Understanding Bullying Through a Child and Adolescent Population in a Mental Health Outpatient Department
摘要
Bullying research has traditionally focused on large-scale community studies, with a poorly defined concept, keeping blurred or subjective the differentiation between any act of violence or fighting among youths, and an actual act of bullying per se. Few clinical studies explored the wide array of mental health disorders, often studying a specific psychiatric disorder in relation to bullying. Our study aimed to explore bullying using the Olweus Questionnaire and its relationship with mental health disorders in 319 child and adolescent outpatients. Personal characteristics, environmental factors, and mental health profiles associated with bullying behaviors were examined. In summary, more than half of our patients’ sample were involved in bullying, primarily as victims lasting about a year. Playgrounds were the most common location, with verbal bullying prevailing (86%) and cyberbullying less common (6%). Our data suggests that only victims and bully-victims, not bullies, showed increased exposure to environmental adversities. Externalizing disorders were most frequently diagnosed in both bullies and victims. Bully-victims tend to have a higher likelihood for comorbid internalizing and externalizing disorders and to display the highest scores on mental health impairment scales as well. Implications for better addressing the issue of bullying in schools and for clinicians working with youths are highlighted.