Identifying protective and risk behavior patterns of online communication in young people.

INTRODUCTION: Research has investigated the association between time spent online and mental well-being, however the nuances between specific online behaviors and well-being have been less explored. This research examines how specific online behaviors (i.e., how young people are engaging online and with whom), are associated with one another, and how these patterns of behaviors are related to well-being. METHODS: We used the November 2020 and March 2021 Understanding Society COVID-19 Panel data. The sample consisted of 1432 adolescents aged 10-15 years, who participated in November 2020. Latent class analysis was used to explore patterns of online behaviors. We also investigated how sociodemographic characteristics differed across the classes, along with physical, social, and mental well-being as distal outcomes both cross-sectionally and longitudinally. RESULTS: We identified four classes: "Avid users," "Scholars," "Midways," and the "Passengers." The avid users had the highest frequency of posting online content regularly, likewise the scholars also posted online content regularly, however the scholars were differentiated by their higher frequency of schoolwork and news intake online. The midways had more complex activity characterized by talking to friends often and having a social media account, but posted online content less frequently. The passengers were the least active online as they posted pictures and videos less (76% said "never") and only 63% had a social media account. The avid users had the lowest well-being cross-sectionally and longitudinally, and the midways had lower social well-being and appearance dissatisfaction. CONCLUSIONS: Online behaviors such as regularly posting or talking to internet-only friends could be related to lower well-being. Policymakers should consider both improving regulations online and building an evidence base to enable caregivers from all backgrounds to support young people.

Differences in perceived online communication and disclosing e-motions among adolescents and young adults: The role of specific social media features and social anxiety.

INTRODUCTION: Social media are widely used by adolescents and young adults as a mean to maintain interpersonal relationships. Recent studies have found that young individuals with high levels of social anxiety feel more confident in communicating online. However, little is known about the role of perceived social media characteristics that could minimize the distress they experienced in face-to-face interactions. In this study, we rely on the tenets of the Transformation Framework, according to which social media, with its own features, may transform social relationships, including disclosing emotions and communicating with others online, in ways that may differ across individuals with or without specific vulnerability (e.g., social anxiety). Therefore, this cross-sectional study aims at examining the contribution of three specific social media features (i.e., asynchronicity, cue absence, and visualness) in explaining perceived breadth and depth of online communication, both directly and via e-motional processes (i.e., expression and facilitating use of e-motions), across groups of individuals with high versus low levels of social anxiety. METHODS: Participants were 1046 Italian adolescents and young adults (61.4% females; Mage = 17.9, SD = 3.23) who completed an anonymous self-report questionnaire between 2021 and 2022. Participants with very high scores on social anxiety (above the 90th percentile; socially anxious), were distinguished from all others (socially nonanxious) and a multigroup analysis (MGA) was run to compare the pattern of associations across the two different groups. RESULTS AND CONCLUSION: Results from the MGA showed significant differences between the two groups, partially confirming our hypotheses. Specifically, among socially anxious individuals, perceived cue absence was found to benefit perceived breadth and depth of online communication, and asynchronicity to enhance online emotional processes; conversely, these associations were negative in the group of socially nonanxious. Thus, these findings underly the contribution of social media in explaining youngsters' online experiences and support the potential beneficial role of some social media features for those more socially vulnerable.

Integrating online deliberation into ecosystem service valuation.

