Consequences of Bullying Victimization in Childhood and Adolescence: A Systematic Review and Meta-analysis

Overview

Journal World J Psychiatry

Publisher Baishideng Publishing Group

Specialty Psychiatry

Date 2017 Apr 13

PMID 28401049

Citations 267

Authors

Sophie E Moore

Rosana E Norman

Shuichi Suetani

Hannah J Thomas

Peter D Sly

James G Scott

Affiliations

Soon will be listed here.

Abstract

Aim: To identify health and psychosocial problems associated with bullying victimization and conduct a meta-analysis summarizing the causal evidence.

Methods: A systematic review was conducted using PubMed, EMBASE, ERIC and PsycINFO electronic databases up to 28 February 2015. The study included published longitudinal and cross-sectional articles that examined health and psychosocial consequences of bullying victimization. All meta-analyses were based on quality-effects models. Evidence for causality was assessed using Bradford Hill criteria and the grading system developed by the World Cancer Research Fund.

Results: Out of 317 articles assessed for eligibility, 165 satisfied the predetermined inclusion criteria for meta-analysis. Statistically significant associations were observed between bullying victimization and a wide range of adverse health and psychosocial problems. The evidence was strongest for causal associations between bullying victimization and mental health problems such as depression, anxiety, poor general health and suicidal ideation and behaviours. Probable causal associations existed between bullying victimization and tobacco and illicit drug use.

Conclusion: Strong evidence exists for a causal relationship between bullying victimization, mental health problems and substance use. Evidence also exists for associations between bullying victimization and other adverse health and psychosocial problems, however, there is insufficient evidence to conclude causality. The strong evidence that bullying victimization is causative of mental illness highlights the need for schools to implement effective interventions to address bullying behaviours.

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References

Scott J, Moore S, Sly P, Norman R . Bullying in children and adolescents: a modifiable risk factor for mental illness. Aust N Z J Psychiatry. 2013; 48(3):209-12. DOI: 10.1177/0004867413508456. View

Fekkes M, Pijpers F, Verloove-Vanhorick S . Bullying behavior and associations with psychosomatic complaints and depression in victims. J Pediatr. 2004; 144(1):17-22. DOI: 10.1016/j.jpeds.2003.09.025. View

van Geel M, Vedder P, Tanilon J . Relationship between peer victimization, cyberbullying, and suicide in children and adolescents: a meta-analysis. JAMA Pediatr. 2014; 168(5):435-42. DOI: 10.1001/jamapediatrics.2013.4143. View

Coomber K, Toumbourou J, Miller P, Staiger P, Hemphill S, Catalano R . Rural adolescent alcohol, tobacco, and illicit drug use: a comparison of students in Victoria, Australia, and Washington State, United States. J Rural Health. 2011; 27(4):409-15. PMC: 3186916. DOI: 10.1111/j.1748-0361.2010.00360.x. View

Sourander A, Jensen P, Ronning J, Niemela S, Helenius H, Sillanmaki L . What is the early adulthood outcome of boys who bully or are bullied in childhood? The Finnish "From a Boy to a Man" study. Pediatrics. 2007; 120(2):397-404. DOI: 10.1542/peds.2006-2704. View

Goebert D, Else I, Matsu C, Chung-Do J, Chang J . The impact of cyberbullying on substance use and mental health in a multiethnic sample. Matern Child Health J. 2010; 15(8):1282-6. DOI: 10.1007/s10995-010-0672-x. View

Smith P, Mahdavi J, Carvalho M, Fisher S, Russell S, Tippett N . Cyberbullying: its nature and impact in secondary school pupils. J Child Psychol Psychiatry. 2008; 49(4):376-85. DOI: 10.1111/j.1469-7610.2007.01846.x. View

Fisher H, Moffitt T, Houts R, Belsky D, Arseneault L, Caspi A . Bullying victimisation and risk of self harm in early adolescence: longitudinal cohort study. BMJ. 2012; 344:e2683. PMC: 3339878. DOI: 10.1136/bmj.e2683. View

Kim Y, Leventhal B . Bullying and suicide. A review. Int J Adolesc Med Health. 2008; 20(2):133-54. DOI: 10.1515/ijamh.2008.20.2.133. View

10.

Watt M, Burke A, Renner K, Forster G . Adolescent male rats exposed to social defeat exhibit altered anxiety behavior and limbic monoamines as adults. Behav Neurosci. 2009; 123(3):564-76. PMC: 2771678. DOI: 10.1037/a0015752. View

11.

Klomek A, Sourander A, Kumpulainen K, Piha J, Tamminen T, Moilanen I . Childhood bullying as a risk for later depression and suicidal ideation among Finnish males. J Affect Disord. 2008; 109(1-2):47-55. DOI: 10.1016/j.jad.2007.12.226. View

12.

Reijntjes A, Kamphuis J, Prinzie P, Telch M . Peer victimization and internalizing problems in children: a meta-analysis of longitudinal studies. Child Abuse Negl. 2010; 34(4):244-52. DOI: 10.1016/j.chiabu.2009.07.009. View

13.

Dubben H, Beck-Bornholdt H . Systematic review of publication bias in studies on publication bias. BMJ. 2005; 331(7514):433-4. PMC: 1188109. DOI: 10.1136/bmj.38478.497164.F7. View

14.

Doi S, Barendregt J, Mozurkewich E . Meta-analysis of heterogeneous clinical trials: an empirical example. Contemp Clin Trials. 2010; 32(2):288-98. DOI: 10.1016/j.cct.2010.12.006. View

15.

Nansel T, Overpeck M, Pilla R, Ruan W, Simons-Morton B, Scheidt P . Bullying behaviors among US youth: prevalence and association with psychosocial adjustment. JAMA. 2001; 285(16):2094-100. PMC: 2435211. DOI: 10.1001/jama.285.16.2094. View

16.

Arseneault L, Cannon M, Fisher H, Polanczyk G, Moffitt T, Caspi A . Childhood trauma and children's emerging psychotic symptoms: A genetically sensitive longitudinal cohort study. Am J Psychiatry. 2010; 168(1):65-72. PMC: 3536053. DOI: 10.1176/appi.ajp.2010.10040567. View

17.

Copeland W, Wolke D, Angold A, Costello E . Adult psychiatric outcomes of bullying and being bullied by peers in childhood and adolescence. JAMA Psychiatry. 2013; 70(4):419-26. PMC: 3618584. DOI: 10.1001/jamapsychiatry.2013.504. View

18.

Due P, Holstein B, Lynch J, Diderichsen F, Gabhain S, Scheidt P . Bullying and symptoms among school-aged children: international comparative cross sectional study in 28 countries. Eur J Public Health. 2005; 15(2):128-32. DOI: 10.1093/eurpub/cki105. View

19.

Jepsen P, Johnsen S, Gillman M, Sorensen H . Interpretation of observational studies. Heart. 2004; 90(8):956-60. PMC: 1768356. DOI: 10.1136/hrt.2003.017269. View

20.

Anda R, Felitti V, Douglas Bremner J, Walker J, Whitfield C, Perry B . The enduring effects of abuse and related adverse experiences in childhood. A convergence of evidence from neurobiology and epidemiology. Eur Arch Psychiatry Clin Neurosci. 2005; 256(3):174-86. PMC: 3232061. DOI: 10.1007/s00406-005-0624-4. View