Severity of inattention symptoms, experiences of being bullied, and school anxiety as mediators in the association between excessive short-form video viewing and school refusal behaviors in adolescents
Du Y, Wang J, Wang Z, Liu J, Li S, Lv J, Peng Y, Chang S, Li M, Liu H, Liu X, Yu X, Li Y
Frontiers in public health · 8 citations
How it was studied
- Design
- Cross-sectional study (indexed by PubMed)
- Studied in
- People
- Main outcome
- Health markers and function
Who paid for it
- Funding
- Independent funding
- University or hospital
- Hebei Medical University
Based on 1 listed funder(s) and full-text disclosure statement.
Publication
- Published
- 2024-08-06 · Front Public Health · vol. 12 · p. 1450935
- Publisher
- Frontiers Media
- Cited
- 14 citations · more than 99% of similar papers · 19.5× the field average
- Impact
- Top 10% most cited in its field
- References
- 44 works
- Access
- Open access (journal) · CC-BY
- Research areas
- Youth Substance Use and School Attendance · Attention Deficit Hyperactivity Disorder · Child and Adolescent Psychosocial and Emotional Development
- Keywords
- inattentive symptoms, school anxiety, bullying, adolescents, mediation pathways, avoidance behavior, somatic symptoms, social media use
- MeSH
- humans, cross-sectional studies, adolescent behavior, anxiety, schools, students, adolescent, female, male, bullying, surveys and questionnaires
13 authors
From CN
- Yuru DuHebei Medical University; First Affiliated Hospital of Hebei Medical University
- Jianqiang WangHebei Medical University; First Affiliated Hospital of Hebei Medical University; Hebei Normal University
- Ziyan WangHebei Medical University; First Affiliated Hospital of Hebei Medical University
- Jiuying LiuHebei Medical University; First Affiliated Hospital of Hebei Medical University
- Shaoxiong LiHebei Medical University; First Affiliated Hospital of Hebei Medical University
- Jing LvHebei Medical University; First Affiliated Hospital of Hebei Medical University; Hebei Normal University
Abstract
Background
Recent years have seen an increase in school refusal behavior among adolescents, potentially due to factors like excessive short-form video viewing, bullying, and school anxiety. Limited research has investigated how these factors contribute to school refusal behavior. This study used random forest regression, path analysis, and network analysis to identify key variables and pathways leading to school refusal behavior.
Methods
In this cross-sectional questionnaire-based study, 2,056 (996 male, 1,060 female, mean age: 14.79 ± 1.24 years) middle and senior high school students were asked to complete the School Refusal Behavior Assessment questionnaire to assess school refusal behavior features, the Excessive Short-Form Video Viewing Scale as well as self-reported viewing times during leisure days to assess excessive short-form video viewing, the SNAP-IV Rating Scale to assess the severity of inattention symptoms, and the self-administered questionnaires to assess experiences of being bullied and school anxiety.
Results
The prevalence of school refusal behavior in the surveyed adolescents was found to be 31.9% [95% confidence interval (CI): 29.8-33.9%]. In terms of significance, the severity of inattention symptoms exhibited the greatest predictive power, while excessive short-form video viewing accounted for the most variance. Path analysis revealed that excessive short-form video viewing not only directly affects school refusal behavior features but also does so indirectly through severity of inattention symptoms and school anxiety. Key bridge factors in this pathway include intense fear and anxiety associated with school attendance, manifesting as somatic symptoms and avoidance behaviors.
Conclusion
The findings indicate that not only does excessive short-form video viewing directly influence school refusal behavior features in adolescents, but it also indirectly impacts these features through mechanisms involving severity of inattention symptoms and school anxiety. The bridge factors highlight potential targets for interventions among the SRB features and predictors.
Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).
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