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Substance Use among Cyberbullying Victims During the COVID-19 Pandemic: A Moderated Mediation Model of Mental Health Problems and Telemedicine Services Use

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Abstract

The usage of substances among adolescents remains a prominent social concern, especially during COVID-19. In parallel, cyberbullying has emerged as another significant challenge, affecting the well-being and health of students as they spend more time online. We investigated the correlation between cyberbullying victimization and substance use in adolescents—and considered the potential mediating effect of mental health problems and the moderating effect of telemedicine services. We used data from the Adolescent Behaviors and Experiences Survey (n = 6,237), a nationally representative study administered by the CDC of the United States. Binary logistic regression and Ordinary Least Squares regression models were employed to examine the associations, and moderated mediation models were performed. The results showed that cyberbullying victimization significantly and directly correlated with increased substance use in adolescents. Mental health problems were found to partially mediate the link between cyber victimization and substance use. Furthermore, telemedicine services exhibited a protective effect on these associations. Specifically, cyber victimization significantly and positively predicted augmented mental health problems and substance use for students who did not use telemedicine services, whereas these associations became non-significant for those who used telemedicine services. This study contributes valuable insights into the impact of disasters, cyberbullying, and adolescent substance use, and it also underscores the importance of adopting a comprehensive prevention approach that addresses both cyberbullying and addictions simultaneously.

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Data Availability

The Adolescent Behaviors and Experiences Survey (ABES) is publicly available from the U.S. CDC's website (https://www.cdc.gov/abes/index), and no approval is needed to use the ABES data set.

References

  • Achuthan, K., Nair, V. K., Kowalski, R., Ramanathan, S., & Raman, R. (2023). Cyberbullying research—Alignment to sustainable development and impact of COVID-19: Bibliometrics and science mapping analysis. Computers in Human Behavior,140, 107566. https://doi.org/10.1016/j.chb.2022.107566

    Article  Google Scholar 

  • Alonso, C., & Romero, E. (2020). Longitudinal study of predictors and consequences of cyber bully in Spanish adolescents. Behavioral Psychology, 28(1), 73–93.

    Google Scholar 

  • Arafat, M. Y., Zaman, S., & Hawlader, M. D. H. (2021). Telemedicine improves mental health in COVID-19 pandemic. Journal of Global Health, 11, 03004. https://doi.org/10.7189/jogh.11.03004

    Article  PubMed  PubMed Central  Google Scholar 

  • Baiden, P., & Tadeo, S. K. (2019). Examining the association between bullying victimization and prescription drug misuse among adolescents in the united States. Journal of Affective Disorders, 259, 317–324. https://doi.org/10.1016/j.jad.2019.08.063

    Article  PubMed  Google Scholar 

  • Bajowala, S. S., Milosch, J., & Bansal, C. (2020). Telemedicine pays: Billing and coding update. Current Allergy and Asthma Reports, 20(10), 60.

    PubMed  PubMed Central  Google Scholar 

  • Barney, A., Buckelew, S., Mesheriakova, V., & Raymond-Flesch, M. (2020). The COVID-19 pandemic and rapid implementation of adolescent and young adult telemedicine: Challenges and opportunities for innovation. Journal of Adolescent Health, 67(2), 164–171. https://doi.org/10.1016/j.jadohealth.2020.05.006

    Article  Google Scholar 

  • Bezerra, G. M. F., de Lucena Feitosa, E. S., Catunda, V., Sales Graça, J. G. N., Lucena, C., de Aquino, P., & Bezerra Neto, A. G. & Bezerra da Silva Junior, G. (2022). Telemedicine application and assessment during the COVID-19 pandemic. In MEDINFO 2021: One World, One Health–Global Partnership for Digital Innovation (pp. 854–857). IOS Press.

  • Brener, N. D., Bohm, M. K., Jones, C. M., Puvanesarajah, S., Robin, L., Suarez, N., Deng, X., Harding, L., & Moyse, D. (2022). Use of tobacco products, alcohol, and other substances among high school students during the COVID-19 pandemic—Adolescent Behaviors and Experiences Survey, United States, January–June 2021. MMWR Supplements, 71.

  • Busso, M., Gonzalez, M. P., & Scartascini, C. (2022). On the demand for telemedicine: Evidence from the COVID-19 pandemic. Health Economics, 31(7), 1491–1505.

