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Nursing in the digital age: The role of nursing in addressing cyberbullying and adolescents mental health

IF 2.6 4区医学 Q1 NURSING

Journal of Psychiatric and Mental Health Nursing Pub Date : 2024-07-17 DOI:10.1111/jpm.13085

Shaimaa Mohamed Amin, Marwa Ahmed El-Sayed Mohamed, Mona Metwally El-Sayed, Ayman Mohamed El-Ashry

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The research indicates that cyberbullying, along with family income, collectively explains more than 60% of the variation in mental health. These results underscore the importance of developing strategies to address cyberbullying and taking socioeconomic factors into account when addressing mental health issues in adolescents.</li>\n </ul>\n </div>\n </section>\n \n <section>\n \n <h3> What are the Implications of This New Knowledge for Nursing Care with Adolescents?</h3>\n \n <div>\n \n <ul>\n \n \n <li>School nurses should be knowledgeable about the prevalence and effects of cyberbullying on the mental well-being of teenagers. They need to be equipped to recognize signs of cyberbullying and associated mental health issues, such as anxiety, depression, and stress.</li>\n \n \n <li>Educating adolescents, parents, and school staff about the dangers of cyberbullying and prevention methods is a crucial role that school nurses can play. This may involve teaching safe internet usage, promoting open communication about online experiences, and encouraging positive online behaviour.</li>\n \n \n <li>When evaluating mental health needs and planning care for adolescents, school nurses should consider their economic status. They should advocate for resources and assistance for low-income families to help alleviate the impact of financial stress on mental health.</li>\n </ul>\n </div>\n </section>\n \n <section>\n \n <h3> How Could the Findings Influence Policy, Practice, Research, or Education?</h3>\n \n <div>\n \n <ul>\n \n \n <li>It is important to introduce policies that provide financial support to families with lower incomes, as the research has shown a strong connection between a family's monthly income and its members' mental well-being.</li>\n \n \n <li>Educational institutions, including schools, should introduce programs to prevent bullying, with a specific focus on cyberbullying.</li>\n \n \n <li>It would be beneficial for researchers to explore the effectiveness of various interventions in reducing cyberbullying and improving mental health outcomes.</li>\n \n \n <li>It is crucial to integrate education on cyberbullying into school curricula in order to raise awareness about this issue and to teach students how to respond if they or someone they know becomes a victim of cyberbullying.</li>\n \n \n <li>Educating parents and teachers about the indicators of cyberbullying and its potential impact on mental health is important so that they can offer support to adolescents who are experiencing cyberbullying.</li>\n \n \n <li>Further research is needed to address other covariates that could impact cyberbullying, such as addictive personality traits, impulsive seeking behaviours, and parenting styles.</li>\n </ul>\n </div>\n </section>\n \n <section>\n \n </section>\n \n <section>\n \n <h3> Background</h3>\n \n <p>Cyberbullying, a significant concern in today's digital age, has a profound impact on teenagers' mental health, leading to stress, depression, anxiety, low self-esteem, and, in severe cases, suicidal ideation. This study aimed to explore the effects of cyberbullying on adolescents' mental health.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>The study employed a cross-sectional descriptive research design conducted at five public secondary schools in El-Beheira governorate, Egypt. A total of 500 students were selected through a multistage sampling technique, yielding a response rate of 96%. The instruments used for data collection were the European Cyberbullying Intervention Project Questionnaire and the Depression Anxiety Stress Scale-21.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>The findings revealed that 27.4% and 32.0% of respondents reported high levels of victimization and cyberaggression, respectively. Furthermore, 72.2%, 44%, and 52.6% of students exhibited severe to extremely severe levels of anxiety, stress, and depression, respectively. The study also found that cyberbullying and family monthly income accounted for 61.6% of the variance in stress, anxiety, and depressive symptoms (adjusted <i>R</i><sup>2</sup> = .614).</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>The study concludes that cyberbullying is a prevalent issue among adolescents in Egypt, with a majority of students experiencing moderate to high levels of cybervictimization and aggression. This leads to varying degrees of anxiety, stress, and depression. The study also established a significant relationship between cyberbullying and mental health issues among adolescents. Moreover, both cyberbullying and family monthly income were found to significantly influence mental health, with higher levels of cyberbullying and lower income associated with increased stress, anxiety, and depressive symptoms.</p>\n </section>\n \n <section>\n \n <h3> Patient or Public Contribution</h3>\n \n <p>No Patient or Public Contribution.</p>\n </section>\n \n <section>\n \n <h3> Implications for Nursing Practice</h3>\n \n <p>It is important for nurses working with adolescents to have an understanding of how common cyberbullying is and how it can affect mental health. They should receive training to be able to recognize signs of cyberbullying and mental health issues, such as anxiety, depression, and stress. Nurses can teach adolescents, parents, and school staff about its dangers and ways to prevent cyberbullying. 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引用次数: 0

Abstract

The Relevance of Our Study to Mental Health Nursing

1.1 What is known on the subject?

The study's findings are crucial for mental health nursing, as they highlight the significant impact of cyberbullying on adolescents' mental health in Egypt.

