A Latent Profile Analysis of the Consensual and Non-Consensual Sexting Experiences among Canadian Adolescents.

Different patterns of sexting behaviors were examined to provide a more nuanced understanding of the context in which sexting occurs among adolescents. Participants were 1,000 Canadian adolescents (50.2% girls) between 12 and 18 years (Mage = 15.21, SD = 2.00) who completed measures of sexting, cyber bullying and victimization, problematic social media use, self-regulation, and demographics. Contrary to our hypotheses, three latent profiles of sexting represented the frequency of sexting rather than whether the sexting was consensual versus non-consensual or with a partner versus non-partner. Participants in the moderate and high sexting profiles representing one fifth of youth, reported less self-regulation, experienced more cyber victimization, and engaged in more cyber bullying and problematic social media use than those in the no/low sexting profile. Our findings support the normalcy approach to education, which considers some sexting among healthy developmental behaviors.

ProTect: a hybrid deep learning model for proactive detection of cyberbullying on social media.

The emergence of social media has given rise to a variety of networking and communication opportunities, as well as the well-known issue of cyberbullying, which is continuously on the rise in the current world. Researchers have been actively addressing cyberbullying for a long time by applying machine learning and deep learning techniques. However, although these algorithms have performed well on artificial datasets, they do not provide similar results when applied to real-time datasets with high levels of noise and imbalance. Consequently, finding generic algorithms that can work on dynamic data available across several platforms is critical. This study used a unique hybrid random forest-based CNN model for text classification, combining the strengths of both approaches. Real-time datasets from Twitter and Instagram were collected and annotated to demonstrate the effectiveness of the proposed technique. The performance of various ML and DL algorithms was compared, and the RF-based CNN model outperformed them in accuracy and execution speed. This is particularly important for timely detection of bullying episodes and providing assistance to victims. The model achieved an accuracy of 96% and delivered results 3.4 seconds faster than standard CNN models.

Bullying and School Violence.

Rates of traditional bullying have remained stable (30%) but rates of cyberbullying are increasing rapidly (46% of youth). There are significant long-term physical and mental health consequences of bullying especially for vulnerable youth. Multi-component school-based prevention programs that include caring adults, positive school climate, and supportive services for involved youth can effectively reduce bullying. While bullying has emerged as a legitimate concern, studies of surviving perpetrators to date suggest bullying is not the most significant risk factor of mass school shootings. Pediatricians play a critical role in identification, intervention, awareness, and advocacy.

Cyber-Victimization and Its Effect on Depression in Adolescents: A Systematic Review and Meta-Analysis.

The difference in participants' characteristics between samples and the inconsistency in the methodology have led to variability in both direction and magnitude of association between cyber-victimization and depression in adolescents. This systematic review and meta-analysis investigates the relationship between cyber-victimization and depression in adolescents. Primary studies on cyber-victimization and depression among adolescents (10-19 years of age based on WHO definition) on PubMed and EMBASE databases were included. The forward and backward snowballing searching method was also used to explore more publications. The main effect estimate extracted from eligible studies was the odds ratio which was synthesized based on the random-effect model. The protocol of this study was prospectively registered on PROSPERO database (registration number: CRD42020185700). Among 1,008 research articles identified, 17 were eligible which comprised a total sample of 79,202 adolescents. The odds of depression among cyber-victims was almost three-fold higher (OR = 2.73; 95% CI 2.25-3.31) compared to non-cyber-victims. The overall effect estimate remained positive irrespective of differences in sample and method characteristics (study location, female percentage, sampling procedures, the use of single vs. multiple items, and elaboration of cyber-bullying definition). The presence of traditional bullying items was found to be important moderator of this relationship. However, none of the anticipated moderators had a clear impact on this relationship. Moreover, absence of publication bias was confirmed. This study confirms findings from the literature about the significant association between cyber-victimization and depression in adolescents across settings and populations. More efforts should be made to address this issue rigorously and to a greater extent.

Receiving threatening or obscene messages from a partner and mental health, self-harm and suicidality: results from the Adult Psychiatric Morbidity Survey.