    PubMed  PubMed Central  Google Scholar 

  • Carvalho, M., Branquinho, C., & de Matos, M. G. (2018). Emotional symptoms and risk behaviors in adolescents: Relationships with cyberbullying and implications on Well-Being. Violence and Victims, 33(5), 871–885. https://doi.org/10.1891/0886-6708.VV-D-16-00204

    Article  PubMed  Google Scholar 

  • Cénat, J. M., Blais, M., Lavoie, F., Caron, P. O., & Hébert, M. (2018). Cyberbullying victimization and substance use among Quebec high schools students: The mediating role of psychological distress. Computers in Human Behavior, 89, 207–212. https://doi.org/10.1016/j.chb.2018.08.014

    Article  Google Scholar 

  • Clayton, H. B., Kilmer, G., DeGue, S., Estefan, L. F., Le, V. D., Suarez, N. A., Lyons, B. H., & Thornton, J. E. (2023). Dating violence, sexual violence, and bullying victimization among high school Students—Youth risk behavior survey, united States, 2021. MMWR Supplements, 72(1), 66–74. https://doi.org/10.15585/mmwr.su7201a8

    Article  PubMed  PubMed Central  Google Scholar 

  • Coker, T. R., Porras-Javier, L., Zhang, L., Soares, N., Park, C., Patel, A., Tang, L., Chung, P. J., & Zima, B. T. (2019). A Telehealth-Enhanced referral process in pediatric primary care: A cluster randomized trial. Pediatrics. https://doi.org/10.1542/peds.2018-2738

    Article  PubMed  Google Scholar 

  • Craig, W., Boniel-Nissim, M., King, N., Walsh, S. D., Boer, M., Donnelly, P. D., Harel-Fisch, Y., Malinowska-Cieślik, M., Gaspar de Matos, M., Cosma, A., Van den Eijnden, R., Vieno, A., Elgar, F. J., Molcho, M., Bjereld, Y., & Pickett, W. (2020). Social media use and Cyber-Bullying: A Cross-National analysis of young people in 42 countries. Journal of Adolescent Health, 66(6), S100–S108. https://doi.org/10.1016/j.jadohealth.2020.03.006

    Article  Google Scholar 

  • Creamer, M. R., Everett Jones, S., Gentzke, A. S., Jamal, A., & King, B. A. (2020). Tobacco product use among high school Students—Youth risk behavior survey, united States, 2019. MMWR Supplements, 69(1), 56–63. https://doi.org/10.15585/mmwr.su6901a7

    Article  PubMed  PubMed Central  Google Scholar 

  • Dumas, T. M., Ellis, W., & Litt, D. M. (2020). What does adolescent substance use look like during the COVID-19 pandemic? Examining changes in frequency, social contexts, and pandemic?-Related predictors. Journal of Adolescent Health,67(3), 354–361. https://doi.org/10.1016/j.jadohealth.2020.06.018

    Article  Google Scholar 

  • Evans, Y. N., Golub, S., Sequeira, G. M., Eisenstein, E., & North, S. (2020). Using telemedicine to reach adolescents during the COVID-19 pandemic. Journal of Adolescent Health, 67(4), 469–471. https://doi.org/10.1016/j.jadohealth.2020.07.015

    Article  Google Scholar 

  • Galagali, P. M., Ghosh, S., & Bhargav, H. (2021). The role of telemedicine in child and adolescent healthcare in India. Current Pediatrics Reports, 9(4), 154–161. https://doi.org/10.1007/s40124-021-00253-w

    Article  PubMed  PubMed Central  Google Scholar 

  • Gloff, N. E., LeNoue, S. R., Novins, D. K., & Myers, K. (2015). Telemental health for children and adolescents. International Review of Psychiatry, 27(6), 513–524. https://doi.org/10.3109/09540261.2015.1086322

    Article  PubMed  Google Scholar 

  • Greenwood, H., Krzyzaniak, N., Peiris, R., Clark, J., Scott, A. M., Cardona, M., Griffith, R., & Glasziou, P. (2022). Telehealth versus Face-to-face psychotherapy for less common mental health conditions: Systematic review and Meta-analysis of randomized controlled trials. JMIR Mental Health, 9(3), e31780. https://doi.org/10.2196/31780

    Article  PubMed  PubMed Central  Google Scholar 

  • Harlow, A. F., Miech, R. A., & Leventhal, A. M. (2024). Adolescent ∆8-THC and marijuana use in the US. Jama, 331(10), 861–865.