1.2 What this paper adds to existing knowledge?

By establishing a clear link between cyberbullying, family income, and mental health issues such as anxiety, stress, and depression, the research underscores the need for targeted interventions and support systems.

1.3 What are the implications for practice?

Mental health nurses can utilize this information to develop effective prevention and treatment strategies, advocate for policy changes, and educate families and communities.
Addressing cyberbullying and its effects can lead to improved mental health outcomes, demonstrating the critical role of mental health nursing in supporting affected adolescents.

Summary Statement of Implications for Practice

What Does This Research Add to Existing Knowledge of Cyberbullying Among Adolescents?

This study brings attention to the widespread occurrence of cyberbullying among adolescents in Egypt and its substantial impact on their mental health. The research indicates that cyberbullying, along with family income, collectively explains more than 60% of the variation in mental health. These results underscore the importance of developing strategies to address cyberbullying and taking socioeconomic factors into account when addressing mental health issues in adolescents.

What are the Implications of This New Knowledge for Nursing Care with Adolescents?

School nurses should be knowledgeable about the prevalence and effects of cyberbullying on the mental well-being of teenagers. They need to be equipped to recognize signs of cyberbullying and associated mental health issues, such as anxiety, depression, and stress.
Educating adolescents, parents, and school staff about the dangers of cyberbullying and prevention methods is a crucial role that school nurses can play. This may involve teaching safe internet usage, promoting open communication about online experiences, and encouraging positive online behaviour.
When evaluating mental health needs and planning care for adolescents, school nurses should consider their economic status. They should advocate for resources and assistance for low-income families to help alleviate the impact of financial stress on mental health.

How Could the Findings Influence Policy, Practice, Research, or Education?

It is important to introduce policies that provide financial support to families with lower incomes, as the research has shown a strong connection between a family's monthly income and its members' mental well-being.
Educational institutions, including schools, should introduce programs to prevent bullying, with a specific focus on cyberbullying.
It would be beneficial for researchers to explore the effectiveness of various interventions in reducing cyberbullying and improving mental health outcomes.
It is crucial to integrate education on cyberbullying into school curricula in order to raise awareness about this issue and to teach students how to respond if they or someone they know becomes a victim of cyberbullying.
Educating parents and teachers about the indicators of cyberbullying and its potential impact on mental health is important so that they can offer support to adolescents who are experiencing cyberbullying.
Further research is needed to address other covariates that could impact cyberbullying, such as addictive personality traits, impulsive seeking behaviours, and parenting styles.

Background

Cyberbullying, a significant concern in today's digital age, has a profound impact on teenagers' mental health, leading to stress, depression, anxiety, low self-esteem, and, in severe cases, suicidal ideation. This study aimed to explore the effects of cyberbullying on adolescents' mental health.

Methods

The study employed a cross-sectional descriptive research design conducted at five public secondary schools in El-Beheira governorate, Egypt. A total of 500 students were selected through a multistage sampling technique, yielding a response rate of 96%. The instruments used for data collection were the European Cyberbullying Intervention Project Questionnaire and the Depression Anxiety Stress Scale-21.

Results

The findings revealed that 27.4% and 32.0% of respondents reported high levels of victimization and cyberaggression, respectively. Furthermore, 72.2%, 44%, and 52.6% of students exhibited severe to extremely severe levels of anxiety, stress, and depression, respectively. The study also found that cyberbullying and family monthly income accounted for 61.6% of the variance in stress, anxiety, and depressive symptoms (adjusted R² = .614).

Conclusion

The study concludes that cyberbullying is a prevalent issue among adolescents in Egypt, with a majority of students experiencing moderate to high levels of cybervictimization and aggression. This leads to varying degrees of anxiety, stress, and depression. The study also established a significant relationship between cyberbullying and mental health issues among adolescents. Moreover, both cyberbullying and family monthly income were found to significantly influence mental health, with higher levels of cyberbullying and lower income associated with increased stress, anxiety, and depressive symptoms.

Patient or Public Contribution

No Patient or Public Contribution.

Implications for Nursing Practice

It is important for nurses working with adolescents to have an understanding of how common cyberbullying is and how it can affect mental health. They should receive training to be able to recognize signs of cyberbullying and mental health issues, such as anxiety, depression, and stress. Nurses can teach adolescents, parents, and school staff about its dangers and ways to prevent cyberbullying. This may involve educating adolescents on safe internet practices, promoting open communication about online experiences, and encouraging positive online behaviour. Lastly, considering the strong connection between income and mental health, nurses should also take into account the socioeconomic status of adolescents when assessing their mental health needs and planning care. They should work to secure resources and support for low-income families to help alleviate the impact of financial stress on mental health. Additionally, further research is needed to address other covariates that could impact cyberbullying, such as addictive personality traits, impulsive seeking behaviours, and parenting styles.

