Meta-analysis of the relationship between bullying and depressive symptoms in children and adolescents

Ye, Zixiang; Wu, Dongmei; He, Xiaoyan; Ma, Qin; Peng, Jianyan; Mao, Guoju; Feng, Lanling; Tong, Yuhao

doi:10.21203/rs.3.rs-2214350/v1

Cited by 3 publications

(4 citation statements)

References 50 publications

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“…Consistent with our findings, a cross-sectional study of 2,155 students found that participants who were bullied had higher levels of depression [28]. Another meta-analysis suggested that children and adolescents who experience bullying were associated with a higher incidence of depression, with an odd ratio of 2.77 [62]. A study used an SEM to explore the relationship between bullying and depressive symptoms in 4,289 Italian adolescents and found a significant positive association [63].…”

Section: Discussionsupporting

confidence: 89%

Associations of vegetable and fruit intake, physical activity, and school bullying with depressive symptoms in secondary school students: the mediating role of internet addiction

Ji,

Ren,

Chen

et al. 2024

BMC Psychiatry

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Background Few studies have simultaneously focused on the associations of vegetable and fruit intake, physical activity, school bullying, and Internet addiction (IA) with depressive symptoms. This study aimed to explore the direct and indirect effects of the above factors on depressive symptoms in adolescents by constructing a structural equation model (SEM). Methods This study was conducted in Qingdao from September to November 2021. A total of 6195 secondary school students aged 10–19 years were included in the analysis. Information on all variables was assessed using a self-administered questionnaire. An SEM was constructed with depressive symptoms as the endogenous latent variable, IA as the mediating variable, and vegetable and fruit intake, physical activity, and school bullying as the exogenous latent variables. The standardized path coefficients (β) were the direct effects between the latent variables, and the indirect effects were obtained by the product of direct effects between relevant latent variables. Results The median value with the interquartile range of depressive symptom scores was 7 (3,12). Vegetable and fruit intake (β=-0.100, P<0.001) and physical activity (β=-0.140, P<0.001) were directly negatively related to depressive symptoms. While school bullying (β=0.138, P<0.001) and IA (β=0.452, P<0.001) were directly positively related to depressive symptoms. IA had the greatest impact on depressive symptoms. Vegetable and fruit intake, physical activity, and school bullying could not only directly affect depressive symptoms, but also indirectly affect depressive symptoms through the mediating effect of IA, the indirect effects and 95% confidence intervals (CIs) were -0.028 (-0.051, -0.007), -0.114 (-0.148, -0.089) and 0.095 (0.060, 0.157), respectively. The results of the multi-group analysis showed that the SEM we constructed still fit in boy and girl groups. Conclusions The results indicated that vegetable and fruit intake, physical activity, school bullying, and IA had a significant direct impact on depressive symptoms, among which IA had the greatest impact. In addition, both vegetable and fruit intake, school bullying, and physical activity indirectly affected depressive symptoms through the mediating effect of IA. The impact of IA on depressive symptoms should be given extra attention by schools and parents. This study provides a scientific and effective basis for the prevention and control of adolescent depressive symptoms.

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Section: Discussionsupporting

confidence: 89%

Associations of vegetable and fruit intake, physical activity, and school bullying with depressive symptoms in secondary school students: the mediating role of internet addiction

Ji,

Ren,

Chen

et al. 2024

BMC Psychiatry

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“…Depression is one of the most common mental health problems among children and adolescents with a risk of future, recurring episodes and disrupted transition to adulthood. A meta-analysis of 31 studies (total sample size of 133 688 individuals) showed that the risk of depression in children and adolescents who were bullied was 2.77 times greater than of those who were not bullied; the risk of depression in bullying children/adolescents was 1.73 times greater than in those who did not bully; and the risk of depression in individuals who bullied and experienced bullying was 3.19 times greater than that in nonbullying-bullied individuals [13 ▪ ].…”