Stated preference valuation of ecosystem services involves participants answering hypothetical questions to express preferences. Participants tend to respond to the hypothetical questions separately, without any deliberation (the process of considering and discussing within a group). However, a relatively recent development in deliberation research involves asking participants to state preferences via deliberation. Deliberation is historically conducted in-person but can now also be done online. This paper covers the strengths and limitations of integrating online deliberation into stated preference valuation, including: (1) comparison between stated preference valuation with and without deliberation, (2) comparison between in-person and online deliberation, and (3) comparison between online deliberation media, such as typing, video meetings, and voice calls. Conducting deliberation can broaden participants' understanding of the target ecosystem services and others' preferences. However, this requires participants' willingness to deliberate and increases time investment. Online deliberation has lower costs and travel restrictions and higher time efficiency and confidentiality of personal information than in-person deliberation. However, people with low abilities or willingness to use online media are disadvantaged. Differences in the online deliberation media may reduce or improve the inclusiveness, engagement, and openness of deliberations in ways that affect valuation results. We also provide suggestions for selecting deliberation media and mitigating deliberation bias derived from the choice of deliberation media. Further research should explore how to improve time efficiency and affordability of online deliberation, how to promote inclusiveness, engagement, and openness of online deliberation, and how different deliberation media affect deliberation quality and valuation results.

Investigating the effect of emoji position on eye movements and subjective evaluations on Chinese sarcasm comprehension.

Evidence indicated that emojis could influence sarcasm comprehension and sentence processing in English. However, the effect of emojis on Chinese sarcasm comprehension remains unclear. Therefore, this study investigated the impact of the smiley emoji position and semantics on eye movements and subjective assessments during Chinese online communication. Our results showed that the presence of a smiley emoji improved participants' interpretation and perception of sarcasm. We also found shorter dwell times on sarcastic words compared to literal words under the comment-final emoji condition. Additionally, we clarified the time course of emojified sentence processing during Chinese reading: the presence of emoji initially decreased first fixation durations compared to the absence of emoji and then the comment-final emoji shortened dwell times on sarcastic words compared to literal words in the critical area of interest. Our findings suggested that the comment-final emoji was the preferable choice for avoiding semantic comprehension bias in China.

We studied how emoji position influenced Chinese semantic processing by combining the indices of eye movements and subjective assessments. Our results revealed that the comment-final smiley emoji was preferable for avoiding sarcasm comprehension bias. The corresponding time course and recommendations for improving Chinese online interpersonal interactions were discussed.

Associations of online religious participation during COVID-19 lockdown with subsequent health and well-being among UK adults.

BACKGROUND: In-person religious service attendance has been linked to favorable health and well-being outcomes. However, little research has examined whether online religious participation improves these outcomes, especially when in-person attendance is suspended. METHODS: Using longitudinal data of 8951 UK adults, this study prospectively examined the association between frequency of online religious participation during the stringent lockdown in the UK (23 March -13 May 2020) and 21 indicators of psychological well-being, social well-being, pro-social/altruistic behaviors, psychological distress, and health behaviors. All analyses adjusted for baseline socio-demographic characteristics, pre-pandemic in-person religious service attendance, and prior values of the outcome variables whenever data were available. Bonferroni correction was used to correct for multiple testing. RESULTS: Individuals with online religious participation of ≥1/week (v. those with no participation at all) during the lockdown had a lower prevalence of thoughts of self-harm in week 20 (odds ratio 0.24; 95% CI 0.09-0.62). Online religious participation of <1/week (v. no participation) was associated with higher life satisfaction (standardized ß = 0.25; 0.11-0.39) and happiness (standardized ß = 0.25; 0.08-0.42). However, there was little evidence for the associations between online religious participation and all other outcomes (e.g. depressive symptoms and anxiety). CONCLUSIONS: There was evidence that online religious participation during the lockdown was associated with some subsequent health and well-being outcomes. Future studies should examine mechanisms underlying the inconsistent results for online v. in-person religious service attendance and also use data from non-pandemic situations.

The relationship between online communication and adolescents' mental health: Long-term evaluation between genders.

