Online mental health resources for adolescents: Overview of research and theory

Adolescents use the Internet at higher rates than any other age group. The Internet therefore offers an obvious opportunity for the provision of mental health information for them. Little is known, however, about adolescent behaviour online, especially access of age‐appropriate mental health resources. This review of the published literature examines theoretical and research studies to develop an understanding of adolescent mental health‐seeking behaviour on the Internet. It is clear that adolescents do seek health information online, but little is known about its content, nature or mode of delivery. There appears to be no research specific to mental health resources for adolescents online.     

Sexual Health Information Networks: What are Urban African American Youth Learning?

This qualitative study examined sexual health information networks among urban African American youth living in low-income communities. The authors identified sources, message content, and utility of messages about sex and sexual health in a sample of 15-17-year olds (N = 81). Youth received sexual health information from a variety of sources. Messages from parents and sex education had high utility, whereas messages from the Internet and religion had low utility. Four information network patterns were identified, suggesting considerable variation in how youth are socialized regarding sex. Findings suggest that sexual information networks have the potential to affect sexual health and development.     

How internet users find, evaluate, and use online health information: a cross-cultural review.

The Internet has become a favored source to find health information. Worldwide, about 4.5% of all Internet searches are for health-related information. However, research has found that the quality of online health information is mixed, which raises serious concerns about the impact of this information. This paper reviews relevant research to understand how health information on the Internet is retrieved, evaluated, and used. Most users of online health information are looking for information about specific health conditions because they or someone they know was diagnosed with a medical condition. They typically use general search engines to find online health information and enter short phrases, often misspelled. They seldom go beyond the first page of a search. Both their search and evaluation skills are limited although they are concerned about the quality of online health information. They avoid sites with overt commercialism, but often do not pay attention to indicators of credibility. Online health information is used to fill an information void which can enhance coping and self efficacy, affects health-related decisions and behavior of users and their friends and family, and is often discussed with health care providers. There are cross-cultural differences in the types of sites used as well as how online information is used. Based on the research reviewed in this paper, three major recommendations are suggested. Professionals should recommend sites. Professionals should promote more effective search and evaluation techniques. Professionals should be involved in developing and promoting uniform standards for health and mental health sites.     

Online racial discrimination and the protective function of ethnic identity and self-esteem for African American adolescents

A growing body of literature has shown that being victimized online is associated with poor mental health. Little is known about the factors that protect youth from the negative outcomes that may result from these victimization experiences, particularly those related to race. Using a risk and resilience framework, this study examined the protective function of ethnic identity and self-esteem among African Americans who experience online racial discrimination. For the sample of 125 adolescents, hierarchical regression results revealed that higher levels of ethnic identity and self-esteem significantly moderated the negative impact of online racial discrimination on anxiety levels. These findings show that ethnic identity and self-esteem can buffer the negative mental health outcomes associated with online racial discrimination, at least with respect to adolescents' anxiety. Findings from the current study have significant implications for adolescent adjustment given the increased time youth spend doing online activities.     

Exposure to internet pornography among children and adolescents: a national survey.

Estimates suggest that up to 90% or more youth between 12 and 18 years have access to the Internet. Concern has been raised that this increased accessibility may lead to a rise in pornography seeking among children and adolescents, with potentially serious ramifications for child and adolescent sexual development. Using data from the Youth Internet Safety Survey, a nationally representative, cross-sectional telephone survey of 1501 children and adolescents (ages 10-17 years), characteristics associated with self-reported pornography seeking behavior, both on the Internet and using traditional methods (e.g., magazines), are identified. Seekers of pornography, both online and offline, are significantly more likely to be male, with only 5% of self-identified seekers being female. The vast majority (87%) of youth who report looking for sexual images online are 14 years of age or older, when it is developmentally appropriate to be sexually curious. Children under the age of 14 who have intentionally looked at pornography are more likely to report traditional exposures, such as magazines or movies. Concerns about a large group of young children exposing themselves to pornography on the Internet may be overstated. Those who report intentional exposure to pornography, irrespective of source, are significantly more likely to cross-sectionally report delinquent behavior and substance use in the previous year. Further, online seekers versus offline seekers are more likely to report clinical features associated with depression and lower levels of emotional bonding with their caregiver. Results of the current investigation raise important questions for further inquiry. Findings from these cross-sectional data provide justification for longitudinal studies aimed at parsing out temporal sequencing of psychosocial experiences.     