PURPOSE: Threatening or obscene messaging is repeated, unwanted texts, emails, letters or cards experienced by the recipient as threatening or obscene, and causing fear, alarm or distress. It is rarely examined as an aspect of intimate partner violence. We describe the prevalence of exposure to threatening/obscene messaging from a current or ex-partner; characteristics of victims; and associations with other forms of violence and abuse, mental disorder, self-harm, and suicidality. METHODS: Cross-sectional probability-sample survey of the general population in England aged 16 + . Multivariable regression modelling tested associations between receipt of threatening/obscene messaging and current common mental disorder, past-year self-harm and suicidality. RESULTS: Threatening/obscene messages were received from a current/ex-partner by 6.6% (95%CI: 5.9-7.3) of adults who had been in a relationship; 1.7% received these in the past year. Victims were more likely to be female, under 35, single or divorced, socioeconomically disadvantaged, and to have experienced other forms of sexual and partner violence and abuse. Those who received threatening/obscene messages in the past year were more likely to experience common mental disorder (adjusted odds ratio 1.89; 1.01-3.55), self-harm (2.31; 1.00-5.33), and suicidal thoughts (2.00; 1.06-3.78). CONCLUSION: Threatening/obscene messaging commonly occurs in the context of intimate partner violence. While often occurring alongside sexual and physical violence, messaging has an additional association with mental disorder and suicidality. Routine enquiry in service settings concerning safety, including those working with people who have escaped domestic violence, should ask about ongoing contact from previous as well as current partners. This should include asking about messaging, as well as other forms of potentially technology-enabled abuse which may become increasingly common.

Cyber-bullying among university students: Concurrent relations to belief in a just world and to empathy.

The aim of this study was to investigate concurrent relations of belief in a just world (BJW), justice experiences, and empathy to cyber-bullying perpetration and victimization. Our theoretical framework contained a distinction between personal and general BJW and between affective and cognitive empathy. Due to theory and recent research, we expected students' BJW, lecturer and fellow student justice, and empathy to relate negatively to cyber-bullying perpetration. Furthermore, BJW and academic justice experiences are also expected to negatively relate to cyber-bullying victimization. In order to test our hypotheses, we conducted a cross-sectional questionnaire study with N = 663 German university students (Mage = 22.6, SDage = 3.5; 68% female). Gender, internet use, and social desirability were considered as control variables. A structural equation model showed that students' personal BJW, academic justice experiences, and both empathy dimensions but not general BJW negatively related to cyber-bullying perpetration. Additionally, students' personal BJW and academic justice experiences but not general BJW or empathy were associated with cyber-bullying victimization. Male students and those with a low social desirability were more likely to report cyber-bullying perpetration and victimization. Altogether, not only university students' personal BJW and empathy but also their academic justice experiences related to cyber-bullying perpetration or victimization. Thus, researchers should develop strategies aiming to prevent or reduce cyber-bullying. Those should simultaneously foster students' personal BJW and empathy as well as an academic environment characterized by just behavior of lecturers and students. Supplementary Information: The online version contains supplementary material available at 10.1007/s12144-022-03239-z.

Adolescents' problematic internet and smartphone use in (cyber)bullying experiences: A network analysis.

BACKGROUND: This study investigates both offline and online bullying perpetration and victimization in association with problematic internet use (PIU) and problematic smartphone use (PSU), while also considering the related psychosocial difficulties. METHODS: A total of 3939 adolescents (49.4% boys, aged 13-15 years) from a representative sample of schools in Slovakia was obtained from the Health Behavior in School-aged Children (HBSC) project in 2018. Due to the lack of similar complex research and the expected mutual associations among the constructs, we compared exploratory network models that provided separate estimates for boys and girls. RESULTS: The constructs formed similarly clustered networks for both genders, with a few notable differences. Unlike PIU, PSU was not associated with bullying experiences in boys or girls; however, PSU and PIU were partially related in girls. Bullying experiences formed a strong cluster in both networks. Two strong bridges were identified, and they are potential candidates for intervention in both boys and girls: first, traditional bullying victimization connected the cluster of bullying experiences to psychosocial difficulties; and, second, frequently missing sleep or meals due to internet use (behavioral salience) that is connected to the bullying cluster with PIU. CONCLUSIONS: The findings offer an indication for the preventive and interventive work of practitioners who deal with adolescents, as well as complex gender comparisons for the mutual relations of problematic internet and smartphone use, bullying experiences, and the psychosocial difficulties of youth. This study provides evidence that problematic digital media can play a role in bullying experiences irrespective of whether bullying happens offline or online.

