The Relationships of Cyber-bullying and Bullying With Mental Health Among Taiwanese Adolescents

August 8, 2016 updated by: National Taiwan University Hospital

The Relationships of Cyber-bullying and Bullying With Self-esteem, Depression and Suicidal Ideation Among Taiwanese Adolescents: Mixed Method Study

Background and significance: Though the problem of bullying among adolescents is evidently increasing and of a serious social concern, it is often undetected until serious outcomes have surfaced. In recent years, along with the rapid expansion of the Internet, social network services (SNS) and smart phones, "cyber-bullying" has been growing. Compared to the traditional bullying, cyberbullying is unique in nature and potentially more hazardous in terms of invisibility, lack of control, where it enables communication with a broad range of people at any time and place.

To explore deeper understanding of the magnitude and the impact of the bullying among adolescents in Taiwan to inform public policy and future health intervention programs may be beneficial not only to Taiwan but also to Asia as a whole. Many Asian countries now suffer the similar problems of bullying among adolescents, since these countries share similar characteristics of development (spread of internet, SNSs and smart phones).

Goal and objectives: This study aims to explore Taiwanese adolescents' experiences, perceptions, opinions and mental health regarding cyberbullying and traditional bullying to inform the development of questionnaire in the quantitative phase of mixed methods study.

Study design: A qualitative study design with in depth interviews will be adopted.

Target population and study setting: Senior high school students will be recruited from Taipei city, Taiwan.

Sample size and sampling method: Participants will be sampled by convenience sampling until thematic saturation is attained, probably around 50 students.

Data collection: Face-to-face in-depth interview with semi-structured questionnaire will be used.

Data analysis: All interviews will be voice-recorded, transcribed, analyzed by thematic analysis procedure. Analysis process will include familiarization, coding, searching for themes, reviewing the themes, defining, naming themes and writing up or weaving the analytic narrative. Triangulation and supervision will also ensure credibility and balance in the process.

Study Overview

Status

Unknown

Conditions

Detailed Description

Background and significance: Though the problem of bullying among adolescents is evidently increasing and of a serious social concern, it is often undetected, overlooked and noticeable only after serious outcomes have surfaced. In the recent years, along with the rapid expansion of internet, social network services (SNS) and smart phones, bullying through such electronic means, "cyber-bullying", has been growing. Compared to the traditional bullying cyberbullying is unique in nature and potentially more hazardous in terms of invisibility, lack of control, where it enables communication with a broad range of people at any time and at any place. This study is based on mixed methods study. The investigators hope that the investigators study could contribute to the deeper understanding of the magnitude and impact of the bullying among adolescents in Taiwan and to inform public policy and future health intervention programs which may be beneficial not only to the Taiwan but to Asia, as a whole, as many Asian countries now suffer the similar problems of bullying among adolescents as the countries share similar characteristics of development (spread of internet, SNSs and smart phones) having resembling lifestyle and values.

Study purpose: The purpose of this study is to investigate the prevalence of traditional bullying and cyberbullying and the association between cyber-bullying and traditional bullying with mental health among Taiwanese adolescents.

Study design: A mixed methods research design with qualitative study followed by quantitative study will be used in this research. Senior high school students will be included in Taiwan. For qualitative phase of this study, purposive sampling will be used to recruit students. For the quantitative phase of the study, sampling will be conducted by probability proportionate to size sampling procedure. For the qualitative phase of this study, in depth interview will be used to develop the quantitative questionnaire. An anonymous questionnaire developed from qualitative will be used to measure the variable of self-esteem, depression, suicidal ideation, traditional bullying and cyberbullying.

Data analysis: For qualitative study, all interviews will be voice-recorded, transcribed, analyzed by thematic analysis procedure. Quantitative data will be statistically analyzed by using SAS software. Descriptive data will be calculated for all variables. Multiple regressions will be performed to understand the relationship between socio-demographic variables, cyberbullying, traditional bullying, self-esteem, depression and suicidal ideation which separated by gender.

Study Type

Observational

Enrollment (Anticipated)

50

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact Backup

Study Locations

  • Taiwan
      • Taipei, Taiwan
        • Recruiting
        • National Taiwan University Hospital
        • Contact:

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

16 years to 18 years (Child, Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Sampling Method

Non-Probability Sample

Study Population

Senior high school students will be recruited from Taipei city, Taiwan.

Description

Inclusion criteria

  • The 16-18 aged high school students now studying in Taipei will be recruited in this study.

Exclusion criteria

  • Students who are attending schools at night, since it's difficult to require them to participate in our research.
  • Students who are studying in special educational schools for mentally handicapped because they will be unable to be interviewed and complete questionnaires. Also those who failed to obtain parental consents and individual consents will be excluded from the study.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Time Perspectives: Cross-Sectional

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
The students of depression will be measured by questionnaire.
Time Frame: one year
one year
The students of suicidal ideation will be measured by questionnaire.
Time Frame: one year
one year

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

National Taiwan University Hospital

Investigators

  • Principal Investigator: Chang-Chuan Chan, Department of public health, college of public health, National Taiwan University

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

June 1, 2016

Primary Completion (Anticipated)

June 1, 2017

Study Completion (Anticipated)

June 1, 2017

Study Registration Dates

First Submitted

June 23, 2016

First Submitted That Met QC Criteria

August 8, 2016

First Posted (Estimate)

August 9, 2016

Study Record Updates

Last Update Posted (Estimate)

August 9, 2016

Last Update Submitted That Met QC Criteria

August 8, 2016

Last Verified

August 1, 2016

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 201601074RIND

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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