Associations between school bullying and anxiety in children and adolescents from an ethnic autonomous county in China

Childhood maltreatment, parenting style and anxiety in Chinese youths: A case-control study

BACKGROUND

Although evidence in supporting the associations between childhood maltreatment (CM), parenting style and anxiety in children and adolescents exists, few high-quality analytical epidemiological studies which focusing on clinically diagnosed anxiety disorders (AD) had been published.

OBJECTIVE

The aim of this study was to further corroborate the associations between CM, parenting style, and AD in a large representative sample of Chinese children and adolescents.

PARTICIPANTS AND SETTING

Study subjects were derived from the Mental Health Survey for Children and Adolescents in Yunnan (MHSCAY), a population-based cross-sectional program.

METHODS

Individually matched case-control study design was adopted. Univariate and multivariate conditional binary logistic regression models were used to estimate the associations between CM, parenting style and AD. Dose-response trends were estimated using the Cochran-Armitage Chi-square test. A series of stratified analyses were conducted to explore effect modification on exposure-outcome association by some important features.

RESULTS

Totally we screened out 202 cases and 404 matched controls, with an age mean of 14.43 years. Conditional logistic regression models revealed that EA and a higher level of parental over-protection were significantly associated with increased risk of AD, with adjusted ORs of 3.39 (95 % CI: 2.07-5.56) and 1.93 (95 % CI: 1.28-2.90). Stratified analysis identified noticeable effect modification by sex, age, and whether the only child in the family.

CONCLUSIONS

Major findings of this study suggested that children and adolescents who had experienced EA or raised up by over-protective parents are at increased risk of AD. Targeted intervention measures should be developed and implemented for these high-risk youths.

The Relationship between a Competitive School Climate and School Bullying among Secondary Vocational School Students in China: A Moderated Mediation Model

School bullying is widespread in countries around the world and has a continuous negative impact on the physical and mental health of students. However, few studies have explored the influence mechanism of a competitive school climate on school bullying among Chinese secondary vocational school students. This study aims to explore the relationship between a competitive school climate and bullying in secondary vocational schools in the Chinese context, as well as the mediating role of school belonging and the moderating role of gender. Logit regression analysis and a moderated mediation model were used to analyze 1964 secondary vocational students from China based on PISA 2018 data from Beijing, Shanghai, Zhejiang, and Jiangsu, China. (1) The detection rate of school bullying in secondary vocational schools in China is 17.8%, lower than the world average. (2) A competitive school climate is significantly and positively correlated with secondary vocational school students' exposure to school bullying. (3) A moderated mediation model suggests that school belonging is an important mechanism by which a competitive school climate influences the occurrence of school bullying, whereas gender moderates the direct effect of a competitive school climate and the indirect effect of school belonging, which mitigates the negative effects of a competitive school climate to some extent. The research results show that creating a healthy competitive climate in schools, cultivating students' sense of belonging, and facing up to gender differences are helpful to prevent school bullying in secondary vocational schools.

Traditional bullying, cyberbullying, and quality of life among adolescents in 35 countries: Do cultural values matter?

RATIONALE

Substantial evidence indicates that involvement in school bullying has been linked to lower quality of life (QoL). Yet there is little information elucidating the link between bullying involvement and QoL in different cultures.

OBJECTIVE

This study investigated the associations between different types of bullying involvement and QoL among adolescents. The moderating roles of cultural values in the relationship between bullying involvement and QoL were examined.

METHODS

This study included representative samples from 35 countries (N = 184,017) using data from the 2017/2018 Health Behavior in School-Aged Children (HBSC) survey and the new 2023 World Cultural Map Scores from the World Values Survey Wave 7 (2017/2021). Multilevel mixed-effects analysis was employed to examine individual-level and country-level effects simultaneously.

RESULTS

All types of bullying involvement were associated with lower QoL, with being a victim having the lowest QoL. Adolescents in societies that prioritize higher self-expression values exhibited a reduced propensity to engage in school bullying. In countries with higher self-expression values, there was a more pronounced negative association between bullying involvement and QoL. Traditional/Secular-rational values had no significant and consistent moderating effect on the association between bullying involvement and QoL. Those results were quite similar for both traditional bullying and cyberbullying.