Understanding the psycho-social problems of vulnerable adolescent girls and effect of intervention through life skill training.

INTRODUCTION: Children and adolescents are considered to be among the most vulnerable groups with respect to psychosocial issues who have been affected the most by this change in the family structure. The adolescent phase for girls is a critical period characterized by significant bio-psychosocial transformations. It is imperative to provide adolescents with the necessary tools and abilities to effectively confront these challenges which are provided by the members of the family. The implementation of life skill education is commonly acknowledged as an intervention mechanism for augmenting skills and abilities to manage the daily challenges of life, particularly among a distinct demographic such as adolescents. This study aims to examine the potential correlation between the growing incidence of mental health disorders among minors and the escalating levels of problematic smartphone and social media usage. It highlights the necessity of promoting health education in schools and investigating the impact of inadequate parenting on adolescent mental health. This paper is founded on a psychosocial intervention that employs life skill education to assist adolescents in managing the internal and external changes that arise during their developmental stage. METHODS: This study employed qualitative research methods. The qualitative study findings were gathered from a variety of secondary sources, including media articles, academic journal articles, and past theses. A discourse analysis method was used throughout this study, and several case studies were gathered from news articles and journals to provide a brief overview of an Adolescent girl's current situation. RESULTS: Adolescence pressure and the consequences of this is a global issue. Adolescent stage is the most vulnerable group in the society. This paper attempts to study the psychological problems of the adolescence as they grow up and helps in understanding their problems and implementing life skill training methods to help them rejuvenate from trauma. CONCLUSION: In all, initiatives aimed at mitigating stressors in the lives of adolescents often commence with educating teenagers and adolescents about the potential hazards associated with these stressors. The implementation of certain strategies should be incorporated into guidelines aimed at promoting the safe and healthy use of social media by young individuals. Keeping track of their academic progress and dealing with any problems early on can help them avoid the negative effects of psychological problems in adolescence.

Too much information: exploring technology-mediated abuse in higher education online learning and teaching spaces resulting from COVID-19 and emergency remote education.

During COVID-19, universities across the globe experienced a rapid requirement to move to online learning and teaching provision. This rapid move has been explored as emergency remote education (ERE). This paper reviews and presents some emerging literature regarding ERE, demonstrating how this created an environment where technology-mediated abuse could arise within the university context. Intentional and unintentional forms of technology-mediated abuse, within a global context, are considered with account of how intersectional characteristics can impact. The paper concludes with a set of provocations explored within an example framework. The provocations are given to situate ways of thinking which are facilitative of safer and more respectful use of technological spaces. Both the provocations and example framework aim to be useful critical tools for program and module teams to adapt in higher education institutions within the online sphere. The phenomenon of ERE is an opportunity to consider what can be learned with regard to management of technology-mediated abuse. However, a focus on ERE presents limitations in the paper because of the smaller number of academic sources at this time, due to recency of the COVID-19 pandemic.

The relationship of childhood trauma with cyberbullying and cyber victimization among university students.

PURPOSE: The aim of this study is to investigate the relationship of childhood trauma with cyberbullying and cyber victimization levels among health sciences and medical faculty students. METHOD: This study was conducted with 350 students studying at the health sciences and medical faculty of a university in Istanbul. The data were collected using an information form, the Childhood Trauma Questionnaire, the Cyber Bullying Scale, and the Cyber Victimization Scale. RESULTS: A significant positive correlation was found between the childhood trauma and cyberbullying and cyber victimization levels of the students. A significant positive correlation was also found between cyber victimization and cyberbullying levels. CONCLUSION: Students at risk of cyber bullying and cyber victimization should be identified, and awareness and coping programs should be planned.

