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Perino MT, Harper-Lednicky JC, Vogel AC, Sylvester CM, Barch DM, Luby JL. Social anxiety moderates the association between adolescent irritability and bully perpetration. Dev Psychopathol 2024:1-8. [PMID: 38476047 DOI: 10.1017/s0954579424000439] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/14/2024]
Abstract
BACKGROUND Preliminary work suggests anxiety moderates the relationship between irritability and bullying. As anxiety increases, the link between irritability and perpetration decreases. We hypothesize that any moderation effect of anxiety is driven by social anxiety symptoms. We sought to explicate the moderating effect of anxiety, while clarifying relations to other aggressive behaviors. METHODS A sample of adolescents (n = 169, mean = 12.42 years of age) were assessed using clinician rated assessments of anxiety, parent reports of irritability and bullying behaviors (perpetration, generalized aggression, and victimization). Correlations assessed zero-order relations between variables, and regression-based moderation analyses were used to test interactions. Johnson-Neyman methods were used to represent significant interactions. RESULTS Irritability was significantly related to bullying (r = .403, p < .001). Social, but not generalized, anxiety symptoms significantly moderated the effect of irritability on bully perpetration (t(160) = -2.94, b = -.01, p = .0038, ΔR2 = .0229, F(1, 160) = 8.635). As social anxiety symptoms increase, the link between irritability and perpetration decreases. CONCLUSIONS Understanding how psychopathology interacts with social behaviors is of great importance. Higher social anxiety is linked to reduced relations between irritability and bullying; however, the link between irritability and other aggression remains positive. Comprehensively assessing how treatment of psychopathology impacts social behaviors may improve future intervention.
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Affiliation(s)
- Michael T Perino
- Department of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA
| | | | - Alecia C Vogel
- Department of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA
| | - Chad M Sylvester
- Department of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA
| | - Deanna M Barch
- Department of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA
- Department of Psychology and Brain Sciences, Washington University in St Louis, St. Louis, MO, USA
| | - Joan L Luby
- Department of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA
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2
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Tackett JL, Reardon KW, Fast NJ, Johnson L, Kang SK, Lang JWB, Oswald FL. Understanding the Leaders of Tomorrow: The Need to Study Leadership in Adolescence. PERSPECTIVES ON PSYCHOLOGICAL SCIENCE 2023; 18:829-842. [PMID: 36350711 DOI: 10.1177/17456916221118536] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/20/2023]
Abstract
Leadership traits and behaviors are observed early in human development, and although an improved understanding of youth leadership would usefully inform many real-world contexts (e.g., education, parenting, policy), most empirical work on leadership has been limited to adult populations. The purpose of the current article is to add a developmental perspective to leadership research that has so far been absent. Here, we (a) highlight adolescence as a critical developmental period for leadership emergence and development, (b) argue that leadership among youths is poorly understood and critically understudied, (c) provide exemplars of synergy between research on leadership and adolescent development that are ripe for focused inquiry, and (d) underscore some of the positive consequences of accelerating empirical research on leadership in adolescence, including implications for a deeper understanding of leadership in adult working populations.
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Affiliation(s)
| | | | - Nathanael J Fast
- Department of Management and Organization, University of Southern California
| | - Lars Johnson
- Department of Management, University of Texas at Arlington
| | - Sonia K Kang
- Department of Management, University of Toronto Mississauga
| | - Jonas W B Lang
- Department of Human Resource Management and Organizational Psychology, Ghent University
- Business School, University of Exeter
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3
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Newman KL, Alexander DS, Rovers JP. Sadness, hopelessness and suicide attempts in bullying: Data from the 2018 Iowa youth survey. PLoS One 2023; 18:e0281106. [PMID: 36791058 PMCID: PMC9931156 DOI: 10.1371/journal.pone.0281106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2021] [Accepted: 01/15/2023] [Indexed: 02/16/2023] Open
Abstract
BACKGROUND Bullying in schools is a common problem that can have significant consequences on the mental health of both bullies and victims of bullying. Some estimates suggest that 30% of American youth are bullied. Self-reported incidence of depression, anxiety, and suicide attempts has been correlated with bullying. Victims may also suffer from a variety of somatic complaints such as headache, sleep disorders, and others. Youth surveys undertaken by Education or Public Health Departments in most US states are an underutilized resource in evaluating the problem and any consequences. OBJECTIVE The objective of this study was to explore the association of being involved in bullying either as a victim and/or a bully on mental health and suicide ideation by analyzing data from the 2018 Iowa Youth Survey. The results will then be applied to the published anti-bullying literature to make suggestions for how anti-bullying programs may be designed. METHODS Data were obtained from the 2018 Iowa Youth Survey (IYS), which is a cross-sectional survey of 6th, 8th and 11th grade students. We chose two mental health questions as dependent variables and used a multivariable logistic regression analysis to evaluate the correlation between the two dependent variables and ten types of bullying included in the IYS. Since some respondents in the IYS were prescribed psychotropic medications to help with feeling angry, anxious, nervous, or sad, we adjusted for the use of psychotropic medication in our analysis. Similarly, the literature suggests that some students are both bullies and victims (bully-victims). Accordingly, we also adjusted for bully-victims. RESULTS Unadjusted Odds Ratios (ORs) showed that not all forms of bullying were correlated with a significant risk of mental distress. Physical bullying had comparatively little association (ORs < 1 or overlapped 1), while identity bullying on sexual orientation or gender identity or sexual joking was consistently correlated with significant ORs for feeling sad or hopeless and attempting suicide (ORs 1.40-2.84). Cyberbullying (ORs 1.32-1.70) and social bullying (ORs < 1-2.21) were correlated with mental distress with ORs generally between physical and identity bullying. When adjusting for medication use or bully-victim status, adjusted ORs (aORs) were generally lower than unadjusted ORs. CONCLUSIONS Not all types of bullying were significantly correlated with feeling sad or hopeless or attempting suicide. Being able to evaluate the specific associations of different types of bullying may have implications for teachers or policy makers hoping to implement bullying mitigation strategies in their schools.