AIMS: In a relatively short time, online communication has become an important part of adolescents' lives, and concerns have been raised about its potential effects on mental health. The first aim was to compare mental health status and online communication in 15-year-old Icelanders born in 1988 and in 1994. The second aim was to assess whether the relationship between online communication and mental health has changed among 15-year-old Icelanders from 2003 to 2015 across genders. METHODS: Analysis used data from self-reports from 2003 (N=385, 51% males) and 2015 (N=302, 42% males). Mental health was assessed with subscales of Symptom Checklist 90 and online communications with self-reports. To evaluate the difference in anxiety and depression, a factorial analysis of variance was conducted between gender and years. Multigroup structural equation modelling was used to assess the change in the relationship between years. RESULTS: Symptoms of anxiety and depression remained unchanged for males. Symptoms of depression increased for females, while anxiety was stable between 2003 and 2015. In 2003, there was no relationship between online communication and mental health. However, in 2015, an association was found for females. CONCLUSIONS: Depression is getting worse for adolescent females, and an association between time spent online communicating and mental health emerged for them in 2015, which did not exist in 2003. These findings add to the possibility that online communication is harmful for mental health, but more detailed studies are still needed.

Framework and Practical Guidance for the Ethical Use of Electronic Methods for Communication With Participants in Medical Research.

Online communication with participants, including online recruitment, electronic informed consent, and data communication, is one of the fields to which information and communication technology (ICT) has been applied in medical research. Online communication provides various benefits, especially for genome research and rare disease research. However, ethical challenges that are derived from or exacerbated by online communication need to be addressed. Here, we present an overview of such ethical issues and provide practical guidance for the ethical implementation of ICT. We specify the ethical issues in the context of using online communication for medical research by an analysis based on the eight ethical principles for clinical research. Informed by this ethical context, we then develop a novel framework for the governance of medical research involving ICT, which consists of eight categories: five research processes (ie, design of research, recruitment, informed consent, data communication, and dissemination and return of results) and three overarching perspectives related to multiple processes of research (ie, access to research and online dialog, community involvement, and independent review). Finally, we present a practical guidance chart for researchers, patient partners, independent reviewers, and funding agencies. We believe that our study will contribute to the ethical implementation of online communication in medical research.

Multidisciplinary expert group: communication measures to increase vaccine compliance in adults.

The WHO categorized vaccine hesitancy as one of the greatest threats to global health worldwide. Vaccination of elderly persons is of increasing relevance, given that they represent a growing segment in the population and considering the burden diseases pose to them. Many factors leading to vaccine hesitancy are related to inadequate communication. In the present report, experts from various academic fields present recommendations to support communication strategies that may help to initiate targeted communication measures to enhance vaccination compliance in adults.

Adolescent psychological well-being during the COVID-19 lockdown: the role of leisure activities and online peer communication.

The present study investigated the effects of leisure activities and online peer relationships on the development of psychological difficulties in adolescents during the COVID-19 lockdown in Italy. Data were collected in April and May 2020. The parents of 1,020 Italian adolescents aged 14-18 (51.9% girls) completed questionnaires about the experiences and behaviors of their children before and during the lockdown. A moderation regression analysis was applied to test the research hypotheses. The findings indicated that adolescents who were more active in sports and social activities prior to the COVID-19 pandemic showed greater psychological distress during the lockdown. Moreover, increased reading, game playing, and exercise during the lockdown effectively compensated for the interruption of pre-pandemic sports and social activities, and represented a protective factor for adolescents' mental health. Finally, increased online contact with peers during the lockdown protected against the development of psychological difficulties, regardless of adolescents' engagement in sports and social activities prior to the pandemic. The findings provide new and useful information about the role of leisure activities and online contact with peers in protecting against psychological difficulties in adolescents, especially during situations of isolation and social distancing, as in the COVID-19 national lockdown.

Trusting scientific experts in an online world.