CONCLUSION

These findings imply that cultural values are closely intertwined with adolescent bullying and quality of life. Therefore, prevention and intervention programs should pay more attention to addressing bullying and promoting the QoL of adolescents according to various cultural values.

The interaction effects of social support and four types of bullying on sleep quality in Chinese adolescents

OBJECTIVES

The aims of this study were to examine the association of verbal, social, physical, and cyber bullying victimizations with sleep quality while taking social support as a moderator and to further examine gender and grade differences in the moderating effects of social support on bullying-associated sleep quality among Chinese adolescents.

METHODS

An online cross-sectional survey was conducted in a province of northwestern China. A total of 20,320 students were included in our analyses. Multivariable linear regression analyses were conducted to examine the association between bullying victimization and sleep quality as well as the moderating effects of social support on these relationships.

RESULTS

After adjusting for confounding variables, four types of bullying victimization were significantly associated with sleep quality. Social support only moderated the relationship of verbal, physical, and social bullying with sleep quality. Moreover, these positive moderating effects were found only for girls and, in terms of grade difference, only for primary students. Some reversed moderating effects of social support were also observed in the relationship of cyber, physical bullying with sleep quality.

LIMITATIONS

This was a cross-sectional study, limiting the causal inference.

CONCLUSIONS

This study revealed that bullying is a risk factor for poor sleep quality among adolescents in northwestern China. Furthermore, social support moderated the relationship between bullying and sleep quality in different ways depending on grade, gender, and type of bullying. More efforts are needed to prevent bullying and improve both school climate and students' sleep quality.

How do the identities of ethnic and left-behind children influence their depression? Evidence from ethnic minority areas of Sichuan Province, China

Millions of ethnic children in China live without their parents due to financial constraints and the lure of job opportunities elsewhere, staying in their hometowns primarily for education. Yet, current research inadequately addresses the mental health status of these left-behind children from ethnic minority communities in China. This study aimed to explore the effects of the combined identities-ethnic and left-behind-on depression among children in rural ethnic minority areas. We recruited a sample of 1131 children aged 12 to 16 from the Garzê Tibetan Autonomous Prefecture (also known as Ganzi Prefecture) in Sichuan Province. The Children's Depression Inventory was employed to assess depression levels. Results indicated that left-behind children in this region exhibited significantly higher depression levels than their counterparts who lived with their parents. Notably, children of Han ethnicity were more depressed than other ethnic groups. However, no interactive effects were observed between the dual identity factors. Intriguingly, Han children, despite being the majority ethnicity in China, perceived themselves as ethnic minorities in these areas. Their self-perception of ethnic pressure and differences, coupled with a potential lack of acceptance of their ethnic differences from the native minorities, might be subdued. This study underscores that parental relocation poses a risk to the mental health of adolescents in rural China. While policies and programs supporting left-behind children are crucial, further research is imperative to comprehend the nuances of their experiences fully.

College students and cyberbullying: how social media use affects social anxiety and social comparison

Cyberbullying is defined as aggression intending to inflict harm on others by electronic communication technologies. Cyberbullying has become more common as social media has grown and is accompanied by negative mental health consequences. Research on cyberbullying and mental health in adolescents suggests cyberbullying victimization moderates the relationship between social comparison and social anxiety, but little is known about this phenomenon in college students. Therefore, the objective of this study was to explore the relationship between cyberbullying, social anxiety, and social comparison amongst college students. A convenience sample of 486 undergraduate students from southern Texas and northern Ohio completed a PyschData survey that assessed social anxiety, social comparison, experiences with be a cyberbullying victim, perpetrator, or both. We found that social anxiety was associated with cyberbullying victimization and perpetration; however, social comparison was not. Cyberbullying victimization was not a moderator between social comparison and anxiety, suggesting that unlike adolescence, college students' experiences with these constructs may be unique to their developmental level.