title: Mediating effects of depression and anxiety on the relationship between bullying involvement and pain problems among adolescents in Taiwan.
abstract: BACKGROUND
  This study aimed to examine the mediating effects of depression and anxiety on the relationships of bullying victimization and perpetration with pain among adolescents in Taiwan.
  
  
  METHODS
  A total of 4976 students of junior and senior high schools completed the questionnaires. Bullying victimization and perpetration, pain problems, depression, and anxiety were assessed. The mediating effects of depression and anxiety on the relationship between bullying involvement and pain problems and the moderating effects of sex on the medicating roles of depression and anxiety were examined by structural equation model.
  
  
  RESULTS
  Both depression and anxiety were significant mediators of the relationship between bullying victimization and pain problems among adolescents. Depression was also a significant mediator of the relationship between bullying perpetration and pain problems among adolescents. Sex had no moderating effect on the mediating role of depression/anxiety on the association between bullying involvement and pain problems.
  
  
  CONCLUSIONS
  Medical and educational professionals should survey and intervene in depression and anxiety when managing pain problems among adolescents involved in bullying.
authors.affiliation: Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Taiwan; Department of Psychiatry, Faculty of Medicine, and Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Taiwan.
authors.forename: Cheng-Fang
authors.initials: CF
authors.lastname: Yen
authors.affiliation: Department of Psychology, College of Humanities and Social Science, Kaohsiung Medical University, Taiwan.
authors.forename: I-Mei
authors.initials: IM
authors.lastname: Lin
authors.affiliation: Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Taiwan; Department of Psychiatry, Faculty of Medicine, and Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Taiwan.
authors.forename: Tai-Ling
authors.initials: TL
authors.lastname: Liu
authors.affiliation: Department of Psychiatry, Tainan Municipal Hospital, Taiwan. Electronic address: cych07205@gmail.com.
authors.forename: Huei-Fan
authors.initials: HF
authors.lastname: Hu
authors.affiliation: Department of Psychology, National Cheng Kung University, Taiwan. Electronic address: cpcheng.psy@gmail.com.
authors.forename: Chung-Ping
authors.initials: CP
authors.lastname: Cheng
mesh_terms: D000293:Adolescent; D001007:Anxiety / Q000523:psychology*; D058445:Bullying / Q000523:psychology*; D019548:Crime Victims / Q000523:psychology*; D003863:Depression / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D010146:Pain / Q000523:psychology*; D013334:Students / Q000523:psychology / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D013624:Taiwan