Abstract
Purpose
Health-related quality of life (HRQoL) has been analyzed in relation to multiple psychosocial and health problems. However, only a few studies have analyzed the impact of bullying and cyberbullying on HRQoL. The main purpose of this study was to analyze the level of severity of bullying and cyberbullying on HRQoL. The effects of different roles, especially the conjunctions of of victim–cybervictim and bully–victim/cyberbully–cybervictim on HRQoL, were explored.
Methods
An analytical and cross-sectional study was conducted in a region of northern Spain. Random and representative sampling was employed. The participants included 12, 285 adolescents between 11 and 18 years of age, with a mean age of 14.69 ± 1.73. The Spanish version of the KIDSCREEN-27, the Spanish version of the European bullying intervention project questionnaire (EBIPQ), and the cyberbullying triangulation questionnaire (CTQ) were employed.
Results
The prevalence of bullying victimization, cybervictimization, bullying perpetration, and cyberbullying perpetration was 12%, 8.1%, 10.4%, and 7%, respectively. Significant and negative correlations between all the dimensions of the EBIPQ and the CTQ with the KIDSCREEN-27 were found. Victimization and cybervictimization had more impact than bullying perpetration and cyberbullying perpetration, especially on psychological well-being and school environment. The mixed roles of the victim–cybervictim and victim–cybervictim/bully–cyberbully obtained lower scores than the remaining roles in all the dimensions of KIDSCREEN-27.
Conclusions
Those in mixed roles related to victimization and cybervictimization obtained the lowest scores in all HRQoL dimensions. The results enhance an understanding of the severity of the problem of bullying and cyberbullying and their impact on HRQoL.
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References
Wallander, J. L., & Koot, H. M. (2016). Quality of life in children: A critical examination of concepts, approaches, issues, and future directions. Clinical Psychology Review,45, 131–143. https://doi.org/10.1016/j.cpr.2015.11.007.
Gill, T. M., & Feinstein, A. R. (1994). A critical appraisal of the quality of quality-of-life measurements. The Journal of the American Medical Association,272(8), 619–626. https://doi.org/10.1001/jama.1994.03520080061045.
Seedhouse, D. (2001). Health: The foundations for achievement. Chichester: Wiley.
Jernbro, C., Tindberg, Y., Lucas, S., & Janson, S. (2015). Quality of life among Swedish school children who experienced multitype child maltreatment. Acta Paediatrica,104(3), 320–325. https://doi.org/10.1111/apa.12873.
da Silva-Júnior, I. F., Hartwig, A. D., Demarco, G. T., Stüermer, V. M., Scobernatti, G., Goettems, M. L., et al. (2018). Health-related quality of life of maltreated children and adolescents who attended a service center in Brazil. Quality of Life Research,27(8), 2157–2164. https://doi.org/10.1007/s11136-018-1881-9.
Afifi, T. O., Enns, M. W., Cox, B. J., de Graaf, R., ten Have, M., & Sareen, J. (2007). Child abuse and health-related quality of life in adulthood. The Journal of Nervous and Mental Disease,195(10), 797–804. https://doi.org/10.1097/NMD.0b013e3181567fdd.
Salmela-Aro, K. (2011). Stages of adolescence. In B. Bradford Brown & M. J. Prinstein (Eds), Encyclopedia of adolescence (Vol. 1, pp. 360–368). Oxford: Elsevier Inc. https://doi.org/10.1016/b978-0-12-373951-3.00043-0.
Higuita-Gutiérrez, L. F., & Cardona-Arias, J. A. (2015). Concepto de calidad de vida en la adolescencia: una revisión crítica de la literatura. Revista CES Psicología,8(1), 155–168. https://doi.org/10.21615/3031.
Olweus, D. (2013). School bullying: Development and some important challenges. Annual Review of Clinical Psychology,9(1), 751–780. https://doi.org/10.1146/annurev-clinpsy-050212-185516.
Tokunaga, R. S. (2010). Following you home from school: A critical review and synthesis of research on cyberbullying victimization. Computers in Human Behavior,26(3), 277–287. https://doi.org/10.1016/j.chb.2009.11.014.
Modecki, K. L., Minchin, J., Harbaugh, A. G., Guerra, N. G., & Runions, K. C. (2014). Bullying prevalence across contexts: A meta-analysis measuring cyber and traditional bullying. Journal of Adolescent Health,55(5), 602–611. https://doi.org/10.1016/j.jadohealth.2014.06.007.
Zych, I., Ortega-Ruiz, R., & Del Rey, R. (2015). Systematic review of theoretical studies on bullying and cyberbullying: Facts, knowledge, prevention, and intervention. Aggression and Violent Behavior,23, 1–21. https://doi.org/10.1016/j.avb.2015.10.001.