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Affiliation(s)
- Kaela L. Newman
- College of Arts and Sciences, Drake University, Des Moines, Iowa, United States of America
| | - Daniel S. Alexander
- College of Arts and Sciences, Drake University, Des Moines, Iowa, United States of America
| | - John P. Rovers
- College of Pharmacy & Health Sciences, Drake University, Des Moines, Iowa, United States of America
- * E-mail:
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4
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Wiertsema M, Vrijen C, van der Ploeg R, Sentse M, Kretschmer T. Bullying perpetration and social status in the peer group: A meta-analysis. J Adolesc 2023; 95:34-55. [PMID: 36281722 PMCID: PMC10092515 DOI: 10.1002/jad.12109] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2022] [Revised: 10/07/2022] [Accepted: 10/10/2022] [Indexed: 01/07/2023]
Abstract
INTRODUCTION Associations between bullying perpetration and social status vary, not only between different facets of social status but also between bullying in primary versus secondary school. The main aim of the present study was to meta-analyse existing evidence regarding the prospective associations between bullying perpetration and various facets of social status, that is, popularity, peer acceptance, peer rejection, and social preference. METHODS Electronic databases were searched to identify studies on bullying perpetration and later social status published up to January 17, 2022. Multilevel random effects models were performed using Metafor and differences in effect sizes as a function of substantive and methodological moderators were tested. RESULTS In total, 116 effects were included from 18 publications, reporting on 17 different samples and more than 15,000 participants (mean age bullying assessment = 11.57 years, on average 51% female participants). Most samples were from the United States (7) or Europe (7). Overall, bullies were more popular, but also more rejected and scored lower on social preference compared with non-bullies. These associations remained when effects were adjusted for previous social status and other confounders. No link between bullying perpetration and acceptance was found. There was little evidence that effect sizes differed as a function of moderators. CONCLUSIONS Bullies become more popular over time, but also have a higher risk of being rejected and being less socially preferred. Bullying perpetrators are more popular but also more rejected by their peers. There is no evidence that these links differ depending on sex or age at which perpetrators bully, reporter or type of bullying.
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Affiliation(s)
- Maria Wiertsema
- Faculty of Behavioural and Social Sciences, University of Groningen, Groningen, Netherlands
| | - Charlotte Vrijen
- Faculty of Behavioural and Social Sciences, University of Groningen, Groningen, Netherlands
| | | | - Miranda Sentse
- Institute of Criminal Law and Criminology, Leiden University, Leiden, Netherlands
| | - Tina Kretschmer
- Faculty of Behavioural and Social Sciences, University of Groningen, Groningen, Netherlands
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5
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Biswas T, Thomas HJ, Scott JG, Munir K, Baxter J, Huda MM, Renzaho AM, Cross D, Ahmed HU, Mahumud RA, Mamun AA. Variation in the prevalence of different forms of bullying victimisation among adolescents and their associations with family, peer and school connectedness: a population-based study in 40 lower and middle income to high-income countries (LMIC-HICs). JOURNAL OF CHILD & ADOLESCENT TRAUMA 2022; 15:1029-1039. [PMID: 36439674 PMCID: PMC9684371 DOI: 10.1007/s40653-022-00451-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 04/04/2022] [Indexed: 06/10/2023]
Abstract
UNLABELLED This study aimed to estimate the prevalence of different forms of bullying victimization experiences and their association with family functioning, peer relationships and school connectedness among adolescents across 40 lower and middle income to high-income countries (LMIC-HICs). Data were drawn from the Health Behaviour in School-Aged Children (HBSC) school-based survey of adolescents aged 11-15 years, between 2013 and 2014. We estimated the weighted prevalence by categorising experiences into traditional bullying victimization only, cyberbullying victimization only, and combined traditional and cyberbullying victimization, at country and country income classification. We used multinominal logistic regression models to estimate the adjusted association with the form of bullying victimization by demographic characteristics, family functioning, peer relationships and school connectedness. Overall, 8.0% reported traditional bullying victimization only (8.8% males, 7.4% females), 2.3% of adolescents reported cyberbullying victimization only (2.1% males, 2.2% females), and 1.7% reported combined traditional and cyber bullying victimization (1.7% males, 1.8% females). All three forms of bullying victimization during adolescence were significantly associated with poor family functioning, poor peer relations and poor school connectedness. A consistent finding is that traditional bullying victimization is considerably more common among adolescents across both LMICs and HICs than cyberbullying victimization. This study also demonstrated that a significant proportion of adolescent's experience victimization in both forms. Positive family functioning, strong peer relationships and greater school connectedness are associated with a lower risk of both forms of bullying victimization. SUPPLEMENTARY INFORMATION The online version contains supplementary material available at 10.1007/s40653-022-00451-8.