查看原文本刊更多论文

数字时代的护理：护理在应对网络欺凌和青少年心理健康方面的作用。

我们的研究与心理健康护理的相关性：这方面的知识有哪些？研究结果对心理健康护理工作至关重要，因为它们凸显了网络欺凌对埃及青少年心理健康的重大影响。本文对现有知识有何补充？通过在网络欺凌、家庭收入以及焦虑、压力和抑郁等心理健康问题之间建立明确的联系，本研究强调了有针对性的干预措施和支持系统的必要性。对实践有何意义？心理健康护士可以利用这些信息制定有效的预防和治疗策略，倡导政策变革，教育家庭和社区。应对网络欺凌及其影响可以改善心理健康结果，这表明心理健康护理在支持受影响的青少年方面发挥着至关重要的作用：本研究对现有的青少年网络欺凌知识有何补充？本研究使人们注意到网络欺凌在埃及青少年中的广泛存在及其对青少年心理健康的重大影响。研究表明，网络欺凌与家庭收入共同解释了超过 60% 的心理健康差异。这些结果突出表明，在解决青少年心理健康问题时，制定应对网络欺凌的策略并考虑社会经济因素非常重要。这些新知识对青少年护理工作有何意义？学校护士应该了解网络欺凌的普遍性及其对青少年心理健康的影响。他们需要具备识别网络欺凌迹象和相关心理健康问题（如焦虑、抑郁和压力）的能力。向青少年、家长和学校教职员工宣传网络欺凌的危害和预防方法，是学校护士可以发挥的重要作用。这可能包括教授安全使用互联网的方法、促进关于网上经历的坦诚交流以及鼓励积极的网上行为。在评估青少年的心理健康需求和制定护理计划时，校医应考虑到他们的经济状况。他们应倡导为低收入家庭提供资源和帮助，以减轻经济压力对心理健康的影响。研究结果如何影响政策、实践、研究或教育？重要的是要出台政策，为低收入家庭提供经济支持，因为研究表明，家庭的月收入与其成员的心理健康有着密切的联系。包括学校在内的教育机构应引入预防欺凌的计划，并特别关注网络欺凌。研究人员不妨探讨各种干预措施在减少网络欺凌和改善心理健康结果方面的有效性。将有关网络欺凌的教育纳入学校课程，以提高对这一问题的认识，并教会学生在自己或认识的人成为网络欺凌的受害者时如何应对，这一点至关重要。教育家长和教师了解网络欺凌的指标及其对心理健康的潜在影响非常重要，这样他们就能为遭受网络欺凌的青少年提供支持。还需要进一步研究可能影响网络欺凌的其他协变量，如成瘾性人格特质、冲动性寻求行为和养育方式等。摘要：背景：网络欺凌是当今数字时代的一个重要问题，对青少年的心理健康有着深远的影响，会导致压力、抑郁、焦虑、自卑，严重时还会产生自杀念头。本研究旨在探讨网络欺凌对青少年心理健康的影响：研究采用横断面描述性研究设计，在埃及贝希拉省的五所公立中学进行。通过多阶段抽样技术共选取了 500 名学生，回复率为 96%。数据收集工具为欧洲网络欺凌干预项目问卷和抑郁焦虑压力量表-21：调查结果显示，分别有 27.4% 和 32.0% 的受访者表示其受害程度和网络侵犯程度较高。此外，分别有 72.2%、44% 和 52.6% 的学生表现出严重至极严重的焦虑、压力和抑郁水平。研究还发现，网络欺凌和家庭月收入占压力、焦虑和抑郁症状变异的 61.6%（调整后 R2 = .614）：研究得出结论，网络欺凌在埃及青少年中是一个普遍存在的问题，大多数学生受到中度到高度的网络伤害和攻击。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Psychiatric and Mental Health Nursing 医学-护理

CiteScore

4.70

自引率

3.70%

发文量

审稿时长

4-8 weeks

期刊介绍： The Journal of Psychiatric and Mental Health Nursing is an international journal which publishes research and scholarly papers that advance the development of policy, practice, research and education in all aspects of mental health nursing. We publish rigorously conducted research, literature reviews, essays and debates, and consumer practitioner narratives; all of which add new knowledge and advance practice globally. All papers must have clear implications for mental health nursing either solely or part of multidisciplinary practice. Papers are welcomed which draw on single or multiple research and academic disciplines. We give space to practitioner and consumer perspectives and ensure research published in the journal can be understood by a wide audience. We encourage critical debate and exchange of ideas and therefore welcome letters to the editor and essays and debates in mental health.