Section: Impact Of Bullyingmentioning

confidence: 99%

The impact of bullying in childhood and adolescence

Bhatia

2023

Current Opinion in Psychiatry

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Purpose of review Bullying is a common adversity affecting many children and adolescents. It has been shown to negatively impact the psychological well being not only of targets of bullying, but also that of bullying perpetrators and those witnessing bullying. Bullying is linked to depression and poorer mental health and functioning among children and adolescents. Given the high prevalence of bullying among children and adolescents and the negative mental health sequelae of bullying, this is an area of urgent public health concern. This narrative review brings forth recent research findings in this arena, which could help shape public health policies for addressing and preventing bullying. Recent findings Recent findings demonstrate an association of bullying among children and adolescents with depression, nonsuicidal self-injury, sleep loss, reduced health-related quality of life, poorer rates of graduation from high school and later mental health problems. A recent systematic review also showed an association of peer-victimization among children and adolescents with activation of amygdala, left parahippocampal gyrus and fusiform gyrus, and alterations in other brain areas. Summary Evidence indicates that bullying in childhood and adolescence is associated with higher odds of developing mental health problems; therefore, early identification and timely intervention is crucial.

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“…Children exposed to some vulnerable conditions, including bullying victimization [7,8], self-harm behavior [9], parental divorce [2], and left-behind experience [10] ("left-behind children" refers to children whose fathers or mothers or both parents have migrated to another city outside of their original residence area for six months or more, and also means long-term parental absences [11], reflecting a phenomenon deeply rooted in China's population mobility and urbanization. ), face a higher risk of depression and suicidal ideation.…”

Section: Introductionmentioning

confidence: 99%

“…Syndemics may heighten the vulnerability of children to depression and suicide, while risk factors associated with these mental health conditions can also foster the development of syndemic states. Childhood depression and suicide can stem from various factors [2,[7][8][9][10], including bullying, self-harm behavior, parental divorce, and left behind experiences, all of which may elevate the risk of depression and suicide. These multiple factors can interact and mutually influence each other, exacerbating children's depression and suicidal ideation.…”

Section: Introductionmentioning

confidence: 99%

Vulnerable conditions syndemic, depression, and suicidal ideation among school children in China: cross-sectional census findings

Wang,

Lu,

Zhao

et al. 2024

Child Adolesc Psychiatry Ment Health

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Background Mental health issues (depression and suicidal ideation) are increasingly common in children and emerge as escalating public health concerns. The syndemics that underline the importance of risk factor clustering provides a framework for intervention, but there is a lack of research on syndemics involving the adverse interactions of children’s mental health problems. This study therefore examined the cumulative and synergistic effects of vulnerable conditions on depression and suicidal ideation among children in China. Methods A mental health screening census of students in grades 5–12 was conducted from November 2022 to January 2023 in Nanling County, Anhui Province, China. The prevalence and co-occurrence of vulnerable conditions (unfavorable parental marital status, left-behind experience, bullying victimization, and self-harm behavior), depression, and suicidal ideation and the cumulative and synergistic effects of vulnerable conditions on depression and suicidal ideation were explored. Results Nearly a quarter of students (24.8%) reported at least two syndemic conditions. Overall, the prevalence of depression and suicidal ideation were 20.2% and 24.2% respectively. The odds of depression and suicidal ideation were higher for children with one or more vulnerable conditions and were ten times higher for children with three or more vulnerable conditions compared with those without any vulnerable condition. These four vulnerable conditions can increase the odds of depression and suicidal ideation by interacting synergistically with each other. Conclusion Our findings signal the importance of addressing mental health syndemics among children in China by simultaneously considering concurrent vulnerable conditions.

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Meta-analysis of the relationship between bullying and depressive symptoms in children and adolescents

Cited by 3 publications

References 50 publications

Associations of vegetable and fruit intake, physical activity, and school bullying with depressive symptoms in secondary school students: the mediating role of internet addiction

Associations of vegetable and fruit intake, physical activity, and school bullying with depressive symptoms in secondary school students: the mediating role of internet addiction

The impact of bullying in childhood and adolescence

Vulnerable conditions syndemic, depression, and suicidal ideation among school children in China: cross-sectional census findings

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