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Affiliation(s)
- Tuhin Biswas
- Institute for Social Science Research, The University of Queensland, Brisbane, Australia
- ARC Centre of Excellence for Children and Families over the Life Course, The University of Queensland, Brisbane, Australia
- Institute for Social Science Research, The University of Queensland, 80 Meiers Road, 4068 Indooroopilly, Queensland Australia
| | - Hannah J. Thomas
- QIMR Berghofer Medical Research Institute, Herston, QLD Australia
- School of Public Health, Faculty of Medicine, The University of Queensland, Herston, QLD Australia
- Queensland Centre for Mental Health Research, Wacol, Brisbane, QLD Australia
| | - James G. Scott
- QIMR Berghofer Medical Research Institute, Herston, QLD Australia
- Metro North Mental Health, Royal Brisbane and Women’s Hospital, Herston, Brisbane, QLD Australia
- School of Public Health, Faculty of Medicine, The University of Queensland, Herston, QLD Australia
- Queensland Centre for Mental Health Research, Wacol, Brisbane, QLD Australia
| | - Kerim Munir
- Developmental Medicine Center, Boston Children’s Hospital, Harvard Medical School, Boston, MA USA
| | - Janeen Baxter
- Institute for Social Science Research, The University of Queensland, Brisbane, Australia
- ARC Centre of Excellence for Children and Families over the Life Course, The University of Queensland, Brisbane, Australia
| | - M. Mamun Huda
- Institute for Social Science Research, The University of Queensland, Brisbane, Australia
- ARC Centre of Excellence for Children and Families over the Life Course, The University of Queensland, Brisbane, Australia
| | - Andre M.N. Renzaho
- School of Social Sciences and Psychology, Western Sydney University, 2751 Penrith, NSW Australia
| | - Donna Cross
- Telethon Kids Institute, The University of Western Australia, West Perth, Australia
| | - Helal Uddin Ahmed
- Child Adolescent and Family Psychiatry, National Institute of Mental Health (NIMH), Dhaka, Bangladesh
| | - Rashidul Alam Mahumud
- School of Social Sciences, Western Sydney University, 2751 Penrith, Australia
- Translational Health Research Institute, Western Sydney University, 2751 Penrith, Australia
- Centre for Health Research, University of Southern Queensland, 4350 Toowoomba, QLD Australia
| | - Abdullah A Mamun
- Institute for Social Science Research, The University of Queensland, Brisbane, Australia
- ARC Centre of Excellence for Children and Families over the Life Course, The University of Queensland, Brisbane, Australia
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Chen B, Wang X, Gao Y. Does Friend Support Matter? The Association between Gender Role Attitudes and School Bullying among Male Adolescents in China. CHILDREN (BASEL, SWITZERLAND) 2022; 9:1139. [PMID: 36010030 PMCID: PMC9406991 DOI: 10.3390/children9081139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/30/2022] [Revised: 07/15/2022] [Accepted: 07/20/2022] [Indexed: 11/28/2022]
Abstract
This study investigated the association between gender role attitudes, perceived friend support, and school bullying among male adolescents from 11 schools in two cities in China. A total of 3172 Chinese adolescents between 12 and 20 years of age (48.80% girls and 51.20% boys) completed questionnaires that included measures of bullying, gender role attitudes, and perceived social support. In terms of outcome measures, the Chinese version of the Illinois Bully Scale (IBS), Attitudes toward Women Scale for Adolescents (AWSA), and Multidimensional Scale of Perceived Social Support (MSPSS) were used to assess bullying perpetration, gender role attitudes, and perceived friend support, respectively. Based on masculinity theories and the stress-buffering theory, the study found that male adolescents held more traditional gender role attitudes (t = 30.78, p < 0.001) and reported higher prevalence of bullying behaviors (36.02%) than girls (31.20%). In addition, boys’ bullying behaviors were significantly predicted by gender role attitudes through perceived friend support. That is, male youth with more conservative gender role attitudes reported less perceived friend support (adjusted OR = 1.055; SE = 0.013), which elevated their risks of bullying perpetration (adjusted OR = 2.082; SE = 0.302). These findings have critical implications for bullying intervention and prevention through gender equity education.
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Affiliation(s)
- Binli Chen
- School of Social Development and Public Policy, Beijing Normal University, Beijing 100875, China;
| | - Xiying Wang
- Institute for Education Theories, Faculty of Education, Beijing Normal University, Beijing 100875, China
| | - Yutong Gao
- School of Education, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA;
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7
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Day S, Bussey K, Trompeter N, Mitchison D. The Impact of Teasing and Bullying Victimization on Disordered Eating and Body Image Disturbance Among Adolescents: A Systematic Review. TRAUMA, VIOLENCE & ABUSE 2022; 23:985-1006. [PMID: 33461439 DOI: 10.1177/1524838020985534] [Citation(s) in RCA: 25] [Impact Index Per Article: 12.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Adolescence is a developmental period in which disordered eating and negative body image are highly prevalent, yet their risk factors are insufficiently understood and targeted. Despite research implicating both teasing and bullying victimization in the development of eating disorders, these strands of research are yet to be integrated. This systematic review hence aimed to identify whether teasing and bullying victimization are associated with greater risk of eating disorders and body image disturbance for adolescents. Systematic searches of PsycINFO and PubMed databases identified 79 papers that included quantitative analyses of the relationship between weight-related or nonspecific teasing or bullying victimization and disordered eating or body image disturbance. Overall, studies indicated that adolescents who are teased or bullied are more likely to experience disordered eating and negative body image compared to nonvictimized adolescents. This was more consistently observed in cross-sectional studies than in longitudinal findings. We identify several methodological limitations of the literature, including the infrequent consideration of potential mediating and moderating variables. Finally, we outline future directions such as temporal sequencing of the complex interrelationships among teasing and bullying, disordered eating, and body image disturbance in adolescents.
