Victims and bully-victims but not bullies are groups associated with anxiety symptomatology among Brazilian children and adolescents

School bullying is frequent and is associated with a broad spectrum of psychiatric problems. The aims of this study were to examine the prevalence of bullying behaviors in a large sample of Brazilian children and adolescents and to investigate the association between bullying behaviors and DSM-IV anxiety symptomatology. This cross-sectional study involved completion of a questionnaire about bullying behaviors and their frequency and the Screen for Child Anxiety-Related Emotional Disorders (SCARED) that is a self-report screening tool for childhood anxiety disorders by 2,355 students. A total of 22.9 % of the sample reported frequent involvement in bullying, as a bully (7.6 %), as a victim (5.7 %), or as a bully-victim (9.6 %). In general, our findings showed that students involved in bullying behaviors, as victims or bully-victims, were more likely to have higher scores in SCARED total and its subscales than bullies and than uninvolved students. The prevalence of bullying behaviors among Brazilian youth is about average when compared with previous samples described in the literature. Victims and bully-victims, but no bullies, are groups associated with higher anxiety symptomatology.     

Individual and peer factors associated with ketamine use among adolescents in Taiwan

The aim of this cross-sectional study was to examine the individual (demographic characteristics, substance-using behaviors, emotional status, and negative outcome expectancy) and peer factors associated with ketamine use in Taiwanese adolescents. A total of 9,860 adolescents completed the self-report questionnaires without omission. Demographic characteristics, substance-using behaviors, emotional status, negative outcome expectancy, and peer factors were compared between the ketamine users and non-users using the Mann-Whitney U test and the Chi-square test, and then significant factors were further selected for stepwise logistic regression analysis to examine the associated factors of ketamine use. Sixty-nine (0.7%) participants reported having used ketamine in the past year. The results of logistic regression analysis indicated that ketamine users were more likely to use marijuana, smoke cigarettes, have peers using illicit drugs, and have a lower level of negative outcome expectancy regarding using ketamine than ketamine non-users. The associated factors found in this study should be taken into consideration when developing prevention and intervention programs for ketamine use in adolescents.     

Bullying and victimization behaviors in boys and girls at South Korean primary schools

OBJECTIVE: To investigate the prevalence and correlates of bullying and victimization behaviors in boys and girls at South Korean primary schools. METHOD: In a cross-sectional survey, 1,344 fourth-grade primary school children completed a questionnaire on self-reported bullying and victimization behaviors, depression, anxiety, body image, coping strategies, and self-esteem as well as the self-report Strengths and Difficulties Questionnaire. Parents completed a questionnaire on demographic data, the General Health Questionnaire-12, and the Korean version of the Strengths and Difficulties Questionnaire. RESULTS: The prevalence of bullies, victims, and bullies/victims was 12.0%, 5.3%, and 7.2%, respectively. Boys were significantly more likely to be bullies and bullies/victims. In the multivariate analyses, bullying and victimization behaviors were associated with gender, greater than average height, higher depression, higher trait anxiety, lower self-esteem, and total difficulties of the Strengths and Difficulties Questionnaire. Differences in the associations were found between boys and girls. CONCLUSIONS: The authors found that bullying is common among South Korean primary school students and that bullying and victimization behaviors are related to various emotional, behavioral, and social problems; some gender-related differences are also evident.     

Bullying behaviour and substance abuse among underage psychiatric inpatient adolescents

Background and objectiveOnly a few studies have examined the putative association between substance use and bullying others, and to our knowledge none of the previous studies have investigated substance abuse among victims or those who are both bullies and victims. The aim of our study was to investigate substance use among all of these three bullying subgroups and to examine the putative association between substance use and bullying behaviour.MethodsThe study sample consisted of 508 Finnish adolescents (age 12–17) admitted to psychiatric inpatient care between April 2001 and March 2006. We used the Schedule for Affective Disorder and Schizophrenia for School-Age Children Present and Lifetime (K-SADS-PL) to obtain DSM-IV psychiatric diagnoses, information about bullying behaviour and substance abuse of the adolescents. The level of nicotine dependence (ND) was assessed by using the modified Fagerström Tolerance Questionnaire (mFTQ).ResultsOur study showed that both among boys and girls, regular daily smoking and alcohol use among boys were statistically significantly associated with bullying behaviour. Further, among girls, but not among boys, there was also an association between bullying behaviour and more severe substance use, such as ND, use of cannabis and hard drugs.ConclusionSince an association between bullying and severe substance use was found in this study, our novel finding needs replication in adolescent general population samples.     

