Substance Use among Cyberbullying Victims During the COVID-19 Pandemic: A Moderated Mediation Model of Mental Health Problems and Telemedicine Services Use.

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Title: Substance Use among Cyberbullying Victims During the COVID-19 Pandemic: A Moderated Mediation Model of Mental Health Problems and Telemedicine Services Use.
Authors: Liu, Jie1 (AUTHOR), Han, Ziqiang2,3 (AUTHOR) ziqiang.han@sdu.edu.cn
Source: Child & Adolescent Social Work Journal. Feb2026, Vol. 43 Issue 1, p157-168. 12p.
Subject Terms: *Self-evaluation, *Family relations, *Factor analysis, *Comparative studies, *COVID-19 pandemic, *Adolescence, Substance abuse prevention, Substance abuse, Cross-sectional method, Sexual orientation, Scale analysis (Psychology), Mental health, Cyberbullying, Risk-taking behavior, Mental illness, Socioeconomic factors, Questionnaires, Multiple regression analysis, Smoking, Disease prevalence, Descriptive statistics, Telemedicine, Crime victims, Teenagers' conduct of life, Odds ratio, Alcohol drinking in college, Cannabis (Genus), Data analysis software, Confidence intervals, Psychosocial factors
Geographic Terms: United States
Company/Entity: Centers for Disease Control & Prevention (U.S.) , United States. Substance Abuse & Mental Health Services Administration
Abstract: The usage of substances among adolescents remains a prominent social concern, especially during COVID-19. In parallel, cyberbullying has emerged as another significant challenge, affecting the well-being and health of students as they spend more time online. We investigated the correlation between cyberbullying victimization and substance use in adolescents—and considered the potential mediating effect of mental health problems and the moderating effect of telemedicine services. We used data from the Adolescent Behaviors and Experiences Survey (n = 6,237), a nationally representative study administered by the CDC of the United States. Binary logistic regression and Ordinary Least Squares regression models were employed to examine the associations, and moderated mediation models were performed. The results showed that cyberbullying victimization significantly and directly correlated with increased substance use in adolescents. Mental health problems were found to partially mediate the link between cyber victimization and substance use. Furthermore, telemedicine services exhibited a protective effect on these associations. Specifically, cyber victimization significantly and positively predicted augmented mental health problems and substance use for students who did not use telemedicine services, whereas these associations became non-significant for those who used telemedicine services. This study contributes valuable insights into the impact of disasters, cyberbullying, and adolescent substance use, and it also underscores the importance of adopting a comprehensive prevention approach that addresses both cyberbullying and addictions simultaneously. [ABSTRACT FROM AUTHOR]
Copyright of Child & Adolescent Social Work Journal is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Label: Title
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  Data: Substance Use among Cyberbullying Victims During the COVID-19 Pandemic: A Moderated Mediation Model of Mental Health Problems and Telemedicine Services Use.
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  Data: <searchLink fieldCode="AR" term="%22Liu%2C+Jie%22">Liu, Jie</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Han%2C+Ziqiang%22">Han, Ziqiang</searchLink><relatesTo>2,3</relatesTo> (AUTHOR)<i> ziqiang.han@sdu.edu.cn</i>
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  Data: <searchLink fieldCode="JN" term="%22Child+%26+Adolescent+Social+Work+Journal%22">Child & Adolescent Social Work Journal</searchLink>. Feb2026, Vol. 43 Issue 1, p157-168. 12p.
