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Technology-facilitated sexual violence (TFSV) is a ubiquitous societal problem with negative health consequences. Child and Adolescent Psychiatric (CAP) patients are burdened with more violence exposure than other groups, but more work is needed to chart their exposure to TFSV specifically and to understand how it relates to their mental health. In this study, we aimed to investigate the occurrence of unwanted online sexual solicitation (UOSS) in a young Swedish psychiatric sample. We also aimed to measure the associations between psychiatric symptoms and exposure to UOSS, offline sexual harassment, cyberbullying, and offline bullying. We also aimed to analyze possible differences between boys and girls. Our results show a high occurrence of UOSS (48.61%), which is higher than in the general population. UOSS was significantly higher among girls (57.31%) than boys (20.59%), but boys in the CAP group were burdened with more UOSS victimization than boys in general. Co-occurrence of UOSS with other types of offline and online harassment was substantial. UOSS, together with age and offline sexual harassment, predicted anxiety and depressive symptoms among both girls and boys. UOSS also showed a significant interaction effect with gender, suggesting that boys exposed to UOSS suffer higher levels of anxiety and depressive symptoms than girls exposed to UOSS. Preventing and treating mental health difficulties needs to consider contextual circumstances such as exposure to sexual violence online.

Background: The Patient-Reported Outcomes Measurement Information System (PROMIS®) aims to provide self-reported item banks for several dimensions of physical, mental and social health. Here we investigate the psychometric properties of the Swedish pediatric versions of the Physical Health item banks for pain interference, fatigue and physical activity which can be used in school health care and other clinical pediatric settings. Physical health has been shown to be more important for teenagers' well-being than ever because of the link to several somatic and mental conditions. The item banks are not yet available in Sweden., Methods: 12- to 19-year-old participants (n = 681) were recruited in public school settings, and at a child- and psychiatric outpatient clinic. Three one-factor models using CFA were performed to evaluate scale dimensionality. We analyzed monotonicity and local independence. The items were calibrated by fitting the graded response model. Differential Item analyses (DIF) for age, gender and language were calculated., Results: As part of the three one-factor models, we found support that each item bank measures a unidimensional construct. No monotonicity or local dependence were found. We found that 11 items had significant lack of fit in the item response theory (IRT) analyses. The result also showed DIF for age (seven items) and language (nine items). However, the differences on item fits and effect sizes of McFadden were negligible. After considering the analytic results, graphical illustration, item content and clinical relevance we decided to keep all items in the item banks., Conclusions: We translated and validated the U.S. PROMIS item banks pain interference, fatigue and physical activity into Swedish by applying CFA, IRT and DIF analyses. The results suggest adequacy of the translations in terms of their psychometrics. The questionnaires can be used in school health and other pediatric care. Future studies can be to use Computerized Adaptive Testing (CAT), which provide fewer but reliable items to the test person compared to classical testing., (© 2021. The Author(s).)