Linking Youth Internet and Conventional Problems

ABSTRACT

This article utilizes data from a clinical sample of 512 youth to examine whether various problematic Internet experiences are distinctly different from or extensions of the conventional adolescent mental and behavioral health problems seen by clinicians. A Two-step Cluster Analysis identified four mutually exclusive groups of youth, those with: (a) online victimization; (b) inappropriate sexual behavior online; (c) online isolation; and (d) online and offline problems. Results suggest support for the idea that problematic Internet experiences are often extensions of experiences and behaviors that clinicians were working with prior to the advent of the Internet. However, the Internet may be introducing something qualitatively or quantitatively new, such as an increased severity, an increased frequency, or some unique dynamic that requires new responses or interventions.     

How School Counselors Can Help Prevent Online Victimization

Although the Internet is a beneficial tool, some youth are at risk for being victimized by Internet predators. School counselors are in a unique position to assist in efforts to prevent online victimizations because of their continual interaction with students, parents, and other school faculty. This article provides school counselors with information about youth Internet use; risk factors associated with online victimizations; and recommendations to assist youth, parents, and families in improving Internet safety practices.     

青少年的人格特征与互联网信息服务使用的关系

互联网上的信息服务为青少年的个性化学习提供了可能,如何使青少年健康地进行网上冲浪,使他们在冲浪的过程中增强自律意识,就需要我们深入地了解互联网信息服务在哪些方面能够满足青少年的需要。该研究通过对339名中学生进行问卷调查,对青少年的人格特征、社会支持与互联网信息服务之间的关系进行了探讨,结果表明:(1)开放性、客观社会支持和对社会支持的利用对互联网信息服务的使用偏好有直接而显著的影响。(2)宜人性和外向性通过社会支持的三个方面间接地对互联网信息服务的使用偏好产生影响。(3)客观社会支持会影响主观社会支持,主观社会支持对社会支持的利用水平也有影响。     

青少年自伤网络展示的动机及其影响

自我伤害行为是一种复杂且危险的心理病理行为,它会给个体的身心带来不同程度的损害。自伤是在多种因素的共同作用下产生,且在青少年中发生率最高。随着互联网的普遍使用,网络已经成为青少年生活中不可或缺的部分,近年来研究者开始关注到青少年的自伤网络展示行为。研究显示,许多自伤青少年会在网络上展示自己的自伤行为;个体一般是在多种动机的作用下对自己的自伤行为或经历进行展示;这些展示的内容既可能会让更多的人模仿或强化自伤,也可能会为自伤者提供社会支持,有助于他们减少自伤行为。     

Health information on the Internet and people living with HIV/AIDS: information evaluation and coping styles.

Individuals who seek information on the Internet to cope with chronic illness may be vulnerable to misinformation and unfounded claims. This study examined the association between health-related coping and the evaluation of health information. Men (n = 347) and women (n = 72) who were living with HIV/AIDS and reported currently using the Internet completed measures assessing their Internet use. Health Web sites downloaded from the Internet were also rated for quality of information. HIV-positive adults commonly used the Internet to find health information (66%) and to learn about clinical trials (25%); they also talked to their physicians about information found online (24%). In a multivariate analysis, assigning higher credibility to unfounded Internet information was predicted by lower incomes, less education, and avoidant coping styles. People who cope by avoiding health information may be vulnerable to misinformation and unfounded claims that are commonly encountered on the Internet.     

Factors influencing adolescents engagement in risky Internet behavior.

The present study used data from the SAFT (Safety, Awareness, Facts and Tools) Singapore survey, a national survey of 1,124 youths aged 12-17, to explore the issue of risk on the Internet. We investigated factors that influence adolescents' engagement in risky Internet behavior, in particular, meeting face-to-face someone they first encountered online. The adolescents ranged from ages 12 to 17, with a mean of 14.32 (SD = 1.37); 49.6% of the adolescents were girls. The study utilized a 93-item survey that was part of the SAFT Project. Results indicated that 16% of adolescent Internet users in Singapore have had a face-to-face meeting with someone first encountered online. The following factors were found to be predictors of adolescents engagement in such face-to-face meetings: age, frequency of Internet use, frequency of chatting and gaming behavior, parental rules, type of personal information given out, amount of inappropriate messages received, whether inappropriate websites have been visited, and type of internet advice heard. Implications of the results are discussed.     

Technological advancements and Internet sexuality: does private access to the Internet influence online sexual behavior?