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Affiliation(s)
- Sinead Day
- Department of Psychology, Macquarie University, Sydney, Australia
| | - Kay Bussey
- Department of Psychology, Centre for Emotional Health, Macquarie University, Sydney, Australia
| | - Nora Trompeter
- Department of Psychology, Centre for Emotional Health, Macquarie University, Sydney, Australia
| | - Deborah Mitchison
- School of Medicine, Blacktown Clinical School, Translational Health Research Institute, Western Sydney University, Penrith, Australia
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8
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Wiertsema M, Vrijen C, van der Ploeg R, Kretschmer T. Intergenerational Transmission of Peer Aggression. J Youth Adolesc 2022; 51:1901-1913. [PMID: 35657572 PMCID: PMC9363369 DOI: 10.1007/s10964-022-01638-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2021] [Accepted: 05/18/2022] [Indexed: 11/10/2022]
Abstract
It is plausible that peer aggression—like general forms of aggression—is transmitted from one generation to the next. As such, parental behavior in childhood and adolescence may be associated with offspring aggressive behavior against peers. This study used 1970 British Cohort Study data to test intergenerational transmission of peer aggression. The baseline sample consisted of 13,135 participants. At the first assessment that was used in this study, participants were on average 4.95 years old (SD = 0.79; 48.20% female). At the last assessment, participants were on average 33.88 years old (SD = 0.36; 52.1% female). Models were computed for early and middle childhood, and adolescence. Significant associations between parents’ and offspring peer aggression were found in most models – especially when correlating aggression in similar developmental periods for parents and children. Other transmission mechanisms such as genetic transmission may be relevant and should be taken into account in future studies.
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Affiliation(s)
- Maria Wiertsema
- Faculty of Behavioural and Social Sciences, University of Groningen, Grote Rozenstraat 38, 9712 TJ, Groningen, The Netherlands.
| | - Charlotte Vrijen
- Faculty of Behavioural and Social Sciences, University of Groningen, Grote Rozenstraat 38, 9712 TJ, Groningen, The Netherlands
| | - Rozemarijn van der Ploeg
- Faculty of Behavioural and Social Sciences, University of Groningen, Grote Rozenstraat 38, 9712 TJ, Groningen, The Netherlands
| | - Tina Kretschmer
- Faculty of Behavioural and Social Sciences, University of Groningen, Grote Rozenstraat 38, 9712 TJ, Groningen, The Netherlands
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9
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ten Bokkel IM, Roorda DL, Maes M, Verschueren K, Colpin H. The Role of Affective Teacher–Student Relationships in Bullying and Peer Victimization: A Multilevel Meta-Analysis. SCHOOL PSYCHOLOGY REVIEW 2022. [DOI: 10.1080/2372966x.2022.2029218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
| | | | - Marlies Maes
- KU Leuven
- Utrecht University
- Research Foundation Flanders (FWO)
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10
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Healy KL, Thomas HJ, Sanders MR, Scott JG. Empirical and theoretical foundations of family interventions to reduce the incidence and mental health impacts of school bullying victimization. Int Rev Psychiatry 2022; 34:140-153. [PMID: 35699098 DOI: 10.1080/09540261.2022.2045260] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
Bullying victimisation is a serious risk factor for mental health problems in children and adolescents. School bullying prevention programs have consistently produced small to moderate reductions in victimisation and perpetration. However, these programs do not necessarily help all students affected by bullying. Paradoxically whole-school programs lead to higher levels of depression and poorer self-esteem for students who continue to be victimised after program implementation. This may be because some elements of whole-school programs make victims more visible to their peers, thus further eroding their peer social status. Three main identified risk factors for children and adolescents who continue to be victimised following school bullying prevention programs are peer rejection, internalising problems, and lower quality parent-child relationships. All are potentially modifiable through family interventions. A large body of research demonstrates the influence of families on children's social skills, peer relationships and emotional regulation. This paper describes the theoretical foundations and empirical evidence for reducing the incidence and mental health outcomes of school bullying victimisation through family interventions. Family interventions should be available to complement school efforts to reduce bullying and improve the mental health of young people.
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Affiliation(s)
- Karyn L Healy
- QIMR Berghofer Medical Research Institute, Herston, Qld, Australia.,School of Psychology, The University of Queensland, St. Lucia, Qld, Australia
| | - Hannah J Thomas
- QIMR Berghofer Medical Research Institute, Herston, Qld, Australia.,Queensland Centre for Mental Health Research, Wacol, Qld, Australia.,School of Public Health, The University of Queensland, Herston, Qld, Australia
| | - Matthew R Sanders
- School of Psychology, The University of Queensland, St. Lucia, Qld, Australia
| | - James G Scott
- QIMR Berghofer Medical Research Institute, Herston, Qld, Australia.,Queensland Centre for Mental Health Research, Wacol, Qld, Australia.,School of Public Health, The University of Queensland, Herston, Qld, Australia.,Metro North Mental Health Service, Herston, Qld, Australia
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11
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Goagoses N, Schipper N, Koglin U. Callous-unemotional traits, social goal orientations, and bullying perpetration: exploring concurrent associations during adolescence. INTERNATIONAL JOURNAL OF ADOLESCENCE AND YOUTH 2022. [DOI: 10.1080/02673843.2022.2037441] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
Affiliation(s)
- Naska Goagoses
- Department of Special Needs Education and Rehabilitation, School of Educational and Social Sciences, Carl von Ossietzky University of Oldenburg, Oldenburg, Germany
| | - Neele Schipper
- Department of Special Needs Education and Rehabilitation, School of Educational and Social Sciences, Carl von Ossietzky University of Oldenburg, Oldenburg, Germany
| | - Ute Koglin
- Department of Special Needs Education and Rehabilitation, School of Educational and Social Sciences, Carl von Ossietzky University of Oldenburg, Oldenburg, Germany
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12
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Wang L, Jiang S. The effects of strain and negative emotions on adolescent cyberbullying perpetration: An empirical test of general strain theory. CURRENT PSYCHOLOGY 2021. [DOI: 10.1007/s12144-021-02426-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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13
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Mead L, Ayres A, Blake JA, Scott JG. Monitoring of metabolic side-effects in children and adolescents prescribed antipsychotic medication: A systematic review. Aust N Z J Psychiatry 2021; 55:763-771. [PMID: 33951933 DOI: 10.1177/00048674211009620] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
OBJECTIVES Prescribing antipsychotic medications to children and adolescents with severe mental and developmental disorders is common; however, there is a lack of consensus on appropriate metabolic monitoring for this population. This review systematically evaluates studies examining metabolic monitoring of children and adolescents prescribed antipsychotic medication to understand the clinical practice of metabolic monitoring and identify opportunities to improve the safety of antipsychotic prescribing in this population. METHODS A systematic search for original research on metabolic monitoring in children and adolescents prescribed antipsychotics was conducted in six databases (PubMed, EMBASE, PsycINFO, The Cochrane Library [Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, CENTRAL], Cochrane Methodology Register and Web of Science [Science and Social Science Citation Index]) from inception to February 2020 following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Studies were assessed for quality and findings summarised using narrative synthesis. RESULTS Fifteen papers were identified. Studies agreed on the need for metabolic monitoring; however, there was a gap between guideline-recommended practice and clinical practice. Variable rates of baseline and subsequent monitoring were reported for both physical and biochemical parameters, with particularly low rates for monitoring requiring venesection. Younger age was also associated with lower monitoring rates. Implementation of quality improvement activities (new guidelines, staff education and checklists) improved monitoring rates although the measurement of biochemical parameters still occurred in only a minority of children. CONCLUSION Despite widespread awareness and concern regarding metabolic side-effects, monitoring occurred inconsistently and infrequently, particularly for biochemical parameters requiring venesection. Monitoring of anthropometric measures (weight, body mass index and waist circumference) with escalation to more laboratory testing where metabolic concerns are identified may improve monitoring. Minimising iatrogenic harm, through reduced antipsychotic prescription where possible, is a clinical priority in this population.
