Evidence map›Paper›PMID 40810338›Full record

ArticleEuropean journal of orthodontics2025

Bullying, cyberbullying, self-esteem, psychological distress and relationship with oral health related quality of life: a cross-sectional survey in adolescents.

Francesca Cinelli, Elisabetta Paolini, Michele Nieri, Ludovica Di Paola, Giada Fiorentini, Ersilia Menesini, Lorenzo Franchi

Abstract read
In one paragraph

Article in European journal of orthodontics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Francesca CinelliDepartment of Experimental and Clinical Medicine, Università degli Studi di Firenze, Via del Ponte di Mezzo 46-48, 50127, Firenze, Italy.
Elisabetta PaoliniDepartment of Experimental and Clinical Medicine, Università degli Studi di Firenze, Via del Ponte di Mezzo 46-48, 50127, Firenze, Italy.
Michele NieriDepartment of Experimental and Clinical Medicine, Università degli Studi di Firenze, Via del Ponte di Mezzo 46-48, 50127, Firenze, Italy.
Ludovica Di PaolaPrivate Practice, Via Emilio Boni 1/H, 59100, Prato, Italy.
Giada FiorentiniPrivate Practice at Tages Clinical Centers, Via della Torretta 14, 50137, Firenze, Italy.
Ersilia MenesiniDepartment of Education, Languages, Interculture, Literature and Psychology, Università degli Studi di Firenze, Via Laura 48, 50121, Firenze, Italy.
Lorenzo FranchiDepartment of Experimental and Clinical Medicine, Università degli Studi di Firenze, Via del Ponte di Mezzo 46-48, 50127, Firenze, Italy.ORCID 0000-0002-2072-460X

Funding

Fondazione Cassa di Risparmio di Firenze 2017.0743
6 · The paper itself

Abstract

backgroundBullying, including cyberbullying, is a global concern. Few studies have looked at the impact of dentofacial features on bullying and their relationship with psychosocial factors. This study aimed to assess the prevalence of bullying, cyberbullying, low self-esteem, high psychological distress, and investigate the relation with Oral Health-Related Quality of Life (OHRQoL) in adolescents.

methodsThis cross-sectional survey used a self-administered questionnaire distributed among middle school students (ages 10-15). The questionnaire assessed bullying/victimization (Florence Bullying and Cyberbullying Scales), self-esteem (Rosenberg scale), psychological distress (Strengths and Difficulties Questionnaire), and OHRQoL (CPQ11-14 ISF:16). Two-level (school and student) logistic regressions with random intercept analyzed relationships between OHRQoL and other variables.

resultsAmong 437 participants, 18% reported bullying victimization, 14% admitted bullying perpetration, 6% experienced cybervictimization, and 4% perpetrated cyberbullying. Low self-esteem was found in 22%, and 26% reported high psychological distress. CPQ11-14 ISF:16 was associated with victimization (OR = 1.08; 95%CI from 1.05 to 1.10; P < 0.001), bullying perpetration (OR = 1.07; 95%CI from 1.04; 1.11; P < 0.001), cybervictimization (OR = 1.07; 95%CI from 1.03 to 1.10; P < 0.0001), cyberbullying perpetration (OR = 1.09; 95%CI from 1.04; 1.13; P < 0.001), low self-esteem (OR = 1.07; 95%CI from 1.04 to 1.10; P < 0.001), and high psychological distress (OR = 1.10; 95%CI from 1.07 to 1.13; P < 0.001). The four most implicated reasons for teasing related to mouth/teeth/chin were tooth color or shape, orthodontic appliance wear, protruding maxillary incisors, and spacings or missing teeth.

conclusionsThe present study found a relationship between perceived oral health and bullying/cyberbullying, low self-esteem, and psychological distress. Furthermore, it highlighted that adolescents can be teased as a result of their dentofacial characteristics.

Indexed as

BullyingCyberbullyingOral HealthPsychological DistressQuality of LifeSelf ConceptAdolescentChildCrime VictimsCross-Sectional StudiesFemaleHumansMaleSurveys and QuestionnairesbullyingcyberbullyingOHRQoLpsychological distressself-esteem

Identifiers

PMID40810338
PMCPMC12351380

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.