The aim of this study was to investigate whether demographic characteristics and sexual behavior online and offline were associated with private, respectively, nonprivate access to the Internet in a Web sample of people who use the Internet for sexual purposes. A total of 1,913 respondents completed an online questionnaire about Internet sexuality, and 1,614 reported using the Internet for sexual purposes. The majority of these respondents reported having access to an Internet-connected computer no one else had access to (62 percent women and 70 percent men). The results showed that it is possible to differentiate between those who have access to an Internet-connected computer no one else has access to and those who have shared access to an Internet-connected computer. Not only did they differ in demographic characteristics, but also in the sexual activities they engaged in on the Internet. Different patterns were found for women and men. For example, men who had private access to Internet-connected computers were more likely than those who had shared access to seek information about sexual issues. Thus, having access to Internet computers no one else has access to may promote sexual knowledge and health for men. The results of this study along with the technological development implies that in future research, attention should be paid to where and how people access the Internet in relation to online behavior in general and online sexual behavior in particular.     

Prevalence of Internet addiction in Latino adolescents with psychiatric diagnosis

Internet addiction (IA) is particularly relevant in the adolescent population. The aim of this study was to describe the prevalence of IA in a clinical sample of Latino adolescents receiving ambulatory psychiatric treatment. The correlation between their pattern of Internet use and their respective psychiatric diagnosis was also studied. Adolescent patients from the Psychiatric Ambulatory Clinic at the Pediatric University Hospital (N=71) completed the Internet Addiction Test (IAT) and a questionnaire about Internet use. Information regarding demographic and diagnostic data was retrieved from their clinical records. None of the subjects presented severe IA. A total of 71.8% (n=51) of the adolescents obtained scores reflecting no problem related to IA. Only 11.6% (n=5) of subjects have discussed Internet use with their therapist. Mood disorders showed a statistically significant (p=0.044) correlation with a higher score on the IAT. Mental health care practitioners must consider questions on Internet use as an essential part of the patients' evaluation given its significant correlation with diagnosis of a mood disorder.     

Online health communication about human genetics: perceptions and preferences of internet users.

Unprecedented advancements in human genetics research necessitate keeping the public abreast of new information, applications, and implications and the Internet represents an important method of communicating with the public. Our research used cross-sectional self-report survey data collected from a diverse convenience sample of 780 Internet users in two states. Multivariate regression analysis explored the relationships between experiences, perceptions, and preferences for online health and genetics communication. Online health information seeking was associated with previous genetic information seeking, comfort with online genetic communication, perceived risk for genetic abnormality, being female, and having more education. Comfort with online genetics communication was associated with a preference for online genetic information, previous online health and off-line genetics information seeking, having a healthy lifestyle, believing in the positive impact of human genetics research, and being female. Perceiving online health information to be accurate was associated with preferring the Internet for genetics communication, being older, less educated, and perceiving Internet use as anonymous. Preferring online genetics communication to other communication channels was associated with perceiving online health information as accurate, being comfortable receiving online genetics information, having lower intrinsic religiosity, and being male. The implications of findings for Web-based health message design are discussed.     

The Role of Parental Mediation and Peer Norms on the Likelihood of Cyberbullying

ABSTRACT

Cyberbullying is a disturbing behavior associated with the use of communication technologies among adolescents. Many studies have been devoted to the activities of cyber victims as risk factors, while others have considered parental mediation a protective factor. However, there is a paucity of studies investigating the joint contribution of parental mediation, peer norms and risky online activities to the likelihood of being bullied on the Internet. To fill this gap, we conducted a study among a representative sample of 495 sixth to eleventh grade adolescents. We measured risky behavior online with items indicating the frequency of posting personal details, sending an insulting message and meeting face-to-face with a stranger met online. Respondents reported their perceptions about their peers. attitudes toward these risky online behaviors. We also measured three types of parental mediation: active guidance, restrictive supervision and non-intervention. Binary logistic regression findings show that risky online behaviors and peer norms regarding these behaviors had a significant effect, suggesting that the likelihood of being bullied on the Internet is associated with both risky behavior online and the norms prevalent within the adolescents. peer group. Restrictive supervision had a significant effect, implying that parents who feel their children are being bullied online may increase their oversight. The results emphasize the critical role of peers and the declining influence of parents in adolescence.     

