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Jiang Y, Samah NA, Zhou H. Adolescent Patients'Experiences of Mental Disorders Related to School Bullying [Letter]. J Multidiscip Healthc 2024; 17:4491-4492. [PMID: 39308797 PMCID: PMC11416786 DOI: 10.2147/jmdh.s495261] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2024] [Accepted: 09/16/2024] [Indexed: 09/25/2024] Open
Affiliation(s)
- Yilin Jiang
- School of Education, Universiti Teknologi Malaysia, Skudai, Johor, 81310, Malaysia
| | - Narina A Samah
- School of Education, Universiti Teknologi Malaysia, Skudai, Johor, 81310, Malaysia
| | - Heng Zhou
- Department of Student Affairs, Chongqing Medical University, Yuzhong, Chongqing, 400016, People’s Republic of China
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Zhang J, Duan X, Yan Y, Tan Y, Wu T, Xie Y, Yang BX, Luo D, Liu L. Family Functioning and Adolescent Mental Health: The Mediating Role of Bullying Victimization and Resilience. Behav Sci (Basel) 2024; 14:664. [PMID: 39199059 PMCID: PMC11351858 DOI: 10.3390/bs14080664] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2024] [Revised: 07/26/2024] [Accepted: 07/28/2024] [Indexed: 09/01/2024] Open
Abstract
This study aimed to understand the current state of adolescent mental health, explore the mediating effect of bullying victimization and resilience in the relationship between adolescent family functioning and mental health, and investigate gender differences in this association. A total of 4319 students (2347 boys and 1972 girls) completed the questionnaire. Mediating effects were analyzed using the framework of structural equation modeling and bootstrapping. The results revealed that family functioning is significantly associated with adolescent mental health, and that bullying victimization and resilience have significant independent and chain mediating effects on this relationship. Multiple group analysis revealed that the independent mediating role of resilience was more significant for male adolescents. Furthermore, the chain-mediated effects of bullying victimization and resilience were observed only in the relationship between family functioning and mental health in male adolescents. To improve the mental health of adolescents, special attention should be given to the impact of family life on adolescents' school life. Early detection and intervention for adolescents with poor family functioning are also important to effectively prevent bullying victimization and reduce the emergence of mental health problems.
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Affiliation(s)
- Juan Zhang
- Affiliated Wuhan Mental Health Center, Tongji Medical College of Huazhong University of Science and Technology, Wuhan 430012, China; (J.Z.); (T.W.); (Y.X.)
| | - Xiang Duan
- Department of Psychology, Institute of Education, China University of Geosciences, Wuhan 430074, China;
| | - Yiwen Yan
- Department of Psychology, Institute of Education, China University of Geosciences, Wuhan 430074, China;
| | - Yuxin Tan
- Student Mental Health Education Center, China University of Geosciences, Wuhan 430074, China;
| | - Taimin Wu
- Affiliated Wuhan Mental Health Center, Tongji Medical College of Huazhong University of Science and Technology, Wuhan 430012, China; (J.Z.); (T.W.); (Y.X.)
| | - Yaofei Xie
- Affiliated Wuhan Mental Health Center, Tongji Medical College of Huazhong University of Science and Technology, Wuhan 430012, China; (J.Z.); (T.W.); (Y.X.)
| | - Bing Xiang Yang
- Center for Wise Information Technology of Mental Health Nursing Research, School of Nursing, Wuhan University, Wuhan 430071, China; (B.X.Y.); (D.L.)
| | - Dan Luo
- Center for Wise Information Technology of Mental Health Nursing Research, School of Nursing, Wuhan University, Wuhan 430071, China; (B.X.Y.); (D.L.)
