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<p>This study examines the association between mental health and bullying experiences, controlling for clinical and demographic correlates in a nationally representative sample of children and adolescents in Beirut, Lebanon. Data&#xa0;from the Psychopathology in Children and Adolescents in Lebanon Study (PALS), including&#xa0;1283 children and adolescents and their legal guardians, was analyzed. The participants&#xa0;completed self-reported Arabic-validated scales, including the Peer-Relations Questionnaire (PRQ), Mood and Feelings Questionnaire (MFQ), Screen for Childhood Anxiety Related Disorder (SCARED), Child Revised Impact of Events Scale (CRIES), and the Strengths and Difficulties Questionnaire (SDQ) along with demographic and clinical information. About 5% (<i>n</i> = 71) were both bullies and victims, 12% (<i>n</i> = 154) bullied others, and 9% (<i>n</i> = 110) were victims only. Being younger, female, from lower-income families, having less-educated fathers, and having a family history of mental disorders were linked to being a victim. Bullies were more likely to be older, reside with their fathers, and have married parents. Bullying others doubled the odds of having a mental health disorder; being a victim quadrupled it; and being both bully-victim increased the odds by eightfold. Externalizing disorders (conduct or hyperactivity disorder) were strongly and positively associated with being a victim or bully-victim, while internalizing disorders (anxiety, depression, PTSD) were linked to all bullying categories. The study confirms&#xa0;that experiences are&#xa0;significantly linked to youth mental health. Schools are critical intervention points to screen for both bullying and mental health problems, and address&#xa0;treatment gaps. An early and&#xa0;integrated multidisciplinary&#xa0;approach is essential to address bullying and refer/manage mental health problems.</p>

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The Double Toll of Frequent Bullying Experiences and Mental Health Disorders in Adolescents: Towards an Integrated Prevention Approach

  • 期刊论文

  • 发表日期：

    2025年7月14日

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  • Riwa Haidar,
  • Lilian A. Ghandour,
  • Martine Elbejjani,
  • Elissa Khalil,
  • Wael Shamseddeen,
  • Fadi T. Maalouf

摘要

This study examines the association between mental health and bullying experiences, controlling for clinical and demographic correlates in a nationally representative sample of children and adolescents in Beirut, Lebanon. Data from the Psychopathology in Children and Adolescents in Lebanon Study (PALS), including 1283 children and adolescents and their legal guardians, was analyzed. The participants completed self-reported Arabic-validated scales, including the Peer-Relations Questionnaire (PRQ), Mood and Feelings Questionnaire (MFQ), Screen for Childhood Anxiety Related Disorder (SCARED), Child Revised Impact of Events Scale (CRIES), and the Strengths and Difficulties Questionnaire (SDQ) along with demographic and clinical information. About 5% (n = 71) were both bullies and victims, 12% (n = 154) bullied others, and 9% (n = 110) were victims only. Being younger, female, from lower-income families, having less-educated fathers, and having a family history of mental disorders were linked to being a victim. Bullies were more likely to be older, reside with their fathers, and have married parents. Bullying others doubled the odds of having a mental health disorder; being a victim quadrupled it; and being both bully-victim increased the odds by eightfold. Externalizing disorders (conduct or hyperactivity disorder) were strongly and positively associated with being a victim or bully-victim, while internalizing disorders (anxiety, depression, PTSD) were linked to all bullying categories. The study confirms that experiences are significantly linked to youth mental health. Schools are critical intervention points to screen for both bullying and mental health problems, and address treatment gaps. An early and integrated multidisciplinary approach is essential to address bullying and refer/manage mental health problems.