青少年网络道德与其网络偏差行为的关系

青少年已经成为中国互联网的最大用户群体,他们在使用互联网中表现出的偏差行为与道德的关系值得关注。该研究使用问卷法探讨了496名青少年的网络道德特点与网络偏差行为表现以及二者之间的关系。结果发现:(1)青少年的网络道德表现较积极,网络道德认知、情感和意向之间存在显著正相关;(2)青少年的网络偏差行为不算严重,但男生的网络过激行为和网络色情行为显著多于女生,且网络过激行为随着年级升高而减少:其中网络攻击性、易怒、敌意和冲突水平都随着年级的增长而呈下降趋势;(4)青少年的网络道德认知和意向对网络偏差行为有反向预测作用,网络道德情感不能预测其网络偏差行为表现。网络道德越积极,表现出来的网络偏差行为越少。     

Linkages between depressive symptomatology and Internet harassment among young regular Internet users.

Recent reports indicate 97% of youth are connected to the Internet. As more young people have access to online communication, it is integrally important to identify youth who may be more vulnerable to negative experiences. Based upon accounts of traditional bullying, youth with depressive symptomatology may be especially likely to be the target of Internet harassment. The current investigation will examine the cross-sectional relationship between depressive symptomatology and Internet harassment, as well as underlying factors that may help explain the observed association. Youth between the ages of 10 and 17 (N = 1,501) participated in a telephone survey about their Internet behaviors and experiences. Subjects were required to have used the Internet at least six times in the previous 6 months to ensure a minimum level of exposure. The caregiver self-identified as most knowledgeable about the young person's Internet behaviors was also interviewed. The odds of reporting an Internet harassment experience in the previous year were more than three times higher (OR: 3.38, CI: 1.78, 6.45) for youth who reported major depressive symptomatology compared to mild/absent symptomatology. When female and male respondents were assessed separately, the adjusted odds of reporting Internet harassment for males who also reported DSM IV symptoms of major depression were more than three times greater (OR: 3.64, CI: 1.16, 11.39) than for males who indicated mild or no symptoms of depression. No significant association was observed among otherwise similar females. Instead, the association was largely explained by differences in Internet usage characteristics and other psychosocial challenges. Internet harassment is an important public mental health issue affecting youth today. Among young, regular Internet users, those who report DSM IV-like depressive symptomatology are significantly more likely to also report being the target of Internet harassment. Future studies should focus on establishing the temporality of events, that is, whether young people report depressive symptoms in response to the negative Internet experience, or whether symptomatology confers risks for later negative online incidents. Based on these cross-sectional results, gender differences in the odds of reporting an unwanted Internet experience are suggested, and deserve special attention in future studies.     

青少年自我概念与网络成瘾的关系:网络消极体验和学校类型的调节效应

本研究从贵州、江苏等十个地区选取4500名四年级以上的小学生和初中生,采用问卷调查的方法,探讨自我概念对网络成瘾倾向的影响及网络消极体验和学校类型的调节作用。结果发现:(1)自我概念对能够负向预测网络成瘾,重点学校学生的网瘾得分高于非重点学校学生;(2)网络消极体验、学校类型都会影响自我概念的作用。结论:重点学校通过自我概念能够稳定预测网瘾,非重点学校则需考虑网络消极体验的影响。在此基础上对青少年网瘾干预及学校环境进行讨论。     

Adaptation of the Coping With Stress Course for Black Adolescents in Low-Income Communities: Examples of Surface Structure and Deep Structure Cultural Adaptations

Black adolescents in low-income communities are at increased risk of developing mental health problems due to the impact of cumulative poverty-related stressors and racial discrimination, yet Black youth have relatively low rates of mental health service utilization, resulting in significant unmet need. The Coping With Stress (CWS) Course is an evidence-based, cognitive behavioral intervention that has been shown to reduce the incidence of anxiety, mood, and conduct problems among predominantly White samples, as well as Asian and Latinx youth. In the past 25 years since the CWS Course was introduced, Black adolescents have either been severely underrepresented or conspicuously absent from program evaluation research on the CWS Course, with few exceptions. The purpose of this article is threefold: (1) to justify the need for cultural adaptations to the CWS Course for Black adolescents from low-income communities, (2) to describe the scientific basis for the specific surface structure and deep structure modifications made to the culturally adapted version of the CWS Course, known as Resilient In spite of Stressful Events or RISE, and (3) to illustrate the deep structure adaptations with a vignette drawn from implementation of the RISE program with Black adolescents in a low-income, urban community.