Bullies and Victims Both Develop Psychiatric Problems

August 20, 2007 at 3:54 PM Child Health News
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Bullying and victimization are both associated with poor family functioning, parental violence, subsequent conduct and personality disorders, and criminality, and bullying and victimization behaviors are stable between the ages of 8 and 16 years.

Some Finnish study highlights:

• Adult psychiatric morbidity was assessed 3 times between ages 18 and 23 years as part of the military call-up examination.
• Military service is mandatory in Finland; it starts after age 18 years and lasts 6 to 12 months for all Finnish men.
• Subjects were classified into 1 of 5 groups of disorders: "anxiety disorder," "depressive disorder," "antisocial personality disorder," "substance abuse disorder," and "psychotic disorder."
• Boys who were both bullies and victims who screened positive had a 5-fold increased risk for a psychiatric disorder as against those who screened negative and who were not involved in bullying.
• Children with frequent bullying or victimization (11%) who screened positive accounted for 28% of adult psychiatric diagnoses.
• The authors concluded that combined bullying and victimization posed the greatest risk for psychiatric morbidity followed by bullying and victimization. The authors recommended a screening strategy to identify bullies, victims, and combined bullies and victims followed by psychiatric screening as more cost-effective than universal screening to identify future psychiatric disorders.

"Both bullying and victimization during early school years are public health signs that identify boys who are at risk of suffering psychiatric disorders in early adulthood," the authors write. "The school health and educational system has a central role to play in detecting these boys at risk."
The study was confined to boys only.

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