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Affiliation(s)
- Laura Mead
- Metro North Mental Health, Royal Brisbane and Women's Hospital, Herston, QLD, Australia.,Children's Health Queensland Hospital and Health Service, South Brisbane, QLD, Australia
| | - Alice Ayres
- Children's Health Queensland Hospital and Health Service, South Brisbane, QLD, Australia
| | - Julie A Blake
- Metro North Mental Health, Royal Brisbane and Women's Hospital, Herston, QLD, Australia.,QIMR Berghofer Medical Research Institute, Herston, QLD, Australia
| | - James G Scott
- Metro North Mental Health, Royal Brisbane and Women's Hospital, Herston, QLD, Australia.,QIMR Berghofer Medical Research Institute, Herston, QLD, Australia.,Queensland Centre for Mental Health Research, Wacol, QLD, Australia
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14
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Itzkovich Y, Barhon E, Lev-Wiesel R. Health and Risk Behaviors of Bystanders: An Integrative Theoretical Model of Bystanders' Reactions to Mistreatment. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:5552. [PMID: 34067385 PMCID: PMC8196995 DOI: 10.3390/ijerph18115552] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/28/2021] [Revised: 05/08/2021] [Accepted: 05/17/2021] [Indexed: 11/16/2022]
Abstract
This article constructs a comprehensive theoretical model that outlines bystanders' emotional and behavioral responses to the mistreatment of adolescent peers. The model captures bystanders' risk and health risk behaviors, which have been overlooked in the context of their reactions; when addressed at all in connection with bystanders of bullying among adolescents, they have been treated separately. Here, we present bystanders' emotional and cognitive reactions and their impact on bystanders' responses including a set of responses that demonstrate risk and health risk behaviors that are directed to the bystander as a victim by proxy. The theoretical framework is the conservation of resources theory, which posits that personal resources (i.e., potency and moral disengagement) and social resources impact the process that leads to bystanders' reactions. Previous models have overlooked the integrative viewpoint of bystanders, and comprehensive models that explain bystanders' behavioral and emotional responses have received little attention especially with regards to adolescents. Two recent models overlooked core features embedded in the current model, including the risk and health risk behaviors that it integrates. The proposed model presents a novel and more comprehensive view of bystanders' reactions and the process underlying these reactions. It integrates existing knowledge embedded in other existing models. At the same time, this perspective indicates the centricity of potency as a key resource that dictates the emotional response and behaviors of bystanders. This potentially allows for new applications in the mitigation of adverse impacts that follow the witnessing of mistreatment. The article discusses these applications, which are based on previous findings, their implications for practice, and directions for future empirical research necessary to validate the model.
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Affiliation(s)
- Yariv Itzkovich
- Kinneret College on the Sea of Galilee, Tzemach 1410502, Israel;
| | - Ella Barhon
- Kinneret College on the Sea of Galilee, Tzemach 1410502, Israel;
| | - Rachel Lev-Wiesel
- School for Creative Arts Therapies, University of Haifa, Haifa 3498838, Israel;
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15
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Zhang Y, Tang Y, Li P, Jia X. Popularity matters: Moderating role of popularity on the relation between perceived peer pressure for intervention and Chinese adolescents’ bystander behaviours in bullying. EUROPEAN JOURNAL OF DEVELOPMENTAL PSYCHOLOGY 2021. [DOI: 10.1080/17405629.2021.1926231] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- Yuchi Zhang
- School of Smart Education, Jiangsu Normal University, Xuzhou, China
- Educational Informatization Engineering Technology Research Center, Jiangsu Normal University, Xuzhou, China
| | - Yuanqiong Tang
- Luxian No. 2 High School of Sichuan Province, Luxian, China
| | - Ping Li
- Shenzhen Longhua High School, Shenzhen, China
| | - Xiaoyu Jia
- Center for Studies of Education and Psychology of Ethnic Minorities in Southwest China, Southwest University, Chongqing, China
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16
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Bullying Experiences and Nonsuicidal Self-injury among Chinese Adolescents: A Longitudinal Moderated Mediation Model. J Youth Adolesc 2021; 50:753-766. [PMID: 33428080 DOI: 10.1007/s10964-020-01380-1] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2020] [Accepted: 12/15/2020] [Indexed: 10/22/2022]
Abstract
Bullying experiences play an important role in non-suicidal self-injury (NSSI). However, little is known about how and in what conditions different bullying experiences (i.e., experiences of being pure bullies, pure victims, and bully-victims) may influence NSSI. Guided by the transactional model of development and the integrated model of NSSI, the current study investigated two potential mediators (i.e., peer acceptance and depressive symptoms) and one potential moderator (i.e., psychological resilience) of the relations between different bullying experiences and NSSI. Participants were 812 Chinese adolescents (43% female; Mage at Wave 1 = 13.15 years) from a two-wave longitudinal study with data spanning 1 year. The results show that all three types of bullying experiences can relate to a higher likelihood of NSSI through two indirect pathways: (a) lower peer acceptance to more depressive symptoms, or (b) more depressive symptoms. These indirect effects were weaker for adolescents with higher (versus lower) levels of psychological resilience. Moreover, when bully-victims were distinguished from pure bullies and pure victims and the unique effects for all three groups were tested, the direct and indirect effects were most evident among bully-victims. These findings imply that it is necessary to distinguish bully-victims from pure bullies and pure victims. The results indicate that NSSI may be effectively reduced if interventions focus on promoting peer acceptance and reducing adolescent depressive symptoms, particularly for bully-victims with lower levels of psychological resilience.