Bullying, Mental Health, and the Moderating Role of Supportive Adults: A Cross-National Analysis of Adolescents in 45 Countries.

Objectives: Relationships with supportive adults during adolescence may be a protective factor that lowers the risks associated with bullying. The current study aimed to examine the moderating role of supportive adults in the associations between bullying involvement (in-person and cyber) and mental health problems (psychological symptoms and low life satisfaction). Methods: Data from 45 countries and regions taking part in the 2017/18 Health Behaviour in School-Aged Children study (N = 230,757) were used. Multivariable Poisson regression models were used to estimate relative risks of bullying on mental health. Effect estimates were compared across the number of supportive adults to examine a possible cumulative protective effect of relationships with supportive adults. Results: Bullying involvement was consistently associated with poor mental health across the 45 countries. Risk of mental health problems associated with bullying involvement was greatest among students reporting relationships with multiple supportive adults. This was true for all indicators of bullying involvement. Conclusion: Bullying remains a prevalent and harmful experience for youth worldwide. Merely having supportive adults is not sufficient in protecting youth from experiencing the mental health risks associated with bullying.

Social Media and Cyber-Bullying in Autistic Adults.

Social media can lead to rejection, cyber-bullying victimisation, and cyber-aggression, and these experiences are not fully understood as experienced by autistic adults. To investigate this, 78 autistic adults completed self-report measures of social media use, cyber-bullying victimisation, cyber-aggression, and self-esteem. High levels of social media use were found to be associated with an increased risk of cyber-victimisation; whereas self-esteem was positively correlated with feelings of belonging to an online community and negatively correlated with feelings of being ignored on social network sites and chat rooms. Future studies are needed to further investigate the experience of cyber-bullying victimisation of autistic adults.

Going Viral: Researching Safely on Social Media.

Safety issues for researchers conducting and disseminating research on social media have been inadequately addressed in institutional policies and practice globally, despite posing significant challenges to research staff and student well-being. In the context of the COVID-19 pandemic and given the myriad of advantages that web-based platforms offer researchers over traditional recruitment, data collection, and research dissemination methods, developing a comprehensive understanding of and guidance on the safe and effective conduct of research in web-based spaces has never been more pertinent. In this paper, we share our experience of using social media to recruit participants for a study on abortion stigma in Australia, which brought into focus the personal, professional, and institutional risks associated with conducting web-based research that goes viral. The lead researcher (KV), a postgraduate student, experienced a barrage of harassment on and beyond social media. The supportive yet uncoordinated institutional response highlighted gaps in practice, guidance, and policy relating to social media research ethics, researcher safety and well-being, planning for and managing web-based and offline risk, and coordinated organizational responses to adverse events. We call for and provide suggestions to inform the development of training, guidelines, and policies that address practical and ethical aspects of using social media for research, mental and physical health and safety risks and management, and the development of coordinated and evidence-based institutional- and individual-level responses to cyberbullying and harassment. Furthermore, we argue the case for the urgent development of this comprehensive guidance around researcher safety on the web, which would help to ensure that universities have the capacity to maximize the potential of social media for research while better supporting the well-being of their staff and students.

Gender Differences in the Victim-Offender Relationship for On- and Offline Youth Violence.

Youth violence affects millions of young people in the United States every day, and violent victimization has significant consequences for mental and physical health, academic performance, and long-term well-being. Forms of youth violence such bullying and teen dating violence (TDV) are often studied separately from one another with disjointed attention paid to on- and offline aggression. Furthermore, gender differences in the victim/offender overlap for these diverse forms of aggression have been understudied. This is notable given research demonstrating that boys and girls engage in diverse forms of aggression as a result of different gendered socialization processes. This study uses a sample of 5,647 middle and high school students in three states to assess gender differences in the victim-offender relationship across on- and offline modalities of bullying and TDV. Descriptive results show significant gender differences for bullying and dating violence victimization and perpetration experiences. Multivariate regression models indicate that the victim-offender relationship varies by the type of aggression and modality in question. Furthermore, gender significantly interacts with certain forms of dating violence and bullying victimization to influence the risk of perpetration. The results underscore the importance of youth violence prevention strategies that account for gender differences across the spectrum of on- and offline peer relationships.