Brochado, S., Soares, S., & Fraga, S. (2017). A scoping review on studies of cyberbullying prevalence among adolescents. Trauma, Violence, and Abuse,18(5), 523–531. https://doi.org/10.1177/1524838016641668.
Wilkins-Shurmer, A., O’Callaghan, M. J., Najman, J. M., Bor, W., Williams, G. M., & Anderson, M. J. (2003). Association of bullying with adolescent health-related quality of life. Journal of Paediatrics and Child Health,39(6), 436–441. https://doi.org/10.1046/j.1440-1754.2003.00184.x.
Analitis, F., Velderman, M. K., Ravens-Sieberer, U., Detmar, S., Erhart, M., Herdman, M., … Group, T. E. K. (2009). Being bullied: associated factors in children and adolescents 8 to 18 years old in 11 european countries. Pediatrics, 123(2), 569–577. https://doi.org/10.1542/peds.2008-0323
Frisén, A., & Bjarnelind, S. (2010). Health-related quality of life and bullying in adolescence. Acta Paediatrica,99(4), 597–603. https://doi.org/10.1111/j.1651-2227.2009.01664.x.
Smith, P. K., Shu, S., & Madsen, K. (2001). Characteristics of victims of school bullying: Developmental changes in coping strategies and skills. In J. Juvonen & S. Graham (Eds.), Peer harassment in school: The plight of the vulnerable and victimized (pp. 332–351). New York: The Guilford Press.
Kowalski, R. M., & Limber, S. P. (2013). Psychological, physical, and academic correlates of cyberbullying and traditional bullying. Journal of Adolescent Health,53(1 SUPPL), S13–S20. https://doi.org/10.1016/j.jadohealth.2012.09.018.
Vélez Galárraga, R., López Aguilà, S., & Rajmil, L. (2009). Gender and self-perceived health in childhood and adolescence in Spain. Gaceta Sanitaria,23(5), 433–439. https://doi.org/10.1016/j.gaceta.2009.01.014.
Hidalgo-Rasmussen, C., Molina, T., Molina, R., Sepúlveda, R., Martínez, V., Montaño, R., … George, M. (2015). Influence of bullying on the quality of life perception of Chilean students. Revista Médica de Chile, 143, 716–723. https://doi.org/10.4067/s0034-98872015000600004
Hidalgo-Rasmussen, C. A., Ramírez-López, G., Rajmil, L., Skalicky, A., & Hidalgo-San Martín, A. (2018). Bullying and health-related quality of life in children and adolescent Mexican students. Ciência & Saúde Coletiva,23(7), 2433–2441. https://doi.org/10.1590/1413-81232018237.16392016.
Kadiroğlu, T., Hendekci, A., & Tosun, Ö. (2018). Investigation of the relationship between peer victimization and quality of life in school-age adolescents. Archives of Psychiatric Nursing,32(6), 850–854. https://doi.org/10.1016/j.apnu.2018.06.010.
González-Cabrera, J., León-Mejía, A., Beranuy-Fargues, M., Gutiérrez-Ortega, M., Alvarez-Bardón, A., & Machimbarrena, J. M. (2018). Relationship between cyberbullying and health-related quality of life in a sample of children and adolescents. Quality of Life Research,27(10), 2609–2618. https://doi.org/10.1007/s11136-018-1901-9.
Mishna, F., Khoury-Kassabri, M., Gadalla, T., & Daciuk, J. (2012). Risk factors for involvement in cyber bullying: Victims, bullies and bully-victims. Children and Youth Services Review,34(1), 63–70. https://doi.org/10.1016/j.childyouth.2011.08.032.
González-Cabrera, J. M., León-Mejía, A., Machimbarrena, J. M., Balea, A., & Calvete, E. (2019). Psychometric properties of the cyberbullying triangulation questionnaire: A prevalence analysis through seven roles. Scandinavian Journal of Psychology. https://doi.org/10.1111/sjop.12518.
Festl, R., Vogelgesang, J., Scharkow, M., & Quandt, T. (2017). Longitudinal patterns of involvement in cyberbullying: Results from a Latent Transition Analysis. Computers in Human Behavior,66, 7–15. https://doi.org/10.1016/j.chb.2016.09.027.
Cook, C. R., Williams, K. R., Guerra, N. G., Kim, T. E., & Sadek, S. (2010). Predictors of bullying and victimization in childhood and adolescence: A meta-analytic investigation. School Psychology Quarterly,25(2), 65–83. https://doi.org/10.1037/a0020149.