A perennial problem in social epistemology is the problem of expert testimony, specifically expert testimony regarding scientific issues: for example, while it is important for me to know information pertaining to anthropogenic climate change, vaccine safety, Covid-19, etc., I may lack the scientific background required to determine whether the information I come across is, in fact, true. Without being able to evaluate the science itself, then, I need to find trustworthy expert testifiers to listen to. A major project in social epistemology has thus become determining what the markers of trustworthiness are that laypersons can appeal to in order to identify and acquire information from expert testifiers. At the same time, the ways in which we acquire scientific information has changed significantly, with much of it nowadays being acquired in online environments. While much has been said about the potential pitfalls of seeking information online (e.g. the prevalence of filter bubbles, echo chambers, and the overall proliferation of "fake news"), little has been said about how the nature of seeking information online should make us think about the problem of expert testimony. Indeed, it seems to be an underlying assumption that good markers of trustworthiness apply equally well when seeking information from expert testifiers in online and offline environments alike, and that the new challenges and opportunities presented by online environments merely affects the methods by which we can acquire evidence of said trustworthiness. Here I argue that in making this assumption one risks failing to account for how unique features of the ways in which we acquire information online affect how we evaluate the trustworthiness of experts. Specifically, I argue for two main claims: first, that the nature of information-seeking online is such that the extent to which information is susceptible to manipulation is a dominant marker of trustworthiness; second, as a result, one will be more likely to seek out a particular kind of expert testifier in online environments, what I call a cooperative as opposed to preemptive expert. The result is that criteria for expert trustworthiness may look significantly different when acquiring information online as opposed to offline.

The other side of the screen: The impact of perspective-taking on adolescents' online communication.

INTRODUCTION: In recent decades, adolescents' interactions with peers have increasingly transitioned online. While socially interactive technologies provide multiple avenues for positive communication between peers, adolescents may experience harmful online peer interactions, with such interactions negatively impacting their well-being. A paucity of work exists investigating how adolescents' characteristics are related to their communicative choices on social media and if such choices can be influenced by cues to consider a recipient. Addressing this gap, this work examines experimental manipulations of perspective-taking and individual differences in socio-cognitive skills as they relate to adolescents' communicative choices online. METHOD: Within individual sessions, 12- to 15-year-old Canadian participants (N = 72, 36 girls) viewed pictures of other adolescents on a simulated social media app similar to Snapchat and chose between pre-written aggressive or prosocial comments to send to a recipient under three conditions: a perspective-taking cue, a time-delay, no delay. Participants also completed self-report questionnaires assessing emotion regulation and empathy. RESULTS: Following perspective-taking cues, participants chose more prosocial comments to send compared to when participants were permitted to choose a comment immediately after viewing another adolescent's picture, while controlling for a brief time-delay. Adolescents' individual characteristics (i.e., Social Media Use, State Mood, Affective Empathy, Gender) were associated with their communicative choices online. CONCLUSIONS: Findings from this work provide new insight into the ways adolescents navigate their complex and increasingly online peer interactions. Further, the results suggest that adolescents' social media communication is malleable with a brief perspective-taking cue to consider a recipient.

#recovery: Understanding recovery from the lens of recovery-focused blogs posted by individuals with lived experience.

OBJECTIVE: Definitions of eating disorder (ED) recovery have primarily focused on symptom management (i.e., weight regain, reduced/absent ED behaviors, and normalized ED thoughts). Notwithstanding the importance of these approaches, there are arguably additional considerations in ED recovery. In order to get a more comprehensive understanding of recovery, it is necessary to turn to individuals with lived experience. Here, we examine how individuals with lived experience of an ED conceptualize and define recovery in narrative, recovery-focused blogs and consider how this understanding may contribute to definitions of recovery in the field. METHOD: Inductive thematic analysis was used to examine 168 blogs posted by at least 120 unique authors (95% women; 36% reporting anorexia nervosa diagnosis) to 10 moderated, ED websites. RESULTS: Results from the thematic analysis yielded seven themes: recovery as (1) existing in contrast to the ED, (2) existing in a broader context, (3) subjective, (4) a choice, (5) a complex, nonlinear process, (6) transformative, and (7) overcoming. DISCUSSION: The present findings are consistent with previous qualitative research, suggesting that recovery is multifaceted and encompasses more than just symptom management. Notably, bloggers highlighted that recovery may not be equally attainable for all individuals, citing numerous social justice issues in the conceptualization of recovery. This multifaceted and intersectional view of recovery is consistent with consumer models of recovery. We argue that a dimensional model of recovery may be a good starting framework for researchers and clinicians to develop a more comprehensive definition of recovery.