    PubMed  PubMed Central  Google Scholar 

  • Hayes, A. F. (2017). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. Guilford.

    Google Scholar 

  • Hinduja, S., & Patchin, J. W. (2014). Bullying Beyond the Schoolyard: Preventing and Responding to Cyberbullying (Second edition). Corwin.

  • Hooshmand, M., & Foronda, C. (2018). Comparison of telemedicine to traditional Face-to-Face care for children with special needs: A quasiexperimental study. Telemedicine and E-Health. https://doi.org/10.1089/tmj.2017.0116

    Article  PubMed  Google Scholar 

  • Hoots, B. E., Li, J., Hertz, M. F., Esser, M. B., Rico, A., Zavala, E. Y., & Jones, C. M. (2023). Alcohol and other substance use before and during the COVID-19 pandemic among high school students—Youth Risk Behavior Survey, United States, 2021. MMWR Supplements, 72. https://doi.org/10.15585/mmwr.su7201a10

  • Huang, N., Zhang, S., Mu, Y., Yu, Y., Riem, M. M. E., & Guo, J. (2024). Does the COVID-19 pandemic increase or decrease the global cyberbullying behaviors? A systematic review and Meta-Analysis. Trauma Violence & Abuse,25(2), 1018–1035. https://doi.org/10.1177/15248380231171185

    Article  Google Scholar 

  • Hurley, E. T., Haskel, J. D., Bloom, D. A., Gonzalez-Lomas, G., Jazrawi, L. M., Bosco, J. A., & Campbell, K. A. (2021). The use and acceptance of telemedicine in orthopedic surgery during the COVID-19 pandemic. Telemedicine and E-Health, 27(6), 657–662.

    PubMed  Google Scholar 

  • Isasti, G., & Díaz Fernández, J. F. (2020). Comparison of telehealth and traditional face-to-face model during COVID-19 pandemic. Medicina Clinica (English Ed), 155(8), 361–362. https://doi.org/10.1016/j.medcle.2020.06.020

    Article  PubMed  Google Scholar 

  • Jung, S. E., Kwon, Y. M., Kwon, S. Y., Kim, Y. H., & Park, H. Y. (2025). Satisfaction survey of medical staff for telemedicine after the COVID-19 pandemic: A comparison between the COVID-Pandemic and Post-COVID pandemic periods. Telemedicine and E-Health, 31(1), 50–58.

    PubMed  Google Scholar 

  • Kann, L. (2018). Youth risk behavior Surveillance—United States, 2017. MMWR Surveillance Summaries.https://doi.org/10.15585/mmwr.ss6708a1

    Article  PubMed Central  Google Scholar 

  • Kor, A., & Shoshani, A. (2023). Moderating the impact of the COVID-19 pandemic on children’s and adolescents’ substance use, digital media use, and mental health: A randomized positive psychology addiction prevention program. Addictive Behaviors, 141, 107660. https://doi.org/10.1016/j.addbeh.2023.107660

    Article  PubMed  PubMed Central  Google Scholar 

  • Kritsotakis, G., Papanikolaou, M., Androulakis, E., & Philalithis, A. E. (2017). Associations of bullying and cyberbullying with substance use and sexual risk taking in young adults. Journal of Nursing Scholarship, 49(4), 360–370. https://doi.org/10.1111/jnu.12299

    Article  PubMed  Google Scholar 

  • Krzyzaniak, N., Greenwood, H., Scott, A. M., Peiris, R., Cardona, M., Clark, J., & Glasziou, P. (2024). The effectiveness of telehealth versus face-to face interventions for anxiety disorders: A systematic review and meta-analysis. Journal of Telemedicine and Telecare, 30(2), 250–261. https://doi.org/10.1177/1357633X211053738

    Article  PubMed  Google Scholar 

  • Lan, X., Yu, H., & Cui, L. (2022). Application of Telemedicine in COVID-19 A Bibliometric Analysis. Frontiers in Public Health,10, 908756.