| | - Lianzhong Liu
- Department of Psychology, Institute of Education, China University of Geosciences, Wuhan 430074, China;
- Wuhan Wudong Hospital (Wuhan Second Mental Hospital), Wuhan 430084, China
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Lucas R, Talih M, Soares S, Fraga S. Bullying Involvement and Physical Pain Between Ages 10 and 13 Years: Reported History and Quantitative Sensory Testing in a Population-Based Cohort. THE JOURNAL OF PAIN 2024; 25:1012-1023. [PMID: 37914095 DOI: 10.1016/j.jpain.2023.10.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/05/2023] [Revised: 10/06/2023] [Accepted: 10/21/2023] [Indexed: 11/03/2023]
Abstract
We aimed to quantify the prospective association between bullying and physical pain in a population-based cohort of adolescents. We assessed 4,049 participants of the 10 and 13 years waves of the Generation XXI birth cohort study in Portugal. Pain history was collected using the Luebeck pain screening questionnaire. A subsample of 1,727 adolescents underwent computerized cuff pressure algometry to estimate pain detection/tolerance thresholds, temporal pain summation and conditioned pain modulation. Participants completed the Bully Scale Survey and were classified as "victim only", "both victim and aggressor", "aggressor only", or "not involved". Associations were quantified using Poisson or linear regression, adjusted for sex and adverse childhood experiences. When compared to adolescents "not involved", participants classified as "victim only" or "both victim and aggressor" at age 10 had higher risk of pain with psychosocial triggers, pain that led to skipping leisure activities, multisite pain, pain of higher intensity, and pain of longer duration, with relative risks between 1.21 (95% confidence interval: .99, 1.49) and 2.17 (1.57, 3.01). "Victims only" at age 10 had lower average pain detection and tolerance thresholds at 13 years (linear regression coefficients: -1.81 [-3.29, -.33] and -2.73 [-5.17, -.29] kPa, respectively), as well as higher pain intensity ratings (.37 [.07, .68] and .39 [.06, .72] mm), when compared with adolescents not involved. No differences were seen for the remaining bullying profiles or sensory measures. Our findings suggest that bullying may have long-term influence on the risk of chronic musculoskeletal pain and may interfere with responses to painful stimuli. PERSPECTIVE: We found prospective evidence that bullying victimization in youth: 1) is more likely to lead to negative reported pain experiences than the reverse, 2) may have long-term influence on adverse pain experiences, and 3) may contribute to pain phenotypes partly by interfering with somatosensory responses to painful stimuli.
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Affiliation(s)
- Raquel Lucas
- EPIUnit, Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal; Laboratório para a Investigação Integrativa e Translacional em Saúde Populacional (ITR), Universidade do Porto, Porto, Portugal; Department of Population Studies, Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, Porto, Portugal
| | - Makram Talih
- EPIUnit, Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal; Laboratório para a Investigação Integrativa e Translacional em Saúde Populacional (ITR), Universidade do Porto, Porto, Portugal; Department of Public Health and Forensic Sciences, and Medical Education, Faculdade de Medicina, Universidade do Porto, Porto, Portugal
| | - Sara Soares
- EPIUnit, Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal; Laboratório para a Investigação Integrativa e Translacional em Saúde Populacional (ITR), Universidade do Porto, Porto, Portugal
| | - Sílvia Fraga
- EPIUnit, Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal; Laboratório para a Investigação Integrativa e Translacional em Saúde Populacional (ITR), Universidade do Porto, Porto, Portugal; Department of Public Health and Forensic Sciences, and Medical Education, Faculdade de Medicina, Universidade do Porto, Porto, Portugal
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Fraga S, Soares S, Peres FS, Barros H. Household Dysfunction Is Associated With Bullying Behavior in 10-year-old Children: Do Socioeconomic Circumstances Matter? JOURNAL OF INTERPERSONAL VIOLENCE 2022; 37:NP13877-NP13901. [PMID: 34784812 PMCID: PMC9326806 DOI: 10.1177/08862605211006352] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
This study measured the prevalence of bullying behavior in 10-year-old children and investigated the effect of the socioeconomic context on the impact of household dysfunction on bullying. We studied 5,338 members of the Portuguese Generation XXI birth cohort. Information on involvement in bullying, socioeconomic characteristics, and household dysfunction was collected by trained interviewers using structured questionnaires. Being a victim of bullying was reported by 14.4% of participants, being a bully by 1.4%, and being a bully-victim by 3.9%. Being a victim or both bully-victim, simultaneously, was more frequent among children from medium-high income families. Also, children from low-income families who reported household substance abuse, witnessed parents' intimate partner violence, and were victims of physical violence, were more frequently victims of bullying; and those who experienced family violence were more frequently involved as bully-victims. Among children from medium-high income families, all these household adversity experiences significantly increased the odds of being victim, bully, or bully-victim. Thus, although children from medium-high income families are less likely to experience adversity at home, when it happens, there is a greater effect on their behavior, suggesting that better socioeconomic circumstances do not seem to act as a protective factor.
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Affiliation(s)
- Sílvia Fraga
- EPIUnit - Instituto de Saúde Pública
da Universidade do Porto, Portugal
| | - Sara Soares
- EPIUnit - Instituto de Saúde Pública
da Universidade do Porto, Portugal
| | | | - Henrique Barros
- EPIUnit - Instituto de Saúde Pública
da Universidade do Porto, Portugal
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