Impact of coronavirus pandemic in appointments and anxiety/concerns of patients regarding orthodontic treatment.

OBJECTIVE: To evaluate the impact of the coronavirus pandemic and the quarantine in orthodontic appointments, and patients' anxiety and concerns about their ongoing orthodontic treatment. SETTINGS AND SAMPLE POPULATION: Patients from private dental clinics of two orthodontists that were undergoing active orthodontic treatment. MATERIAL AND METHODS: An online anonymous questionnaire regarding their anxiety about the coronavirus situation, availability/acceptance to attend an appointment, among others, was answered by orthodontic patients. Descriptive statistics with percentages was performed and responses were compared between sexes, cities, and association of the feelings/level of anxiety of patients and willingness to attend an appointment were performed with chi-square, independent t test, one-way ANOVA and Tukey's tests. RESULTS: The questionnaire was answered by 354 patients (231 female; 123 male) with mean age of 35.49 years. Most patients are respecting the quarantine, 44.7% related to be calm and 46.3% afraid or anxious. The level of anxiety was greater for females than males. There was significant association of the level of anxiety and the willingness to attend an appointment. The greatest concern of patients was delay in the end of treatment. CONCLUSION: The quarantine and coronavirus pandemic showed to have impact on orthodontic appointments and patients' anxiety. Patients willing to attend an orthodontic appointment presented significantly lower level of anxiety than patients that would not go or would go only in urgency/emergency. Females were more anxious than males about coronavirus pandemic, quarantine and impact on their orthodontic treatments. Delay in treatment was the greatest concern of patients undergoing orthodontic treatment.

The Internet as a Source of Health Information and Services.

The Internet is increasingly used for health-related purposes and evolves with the ever-changing needs of patients. The aim of this study was to assess the level of reliance on the Internet as a health information source, to examine which online communication activities are the most common for health purposes, and to determine the attitudes and needs of patients in this area and the factors affecting its use. A total of 1000 adults were selected from the Polish population by random sampling. The survey was administered by the Computer-Assisted Telephone Interview (CATI). The study concluded that 76.9% of the participants used the Internet for health purposes, among whom 72.6% of active and 27.4% of passive users were distinguished. The role of the Internet as a source of health information has increased, which corresponds to a growing interest in online health services. The majority of individuals searching for health information in the Internet lived in urban areas, had a high level of education, and was professionally active. We conclude that the increased interest in the use of the Internet related to health determines the direction in which e-health should be developed in the future.

The Antecedents and Consequences of Health Care Professional-Patient Online Interactions: Systematic Review.

BACKGROUND: Online health care services effectively supplement traditional medical treatment. The development of online health care services depends on sustained interactions between health care professionals (HCPs) and patients. Therefore, it is necessary to understand the demands and gains of health care stakeholders in HCP-patient online interactions and determine an agenda for future work. OBJECTIVE: This study aims to present a systematic review of the antecedents and consequences of HCP-patient online interactions. It seeks to reach a better understanding of why HCPs and patients are willing to interact with each other online and what the consequences of HCP-patient online interactions are for health care stakeholders. Based on this, we intend to identify the gaps in existing studies and make recommendations for future research. METHODS: In accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, a systematic retrieval was carried out from the Web of Science, PubMed, and Scopus electronic databases. The search results were confined to those papers published in English between January 1, 2000 and June 30, 2018. Selected studies were then evaluated for quality; studies that did not meet quality criteria were excluded from further analysis. Findings of the reviewed studies related to our research questions were extracted and synthesized through inductive thematic analysis. RESULTS: A total of 8440 records were found after the initial search, 28 papers of which were selected for analysis. Accessibility to HCPs, self-management, and unmet needs were the main triggers for patients to participate in online interaction. For HCPs, patient education, career needs, and self-promotion were the major reasons why they took the online approach. There were several aspects of the consequences of HCP-patient online interactions on health care stakeholders. Consequences for patients included patient empowerment, health promotion, and acquisition of uncertain answers. Consequences for HCPs included social and economic returns, lack of control over their role, and gaining more appointments. HCP-patient online interactions also improved communication efficiency in offline settings and helped managers of online health care settings get a better understanding of patients' needs. Health care stakeholders have also encountered ethical and legal issues during online interaction. CONCLUSIONS: Through a systematic review, we sought out the antecedents and consequences of HCP-patient online interactions to understand the triggers for HCPs and patients to participate and the consequences of participating. Potential future research topics are the influences on the chain of online interaction, specifications and principles of privacy design within online health care settings, and roles that sociodemographic and psychological characteristics play. Longitudinal studies and the adoption of text-mining method are worth encouraging. This paper is expected to contribute to the sustained progress of online health care settings.

