Cyberbullying, metacognition, and quality of life: preliminary findings from the Longitudinal Adolescent Brain Study (LABS)

Cyberbullying contributes to poor mental health outcomes and quality of life (QoL), and peer victimisation has been shown to be positively associated with both positive and negative metacognition. Whilst metacognitive beliefs are associated with pathological worry, obsessive–compulsive symptoms, and rumination in depression, research is yet to examine whether metacognitive beliefs influence negative outcomes, such as reduced QoL, associated with experiences of cyberbullying. This study examines whether cybervictimisation, cyberbullying and metacognition play predictive roles in QoL, and if metacognition mediates any association between cybervictimisation, cyberbullying and QoL over time. Participants in the Longitudinal Adolescent Brain Study (LABS), aged 12 years and in grade 7, who had completed up to four assessment time-points (T) were included in this analysis: T1: N = 65; T2: N = 61; T3: N = 56; T4: N = 44. Structural equation modeling revealed significant associations between cyberbullying, cybervictimisation, metacognitive beliefs, and QoL. However, mediation analysis showed that only cognitive confidence acted as a partial mediator between cybervictimisation and QoL. The results suggest those who were more frequently cybervictimised had reduced confidence in their memory, which resulted in lower QoL. In addition, uncontrollability/danger and superstition, punishment, and responsibility were all negatively associated with QoL, indicating that as these metacognitive beliefs increased, QoL decreased. Our findings highlight the detrimental impact that cybervictimisation experiences can have on QoL in young people over time, and that some forms of metacognitive beliefs can also impact QoL. These findings can inform educators and health professionals on the importance of metacognition in regard to QoL over time, particularly in those who experience cybervictimisation.


Introduction
Cyberbullying is a significant concern for adolescents and is a contributor to mental illness [3,11,19,23,25,26,33,37] in this age group. Cyberbullying has been defined as perpetration of aggressive, repeated, intentional acts that aim to threaten, harass, or embarrass another individuals, carried out via electronic means [32]. The term cybervictimisation will be used throughout this paper to describe the experience of those being cyberbullied. In addition, 1 3 3. Metacognitive beliefs would mediate the association between cyberbullying and cybervictimisation and QoL over time.

Study design and procedure
LABS is a prospective cohort study launched in the Sunshine Coast region of Australia in August 2018. The study recruits young people aged 12 years in grade 7, with follow-up assessments every four months over a 5-year period, totalling 15 assessment time-points for each participant. At each time-point, assessments include a self-report questionnaire on social-emotional wellbeing, a battery of cognitive assessments, a neuropsychiatric interview, and multimodal neuroimaging scans (EEG, MRI). In the current study we report data taken from the self-report questionnaire completed as part of LABS assessments relevant to the study hypotheses at time-point 1 (T1-first appointment) through to time-point 4 (T4). Assessments were completed at the Thompson Institute (TI), USC. Participants completed the self-report questionnaire on a touch-screen tablet, using the Qualtrics survey platform (Copyright © 2019 Qualtrics, Provo, UT, USA), in the presence of the researcher. The self-report questionnaire took approximately 30 min to complete. Participants received a $20 gift voucher as reimbursement at each time-point. Please note, all self-report measures were tested for reliability and validity (Cronbach's alpha) and were found to be satisfactory and consistent with previous research.

Recruitment
Participants were recruited into LABS via advertising at local community events and via social media. Ongoing recruitment has continued since the commencement of the study in 2018.

Inclusion and exclusion criteria
Young people aged 12 years and in grade 7 were included in the study. Young people suffering from a major neurological disorder, intellectual disability, major medical illness, or who had sustained head injury (with loss of consciousness for more than 30 min) were excluded from the study. This paper uses data from participants who had completed the first four time-points of the study. Table 1 displays demographic information, and numbers of participants in each time-point. This equates to over 200 time-points of data.

Cyberbullying self-report measure
The Berlin Cyberbullying-Cybervictimisation Questionnaire (BCyQ, 19 items for cybervictimisation and 20 items for cyberbullying) was used to assess experiences of cyberbullying and cybervictimisation [30,31]. Participants were asked if they had experienced a list of behaviors over the previous 6-month period, as well as if they had acted in that way. The scale ranged from 1 "has not happened to me at all", to 5 "several times a week". Aggregated scores were then created to allow a total score for both cyberbullying (score range = 18-90) and cybervictimisation (score range = 17-85), with higher scores indicating greater frequency of either bullying or victimisation.

