BACKGROUND: Suicidal behaviors are seriously social issues among adolescents in the world. Exposed to smoking and being bullied are risk factors of suicidal behaviors. The present study was aimed to examine the interaction of smoking and being bullied on suicidal behaviors among Chinese adolescents. METHODS: A total of 18,900 students were involved in the questionnaire study, in four cities of China from November 2017 to January 2018. Suicidal behaviors, smoking, and being bullied were measured by self-reported validated instruments. Chi-square tests and logistic regression were used to analyze the associations of suicidal ideation (SI)/suicidal plan (SP)/suicidal attempt (SA), smoking, and being bullied. RESULTS: The prevalence of smoking, being bullied, SI/SP/SA, were 3.1%, 20.6%, 26.4%, 13.2%, and 5.2% respectively. Interaction analysis indicated that being bullied was associated with a greater increase in the likelihood of suicidal behaviors for adolescents with smoking than for those without smoking. CONCLUSIONS These finding suggest that smoking exacerbates the association between being bullied and suicidal behaviors. Future research should explore how and why smoking appears to more bully-victims than for those without smoking and how to mitigate it.
Adolescent ; Adolescent Behavior/psychology* ; Bullying/psychology* ; Child ; China/epidemiology* ; Cross-Sectional Studies ; Humans ; Prevalence ; Smoking/psychology* ; Students/statistics & numerical data* ; Suicidal Ideation

bullying, and low self-esteem. Recently, there have been some studies on the association of mental health problems and pediatric obesity. In the treatment of pediatric obesity, many previous studies suggest multidisciplinary treatment. However, cognitive behavioral therapy (CBT) has attracted attention because obese children are accompanied by body image distortion, emotion dysregulation, and difficulties in stimulus control. This review is a narrative summary of the recent studies on mental health problems and CBT in pediatric obesity. The relationship between depression/anxiety and pediatric obesity is still inconsistent but recent studies have revealed a bidirectional relation between depression and obesity. Additionally, some studies suggest that obese children may have eating disorder symptoms, like loss of control eating, and require therapeutic intervention for pediatric obesity treatment. Furthermore, impulsivity and inattention of ADHD symptom is thought to increase the risk of obesity. It has also been suggested that CBT can be very effective for mental health problems such as depression, impulsivity, and body image distortion, that may coexist with pediatric obesity, and use of multimedia and application can be useful in CBT.]]>
Attention Deficit Disorder with Hyperactivity ; Body Image ; Bullying ; Child ; Cognitive Therapy ; Depression ; Eating ; Humans ; Impulsive Behavior ; Mental Health ; Multimedia ; Obesity ; Pediatric Obesity ; Prevalence

BACKGROUND: School bullying is considered the most common type of bullying, and bullying related to stressful relationships is a significant risk factor for college students' depression and suicide. However, bullying is often overlooked in college students. Therefore, we investigated the prevalence of peer victimization in Korean college students and identified factors associated with bullying victimization.METHODS: From the Jeju area, 941 college students were included in this study. The students were divided into two groups according to whether they had experienced bullying. Sociodemographic and clinical characteristics, including depression (Beck Depression Inventory) and health-related conditions, were compared between groups.RESULTS: In total, 82 students (8.7%) reported being bullied by other students. Factors associated with bullying were low socioeconomic status (odds ratio [OR], 2.00; 95% confidence interval [CI], 1.10–3.64), obesity (OR, 2.20; 95% CI, 1.13–4.29), body dissatisfaction (OR, 3.92; 95% CI, 2.36–6.50), and depression (OR, 2.42; 95% CI, 1.53–3.85).CONCLUSION: Our findings might have important implications for development of strategies and interventions to prevent bullying among college students.
Bullying ; Crime Victims ; Depression ; Humans ; Obesity ; Prevalence ; Risk Factors ; Social Class ; Suicide

