Prevalence and Factors Associated with Cyberbullying among Patients with ADHD
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Abstract
Objectives: This study aimed to evaluate the prevalence of cyberbullying and its associated factors in patients with ADHD.
Methods: A cross-sectional study was conducted among 214 adolescents aged 12 - 18 years diagnosed with Attention-Deficit/Hyperactivity Disorder (ADHD) at the Department of Psychiatry, Faculty of Medicine Siriraj Hospital between November 2021 and October 2022. A self-report questionnaire, consisting of demographic data, the parent version of the Thai ADHD Screening Scales (THASS), and cyberbullying questionnaires, was employed. Data were analyzed using descriptive statistics to find the frequency, percentage, mean and standard deviation. Inferential statistics include the Pearson chi-square test, Fisher’s exact test, and independent t-test.
Results: The prevalence of cyberbullied only, cyber-victim only, shared group only and any type of cyberbullying within the past 6 months was as follows: 18.7%, 22%, 3.7%, and 32.7%, respectively. Factors associated with being a cyberbullied included time spent online (OR 1.16, p=0.022), being bullied outside of school (OR 7.74, p < 0.001), and being a bully in school (OR 7.64, p < 0.001). Being bullied outside of school is related to being a cyber-victim (OR 4.12, p=0.002) and being a bully in real life both in school (OR 5.34, p=0.004) and outside of school (OR 3.44, p =0.029) related to being a sharer.
Conclusion: Among individuals with ADHD, the prevalence of cyberbullying was 32.7%, 18.7% for cyberbullies, 22% for cyber-victims, and 3.7% for shared group. Time spent online and a history of traditional bullying were related to cyberbullying in ADHD patients. Surveillance and follow up in ADHD patients who are affected by these factors should be considered to prevent, stop and reduce the impacts of cyberbullying.
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