Exploring the impact of peer victimization on self-esteem in adolescents with type 1 diabetes: the power of psychological resilience


ŞİMŞEK A., Ali M. M. M., ER S., Kose S.

European Journal of Pediatrics, cilt.184, sa.6, 2025 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 184 Sayı: 6
  • Basım Tarihi: 2025
  • Doi Numarası: 10.1007/s00431-025-06203-8
  • Dergi Adı: European Journal of Pediatrics
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, BIOSIS, CAB Abstracts, CINAHL, EMBASE
  • Anahtar Kelimeler: Adolescents, Peer victimization, Psychological resilience, Self-esteem, Type 1 diabetes
  • Marmara Üniversitesi Adresli: Evet

Özet

Type 1 diabetes is common in children and adolescents. The disease causes psychosocial mismatches and makes adolescents more vulnerable to peer victimization. This study aims to determine the relationship between peer victimization and self-esteem in adolescents with type 1 diabetes and to evaluate the impact of psychological resilience in this relationship. The sample consisted of 222 adolescents with type 1 diabetes in Turkey. The research data were collected via Personal Information Form, Peer Victimization Scale, Rosenberg Self-esteem Scale-Short Form, and Adolescent Psychological Resilience Scale. Data were collected by face-to-face interviews with children. The relationships among the study variables were examined using Pearson correlation analysis, and SPSS Macro was utilized to construct the regression model and test the mediation hypotheses. Peer victimization correlated negatively with resilience (r = − 0.668, p < 0.01) and self-esteem (r = − 0.635, p < 0.01), while resilience correlated positively with self-esteem (r = 0.571, p < 0.01). Mediation analysis confirmed that peer victimization lowers self-esteem both directly and indirectly through resilience (indirect effect: − 0.012, BootLLCI = 0.019, BootULCI = − 0.005), emphasizing its protective role. Conclusion: Resilience plays an important role in reducing the negative effects of peer bullying on self-esteem in adolescents with type 1 diabetes. Adolescents with high resilience are better able to maintain their self-esteem even if they are bullied. However, as academic pressure and educational level increase, self-esteem may decrease more. The results underscore the necessity of interventions aimed at reducing the negative effects of peer victimization, promoting self-esteem, and enhancing psychological resilience to improve overall well-being. (Table presented.)