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  Data: *<searchLink fieldCode="DE" term="%22Self-evaluation%22">Self-evaluation</searchLink><br />*<searchLink fieldCode="DE" term="%22Family+relations%22">Family relations</searchLink><br />*<searchLink fieldCode="DE" term="%22Factor+analysis%22">Factor analysis</searchLink><br />*<searchLink fieldCode="DE" term="%22Comparative+studies%22">Comparative studies</searchLink><br />*<searchLink fieldCode="DE" term="%22COVID-19+pandemic%22">COVID-19 pandemic</searchLink><br />*<searchLink fieldCode="DE" term="%22Adolescence%22">Adolescence</searchLink><br /><searchLink fieldCode="DE" term="%22Substance+abuse+prevention%22">Substance abuse prevention</searchLink><br /><searchLink fieldCode="DE" term="%22Substance+abuse%22">Substance abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Cross-sectional+method%22">Cross-sectional method</searchLink><br /><searchLink fieldCode="DE" term="%22Sexual+orientation%22">Sexual orientation</searchLink><br /><searchLink fieldCode="DE" term="%22Scale+analysis+%28Psychology%29%22">Scale analysis (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health%22">Mental health</searchLink><br /><searchLink fieldCode="DE" term="%22Cyberbullying%22">Cyberbullying</searchLink><br /><searchLink fieldCode="DE" term="%22Risk-taking+behavior%22">Risk-taking behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+illness%22">Mental illness</searchLink><br /><searchLink fieldCode="DE" term="%22Socioeconomic+factors%22">Socioeconomic factors</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Multiple+regression+analysis%22">Multiple regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Smoking%22">Smoking</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+prevalence%22">Disease prevalence</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Telemedicine%22">Telemedicine</searchLink><br /><searchLink fieldCode="DE" term="%22Crime+victims%22">Crime victims</searchLink><br /><searchLink fieldCode="DE" term="%22Teenagers'+conduct+of+life%22">Teenagers' conduct of life</searchLink><br /><searchLink fieldCode="DE" term="%22Odds+ratio%22">Odds ratio</searchLink><br /><searchLink fieldCode="DE" term="%22Alcohol+drinking+in+college%22">Alcohol drinking in college</searchLink><br /><searchLink fieldCode="DE" term="%22Cannabis+%28Genus%29%22">Cannabis (Genus)</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Psychosocial+factors%22">Psychosocial factors</searchLink>
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  Label: Geographic Terms
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  Data: <searchLink fieldCode="DE" term="%22United+States%22">United States</searchLink>
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– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: The usage of substances among adolescents remains a prominent social concern, especially during COVID-19. In parallel, cyberbullying has emerged as another significant challenge, affecting the well-being and health of students as they spend more time online. We investigated the correlation between cyberbullying victimization and substance use in adolescents—and considered the potential mediating effect of mental health problems and the moderating effect of telemedicine services. We used data from the Adolescent Behaviors and Experiences Survey (n = 6,237), a nationally representative study administered by the CDC of the United States. Binary logistic regression and Ordinary Least Squares regression models were employed to examine the associations, and moderated mediation models were performed. The results showed that cyberbullying victimization significantly and directly correlated with increased substance use in adolescents. Mental health problems were found to partially mediate the link between cyber victimization and substance use. Furthermore, telemedicine services exhibited a protective effect on these associations. Specifically, cyber victimization significantly and positively predicted augmented mental health problems and substance use for students who did not use telemedicine services, whereas these associations became non-significant for those who used telemedicine services. This study contributes valuable insights into the impact of disasters, cyberbullying, and adolescent substance use, and it also underscores the importance of adopting a comprehensive prevention approach that addresses both cyberbullying and addictions simultaneously. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Child & Adolescent Social Work Journal is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
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      – Type: doi
        Value: 10.1007/s10560-025-01019-9
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 12
        StartPage: 157
    Subjects:
      – SubjectFull: Self-evaluation
        Type: general
      – SubjectFull: Family relations
        Type: general
      – SubjectFull: Factor analysis
        Type: general
      – SubjectFull: Comparative studies
        Type: general
      – SubjectFull: COVID-19 pandemic
        Type: general
      – SubjectFull: Adolescence
        Type: general
      – SubjectFull: Substance abuse prevention
        Type: general
      – SubjectFull: Substance abuse
        Type: general
      – SubjectFull: Cross-sectional method
        Type: general
      – SubjectFull: Sexual orientation
        Type: general
      – SubjectFull: Scale analysis (Psychology)
        Type: general
      – SubjectFull: Mental health
        Type: general
      – SubjectFull: Cyberbullying
        Type: general
      – SubjectFull: Risk-taking behavior
        Type: general
      – SubjectFull: Mental illness
        Type: general
      – SubjectFull: Socioeconomic factors
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Multiple regression analysis
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      – SubjectFull: Smoking
        Type: general
      – SubjectFull: Disease prevalence
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Telemedicine
        Type: general
      – SubjectFull: Crime victims
        Type: general
      – SubjectFull: Teenagers' conduct of life
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      – SubjectFull: Cannabis (Genus)
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      – SubjectFull: Data analysis software
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      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Psychosocial factors
        Type: general
      – SubjectFull: United States
        Type: general
      – SubjectFull: Centers for Disease Control & Prevention (U.S.)
        Type: general
      – SubjectFull: United States. Substance Abuse & Mental Health Services Administration
        Type: general
    Titles:
      – TitleFull: Substance Use among Cyberbullying Victims During the COVID-19 Pandemic: A Moderated Mediation Model of Mental Health Problems and Telemedicine Services Use.
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              Text: Feb2026
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              Y: 2026
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