Bullying at school--an indicator of adolescents at risk for mental disorders

A number of 14-16 year old Finnish adolescents taking part in the School Health Promotion Study (n=8787 in 1995, n=17643 in 1997) were surveyed about bullying and victimization in relation to psychosomatic symptoms, depression, anxiety, eating disorders and substance use. A total of 9 per cent of girls and 17 per cent of boys were involved in bullying on a weekly basis. Anxiety, depression and psychosomatic symptoms were most frequent among bully-victims and equally common among bullies and victims. Frequent excessive drinking and use of any other substance were most common among bullies and thereafter among bully-victims. Among girls, eating disorders were associated with involvement in bullying in any role, among boys with being bully-victims. Bullying should be seen as an indicator of risk of various mental disorders in adolescence.     

Applying a social learning theoretical framework to music therapy as a prevention and intervention for bullies and victims of bullying

Bullying is a growing worldwide problem largely affecting school-aged youth and, to date, there is no music therapy literature specific to bullying. As a result, there is no guidance for applying theoretical frameworks or for developing music therapy interventions for bullies and victims of bullying. After synthesizing the literature and determining the characteristics and behaviors of bullies and victims, the authors applied social learning theory as a framework to conceptualize the behaviors and cognitions of bullies and victims and to design age appropriate music therapy interventions. Based from concepts of social learning theory and existing music therapy research with adolescents, the authors provide suggestions of music therapy interventions for both bullies and victims. It seems that a social learning theory approach to music therapy interventions might represent an appropriate approach to frame treatments for both bullies and the victims of bullying. Prevention and intervention efforts at various age and developmental levels using music therapy may be more engaging, motivating, and effective than prevention and intervention efforts without music. The proposed interventions may be a helpful initiator for music therapists working with school-aged populations on the issues of bullying.     

Bullying at school—an indicator of adolescents at risk for mental disorders

A number of 14–16 year old Finnish adolescents taking part in the School Health Promotion Study (n=8787 in 1995, n=17643 in 1997) were surveyed about bullying and victimization in relation to psychosomatic symptoms, depression, anxiety, eating disorders and substance use. A total of 9 per cent of girls and 17 per cent of boys were involved in bullying on a weekly basis. Anxiety, depression and psychosomatic symptoms were most frequent among bully-victims and equally common among bullies and victims. Frequent excessive drinking and use of any other substance were most common among bullies and thereafter among bully-victims. Among girls, eating disorders were associated with involvement in bullying in any role, among boys with being bully-victims. Bullying should be seen as an indicator of risk of various mental disorders in adolescence.     

Peer involvement in bullying: insights and challenges for intervention.

The purpose of this research was to examine the peer processes that occur during bullying episodes on the school playground. These processes were examined from a social learning perspective, allowing us to consider the effects of various types of reinforcement among bullies, victims, and peers. Fifty-three segments of video tape were examined. Each segment contained a peer group (two or more peers) that viewed bullying on the school playground. Peers were coded for actively joining or passively reinforcing the bully, and for actively intervening on behalf of the victim. On average, four peers viewed the schoolyard bullying, with a range from two to 14 peers. Averaged across all episodes, peers spent 54% of their time reinforcing bullies by passively watching, 21% of their time actively modelling bullies, and 25% of their time intervening on behalf of victims. Older boys (grades 4-6) were more likely to actively join with the bully than were younger boys (grades 1-3) and older girls. Both younger and older girls were more likely to intervene on behalf of victims than were older boys. The results were interpreted as confirming peers' central roles in the processes that unfold during playground bullying episodes. We discuss the results in terms of the challenges posed to peer-led interventions. Peers' anti-bullying initiatives must be reinforced by simultaneous whole-school interventions.     