What are Clients Asking Their Therapist During Therapist-Assisted Internet-Delivered Cognitive Behaviour Therapy? A Content Analysis of Client Questions.

BACKGROUND: Although internet-delivered cognitive behaviour therapy (ICBT) yields large clinical outcomes when accompanied by therapeutic support, a portion of clients do not benefit from treatment. In ICBT, clients review treatment materials online typically on a weekly basis. A key component of therapist-assistance involves answering questions as clients review and work on assignments related to the treatment materials. AIMS: The goal of this study was to enhance understanding of the nature of client questions posed during ICBT and examine potential associations between the number of questions asked and treatment outcomes in order to provide insight into how to improve ICBT for future users. METHOD: Content analysis was used to qualitatively analyse and identify questions that 80 clients asked their designated therapist over the course of an 8-week ICBT programme for anxiety and depression. RESULTS: On average, clients sent six emails during the course of treatment, of which less than two questions were asked. Of the 137 questions posed by clients, 46.72% reflected questions designed to enhance understanding and apply the material and techniques reviewed in the programme. Additional questions were categorized as clarifying the therapeutic process (22.62%), addressing technical challenges (18.25%), and seeking assistance with problems outside the scope of ICBT (12.41%). Number of client questions asked was not significantly correlated with the number of lessons completed, symptom change, or perceptions of therapeutic alliance. CONCLUSIONS: Findings can inform future practitioners who deliver ICBT of what to expect with this treatment approach and also assist in the development of future ICBT programmes.

Online communication predicts Belgian adolescents' initiation of romantic and sexual activity.

UNLABELLED: Online communication is associated with offline romantic and sexual activity among college students. Yet, it is unknown whether online communication is associated with the initiation of romantic and sexual activity among adolescents. This two-wave panel study investigated whether chatting, visiting dating websites, and visiting erotic contact websites predicted adolescents' initiation of romantic and sexual activity. We analyzed two-wave panel data from 1163 Belgian adolescents who participated in the MORES Study. We investigated the longitudinal impact of online communication on the initiation of romantic relationships and sexual intercourse using logistic regression analyses. The odds ratios of initiating a romantic relationship among romantically inexperienced adolescents who frequently used chat rooms, dating websites, or erotic contact websites were two to three times larger than those of non-users. Among sexually inexperienced adolescents who frequently used chat rooms, dating websites, or erotic contact websites, the odds ratios of initiating sexual intercourse were two to five times larger than that among non-users, even after a number of other relevant factors were introduced. CONCLUSION: This is the first study to demonstrate that online communication predicts the initiation of offline sexual and romantic activity as early as adolescence. Practitioners and parents need to consider the role of online communication in adolescents' developing sexuality. WHAT IS KNOWN: • Adolescents increasingly communicate online with peers. • Online communication predicts romantic and sexual activity among college students. What is New: • Online communication predicts adolescents' offline romantic activity over time. • Online communication predicts adolescents' offline sexual activity over time.

Internet-delivered Cognitive Behaviour Therapy for Depressive Symptoms: An Exploratory Examination of Therapist Behaviours and their Relationship to Outcome and Therapeutic Alliance.