Metacognition self-report measure
The Metacognition Questionnaire-Adolescent version (MCQ-A, 30 items) was used to assess individual differences in metacognitive beliefs, judgements, and monitoring tendencies [4,44]. The MCQ-A consists of five subscales: (1) positive metacognition (i.e., the belief that worrying may be helpful in preventing or avoiding problems in the future); (2) negative metacognition (i.e., beliefs that worry is harmful, dangerous, and uncontrollable); (3) cognitive confidence (i.e., assessing low confidence in memory and attention); (4) superstition, punishment, and responsibility (SPR) (i.e., need for control, beliefs concerning the need to control one's thoughts and being responsible for the negative consequences of not doing so); (5) cognitive self-conscious (i.e. extent to which a person is aware of, and focuses on, their thinking; assesses the tendency to monitor one's own thoughts and focus attention inwards). All items are rated on a four-point Likert scale, from 1 (not at all) to 4 (totally). Total scores for each subscale are calculated from the 6 items of each subscale, yielding total scores of 6-24. A total score is achieved by summing the subscales, ranging from 30 to 120. Higher total scores are indicative of higher levels of metacognitive beliefs or processes. In other words, higher scores indicate more positive and negative beliefs about worry, reduced confidence in memory, greater belief in the need to control thoughts and an increased tendency towards self-focused attention.

Quality of life self-report measure
The World Health Organization Quality of Life (WHOQOL-BREF) (

Data analysis
Data were analysed using SPSS version 26 [8] and AMOS [1]. Analysis included using SPSS for descriptive statistics to examine age and gender (Table 1), scale reliability (

Structural equation modelling (SEM)
SEM was conducted to determine the predictive nature of the associations between cyberbullying and cybervictimisation and QoL, and if the different forms of metacognition would mediate this. SEM was conducted using data from T1 (cyberbullying and cybervictimisation) through to T4 (QoL and metacognition), thereby exploring associations between variables across the first year of LABS. The four domains of the WHOQOL were inter-correlated, and so these were included in the models as an overall QoL output variable. The five dimensions of metacognition were included independently, as they were not correlated. Mediation analyses were conducted using SEM, with cyberbullying and cybervictimisation as the causal (predictor/ independent) variables, QoL as the outcome/dependent variable and the different domains of metacognition as the mediating variable. In order to consider and include the aggregated constructs of QoL and metacognition at T4, a parameter estimates calculator [17] was used to determine factor loadings and error variance ( Table 2). All factor loadings were considered satisfactory (greater than 0.9) [34].
To account for non-normal distribution of the data, bootstrapping was performed for each of the models with 2000 samples and bias-corrected confidence intervals set to 95%. Chin's [7] guidelines were used, which suggests that standardised regression weights should be 0.20-0.30 or higher to be meaningful.

SEM
Correlations revealed that the QoL domains were all inter-correlated, therefore covariances were drawn between each of the variables in the models to include QoL as a single outcome variable. When running the first model, it was noted that one inter-item correlation was not significant (between physical and psychological), therefore this correlation was removed. Note that in each model figure, rectangles in models denote measured variables, and ovals denote latent variables; single-headed arrows represent regression paths and double-headed arrows represent correlations; 'e' variables represent error variances, and 'z' variables represent residuals for latent variables. Only significant regression weights are displayed in the models depicted.

Positive beliefs mediation
When 'positive beliefs' was added as a mediator, the standardised effect of T1 cybervictimisation on T4 QoL remained significant, with a standardised regression weight of − 0. 43

Cognitive confidence mediation
When cognitive confidence was added as a mediator, the standardised direct effect of T1 cybervictimisation on T4 QoL was no longer significant, with a standardised regression weight of − 0. 22

Superstition, punishment, and responsibility mediation
When SPR was added as a mediator, the standardised direct effect of T1 cybervictimisation on T4 QoL remained significant, with a standardised regression weight of − 0. 41   . This indicates that whilst SPR did not mediate the association between cybervictimisation and QoL, and cybervictimisation was not predictive of SPR, both SPR and cybervictimisation were predictive of QoL. This model (Fig. 4)

Cognitive self-consciousness mediation
When cognitive self-consciousness was added as a mediator, the standardised effect of T1 cybervictimisation on T4 QoL remained significant, with a standardised regression weight of − 0. 44

