May 20, 2015

Lancet Psychiatry conducts bullying study with surprising results

Kenison Garratt
Staff Writer

The Lancet Psychiatry has launched the first study documenting the effects of maltreatment by adults and peer bullying in childhood and mental health consequences, and the results have been rather surprising. Their results revealed being bullied in childhood has long-term effects on the mental health of young adults. The study, led by Professor Dieter Wolke from the University of Warwick, compared young adults in the United States and the United Kingdom who were maltreated and bullied in childhood. The researchers defined maltreatment as, “any physical or emotional ill-treatment, sexual abuse, neglect, or negligent treatment resulting in actual or potential harm to the child’s health, survival, development or dignity.”


Children bullied by peers were more likely to develop mental health issues than those mistreated by an adult. They were more likely to suffer from depression, anxiety and consider self-harm and suicide later in life. Wolke reasons it’s because children spend more time with their peers and bullying has a repetitive nature, “Bullying is comparable to a scenario for a caged animal. The classroom is a place where you're with people you didn't choose to be with, and you can't escape them if something negative happens.”

Children may internalize the effects of bullying, this leads to stress-related issues. Or, they may externalize the effects and become a bully themselves. “Being bullied by peers in childhood had generally worse long-term adverse effects on young adults’ mental health,” noted researchers, “These effects were not explained by poly-victimization. The findings have important implications for public health planning and service development for dealing with peer bullying.”

Data compared two different studies of 4,026 UK participants and 1,273 U.S. participants. The UK study looked at the maltreatment from the ages of 8 weeks to 8.6 years. Maltreatment information was gathered from mothers, who were asked whether their child had been physically or mentally abused. The children then reported of bullying when they were eight, 10 and 13. The U.S. data focused on bullying and maltreatment between the ages of nine and 16 and the mental health effects between the ages of 19 to 25. The maltreatment and bullying were assessed through parent and child interviews at regular intervals. Once 18, the children were tested for anxiety and depression and asked about self-harm and suicidal thoughts. As young adults, 19% of the UK participants and 18% of the U.S. participants had mental health issues such as depression, anxiety and suicidal urges. Children who were bullied were five times more likely to experience anxiety and twice as likely to talk of suffering depression and self-harm as those were abused at home.

Supporters of the study are suggesting it’s time to address bullying. “Governmental efforts have focused almost exclusively on public policy to address family maltreatment; much less attention and resources has been paid to bullying,” says Jennifer Wild of the University of Oxford, “Since bullying is frequent and found in all social groups, and current evidence supports that bullied children have similar or worse long-term mental health outcomes than maltreatment, this imbalance requires attention.”

The study suggests bullying is a global problem, and the study’s authors believe bullying is a public health issue that requires action. The director of the Not in Our Schools program, Becki Cohn-Vargas, encourages others to step in and take action, “What's really important is getting the public and the medical world to recognize bullying for what it is -- a serious issue.”
Johanna Eager, director for the Human Rights Campaign Foundation’s Welcoming Schools program, believes bullying is the result of division and misunderstanding which leads to the formation of negative associations. Wolke supports this claim, saying the bullying situation is critical in countries with stringent class divisions between low and high income families. “Because of the core experience of social humiliation at home or school bullying can be a powerful experience,” says Professor William Copeland of Duke University School of Medicine,  “Bullied kids are singled out and their [grief] is often not addressed very quickly which can lead to an accumulated toll of that experience that stays with them. People don’t necessarily get a lot of support when bullied or experience significant adults, like teachers or parents, downplay it. This creates a sense within the individual that something is wrong with them and that they should get over it with little help.”

Programs like Welcoming Schools and Not in Our Schools aim to aid teachers, parents and children in stopping the bullying taking place in schools and communities. “It's a community problem,” says Wolke, “Physicians don't ask about bullying. Health professionals, educators and legislation could provide parents with medical and social resources. We all need to be trained to ask about peer relationships.”

Advocates suggest defining bullying will help schools to get rid of it, and they define it as behavior that causes harm. The director of Not in Our Schools, Becki Cohn-Vargas, also encourages others step in and take action, “What's really important is getting the public and the medical world to recognize bullying for what it is -- a serious issue.”

Specialists recommend role models watch their behavior, because children tend to mimic behavior, even negative or aggressive behavior. “We tend to admire power,” says Dr. Tracy Vaillancourt, a University of Ottawa professor and Canada Research Chair for Children’s Mental Health and Violence Prevention, “But we also tend to abuse power, because we don't talk about achieving power in an appropriate way. Bullying is part of the human condition, but that doesn't make it right. We should be taking care of each other.”


Previously, Wolke saw mistreatment as the main point of concern with regard to children’s mental health as they matured, but this study changes it all, “Until now, governments have focused their efforts and resources on family maltreatment rather than bullying. Since one in three children worldwide report being bullied, and it is clear that bullied children have similar or worse mental health problems later in life to those who are maltreated, more needs to be done to address this imbalance. Moreover, it is vital that schools, health services and other agencies work together to tackle bullying.”