19 pandemic. Additionally, the mediating role of resilience and the moderating role of the COVID-19 lockdown were investigated. Methods A total of 5193 South Chinese college students (M=19.27, SD = 1.18) were included in the study. According to which campus they were living on, the subjects were categorized as members of a lockdown group or a nonlockdown group. They completed the interpersonal sensitivity subscales of the Symptom Checklist 90 (SCL-90), Beck Depression Inventory (BDI), and Connor-Davidson Resilience Scale (CD-RISC). SPSS 26.0 statistical software was used to analyse the descriptive statistics, reliability, and correlation. Specifically, a moderated mediation model was analysed by multivariate logistic regression. Results Interpersonal sensitivity was significantly associated with depression (r = 0.517, p < 0.01), which was mediated by resilience (β = 0.12, 95% CI = [0.10, 0.13]). Lockdown status was shown to have a moderating effect on the relationship between resilience and depression (β = 0.03, t = 2.71, p < 0.01). Conclusion The high levels of interpersonal sensitivity displayed by South Chinese college students caused low resilience and then facilitated depression. The COVID-19 lockdown strengthened the effect of low resilience on depression. Lower resilience was more strongly associated with higher depression for students under lockdown conditions compared to students who were not in lockdown.
Collapse
Affiliation(s)
- Yuxuan Zhang
- Department of Social and Behavioural Sciences, City University of Hong Kong, Hong Kong, People’s Republic of China
| | - Qin Sun
- Mental Health Education and Guidance Center, Guangxi International Business Vocational College, Nanning, People’s Republic of China
- Correspondence: Qin Sun, Email
| |
Collapse
|
6
|
Zhang Y, Jia X. When fate hands you lemons: A moderated moderation model of bullying victimization and psychological distress among Chinese adolescents during floods and the COVID-19 pandemic. Front Psychol 2023; 14:1010408. [PMID: 36935965 PMCID: PMC10020194 DOI: 10.3389/fpsyg.2023.1010408] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2022] [Accepted: 02/13/2023] [Indexed: 03/06/2023] Open
Abstract
Background Bullying is a major problem worldwide and has numerous detrimental effects on the mental health of victims. The link between bullying and psychological distress in adolescents is well known. However, few studies have analyzed the impact of combined interpersonal, peer, and cultural factors on psychological distress using a social-ecological system framework in Eastern countries. Negotiable fate is a cultural belief common in Eastern societies that suggests that people can negotiate with fate for more control by exercising personal agency within the limits of what fate has determined. This study examined the moderating effects of neuroticism and negotiable fate on the relationship between bullying victimization and psychological distress among Chinese adolescents. Moreover, human society commonly suffers from multiple disasters that lead to severe mental health problems. There are few empirical studies on the effects of bullying among adolescents in multiple disaster contexts. This study included participants who experienced floods and COVID-19 simultaneously in 2021. Materials and methods We conducted a cross-sectional cluster sampling study from August 6 to 9, 2021, approximately 2 weeks after the start of the Zhengzhou City flooding and 7 days after the new wave of the COVID-19 outbreak in Zhengzhou City. The study included 1,207 participants (52.4% men, n = 633; M age = 14.36, SD = 0.94) from a middle school in Zhengzhou City, China. Results The results revealed that bullying was positively linked to psychological distress (β = 0.5.34, p < 0.001, [0.73, 9.95]). Neuroticism and negotiable fate significantly moderated the relationship between the effects of bullying and psychological distress (β = -3.58, p < 0.05, 95% CI [-6.12, -1.04]). Specifically, high neuroticism increased the risk of psychological distress in adolescents bullied before a disaster. High or low neuroticism and high negotiable fate buffered the link between bullying and psychological distress. Conclusion This study showed that neuroticism and negotiable fate moderated the relationship between bullying victimization and psychological distress in Chinese students with COVID-19 and flood disasters. High negotiable fate and high or low neuroticism could help adolescents bullied in school to be immune from psychological distress in catastrophe. The results highlight the importance of considering the interplay between bullying, neuroticism, and a sense of controllable destiny when examining adolescents' psychological distress.
Collapse
Affiliation(s)
- Yuchi Zhang
- Department of Educational Technology, School of Smart Education, Jiangsu Normal University, Xuzhou, China
| | - Xiaoyu Jia
- College of Teacher Education, Southwest University, Chongqing, China
- *Correspondence: Xiaoyu Jia,
| |
Collapse
|
7
|
Cyberbullying and Cyber victimization: examining mediating roles of Empathy and Resilience. CURRENT PSYCHOLOGY 2022. [DOI: 10.1007/s12144-022-04134-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
|