Discussion
To our knowledge, this paper is the first to longitudinally explored associations between cyberbullying, cybervictimisation, metacognitive beliefs and QoL. This paper investigated whether different forms of metacognition mediate the association between cyberbullying and cybervictimisation on QoL, over time. SEM showed that whilst cybervictimisation negatively predicted QoL over time, cyberbullying did not. These results suggest that as cybervictimisation increases, QoL decreases, supporting the first of our hypotheses. In other words, the more frequently young people were cybervictimised, the lower their QoL scores were one year later. These findings are consistent with previous research, which suggests that peer victimisation is associated with decreased QoL [13,14]. However, our findings are unique in that they indicate that cybervictimisation can impact QoL one year later in young people as young as 12 years of age. Mediation analysis through SEM showed that not all subscales of metacognition were predictive of QoL (only cognitive confidence, uncontrollability/danger and superstition, punishment, and responsibility were), nor were they associated with cybervictimisation or cyberbullying. Only one subscale of metacognition (cognitive confidence) acted as a mediator between cybervictimisation and QoL and, thus, supporting our second and third hypotheses. More specifically, higher scores of cognitive confidence indicates reduced confidence in memory; therefore, those who were more frequently cybervictimised had reduced confidence in their memory, which resulted in lower QoL. Whilst limited research has examined the links between metacognition and cyberbullying, studies have found that low cognitive confidence in memory was associated with obsessive-compulsive checking, trait anxiety, and worry [39]. Research has demonstrated that low cognitive confidence and distrust in one's memory and attention is a factor in OCD samples [27]. Further, low confidence has been found to interact with experiencing daily hassles, including social rejection and interpersonal conflicts, to predict anxiety [46]. Potentially for cyberbullying victims, distrust in their memory and obsessive-checking (e.g., checking and re-reading bullying messages), as well as, daily hassles that may encompass social rejection and conflicts, are relevant factors that require further research. A recent study reported that cybervictims repeatedly checked, and engaged in over thinking about perpetrators bullying posts, and that each encounter with the content triggered victims to re-experience the initial distress and maintain feelings of anguish about the event [9]. However, our results are the first to provide longitudinal evidence of a relationship between metacognitive beliefs and experiences of cybervictimisation, and that cognitive confidence could influence QoL as a result.
Whilst both uncontrollability/danger and SPR did not mediate the association between cybervictimisation and QoL, and were not significantly associated with cybervictimisation, they were negatively associated with QoL, indicating that as these metacognitive beliefs increased, QoL decreased. In other words, young people who felt a higher need for control over their thoughts and being responsible for the negative consequences of not doing so (SPR), and had beliefs that worry is harmful, dangerous, and uncontrollable (uncontrollability/danger) had lower QoL, and experiences of cybervictimisation did not predict these beliefs (but independently predicted QoL). Finally, positive beliefs and cognitive self-consciousness showed no associations with cybervictimisation and QoL through SEM and had no effect on the negative association between cybervictimisation and QoL. This indicates that the belief that worrying may be helpful in preventing or avoiding problems in the future, and the extent to which a person is aware of, and focuses on, their thinking, had no significant association with cybervictimisation or QoL in the current sample. These results support previous research which suggest that metacognitive beliefs are associated with pathological worry, obsessive-compulsive 1 3 symptoms, and rumination in depression [5,28,35,46]. These associations are important as research shows that anxiety and depression may result from difficulty controlling repetitive negative thinking processes [40].

Limitations and future directions
There are several limitations associated with this study that require clarification. Firstly, the sample size when considering each time-point individually is small, and so findings should be interpreted taking this into consideration. Future research should aim to replicate these models with larger sample sizes, also taking into consideration age and gender differences. Our paper adds value to the current literature as it is the first study to have a sample made entirely of young people aged 12 years. As the study continues, we will be in a unique position to track how these same individuals have changed over time.
Secondly, findings regarding cyberbullying (in contrast to cybervictimisation) were not significant. This could be for any number of reasons, such as social desirability bias. Participants may have been concerned about disclosing in the self-report having cyberbullied other people. This is commonly encountered in cyberbullying research and is difficult to address. It is hoped that replication of these measures over time from LABS will account for this bias.
This research is significant as our findings highlight the detrimental impact that cybervictimisation experiences can have on QoL in young people over time, and that some forms of metacognitive beliefs can also impact QoL. Specifically, cognitive confidence may be significantly reduced by experiences of cyberbullying. These findings can inform educators and health professionals on the importance of metacognition in regard to QoL over time, particularly in those who experience cybervictimisation.

Conclusion
This paper examined the associations between cyberbullying and cybervictimisation, metacognition, and quality of life, and is one of the first to examine these associations over time. Whilst previous research has examined links between metacognition and victimisation, and metacognition and QoL, little research has examined how the three variables may relate to each other, especially longitudinally. The current findings have indicated that some dimensions of metacognition can predict QoL. In particular, uncontrollability/danger and SPR both influenced QoL as an outcome, though were not linked to cybervictimisation. Cognitive confidence, however, partially mediated the association between cybervictimisation and QoL, indicating that whilst cybervictimisation experiences are associated with higher cognitive confidence scores, low confidence scores can in turn impact QoL. These findings can inform future research, as well as educators and health professionals around the impact metacognitive beliefs can have on QoL, particularly in light of cybervictimisation experiences over time.
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