Patterns of relationship and sexual behaviors in Mexican adolescents and associations with well-being: A latent class approach

To broaden our understanding of romance and sexuality during adolescence in Latin American countries, we used a person-oriented approach (latent class analysis) to examine classes marked by different patterns of romantic and sexual behaviors in Mexican adolescents. We found 5 classes: Inactive (8.53%), Early stage (37.8%), Waiting class (27.5%), Physical (8.4%) and Committed (17.9%); but no group dating class. We also explored how these classes were associated with adolescents' mental health and school performance. Middle school adolescents in the Committed class (high in romantic and sexual behaviors) had the highest level of depressive symptoms. Girls in the Inactive class and boys in the Physical class had the lowest level of symptoms. Adolescents in the Committed class also reported less academic motivation and achievement, whereas adolescents in the Inactive class reported higher motivation. This study expands our knowledge of adolescent romantic and sexual development in Mexico.     

Bullying, depression, and suicidality in adolescents

OBJECTIVE: To assess the association between bullying behavior and depression, suicidal ideation, and suicide attempts among adolescents. METHOD: A self-report survey was completed by 9th- through 12th-grade students (n = 2342) in six New York State high schools from 2002 through 2004. Regression analyses were conducted to examine the association between being victimized and bullying others with depression, ideation, and attempts. RESULTS: Approximately 9% of the sample reported being victimized frequently, and 13% reported bullying others frequently. Frequent exposure to victimization or bullying others was related to high risks of depression, ideation, and suicide attempts compared with adolescents not involved in bullying behavior. Infrequent involvement in bullying behavior also was related to increased risk of depression and suicidality, particularly among girls. The findings indicate that both victims and bullies are at high risk and that the most troubled adolescents are those who are both victims and bullies. Psychopathology was associated with bullying behavior both in and away from school. CONCLUSIONS: Victimization and bullying are potential risk factors for adolescent depression and suicidality. In evaluations of students involved in bullying behavior, it is important to assess depression and suicidality.     

Substance initiation sequences among Taiwanese adolescents using methamphetamine

The aim of this study was to examine substance initiation sequences in Taiwanese adolescent methamphetamine (MAMP) users. Three hundred adolescent MAMP users were questioned about their use of cigarettes, alcohol, areca quid, benzodiazepine, glue, marijuana, MAMP and heroin. The sequences of substance use before MAMP use were determined in every subject according to their age at substance initiation. The sequences of substance initiation were compared between genders and between early-onset and late-onset MAMP users. The results revealed that the adolescents had used cigarettes, alcohol and areca quid before MAMP, and very few (4%) adolescents had started using MAMP before using other substances. Female MAMP users were more likely to use MAMP as their first substance and were less likely to use areca quid than males. Male early-onset MAMP users were more likely to drink alcohol and chew areca quid before MAMP use than were late-onset users. This study found that the sequences of substance initiation were different between genders and between the early-onset and late-onset MAMP users. There are several findings that are different from those in Western studies on the sequence of substance initiation in the adolescent population.     

Is Exposure to Domestic Violence and Violent Crime Associated with Bullying Behaviour Among Underage Adolescent Psychiatric Inpatients?

We examined the relationship of exposure to domestic violence and violence occurring outside home to bullying behaviour in a sample (508; 40.9% males, 59.1% females) of underage psychiatric inpatient adolescents. Participants were interviewed using K-SADS-PL to assess DSM-IV psychiatric diagnoses and to gather information about domestic and other violence and bullying behaviour. Witnessing interparental violence increased the risk of being a victim of bullying up to 2.5-fold among boys. For girls, being a victim of a violent crime was an over 10-fold risk factor for being a bully–victim. Gender differences were seen in witnessing of a violent crime; girls were more likely to be bullies than boys. Further, as regards being a victim of a violent crime outside home and physical abuse by parents at home, girls were significantly more often bully–victims than boys. When interfering and preventing bullying behaviour, it is important to screen adolescents’ earlier experiences of violence.     