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17
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Liang K, Chi X, Chen ST, Clark CCT, Zhang Y, Wang J. Food Insecurity and Bullying Victimization Among 170,618 Adolescents in 59 Countries. Front Psychiatry 2021; 12:766804. [PMID: 34858236 PMCID: PMC8631901 DOI: 10.3389/fpsyt.2021.766804] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/30/2021] [Accepted: 10/22/2021] [Indexed: 12/03/2022] Open
Abstract
Background: Bullying victimization can impose long-lasting impacts on adolescent's current and subsequent well-being. Understanding the correlates of bullying victimization and how to prevent its occurrence is an urgent need. Food insecurity, an indicator of low socioeconomic status, may be related to bullying victimization. However, research on the association between food insecurity and bullying victimization is limited. Using a representative global sample, this study aimed to investigate the association between food insecurity and bullying victimization in adolescents and whether the association varied between country income levels, sexes, and age groups. Methods: Using cross-sectional, school-based data by 170,618 adolescents in 59 countries from the Global School-based Student Health Survey, multivariable logistic regression and meta-analysis were conducted to investigate the overall, country-stratified, sex-stratified, and age-stratified associations. Results: The prevalence of bullying victimization was 33.3%. In the total sample, adolescents with food insecurity showed significantly higher odds for bullying victimization than those without no food insecurity with a pooled odds ratio (OR) being 1.37 (1.28, 1.47). Further, the association was stronger in higher-income countries, females, and older adolescents. Conclusions: Bullying victimization is prevalent among global adolescents with food insecurity being a significant correlate. The identification of adolescents with perceptions of food insecurity and remedying this condition may be important to reduce the prevalence of bullying. This highlights the need to design and implement sex- and age-specific interventions focusing on remedying food insecurity and bullying victimization among in-school adolescents by taking country income levels into account.
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Affiliation(s)
- Kaixin Liang
- School of Psychology, Shenzhen University, Shenzhen, China
| | - Xinli Chi
- School of Psychology, Shenzhen University, Shenzhen, China
| | - Si-Tong Chen
- Institute for Health and Sport, Victoria University, Melbourne, VIC, Australia
| | | | - Yanjie Zhang
- Health and Exercise Science Laboratory, Institute of Sports Science, Seoul National University, Seoul, South Korea.,Physical Education Unit, School of Humanities and Social Science, The Chinese University of Hong Kong, Shenzhen, China
| | - Jian Wang
- School of Public Policy and Management, Anhui Jianzhu University, Hefei, China.,Urban Management Research Center, Anhui Jianzhu University, Hefei, China.,Department of Psychology, Anhui Normal University, Wuhu, China
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18
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Sitnik-Warchulska K, Wajda Z, Wojciechowski B, Izydorczyk B. The Risk of Bullying and Probability of Help-Seeking Behaviors in School Children: A Bayesian Network Analysis. Front Psychiatry 2021; 12:640927. [PMID: 34054600 PMCID: PMC8163227 DOI: 10.3389/fpsyt.2021.640927] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/12/2020] [Accepted: 03/22/2021] [Indexed: 11/13/2022] Open
Abstract
An increase in aggressive behaviors in adolescents has been observed for a few years. The participation in bullying is associated with many psychosocial difficulties in adolescent development. On the other hand, the help-seeking behavior can be one of the most important protective factors that reduce the risk for this type of violence. The study was aimed at estimating the risk factors, as well as the protective factors of school bullying, by using the Bayesian networks to build a model allowing to estimate the probability of occurrence of the aggressive and help-seeking behaviors among school children. The focus was on individual risk/protective factors related to EAS temperament (emotionality, activity, and sociability) and variables related to the family context (level of cohesion, flexibility, family communication, and family life satisfaction). Bayesian methods have not been particularly mainstream in the social and medical sciences. The sample comprised 75 students (32 boys and 43 girls), aged 13-15 (M = 13.82; SD = 0.47). Assessment comprised The EAS Temperament Questionnaire, Family Adaptability & Cohesion Evaluation Scales FACES IV-SOR (Family Rating Scale), and Survey questionnaire. The Bayesian networks were applied. Depending on the values of the identified variables, very high a posteriori probability of bullying and help-seeking behaviors can be predicted. Four EAS subscales (Distress, Fear, Activity, Sociability) and two SOR subscales (Balanced Flexibility and Balanced Cohesion) were identified as predictors of bullying. Moreover, two SOR subscales (Family Communication and Life Family Satisfaction) and one EAS subscale (Sociability) were identified as predictors of help-seeking behaviors. The constructed network made it possible to show the influence of variables related to temperament and variables related to the family environment on the probability of bullying or the probability of seeking help and support. The Bayesian network model used in this study may be used in clinical practice.