    PubMed  PubMed Central  Google Scholar 

  • Lee, J., Hong, J. S., Resko, S. M., & Tripodi, S. J. (2018). Face-to-Face bullying, cyberbullying, and multiple forms of substance use among School-Age adolescents in the USA. School Mental Health, 10(1), 12–25. https://doi.org/10.1007/s12310-017-9231-6

    Article  Google Scholar 

  • Liu, S., Yang, L., Zhang, C., Xiang, Y. T., Liu, Z., Hu, S., & Zhang, B. (2020). Online mental health services in China during the COVID-19 outbreak. The Lancet Psychiatry, 7(4), e17–e18.

    PubMed  PubMed Central  Google Scholar 

  • Liu, J., Chai, L., Zhu, H., & Han, Z. (2023). COVID-19 impacts and adolescent suicide: The mediating roles of child abuse and mental health conditions. Child Abuse & Neglect, 138, 106076. https://doi.org/10.1016/j.chiabu.2023.106076

    Article  Google Scholar 

  • Loeber, R., Farrington, D. P., Stouthamer-Loeber, M., & Van Kammen, W. B. (1998). Antisocial behavior and mental health problems: Explanatory factors in childhood and adolescence. Psychology.

    Google Scholar 

  • Low, N. C., Dugas, E., O’Loughlin, E., Rodriguez, D., Contreras, G., Chaiton, M., & O’Loughlin, J. (2012). Common stressful life events and difficulties are associated with mental health symptoms and substance use in young adolescents. Bmc Psychiatry, 12(1), 116. https://doi.org/10.1186/1471-244X-12-116

    Article  PubMed  PubMed Central  Google Scholar 

  • Lu, Y., Avellaneda, F., Torres, E. D., Rothman, E. F., & Temple, J. R. (2019). Adolescent Cyberbullying and Weapon Carrying: Cross-Sectional and Longitudinal Associations. Cyberpsychology, Behavior, and Social Networking,22(3), 173–179. https://doi.org/10.1089/cyber.2018.0463

    Article  PubMed  Google Scholar 

  • Magson, N. R., Freeman, J. Y., Rapee, R. M., Richardson, C. E., Oar, E. L., & Fardouly, J. (2021). Risk and protective factors for prospective changes in adolescent mental health during the COVID-19 pandemic. Journal of Youth and Adolescence, 50, 44–57.

    PubMed  Google Scholar 

  • Maimaitiming, M., Xie, J., Zheng, Z., & Zhu, Y. (2023). Effect of the announcement of Human-to-Human transmission on telemedicine services in China during COVID-19. Disaster Medicine and Public Health Preparedness, 17, e311.

    Google Scholar 

  • Marcin, J. P., Shaikh, U., & Steinhorn, R. H. (2016). Addressing health disparities in rural communities using telehealth. Pediatric Research, 79(1), 169–176.

    PubMed  Google Scholar 

  • Messias, E., Kindrick, K., & Castro, J. (2014). School bullying, cyberbullying, or both: Correlates of teen suicidality in the 2011 CDC youth risk behavior survey. Comprehensive Psychiatry, 55(5), 1063–1068. https://doi.org/10.1016/j.comppsych.2014.02.005

    Article  PubMed  PubMed Central  Google Scholar 

  • Mkhize, S., & Gopal, N. (2021). Cyberbullying perpetration: Children and youth at risk of victimization during Covid-19 lockdown. International Journal of Criminology and Sociology, 10, 525–537.

    Google Scholar 

  • Myers, K. M., Valentine, J. M., & Melzer, S. M. (2008). Child and adolescent telepsychiatry: Utilization and satisfaction. Telemedicine and E-Health, 14(2), 131–137.

    PubMed  Google Scholar 

  • Noel, J. K., Rosenthal, S. R., Skierkowski-Foster, D., & Borden, S. K. (2023). Effect of COVID-19 lockdown on substance use among middle school and high school students: A natural experiment. Public Health Reports, 138(2), 349–356. https://doi.org/10.1177/00333549221138856

    Article  PubMed  Google Scholar 

  • Ohannessian, R., Duong, T. A., & Odone, A.& others. (2020). Global telemedicine implementation and integration within health systems to fight the COVID-19 pandemic: A call to action. JMIR Public Health andSurveillance, 6(2), e18810.