Brief report: types of bullying among Italian school children.

The main aim of this research was to investigate the prevalence of bullies and victims and the types and places of bullying. A questionnaire on bullying was completed by 113 girls and 125 boys in a middle school in Rome (aged 11-14 years). Over half of all students had bullied others in the previous 3 months, and nearly half had been bullied. Boys bullied more than girls, and both boys and girls tended to be bullied by boys. Boys were more likely to suffer direct bullying such as being threatened or physically hurt. Most of the bullying took place in the classroom; boys were likely to be bullied in the toilet.     

Posttraumatic stress disorder among substance users from the general population.

OBJECTIVE: The purpose of the study was to evaluate the prevalence of posttraumatic stress disorder (PTSD) among substance users in the general population. METHOD: The St. Louis Epidemiologic Catchment Area study, a survey of psychiatric illness in the general population, collected data on PTSD and substance use with the Diagnostic Interview Schedule. Among the 2,663 respondents, 430 reported a traumatic event that could qualify for PTSD; however, the rate of PTSD was low, 1.35% overall. To evaluate the relationship between PTSD and substance use, respondents were hierarchically classified into one of four substance use categories ranging from polydrug use to alcohol use only. Substance users from each category as well as substance users in general were compared with persons who did not meet the substance use threshold (comparison subjects). RESULTS: Findings indicate that cocaine/opiate users are over three times as likely as comparison subjects to report a traumatic event, report more symptoms and events, and are more likely to meet diagnostic criteria for PTSD. Physical attack, but not combat-related events, was the most prevalent event reported among cocaine/opiate users. Onset of substance use preceded onset of posttraumatic symptoms, suggesting that substance use predisposes the individual to exposure to traumatic events. When other variables--including antisocial behavior--were controlled, female gender and use of cocaine/opiates predicted PTSD. CONCLUSIONS: These analyses of the co-occurrence of substance abuse and PTSD warrant further study and suggest that PTSD is much more common among substance abusers than was previously known.     

Psychoactive Substance Use and Problematic Internet Use as Predictors of Bullying and Cyberbullying Victimization

Research exploring the relationship between addictions and experiences of bullying suggests that problem behaviors may generally be associated with an increased risk of victimization. The aim of the present study was to examine the role of psychoactive substance use, excessive Internet use, and social support in both traditional offline bullying and online “cyberbullying” victimization in a nationally representative sample of adolescents (N = 6237; 51% male; M _age = 16.62 years, SD = 0.95). Results demonstrated that traditional bullying victimization was associated with cyberbullying victimization. Furthermore, psychoactive substance use and problematic Internet use predicted both traditional bullying and cyberbullying victimization. Finally, perceived social support was found to be an important protective factor against both traditional and cyberbullying victimization. However, psychoactive substance use and problematic Internet use accounted for only a small proportion of variance in victimization.     

Youth engaging in online harassment: associations with caregiver-child relationships, Internet use, and personal characteristics

To date, research focused on "traditional" (i.e. in-person) youth bullying behaviour has documented serious psychosocial challenges for those involved. How this literature translates to youth engaging in aggressive behaviours online has yet to be examined. Using the largest US sample of youth Internet users to date, psychosocial characteristics of youth engaging in Internet harassment were examined. Results from the nationally representative survey suggested that Internet harassment is a significant public health issue, with aggressors facing multiple psychosocial challenges including poor parent-child relationships, substance use, and delinquency. Comparisons to traditional bullies were made, with similarities and differences noted.     

