{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T04:59:30Z","timestamp":1790312370803,"version":"4.1.0"},"reference-count":59,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T00:00:00Z","timestamp":1776729600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Medical Science and Technology Project of Sichuan Provincial Health Commission","award":["21PJ148"],"award-info":[{"award-number":["21PJ148"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Cyberpsychology, Behavior, and Social Networking"],"published-print":{"date-parts":[[2026,6,1]]},"abstract":"<jats:p>\n                    Adolescents with depressive disorders exhibit higher rates of cyberbullying victimization (CBV) and non-suicidal self-injury (NSSI) compared with their healthy peers; however, the association between CBV and NSSI and its underlying psychosocial mechanisms remain unclear. This study investigated the effect of CBV on NSSI in adolescents with depressive disorders and examined the mediating roles of alexithymia and anxiety. A total of 1,032 adolescents with depressive disorders, aged 12 to 18 years (mean age = 15.01 \u00b1 1.62), completed questionnaires. Pearson correlation analyses and structural equation modeling were conducted. Significant correlations were observed among CBV, alexithymia, anxiety, and NSSI (all\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    &lt; 0.001). A significant total indirect effect was identified in the association between CBV and NSSI (\u03b2 = 0.045,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    &lt; 0.001), accounting for 35.2 percent of the total effect. Anxiety functioned as an independent mediator (\u03b2 = 0.039,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    &lt; 0.001), whereas alexithymia alone did not show a significant indirect effect. Moreover, a significant chain-mediated effect of alexithymia and anxiety was observed (\u03b2 = 0.003,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = 0.023). These findings revealed that CBV may exacerbate NSSI among adolescents with depressive disorders, with anxiety functioning as an independent mediator. Alexithymia may intensify anxiety symptoms, which further contribute to NSSI. Anti-bullying education and interventions targeting alexithymia and anxiety should be implemented to reduce the risk of NSSI in this population.\n                  <\/jats:p>","DOI":"10.1177\/21522715261443746","type":"journal-article","created":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T07:39:58Z","timestamp":1776757198000},"page":"398-405","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Effects of Cyberbullying Victimization on Non-Suicidal Self-Injury in Adolescents with Depressive Disorders: A Chain Mediation Model of Alexithymia and Anxiety"],"prefix":"10.1177","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-6014-1100","authenticated-orcid":false,"given":"Jia","family":"Chen","sequence":"first","affiliation":[{"name":"The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Lab for Neuroinformation, University of Electronic Science and Technology of China, Chengdu, China."},{"name":"The Fourth People\u2019s Hospital of Chengdu, Chengdu, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min","family":"Hu","sequence":"additional","affiliation":[{"name":"Chengdu Southwest Rehabilitation Hospital, Chengdu, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaojiong","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Neurology, Sichuan Academy of Medical Sciences, Sichuan Provincial People\u2019s Hospital, Chengdu, China."},{"name":"School of Medicine, University of Electronic Science and Technology of China, Chengdu, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Luo","sequence":"additional","affiliation":[{"name":"The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Lab for Neuroinformation, University of Electronic Science and Technology of China, Chengdu, China."},{"name":"The Fourth People\u2019s Hospital of Chengdu, Chengdu, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu","family":"Xiao","sequence":"additional","affiliation":[{"name":"The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Lab for Neuroinformation, University of Electronic Science and Technology of China, Chengdu, China."},{"name":"The Fourth People\u2019s Hospital of Chengdu, Chengdu, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"Liu","sequence":"additional","affiliation":[{"name":"The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Lab for Neuroinformation, University of Electronic Science and Technology of China, Chengdu, China."},{"name":"The Fourth People\u2019s Hospital of Chengdu, Chengdu, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jia","family":"Fang","sequence":"additional","affiliation":[{"name":"The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Lab for Neuroinformation, University of 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