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Affiliation(s)
- Katarzyna Sitnik-Warchulska
- Faculty of Management and Social Communication, Institute of Applied Psychology, Jagiellonian University in Krakow, Krakow, Poland
| | - Zbigniew Wajda
- Faculty of Management and Social Communication, Institute of Applied Psychology, Jagiellonian University in Krakow, Krakow, Poland
| | - Bartosz Wojciechowski
- Faculty of Management and Social Communication, Institute of Applied Psychology, Jagiellonian University in Krakow, Krakow, Poland
| | - Bernadetta Izydorczyk
- Faculty of Management and Social Communication, Institute of Applied Psychology, Jagiellonian University in Krakow, Krakow, Poland
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19
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Kelly EV, Newton NC, Stapinski LA, Conrod PJ, Barrett EL, Champion KE, Teesson M. A Novel Approach to Tackling Bullying in Schools: Personality-Targeted Intervention for Adolescent Victims and Bullies in Australia. J Am Acad Child Adolesc Psychiatry 2020; 59:508-518.e2. [PMID: 31051243 DOI: 10.1016/j.jaac.2019.04.010] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/08/2018] [Revised: 04/01/2019] [Accepted: 04/24/2019] [Indexed: 12/20/2022]
Abstract
OBJECTIVE To examine the secondary effects of a personality-targeted intervention on bullying and harms among adolescent victims and bullies. METHOD Outcomes were examined for victims and bullies in the Climate and Preventure study, Australia. Participants completed self-report measures at baseline and four follow-up assessments (6, 12, 24, and 36 months). Thirteen intervention schools (n = 1,087) received Preventure, a brief personality-targeted cognitive-behavioral therapy intervention for adolescents with high-risk personality types (hopelessness, anxiety sensitivity, impulsivity, sensation seeking). Thirteen control schools (n = 1,103) received health education as usual. Bullying was examined for high-risk victims (n = 143 in Preventure schools versus n = 153 in control schools) and bullies (n = 63 in Preventure schools versus n = 67 in control schools) in the total sample. Harms were examined for high-risk victims (n = 110 in Preventure schools versus n = 87 in control schools) and bullies (n = 50 in Preventure schools versus n = 30 in control schools) in independent schools. RESULTS There was no significant intervention effect for bullying victimization or perpetration in the total sample. In the subsample, mixed models showed greater reductions in victimization (b = -0.208, 95% CI -0.4104 to -0.002, p < .05), suicidal ideation (b = -0.130, 95% CI -0.225 to -0.034, p < .01), and emotional symptoms (b = -0.263, 95% CI -0.466 to -0.061, p < .05) among high-risk victims in Preventure versus control schools. Conduct problems (b = -0.292, 95% CI -0.554 to -0.030, p < .05) showed greater reductions among high-risk bullies in Preventure versus control schools, and suicidal ideation showed greater reductions among high-risk female bullies in Preventure versus control schools (b = -0.820, 95% CI -1.198 to -0.442, p < .001). CONCLUSION The findings support targeting personality in bullying prevention. CLINICAL TRIAL REGISTRATION INFORMATION The CAP Study: Evaluating a Comprehensive Universal and Targeted Intervention Designed to Prevent Substance Use and Related Harms in Australian Adolescents; http://www.anzctr.org.au/; ACTRN12612000026820.
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Affiliation(s)
- Erin V Kelly
- The Matilda Centre for Research in Mental Health and Substance Use, Sydney Medical School, Medicine and Health, The University of Sydney, Australia, and the NHMRC Centre for Research Excellence in Mental Health and Substance Use, National Drug and Alcohol Research Centre, University of New South Wales, Sydney, Australia; Centre de Recherche, Centre Hospitalier Ste-Justine, Montreal, Quebec, Canada.
| | - Nicola C Newton
- The Matilda Centre for Research in Mental Health and Substance Use, Sydney Medical School, Medicine and Health, The University of Sydney, Australia, and the NHMRC Centre for Research Excellence in Mental Health and Substance Use, National Drug and Alcohol Research Centre, University of New South Wales, Sydney, Australia
| | - Lexine A Stapinski
- The Matilda Centre for Research in Mental Health and Substance Use, Sydney Medical School, Medicine and Health, The University of Sydney, Australia, and the NHMRC Centre for Research Excellence in Mental Health and Substance Use, National Drug and Alcohol Research Centre, University of New South Wales, Sydney, Australia
| | | | - Emma L Barrett
- The Matilda Centre for Research in Mental Health and Substance Use, Sydney Medical School, Medicine and Health, The University of Sydney, Australia, and the NHMRC Centre for Research Excellence in Mental Health and Substance Use, National Drug and Alcohol Research Centre, University of New South Wales, Sydney, Australia
| | - Katrina E Champion
- The Matilda Centre for Research in Mental Health and Substance Use, Sydney Medical School, Medicine and Health, The University of Sydney, Australia, and the NHMRC Centre for Research Excellence in Mental Health and Substance Use, National Drug and Alcohol Research Centre, University of New South Wales, Sydney, Australia
| | - Maree Teesson
- The Matilda Centre for Research in Mental Health and Substance Use, Sydney Medical School, Medicine and Health, The University of Sydney, Australia, and the NHMRC Centre for Research Excellence in Mental Health and Substance Use, National Drug and Alcohol Research Centre, University of New South Wales, Sydney, Australia
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20
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Jadambaa A, Thomas HJ, Scott JG, Graves N, Brain D, Pacella R. Prevalence of traditional bullying and cyberbullying among children and adolescents in Australia: A systematic review and meta-analysis. Aust N Z J Psychiatry 2019; 53:878-888. [PMID: 31067987 DOI: 10.1177/0004867419846393] [Citation(s) in RCA: 75] [Impact Index Per Article: 15.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