    PubMed  PubMed Central  Google Scholar 

  • Ojinnaka, C. O., Yuh, S., Nordstrom, L., Adepoju, O. E., & Domino, M. (2024). Pre-pandemic preventable hospitalization is associated with increased telemedicine use in safety-net settings. Digital Health, 10, 20552076241260515.

    PubMed  PubMed Central  Google Scholar 

  • Ong, S. H., Tan, Y. R., Khong, J. Z. N., Elliott, J. M., Sourander, A., & Fung, D. S. S. (2021). Psychosocial difficulties and Help-Seeking behaviors in Singapore adolescents involved in cyberbullying. Cyberpsychology Behavior and Social Networking, 24(11), 737–744. https://doi.org/10.1089/cyber.2020.0630

    Article  PubMed  Google Scholar 

  • Paek, S. Y., Lee, J., & Choi, Y. J. (2022). The impact of parental monitoring on cyberbullying victimization in the COVID-19 era. Social Science Quarterly, 103(2), 294–305. https://doi.org/10.1111/ssqu.13134

    Article  PubMed  PubMed Central  Google Scholar 

  • Panchal, U., Salazar de Pablo, G., Franco, M., Moreno, C., Parellada, M., Arango, C., & Fusar-Poli, P. (2023). The impact of COVID-19 lockdown on child and adolescent mental health: Systematic review. European Child & Adolescent Psychiatry, 32(7), 1151–1177. https://doi.org/10.1007/s00787-021-01856-w

    Article  Google Scholar 

  • Pelham, W. E., Tapert, S. F., Gonzalez, M. R., McCabe, C. J., Lisdahl, K. M., Alzueta, E., Baker, F. C., Breslin, F. J., Dick, A. S., Dowling, G. J., Guillaume, M., Hoffman, E. A., Marshall, A. T., McCandliss, B. D., Sheth, C. S., Sowell, E. R., Thompson, W. K., Van Rinsveld, A. M., Wade, N. E., & Brown, S. A. (2021). Early adolescent substance use before and during the COVID-19 pandemic: A longitudinal survey in the ABCD study cohort. Journal of Adolescent Health, 69(3), 390–397. https://doi.org/10.1016/j.jadohealth.2021.06.015

    Article  Google Scholar 

  • Ravens-Sieberer, U., Erhart, M., Devine, J., Gilbert, M., Reiss, F., Barkmann, C., Siegel, N. A., Simon, A. M., Hurrelmann, K., & Schlack, R. (2022). Child and adolescent mental health during the COVID-19 pandemic Results of the three-wave longitudinal COPSY study. Journal of Adolescent Health,71(5), 570–578.

    Google Scholar 

  • Rico, A., Brener, N. D., Thornton, J., Mpofu, J. J., Harris, W. A., Robert, A. M., Kilmer, G., Chyen, D., Whittle, L., Leon-Nguyen, M., Lim, C., Saba, A., Bryan, L. N., Smith-Grant, J., & Underwood, J. M. (2022). Overview and methodology of the adolescent behaviors and experiencessurvey—United States, January–June 2021. MMWR Supplements, 71.

  • Ross, J. A., Weitzman, E. R., & Levy, S. (2024). The impact of the COVID-19 pandemic on adolescent substance use. Current Pediatrics Reports, 12(3), 62–68. https://doi.org/10.1007/s40124-024-00322-w

    Article  Google Scholar 

  • Sampasa-Kanyinga, H., Lalande, K., & Colman, I. (2020). Cyberbullying victimisation and internalising and externalising problems among adolescents: The moderating role of parent–child relationship and child’s sex. Epidemiology and Psychiatric Sciences, 29, e8. https://doi.org/10.1017/S2045796018000653

    Article  Google Scholar 

  • Sarvey, D., & Welsh, J. W. (2021). Adolescent substance use: Challenges and opportunities related to COVID-19. Journal of Substance Abuse Treatment, 122, 108212. https://doi.org/10.1016/j.jsat.2020.108212

    Article  PubMed  Google Scholar 

  • Serper, M., & Volk, M. L. (2018). Current and future applications of telemedicine to optimize the delivery of care in chronic liver disease. Clinical Gastroenterology and Hepatology, 16(2), 157–161.