PURPOSE: The purpose of this study was to investigate the relationship among nursing organizational culture, work performance, and workplace bullying of nurses, and to identify the factors that affect workplace bullying.METHODS: The design of this study was descriptive research, and the data were collected from October 26 to November 5, 2018. The research participants were 210 nurses in six general hospitals in G province. The data were analyzed by descriptive statistics, a t-test, one-way ANOVA, Scheffé post-hoc test, Pearson's correlation coefficient, and a stepwise multiple regression using SPSS 22.0.RESULTS: The workplace bullying type showed negative correlations with innovation-oriented culture, relation-oriented culture, and work performance. The workplace bullying consequence showed negative correlations with the innovation-oriented culture, relation-oriented culture, and work performance, and showed positive correlations with the workplace bullying type. The factors influencing the results of the workplace bullying consequence were workplace bullying type followed by relation-oriented culture, and unmarried status.CONCLUSION: Workplace bullying among nurses was related to the nursing organizational culture and work performance. Therefore, in order to reduce the turnover rate of nurses and to help them adapt well to the nursing organizational culture, a bullying prevention and intervention program is necessary.
Bullying ; Hospitals, General ; Humans ; Nursing ; Organizational Culture ; Single Person ; Work Performance

PURPOSE: The purpose of this study was to examine the relationships of job stress, team cohesion, organizational justice and workplace bullying among Korean general hospitals nurses.METHODS: During December 2016 and January, 2017, a survey of 198 nurses was done using structured self-administered questionnaires. Data were analyzed using descriptive statistics, t-test, one way ANOVA, Pearson correlation coefficients and multiple linear regression analysis.RESULTS: The prevalence of bullying was 12.1%. The results of the multiple linear regression analysis revealed that task cohesion (β=−.20, p=.040) as a sub-factor of team cohesion and job stress (β=.19, p=.047) were predictive of workplace bullying (Adj. R²=.11, p < .001).CONCLUSION: These results suggest that team cohesion and job stress are associated with workplace bullying by nurses. Building a well-organized management plan which reduces job stress and promotes team cohesion is recommended for the registered nurses.
Bullying ; Hospitals, General ; Humans ; Linear Models ; Nurses ; Prevalence ; Social Justice

PURPOSE: This study aimed to explore public opinion on workplace bullying in the nursing field, by analyzing the keywords and topics of online news comments.METHODS: This was a text-mining study that collected, processed, and analyzed text data. A total of 89,951 comments on 650 online news articles, reported between January 1, 2013 and July 31, 2018, were collected via web crawling. The collected unstructured text data were preprocessed and keyword analysis and topic modeling were performed using R programming.RESULTS: The 10 most important keywords were “work” (37121.7), “hospital” (25286.0), “patients” (24600.8), “woman” (24015.6), “physician” (20840.6), “trouble” (18539.4), “time” (17896.3), “money” (16379.9), “new nurses” (14056.8), and “salary” (13084.1). The 22,572 preprocessed key words were categorized into four topics: “poor working environment”, “culture among women”, “unfair oppression”, and “society-level solutions”.CONCLUSION: Public interest in workplace bullying among nurses has continued to increase. The public agreed that negative work environment and nursing shortage could cause workplace bullying. They also considered nurse bullying as a problem that should be resolved at a societal level. It is necessary to conduct further research through gender discrimination perspectives on nurse workplace bullying and the social value of nursing work.
Bullying ; Data Mining ; Discrimination (Psychology) ; Nursing ; Public Opinion ; Sexism

PURPOSE: The aim of this study was to identify core keywords and topic groups of workplace bullying researches in the past 10 years for better understanding research trend.METHODS: The study was conducted in four steps: 1) collecting abstracts, 2) extracting and cleaning semantic morphemes, 3) building co-occurrence matrix and 4) analyzing network features and clustering topic groups.RESULTS: 437 articles between 2010 and 2019 were retrieved from 5 databases (RISS, NDSL, Google scholar, DBPIA and Kyobo Scholar). Forty-one abstracts from these articles were extracted, and network analysis was conducted using semantic network module. The most important core keywords were ‘turnover’, ‘intention’, ‘factor’, ‘program’ and ‘nursing’. Four topic groups were identified from Korean databases. Major topics were ‘turnover’ and ‘organization culture’.CONCLUSION: After reviewing previous research, it has been found that turnover intention has been emphasized. Further research focused on various intervention is needed to relieve workplace bullying in nursing field.
Bullying ; Data Mining ; Intention ; Korea ; Nursing ; Semantics