Cyber-victimisation and mental health in young people: a co-twin control study.

BACKGROUND: The rise of social media use in young people has sparked concern about the impact of cyber-victimisation on mental health. Although cyber-victimisation is associated with mental health problems, it is not known whether such associations reflect genetic and environmental confounding. METHODS: We used the co-twin control design to test the direct association between cyber-victimisation and multiple domains of mental health in young people. Participants were 7708 twins drawn from the Twins Early Development Study, a UK-based population cohort followed from birth to age 22. RESULTS: Monozygotic twins exposed to greater levels of cyber-victimisation had more symptoms of internalising, externalising and psychotic disorders than their less victimised co-twins at age 22, even after accounting for face-to-face peer victimisation and prior mental health. However, effect sizes from the most stringent monozygotic co-twin control analyses were decreased by two thirds from associations at the individual level [pooled ß across all mental health problems = 0.06 (95% CI 0.03-0.10) v. 0.17 (95% CI 0.15-0.19) in individual-level analyses]. CONCLUSIONS: Cyber-victimisation has a small direct association with multiple mental health problems in young people. However, a large part of the association between cyber-victimisation and mental health is due to pre-existing genetic and environmental vulnerabilities and co-occurring face-to-face victimisation. Therefore, preventative interventions should target cyber-victimisation in conjunction with pre-existing mental health vulnerabilities and other forms of victimisation.

What we do on social media! Social representations of schoolchildren's activities on electronic communication platforms.

Researchers might be wondering whether the use of social media by students raises any ethical issues? It is my opinion that with the astronomical increase in the use of social networking websites or platforms by students, ethical issues are progressively important. The astronomical increase in the use of social networking platforms by minors raises ethical questions in school ecologies. This study investigated the ethical issues in social media usage among secondary school students in a developing context. A semi-structured questionnaire that elicited information on the school children's home background, social media operated, and mode of connection to the social media was used to collect data. The questionnaire gave the students the opportunity to write their responses to the interview questions freely. Mixed methods such as constant comparative techniques and descriptive statistical methods were used to analyze data from the one hundred and thirty school children that participated in this research. The results indicated that Facebook is the most operated social networking website by the selected schoolchildren. Most of the schoolchildren operating the popular social networking accounts signed up before the age of thirteen with the help of their biological sisters and brothers. Themes such as cyber pornography, sexting, cyber stalking, cyber bullying, cyber hacking, and abusive language emanated from the individual qualitative interviews. The concluding part of this article answers questions on the impact of new communication technologies on psycho-social adjustment of school children in developing countries.

Associations between the Canadian 24 h movement guidelines and different types of bullying involvement among adolescents.

BACKGROUND: The Canadian 24-Hour Movement Guidelines for Children and Youth recommend ≥60 min of physical activity per day, ≤2 h of recreational screen time per day, and 9-11 hours of sleep per night for 11-13 years old and 8-10 hours per night for 14-17 years old. OBJECTIVE: This study examined the association between combinations of these recommendations and school bullying and cyberbullying victimization and perpetration among adolescents. PARTICIPANTS AND SETTING: A total of 5615 Canadian students (mean age = 15.2 years) who participated in the 2017 Ontario Student Drug Use and Health Survey (OSDUHS) self-reported their physical activity, screen time, sleep duration, and their involvement in bullying. METHODS: Logistic regression analyses were adjusted for important covariates. RESULTS: Meeting the screen time recommendation alone was associated with lower odds of being a victim (OR: 0.64; 95 % CI: 0.46-0.88) or a bully (OR: 0.64; 95 % CI: 0.43-0.96) at school and a victim of cyberbullying (OR: 0.67; 95 % CI: 0.49-0.91). Meeting both the screen time and sleep duration recommendations was associated with lower odds of being a bully (OR: 0.51; 95 % CI: 0.30-0.88). Meeting all 3 recommendations showed stronger associations (i.e. lowest risk) with being a victim of school bullying (OR: 0.32; 95 % CI: 0.19-0.54), a bully-victim (OR: 0.25; 95 % CI: 0.08-0.78) or a victim of cyberbullying (OR: 0.37; 95 % CI: 0.17-0.84). CONCLUSIONS: Our findings provide evidence that meeting the 24 -h movement guidelines is associated with lower odds of bullying involvement. Encouraging adherence to the 24 -h movement guidelines could be a good behavioural target to prevent involvement in both school bullying and cyberbullying.

