The Role of Self-Esteem in Bullying-Related Depression Among Heterosexual Thai Adolescents: A Cross-Sectional Study.

Adolescence marks a key stage for emotional regulation and heightened sensitivity to peer influence, during which heterosexual adolescents may be especially vulnerable to depressive symptoms. Approximately one in five Thai adolescents reports bullying, warranting further investigation. Framed within...

Descripción completa

Detalles Bibliográficos
Publicado en:Pacific Rim International Journal of Nursing Research Vol. 29; no. 4; pp. 939 - 955
Autores principales: Pensuksan, Wipawan Chaoum, Saithanwanitkul, Montha, Aekwarangkoon, Saifon
Formato: research tables/charts Journal Article
Publicado: Thailand Nursing & Midwifery Council Oct-Dec2025
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=190593847&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 190593847
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        19068107
        B7IM
      jtl: Pacific Rim International Journal of Nursing Research
      issn: 19068107
      maglogo: N
    pubinfo:
      dt: Oct-Dec2025
      vid: 29
      iid: 4
      pid: 26313
      pub: Thailand Nursing & Midwifery Council
    artinfo:
      ui:
        190593847
        190593847
        190593847
        10.60099/prijnr.2026.275921
        190593847
      ppf: 939
      ppct: 16
      formats:
        fmt:
          @attributes:
            type: P
      tig:
        atl: The Role of Self-Esteem in Bullying-Related Depression Among Heterosexual Thai Adolescents: A Cross-Sectional Study.
      aug:
        au:
          Pensuksan, Wipawan Chaoum
          Saithanwanitkul, Montha
          Aekwarangkoon, Saifon
        affil: RN, PhD, SFHEA, ST-THPSF, Associate Professor, Division of Psychiatric and Mental Health Nursing, Faculty of Nursing, Suratthani Rajabhat University, 84100 Thailand
      sug:
        subj:
          Depression Epidemiology
          Depression Psychosocial Factors
          Self Concept Evaluation
          Bullying Psychosocial Factors
          Heterosexuals
          Human
          Thailand
          Male
          Female
          Adolescence
          Cross Sectional Studies
          Descriptive Research
          Descriptive Statistics
          Random Sample
          Secondary Analysis
          Data Analysis Software
          Confidence Intervals
          Depression Symptoms
          Pearson's Correlation Coefficient
          Schools, Secondary
          Victims
          Students, High School Psychosocial Factors
          Funding Source
          Questionnaires
          Adolescent: 13-18 years
          Male
          Female
      ab: Adolescence marks a key stage for emotional regulation and heightened sensitivity to peer influence, during which heterosexual adolescents may be especially vulnerable to depressive symptoms. Approximately one in five Thai adolescents reports bullying, warranting further investigation. Framed within the Cognitive Diathesis-Stress perspective, this study examined depressive symptom prevalence and tested whether self-esteem mediates the link between bullying and depression. This secondary data analysis employed a cross-sectional dataset originally collected in our prior study on depression among Thai adolescents. The present analysis focused on 158 adolescents aged 12-18 years who self-identified as heterosexual. Participants were selected through a multi-stage random sampling process from four secondary schools administered by the Secondary Educational Service Area Office 11 in southern Thailand. Validated tools consisted of the Patient Health Questionnaire for Adolescents, Rosenberg's scale for assessing self-esteem, and the Revised Olweus Bully/Victim Questionnaire. Descriptive statistics, correlation analysis, and mediation testing (PROCESS Macro Model 4) were conducted for data analysis. Approximately 24.1% of participants reported experiencing moderate to severe depressive symptoms. Bullying victimization was correlated positively with depression, whereas self-esteem was negatively associated with both bullying and depression. An indirect pathway via self-esteem was observed, partially explaining the bullying-depression association. These findings support the theoretical pathway in which bullying contributes to depression both directly and indirectly by undermining self-esteem. In nursing practice, early screening and culturally sensitive interventions targeting self-esteem may help buffer the psychological impact of bullying. Future research should explore longitudinal designs and integrated intervention models that further clarify how self-esteem contributes to reducing depressive symptoms in heterosexual adolescent populations.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N