BACKGROUND Despite increased awareness of the adverse impact of bullying on mental health, the prevalence of bullying in Australia is uncertain. The aim of the current study was to conduct a systematic review and meta-analysis to estimate the prevalence of bullying (traditional and cyber) among Australian children and adolescents. This study synthesised bullying prevalence studies on victimisation experiences (being bullied) and perpetration experiences (bullying others). METHOD A systematic review of electronic databases (A+ Education, EMBASE, ERIC, PubMed, PsycINFO and Scopus up to 27 May 2017) was conducted. In addition, reference lists of included studies, theses recorded at the National Library of Australia, and government websites were surveyed to identify local area data as well as state and nationally representative data. Overall, 898 studies were screened and out of the 126 studies assessed for eligibility, 46 satisfied the pre-determined inclusion criteria. Meta-analyses based on quality-effects models generated pooled prevalence estimates for each of the two types of bullying involvement (victimisation and perpetration), as well as distinct models for traditional bullying and cyberbullying experiences by the type of involvement. RESULTS Overall, the 12-month prevalence of bullying victimisation was 15.17% (95% confidence interval = [9.17, 22.30]) and perpetration was 5.27% (95% confidence interval = [3.13, 7.92]). The lifetime prevalence for traditional bullying victimisation was 25.13% (95% confidence interval = [18.73, 32.11]) and perpetration was 11.61% (95% confidence interval = [7.41, 16.57]). Cyberbullying victimisation and perpetration were less common with lifetime prevalence of 7.02% (95% confidence interval = [2.41, 13.54]) and 3.45% (95% confidence interval = [1.13, 6.84]), respectively. CONCLUSION Bullying is common among children and adolescents in Australia. There is a need to improve the measurement of bullying using a standardised instrument and for prevalence estimates to be collected on a regular basis to assess change over time. Wide implementation of anti-bullying programmes in Australian schools is a viable public health approach for the prevention of mental health problems.
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Affiliation(s)
- Amarzaya Jadambaa
- 1 School of Public Health and Social Work, Queensland University of Technology, Kelvin Grove, QLD, Australia.,2 Australian Centre for Health Services Innovation, Queensland University of Technology, Kelvin Grove, QLD, Australia
| | - Hannah J Thomas
- 3 Queensland Centre for Mental Health Research, The Park Centre for Mental Health, Wacol, QLD, Australia.,4 Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Herston, QLD, Australia.,5 School of Public Health, Faculty of Medicine, The University of Queensland, Herston, QLD, Australia
| | - James G Scott
- 3 Queensland Centre for Mental Health Research, The Park Centre for Mental Health, Wacol, QLD, Australia.,4 Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Herston, QLD, Australia.,5 School of Public Health, Faculty of Medicine, The University of Queensland, Herston, QLD, Australia.,6 Metro North Mental Health, Royal Brisbane and Women's Hospital, Herston, QLD, Australia
| | - Nicholas Graves
- 1 School of Public Health and Social Work, Queensland University of Technology, Kelvin Grove, QLD, Australia.,2 Australian Centre for Health Services Innovation, Queensland University of Technology, Kelvin Grove, QLD, Australia
| | - David Brain
- 1 School of Public Health and Social Work, Queensland University of Technology, Kelvin Grove, QLD, Australia.,2 Australian Centre for Health Services Innovation, Queensland University of Technology, Kelvin Grove, QLD, Australia
| | - Rosana Pacella
- 1 School of Public Health and Social Work, Queensland University of Technology, Kelvin Grove, QLD, Australia.,2 Australian Centre for Health Services Innovation, Queensland University of Technology, Kelvin Grove, QLD, Australia.,7 Research Office, University of Chichester, Chichester, UK
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21
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Menesini E. Translating knowledge into interventions: An ‘individual by context’ approach to bullying. EUROPEAN JOURNAL OF DEVELOPMENTAL PSYCHOLOGY 2019. [DOI: 10.1080/17405629.2018.1564273] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Ersilia Menesini
- Department of Education and Psychology, University of Florence, Firenze, Italy
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22
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Prevalence of bullying in a pediatric sample of body dysmorphic disorder. Compr Psychiatry 2018; 87:12-16. [PMID: 30193152 DOI: 10.1016/j.comppsych.2018.08.014] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/24/2018] [Revised: 08/08/2018] [Accepted: 08/13/2018] [Indexed: 02/07/2023] Open
Abstract
Little is known about etiological factors in Body dysmorphic disorder (BDD). Cognitive behavioral and diathesis-stress models have implicated teasing and bullying as significant early environmental stressful triggers. Due to these implications, this study aimed to assess the emergence of BDD in children during early development, and to see if bullying experiences played a role in its development. A total of 219 children ages 7 to 10 were screened for psychopathology. Children were separated into four groups including a BDD group, an OCD group, a clinical control group (consisting of depressive disorders, attention deficit hyperactivity disorder, oppositional defiant disorder, and anxiety disorders not otherwise specified), and a non-clinical control group. Children were given questionnaires to evaluate their bullying and victimization experiences. It was hypothesized that children with BDD would experience more instances of victimization than children with OCD, clinical controls, and non-clinical controls. Contrary to the hypothesis, results indicated that children with BDD symptoms were significantly more likely to be perpetrators of bullying than the other groups [F (3, 27.082) = 17.892, p < .001]. In addition to scoring high on the bullying questionnaires, children with BDD scored high on victim questionnaires as well, suggesting a link between these two peer interpersonal conflicts. The results of this study suggest that bullying behavior might be an unknown characteristic in young children with emerging BDD pathology.
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