Sleep Quality as a Mediator of the Relationship Between Cyber Victimization and Depression.

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.

Social Media Use and Cyber-Bullying: A Cross-National Analysis of Young People in 42 Countries.

PURPOSE: Social media use (SMU) has become an intrinsic part of adolescent life. Negative consequences of SMU for adolescent health could include exposures to online forms of aggression. We explored age, gender, and cross-national differences in adolescents' engagement in SMU, then relationships between SMU and victimization and the perpetration of cyber-bullying. METHODS: We used data on young people aged 11-15 years (weighted n = 180,919 in 42 countries) who participated in the 2017-2018 Health Behaviour in School-aged Childrenstudy to describe engagement in the three types of SMU (intense, problematic, and talking with strangers online) by age and gender and then in the perpetration and victimization of cyber-bullying. Relationships between SMU and cyber-bullying outcomes were estimated using Poisson regression (weighted n = 166,647 from 42 countries). RESULTS: Variations in SMU and cyber-bullying follow developmental and gender-based patterns across countries. In pooled analyses, engagement in SMU related to cyber-bullying victimization (adjusted relative risks = 1.14 [95% confidence interval (CI): 1.10-1.19] to 1.48 [95% CI: 1.42-1.55]) and perpetration (adjusted relative risk = 1.31 [95% CI: 1.26-1.36] to 1.84 [95% CI: 1.74-1.95]). These associations were stronger for cyber-perpetration versus cyber-victimization and for girls versus boys. Problematic SMU was most strongly and consistently associated with cyber-bullying, both for victimization and perpetration. Stratified analyses showed that SMU related to cyber-victimization in 19%-45% of countries and to cyber-perpetration in 38%-86% of countries. CONCLUSIONS: Accessibility to social media and its pervasive use has led to new opportunities for online aggression. The time adolescents spend on social media, engage in problematic use, and talk to strangers online each relate to cyber-bullying and merit public health intervention. Problematic use of social media poses the strongest and most consistent risk.

Risky cyber behaviors in adolescents with depression: A case control study.

OBJECTIVE: This study aimed to compare adolescents diagnosed with major depressive disorder (MDD) and healthy adolescents with regard to cyberbullying, cyber victimization, internet addiction, and digital game addiction. MATERIALS AND METHODS: This cross-sectional study was performed in Selçuk University Hospital. The study sample consisted of 34 adolescents with MDD and 39 controls without any psychopathology. A socio-demographic data form, the Cyber bullying Scale (CBS), Cyber Victimization Scale (CVS), Cyber bullying Sensibility Scale (CBSS), Internet Addiction Scale (IAS), Digital Game Dependence Scale (DGA-7), and Children's Anxiety and Depression Scale-Refurbished (RCADS) were administered to all participants. RESULTS: CBS, CVS, IAS and DGAS-7 scores of the MDD group were significantly higher than those of the control group. The significant differences persisted even after controlling for confounding factors such as age, gender, socio-economic level, and parental educational levels with MANCOVA. A strong positive correlation existed between CBS and CVS scores, and higher IAS scores were associated with higher CBS scores in the MDD group. CBSS scores negatively correlated with DGAS-7 scores in the MDD group. LIMITATIONS: Due to the cross-sectional design of this study, conclusions about causality remain speculative. CONCLUSION: This study demonstrated the importance of assessing problems related to the online environment in the presence of depression in adolescents. Our results suggested that evaluating the use of technology with a view to the potential for cyber bullying and cyber victimization as well as internet addiction and addiction to digital games may be necessary as a holistic approach in the follow-up of adolescent depression.