Psychoactive Substance Use Among Methadone Maintenance Therapy Clients in China

A proportion of methadone maintenance therapy (MMT) clients in China shifted their substance use habit from opiate to psychoactive substances. The objective of this study was to examine the pattern and associated factors of psychoactive substance use among MMT clients. The study was conducted among 2448 clients from 68 MMT clinics of China. The type and frequency of psychoactive substance use were self-reported. About 38.1% (N = 933) of the participants reported psychoactive substance use in their lifetime, and 6.5% (N = 158) in the previous 30 days. The most commonly used psychoactive substances were sedative/hypnotic/antidiarrheal agent and amphetamine. Psychoactive substance use in the past 30 days was correlated with younger age, recent heroin use, having psychoactive substance-using friend(s), and depressive symptoms. The finding suggested that urinalysis of psychoactive substances should be routinely administered in the MMT clinics. Young clients, concurrent heroin users, and clients with depressive symptoms deserve more screening and intervention efforts.     

Physical and sexual abuse issues among youths with substance use problems.

OBJECTIVES: To evaluate the prevalence of reported physical and sexual abuse among youths with substance use problems, to explore whether youths report relying on substances to cope with the abuse, and to examine whether individual factors related to substance use were associated with the outcome measures of reported physical abuse, sexual abuse, and using substances to cope. METHOD: We assessed 287 male and female youths (age 14 to 24 years) who presented for help for substance use problems, using a semistructured interview that focused on substance use, history of previous sexual and physical abuse, and coping strategies. RESULTS: One-half of the female youth substance abusers reported having been sexually abused (50.0%), while male youth substance users reported a significantly lower rate (10.4%). Similarly, one-half of the female youths had a history of physical abuse (50.5%), and males again had a lower rate (26.0%). Of those who endorsed a history of abuse, more females (64.7%) than males (37.9%) reported using substances to cope with the trauma. Specific associations between the outcome measures and substance use variables were found for youths in both sexes. CONCLUSION: These findings underscore the importance of why clinicians should explore abuse issues with substance-using youth of both sexes. Identifying concurrent factors will help provide better intervention strategies. Suggestions for assessing sexual and physical abuse in youths with substance use disorders are provided.     

Joint development of bullying and victimization in adolescence: relations to delinquency and self-harm

ObjectiveTo estimate trajectories of bullying and victimization in early to mid-adolescence, associations between the trajectories, and links with delinquency and self-harm.MethodA total of 3,932 adolescents (50% boys) reported bullying (ages 14 to 16), victimization (ages 13 to 16), delinquency (age 16), and self-harm (age 16).ResultsTwo bullying trajectories (low/decreasing, high/increasing) and three victimization trajectories (low, high/decreasing, high/increasing) were identified. Over time, victimization increased the likelihood of involvement in bullying to a greater extent than bullying increased the likelihood of victimization. Boys and girls in the high/increasing bullying and the low or high/increasing victimization trajectories (i.e., the bullies and the bully-victims) were highest in mid-adolescent delinquency. Girls following the high/increasing bullying and high/increasing victimization trajectories (bully-victims) were the highest in mid-adolescent self-harm.ConclusionsYouths who are victimized by their peers are at increased risk, in turn, of victimizing others. Sex-specific adjustment problems are associated with differing patterns of involvement in bullying and victimization among adolescents. J. Am. Acad. Child Adolesc. Psychiatry, 2008; 47(9):1030–1038.     

Intergenerational transmission of maternal overprotection and child anxiety in substance-using families

The current study investigated an intergenerational transmission model between maternal overprotection and child anxiety across three generations, among a sample of substance-using women and their children. Participants included 183 mother-child pairs. Mothers reported overprotective behaviors of their own mothers, as well as their own anxiety symptoms and substance use at baseline. Mothers reported their adolescents’ internalizing behaviors, and adolescents reported their mothers’ overprotection, five times over 1.5 years. Growth curve models showed that overprotection among the first generation (G1) mothers was related to anxiety among the second generation (G2) mothers and sequentially the rate of change of overprotection among G2 mothers. Baseline overprotection among G2 mothers was related to baseline internalizing problems among the third generation (G3). More importantly, substance use among G2 mothers moderated the link between the rate of change in overprotection among G2 mothers and the rate of change in internalizing problems among G3 children. Findings uncover the intergenerational transmission model of overprotection-anxiety and shed light upon the complex relations among anxiety, substance use, and parenting in substance-using families.