Cyberbullying Linked to Increased Depression and PTSD

January 21, 2020

Cyberbullying had the impact of amplifying symptoms of depression and post-traumatic stress disorder in young people who were inpatients at an adolescent psychiatric hospital, according to a new study published in the Journal of Clinical Psychiatry. The study addressed both the prevalence and factors related to cyberbullying in adolescent inpatients.

"Even against a backdrop of emotional challenges in the kids we studied, we noted cyberbullying had an adverse impact. It's real and should be assessed," said Philip D. Harvey, Ph.D., professor of psychiatry and behavioral sciences at the University of Miami Miller School of Medicine, who co-authored the paper "Cyberbullying and Its Relationship to Current Symptoms and History of Early Life Trauma."

He says children with a history of being abused were found to be more likely to be cyberbullied, suggesting that assessments for childhood trauma should also include assessments for cyberbullying. Likewise, children who report being cyberbullied should be assessed for a history of childhood trauma.

"Cyberbullying is possibly more pernicious than other forms of bullying because of its reach," Dr. Harvey says. "The bullying can be viral and persistent. To really be bullying, it has to be personal - a directly negative comment attempting to make the person feel bad."

The study helped to confirm other facts about cyberbullying:Studying Cyberbullying's Impact on an Inpatient Psychiatric Population

The study of 50 adolescent psychiatric inpatients ages 13 to 17 examined the prevalence of cyberbullying and related it to social media usage, current levels of symptoms and histories of adverse early life experience.

Conducted from September 2016 to April 2017 at a suburban psychiatric hospital in Westchester County, New York, the study asked participants to complete two childhood trauma questionnaires and a cyberbullying questionnaire.

Twenty percent of participants reported that they had been cyberbullied within the last two months before their admission. Half of the participants were bullied by text messages and half on Facebook. Transmitted pictures or videos, Instagram, instant messages and chat rooms were other cyberbullying vehicles.

Those who had been bullied had significantly higher severity of post-traumatic stress disorder (PTSD), depression, anger, and fantasy dissociation than those who were not bullied.

Links to Childhood Trauma

Participants who reported being cyberbullied also reported significantly higher levels of lifetime emotional abuse on the study's Childhood Trauma Questionnaire than those who were not bullied. These same young people did not report a significantly higher level of other types of trauma (physical abuse, sexual abuse, emotional neglect or physical neglect).

Further studies are needed to establish whether there may be some unique consequence of childhood emotional abuse that makes troubled teens more likely to experience or report cyberbullying.


While all of the participants in this study were psychiatric inpatients, those who had been bullied had significantly higher scores on PTSD, depression, anger, and dissociation scales than those who were not bullied. Dr. Harvey says this finding is consistent with past research.

Dr. Harvey encourages psychologists, psychiatrists and other counselors to routinely ask young people if they were abused or traumatized when they were younger and whether they are being bullied now.

He says adding these questions to the clinical evaluation of adolescents may bring to light symptoms that may have otherwise been ignored. Additionally, factors that may be causing or contributing to those symptoms can be targeted for specific intervention.

Parents and adolescents can take action to discourage bullying, Dr. Harvey says. "It's not hard to block someone on the Internet, whether it's texting, Facebook, Twitter, or sending pictures. Ask why are people choosing you to bully? If it's something you're posting, assess that and make a change."

Dr. Harvey collaborated on the study with Samantha Block Saltz, M.D., also with the University of Miami Miller School of Medicine, and David L. Pogge, Ph.D., of Winds Hospital in Katonah, New York.
To obtain a copy of the University of Miami Modified Cyberbullying Questionnaire, contact Dr. Harvey at The questionnaire can be used by clinicians and parents and takes only a few minutes to complete.

University of Miami Miller School of Medicine

Related Depression Articles from Brightsurf:

Children with social anxiety, maternal history of depression more likely to develop depression
Although researchers have known for decades that depression runs in families, new research from Binghamton University, State University of New York, suggests that children suffering from social anxiety may be at particular risk for depression in the future.

Depression and use of marijuana among US adults
This study examined the association of depression with cannabis use among US adults and the trends for this association from 2005 to 2016.

Maternal depression increases odds of depression in offspring, study shows
Depression in mothers during and after pregnancy increased the odds of depression in offspring during adolescence and adulthood by 70%.

Targeting depression: Researchers ID symptom-specific targets for treatment of depression
For the first time, physician-scientists at Beth Israel Deaconess Medical Center have identified two clusters of depressive symptoms that responded to two distinct neuroanatomical treatment targets in patients who underwent transcranial magnetic brain stimulation (TMS) for treatment of depression.

A biological mechanism for depression
Researchers report that in depressed individuals there are increased amounts of an unmodified structural protein, called tubulin, in lipid rafts compared with non-depressed individuals.

Depression in adults who are overweight or obese
In an analysis of primary care records of 519,513 UK adults who were overweight or obese between 2000-2016 and followed up until 2019, the incidence of new cases of depression was 92 per 10,000 people per year.

Why stress doesn't always cause depression
Rats susceptible to anhedonia, a core symptom of depression, possess more serotonin neurons after being exposed to chronic stress, but the effect can be reversed through amygdala activation, according to new research in JNeurosci.

Which comes first: Smartphone dependency or depression?
New research suggests a person's reliance on his or her smartphone predicts greater loneliness and depressive symptoms, as opposed to the other way around.

Depression breakthrough
Major depressive disorder -- referred to colloquially as the 'black dog' -- has been identified as a genetic cause for 20 distinct diseases, providing vital information to help detect and manage high rates of physical illnesses in people diagnosed with depression.

CPAP provides relief from depression
Researchers have found that continuous positive airway pressure (CPAP) treatment of obstructive sleep apnea (OSA) can improve depression symptoms in patients suffering from cardiovascular diseases.

Read More: Depression News and Depression Current Events is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to