    PubMed  PubMed Central  Google Scholar 

  • Sharapova, S., Reyes-Guzman, C., Singh, T., Phillips, E., Marynak, K. L., & Agaku, I. (2020). Age of tobacco use initiation and association with current use and nicotine dependence among US middle and high school students, 2014–2016. Tobacco Control, 29(1), 49–54. https://doi.org/10.1136/tobaccocontrol-2018-054593

    Article  PubMed  Google Scholar 

  • Thatcher, D. L., & Clark, D. B. (2008). Adolescents at risk for substance use disorders. Alcohol Research & Health, 31(2), 168–176.

    Google Scholar 

  • Wang, Y., Liu, Y., & Zhou, J. (2023). Cyberbullying victimization and nonsuicidal Self-Injury in early adolescents: A moderated mediation model of social anxiety and emotion reactivity. Cyberpsychology Behavior and Social Networking, 26(6), 393–400. https://doi.org/10.1089/cyber.2022.0346

    Article  PubMed  Google Scholar 

  • Winters, K. C., Stinchfield, R. D., Henly, G. A., & Schwartz, R. H. (1990). Validity of adolescent Self-Report of alcohol and other drug involvement. International Journal of the Addictions, 25(sup11), 1379–1395. https://doi.org/10.3109/10826089009068469

    Article  PubMed  Google Scholar 

  • Wood, S. M., White, K., Peebles, R., Pickel, J., Alausa, M., Mehringer, J., & Dowshen, N. (2020). Outcomes of a rapid adolescent telehealth Scale-Up during the COVID-19 pandemic. Journal of AdolescentHealth, 67(2), 172–178. https://doi.org/10.1016/j.jadohealth.2020.05.025

    Article  Google Scholar 

  • Wright, M. F. (2016). Cybervictimization and substance use among adolescents: The moderation of perceived social support. Journal of Social Work Practice in the Addictions, 16(1–2), 93–112. https://doi.org/10.1080/1533256X.2016.1143371

    Article  Google Scholar 

  • Xu, P., Hudnall, M., Zhao, S., Raja, U., Parton, J., & Lewis, D. (2022). Pandemic-triggered adoption of telehealth in underserved communities: Descriptive study of pre-and postshutdown trends. Journal of Medical Internet Research,24(7), e38602.

    PubMed  PubMed Central  Google Scholar 

  • Yoon, Y., Lee, J. O., Cho, J., Bello, M. S., Khoddam, R., Riggs, N. R., & Leventhal, A. M. (2019). Association of cyberbullying involvement with subsequent substance use among adolescents. Journal of Adolescent Health, 65(5), 613–620. https://doi.org/10.1016/j.jadohealth.2019.05.006

    Article  Google Scholar 

  • Zhou, X., Snoswell, C. L., Harding, L. E., Bambling, M., Edirippulige, S., Bai, X., & Smith, A. C. (2020). The role of telehealth in reducing the mental health burden from COVID-19. Telemedicine and E-Health, 26(4), 377–379. https://doi.org/10.1089/tmj.2020.0068

    Article  PubMed  Google Scholar 

  • Zolopa, C., Burack, J. A., O’Connor, R. M., Corran, C., Lai, J., Bomfim, E., DeGrace, S., Dumont, J., Larney, S., & Wendt, D. C. (2022). Changes in youth mental health, psychological wellbeing, and substance use during the COVID-19 pandemic: A rapid review. Adolescent Research Review, 7(2), 161–177. https://doi.org/10.1007/s40894-022-00185-6

    Article  PubMed  PubMed Central  Google Scholar 

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Authors and Affiliations

  1. School of Political Science and Law, University of Jinan, 250022, Jinan, P.R. China

    Jie Liu

  2. Smart State Governance Lab, Shandong University, 266237, Qingdao, P.R. China

    Ziqiang Han

  3. School of Political Science and Public Administration, Shandong University, 72 Binhai Road, Jimo, 266237, Qingdao, Shandong, P.R. China

    Ziqiang Han

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Liu, J., Han, Z. Substance Use among Cyberbullying Victims During the COVID-19 Pandemic: A Moderated Mediation Model of Mental Health Problems and Telemedicine Services Use. Child Adolesc Soc Work J (2025). https://doi.org/10.1007/s10560-025-01019-9

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