Bullying behavior and associations with psychosomatic complaints and depression in victims.

OBJECTIVES To assess the association between bullying behavior and a wide variety of psychosomatic health complaints and depression. Study design In a cross-sectional study, 2766 elementary school children age 9 to 12 years filled out a questionnaire on bullying behavior and health complaints. Three groups-bullied children, active bullies, and children who both bully and are bullied-were compared with the group of children not involved in bullying behavior. Subsequently, risks for psychosomatic symptoms and depression were calculated by means of odds ratios. RESULTS Bully victims had significantly higher chances for depression and psychosomatic symptoms compared with children not involved in bullying behavior. Odds ratios were as follows: headache, 3.0; sleeping problems, 2.4; abdominal pain, 3.2; bed-wetting, 2.9; feeling tired, 3.4; and depression, 7.7. Children who actively bullied did not have a higher chance for most of the investigated health symptoms. CONCLUSIONS Being bullied is strongly associated with a wide range of psychosomatic symptoms and depression. These associations are similar to the complaints known to be associated with child abuse. Therefore, when such health complaints are presented, pediatricians and other health care workers should also be aware of the possibility that a child is being bullied to take preventive measures.

[1]  W. Friedrich,et al.  Somatic symptoms in sexually abused children. , 1995, Journal of pediatric psychology.

[2]  M. Rimsza,et al.  Sexual abuse: somatic and emotional reactions. , 1988, Child abuse & neglect.

[3]  F P Rivara,et al.  Effectiveness of a violence prevention curriculum among children in elementary school. A randomized controlled trial. , 1997, JAMA.

[4]  Peter K. Smith,et al.  What causes the age decline in reports of being bullied at school? Towards a developmental analysis of risks of being bullied , 1999 .

[5]  P. Slee.  Situational and interpersonal correlates of anxiety associated with peer victimisation , 1994, Child psychiatry and human development.

[6]  S. Cleary.  Adolescent victimization and associated suicidal and violent behaviors. , 2000, Adolescence.

[7]  L Karstadt,et al.  Bullying involvement in primary school and common health problems , 2001, Archives of disease in childhood.

[8]  Kenneth H. Rubin,et al.  The development and treatment of childhood aggression. , 1991 .

[9]  G. S. Pettit,et al.  Spanking in the home and children's subsequent aggression toward kindergarten peers , 1994, Development and Psychopathology.

[10]  C. Rissel,et al.  Bullying behaviour and psychosocial health among school students in New South Wales, Australia: cross sectional survey , 1999, BMJ.

[11]  D. Olweus.  Bully/victim problems among schoolchildren: Basic facts and effects of a school based intervention program. , 1991 .

[12]  Peter K. Smith,et al.  A Survey of the Nature and Extent of Bullying in Junior/Middle and Secondary Schools. , 1993 .

[13]  Katrina Jane Williams,et al.  Association of common health symptoms with bullying in primary school children , 1996, BMJ.

[14]  M. Davies,et al.  Adolescent parasuicide in the Foyle area , 1999, Irish Journal of Psychological Medicine.

[15]  Peter K. Smith,et al.  Parenting and School Bullying , 1998 .

[16]  A Rimpelä,et al.  Bullying, depression, and suicidal ideation in Finnish adolescents: school survey , 1999, BMJ.

[17]  G. S. Pettit,et al.  The early socialization of aggressive victims of bullying. , 1997, Child development.

[18]  J. Dawkins.  Bullying in schools , 1995, BMJ.

[19]  Bullying among Italian Middle School Students , 1998 .

[20]  Abraham Weizman,et al.  Depressive symptoms and suicidality in physically abused children. , 2001, The American journal of orthopsychiatry.

[21]  M. Boulton,et al.  Twenty years' research on peer victimization and psychosocial maladjustment: a meta-analytic review of cross-sectional studies. , 2000, Journal of child psychology and psychiatry, and allied disciplines.

[22]  P. Scheidt,et al.  Relationships between bullying and violence among US youth. , 2003, Archives of pediatrics & adolescent medicine.

[23]  J. Adams,et al.  Emotional, behavioral, and physical symptoms reported by parents of sexually abused, nonabused, and allegedly abused prepubescent females. , 1995, Child abuse & neglect.

[24]  K. O'Connor,et al.  Pediatricians' Response to the Demand for School Health Programming , 1999, Pediatrics.

[25]  Peter K. Smith,et al.  School Bullying: Insights and Perspectives , 1994 .

[26]  M. Borg,et al.  The extent and nature of bullying among primary and secondary schoolchildren , 1999 .

[27]  Sarah N. Woods,et al.  The association between direct and relational bullying and behaviour problems among primary school children. , 2000, Journal of child psychology and psychiatry, and allied disciplines.

[28]  Ersilia Menesini,et al.  Bullies and victims in schools in central and southern Italy , 1996 .

[29]  H. Yoshikawa.  Prevention as cumulative protection: effects of early family support and education on chronic delinquency and its risks. , 1994, Psychological bulletin.

[30]  K. Kumpulainen,et al.  Children involved in bullying: psychological disturbance and the persistence of the involvement. , 1999, Child abuse & neglect.

[31]  A. Rimpelä,et al.  Bullying at school--an indicator of adolescents at risk for mental disorders. , 2000, Journal of adolescence.

[32]  D. Farrington,et al.  Prevention of violence. Role of the pediatrician. , 1995, Archives of pediatrics & adolescent medicine.

[33]  K. Rigby.  The Relationship Between Reported Health and Involvement in Bully/ Victim Problems among Male and Female Secondary Schoolchildren , 1998, Journal of health psychology.

[34]  W. Craig,et al.  The relationship among bullying, victimization, depression, anxiety, and aggression in elementary school children , 1998 .

[35]  K. Puura,et al.  Bullying and psychiatric symptoms among elementary school-age children. , 1998, Child abuse & neglect.

[36]  G. Salmon,et al.  Bullying in schools: self reported anxiety, depression, and self esteem in secondary school children , 1998, BMJ.

[37]  R. Chesson,et al.  Bullying: the need for an interagency response , 1999, BMJ.

[38]  Ramani S. Pilla,et al.  Bullying Behaviors Among US Youth: Prevalence and Association With Psychosocial Adjustment , 2001 .