BACKGROUND: A previous study of therapist-assisted Internet-delivered cognitive behaviour therapy (ICBT) for generalized anxiety (Paxling et al., 2013) identified eight distinct therapist behaviours in ICBT (task reinforcement, self-efficacy shaping, task prompting, alliance bolstering, psychoeducation, empathetic utterances, deadline flexibility, and self-disclosure). It is unknown how generalizable these behaviours are across ICBT programs. AIMS: We systematically examined the frequency of these eight therapist behaviours and additional newly identified behaviours in e-mails sent to patients during the course of ICBT for depressive symptoms. We also conducted exploratory analyses to examine relationships between therapist behaviours, symptom improvement, and therapeutic alliance. METHOD: Data was obtained from a previously published open trial (Hadjistavropoulos et al., 2014). A total of 1013 e-mails sent from therapists (n = 24) to patients (n = 41) during ICBT for depressive symptoms were analyzed. Therapist behaviours were correlated with symptom change scores and ratings of therapeutic alliance at mid- and post-treatment. RESULTS: Therapist behaviours described by Paxling et al. were reliably identified in the e-mails using qualitative content analysis; the frequencies of these behaviours differed, however, from the Paxling et al. study and three additional therapist behaviours were identified (administrative statements, questionnaire feedback, asking clarifying questions). Several therapist behaviours (e.g. administrative statements, task prompting) were associated with lower symptom improvement at post-treatment. Questionnaire feedback and task reinforcement were associated with higher patient ratings of therapeutic alliance. CONCLUSIONS: The study provides partial support for the generalizability of therapist-assistance across ICBT programs. Experimental research is needed to examine the impact of varying therapist-assistance on patient outcomes.

The Role of Online Communication in Long-Term Cyberbullying Involvement Among Girls and Boys.

Digital media, especially mobile communication technologies, enable adolescents to explore and experiment with each other with only limited adult control. Conflicts between peers can be easily staged since nearly everybody can be reached at any time under the radar of authorities. Therefore, involvement in conflicts and bullying might depend on how adolescents use and behave online. In the present study, we provide a comprehensive picture of the role aspects of online communication play in long-term involvement in cyberbullying. We focused on a gender-specific perspective, as girls and boys were found to differ not only according to their online communication but also in their cyberbullying involvement. Using a two-wave panel survey of 1817 adolescents between 13 and 17 years (56 % female), we found that girls' cyberbullying involvement (perpetration and victimization) could be traced back to more intensive online social activities and a higher amount of online contact with strangers. In contrast, for boys, only higher exposure to antisocial media content predicted higher levels of victimization over time. The findings indicate that certain patterns of online communication increase the cyberbullying risk over time. However, it needs to be noted that these risk factors vary between girls and boys.

Pattern of online communication in teaching a blended oral surgery course.

AIM: To explore the factors that might affect the patterns of interaction amongst dental students that can be found in asynchronous online discussion fora. SUBJECTS AND METHODS: It is a qualitative study that involved the participation of 71 dental students (42 male and 29 female) who belong to one academic year. Students were participated in asynchronous online discussion fora as a part of a blended oral surgery course that involved both face-to-face lecture and an online learning environment using the Blackboard learning management system. Qualitative analysis of students' pattern of discussion was performed using Transcript Analysis Tool. RESULTS: The total number of postings was 410. Sixty-seven of 71 students participated in the discussion by writing posts, whereas all of the students had accessed all of the postings. A positive correlation between imposing vertical questions and the number of non-referential and referential statements was observed. Regarding horizontal questions, a positive correlation was observed with the number of referential statements, whilst there was a negative correlation with the number of non-referential statements. CONCLUSION: Asynchronous online discussion fora that are integrated as a part of a whole pedagogical practice may provide an opportunity for promoting learning, especially when consideration is given to the structure of problems, timely feedback by tutors and supportive strategies within the discussion threads.