OBJECTIVES: Adolescence involves a number of developmental processes, as well as unique psychological characteristics and behaviors. An increased rate of internet and game addictions, school violence, and suicide may either represent aspects of adolescence or a psychopathological phenomenon. There is an urgent need to develop software programs that can prevent and resolve adolescent behavioral problems. We applied the mentalization theory to interpret and find solutions for problems faced by adolescent characters in literature. METHODS: In Joan Rowling's novel “Casual Vacancy,” Sukhvinder is a girl with problems representative of those encountered by modern adolescents; she is a victim of bullying and engages in self-mutilation. We targeted her problematic behaviors as representative of a prementalized state. RESULTS: Born into an upper-class English family with Pakistani origins, Sukhvinder, unlike her siblings, fails her parents' expectations. Whenever she faces a psychological crisis, she regresses into the teleological mode (the most primitive pre-mentalization stage) and regains her sense of self by cutting herself. After her friend's suicide, however, she begins to communicate with her parents and moves toward mentalization. CONCLUSION: By analyzing Sukhvinder's behavior, we assessed patterns of attachment, empathy, and mentalization, and identified corrective approaches for problematic behaviors. We believe that the presented interpretation may serve as a foundation for the development of models for understanding adolescent deviant behaviors.
Adolescent Behavior ; Adolescent ; Bullying ; Empathy ; Female ; Humans ; Internet ; Parents ; Siblings ; Suicide ; Violence

BACKGROUND: This study was aimed to examine relationships among workplace bullying, organization culture and nursing performance in clinical nurses.METHODS: A cross-sectional questionnaire survey was conducted from October 16 to 26, 2018 with 168 nurses participating in RN-BSN and graduate programs in a university. Data was analyzed with SPSS 22.0 by t - test, ANOVA, Pearson's correlation coefficient and hierarchical multiple regression.RESULTS: Of nurses, 23.2% were found as victims of workplace bullying. Higher scores for workplace bullying positively correlated with rank-oriented culture (r=.19, p=.015), negatively correlated with relational-oriented culture (r=−.43, p<.001) and innovation-oriented culture (r=−.35, p<.001). After adjusting for other variables, better nursing performance was associated with lower scores for workplace bullying (β=−.18, p=.026) and innovation-oriented culture (β=.24, p=.023). However, there was no moderating effect of organizational culture in the relationship between workplace bullying and nursing performance.CONCLUSION: Efforts to creating innovative organizational culture and reducing workplace bullying can contribute to improving nursing performance.
Bullying ; Nursing ; Organizational Culture

PURPOSE: This descriptive study aimed to explore the effects of bullying, health promotion lifestyles, and physical symptoms on the occupational stress of new nurses in general hospitals. METHODS: The participants of this study were 157 new nurses in fivegeneral hospitals with 100 to 399 beds in Gyeonggi-do. Data were collected from January to February, 2018, using a structured questionnaire and analyzed using the SPSS software version 20. RESULTS: A total of 60.5% of the participants experienced bullying, and 38.2% experienced bullying more than 10 times a month. The perceived severity of bullying was severe (32.4%) and the nurses'first bullying experience began within the first six months (47.7%). Their occupational stress was scored 3.1. The regression model for occupational stressors was significant (F=23.86, p < .001), and the total explanatory power was 46.8%. The variables affecting occupational stress were bullying awareness (β=−.30, p < .001), preceptor satisfaction (β=−.30, p < .001), and health promotion lifestyles (β=−.26, p=.001). CONCLUSION: It is important to reduce the incidence of bullying in order to help new nurses with high occupational stress. Stress management programs are needed to improve relationships between new nurses and preceptors and to encourage their health promotion lifestyles.
Bullying ; Gyeonggi-do ; Health Promotion ; Hospitals, General ; Incidence ; Life Style