Kelly, E. V., Newton, N. C., Stapinski, L. A., Slade, T., Barrett, E. L., Conrod, P. J., et al. (2015). Suicidality, internalizing problems and externalizing problems among adolescent bullies, victims and bully-victims. Preventive Medicine,73, 100–105. https://doi.org/10.1016/j.ypmed.2015.01.020.
Zych, I., Ortega-Ruiz, R., & Marín-López, I. (2016). Cyberbullying: A systematic review of research, its prevalence and assessment issues in Spanish studies. Psicologia Educativa,22(1), 5–18. https://doi.org/10.1016/j.pse.2016.03.002.
Montero, I., & León, O. G. (2007). A guide for naming research studies in Psychology. International Journal of Clinical and Health Psychology,7(3), 847–862.
The KIDSCREEN Group Europe. (2006). The KIDSCREEN Questionnaires—Handbook.
Ortega-Ruiz, R., Del Rey, R., & Casas, J. A. (2016). Evaluar el bullying y el cyberbullying validación española del EBIP-Q y del ECIP-Q. Psicologia Educativa,22(1), 71–79. https://doi.org/10.1016/j.pse.2016.01.004.
Calvete, E., Orue, I., Estévez, A., Villardón, L., & Padilla, P. (2010). Cyberbullying in adolescents: Modalities and aggressors’ profile. Computers in Human Behavior,26(5), 1128–1135. https://doi.org/10.1016/j.chb.2010.03.017.
Corp, I. B. M. (2015). Statistical package for the social sciences for windows. Armonk: International Business Machines Corp.
Team, R. C. (2015). R: a language and environment for statistical computing. Vienna, Austria: Foundation for Statistical Computing
Revelle, W. (2015). R: a language and environment for statistical computing.
Cronbach, L. J. (1951). Coefficient alpha and the internal structure of tests. Psychometrika,16(3), 297–334. https://doi.org/10.1007/BF02310555.
Elosua, P., & Zumbo, B. D. (2008). Reliability coefficients for ordered categorical response scales. Psichothema,20(4), 896–901.
McDonald, R. P. (1999). Test theory: A unified treatment. Test theory: A unified treatment. Mahwah: Lawrence Erlbaum Associates Publishers.
Beckman, L., Svensson, M., & Frisen, A. (2016). Preference-based health-related quality of life among victims of bullying. Quality of Life Research,25(2), 303–309. https://doi.org/10.1007/s11136-015-1101-9.
Smith, P. K. (2019). Narratives in research and interventions on cyberbullying among young people. In H. Vandebosch & L. Green (Eds.), Narratives in research and interventions on cyberbullying among young people (pp. 9–27). London: Springer International Publishing. https://doi.org/10.1007/978-3-030-04960-7.
Yang, A., Li, X., & Salmivalli, C. (2016). Maladjustment of bully-victims: Validation with three identification methods. Educational Psychology,36(8), 1390–1407. https://doi.org/10.1080/01443410.2015.1015492.
Ortega, R., Elipe, P., Mora-Merchán, J. A., Genta, M. L., Brighi, A., Guarini, A., … Tippett, N. (2012). The emotional impact of bullying and cyberbullying on victims: a European cross‐national study. Aggressive Behavior, 38(5), 342–356. https://doi.org/10.1002/ab.21440
Garaigordobil, M., & Machimbarrena, J. M. (2019). Victimization and perpetration of bullying/cyberbullying: Connections with emotional and behavioral problems and childhood stress. Psychosocial Intervention. https://doi.org/10.5093/pi2019a3.
Iranzo, B., Buelga, S., Cava, M. J., & Ortega-Barón, J. (2019). Cyberbullying, psychosocial adjustment, and suicidal ideation in adolescence. Psychosocial Intervention. https://doi.org/10.5093/pi2019a5.
Machimbarrena, J. M., Calvete, E., Fernández-González, L., Álvarez-Bardón, A., Álvarez-Fernández, L., & González-Cabrera, J. (2018). Internet risks: An overview of victimization in cyberbullying, cyber dating abuse, sexting, online grooming and problematic internet use. International Journal of Environmental Research and Public Health. https://doi.org/10.3390/ijerph15112471.
Calvete, E., Fernández-González, L., González-Cabrera, J. M., & Gámez-Guadix, M. (2018). Continued bullying victimization in adolescents: Maladaptive schemas as a mediational mechanism. Journal of Youth and Adolescence,47(3), 650–660. https://doi.org/10.1007/s10964-017-0677-5.
Gámez-Guadix, M., Gini, G., & Calvete, E. (2015). Stability of cyberbullying victimization among adolescents: Prevalence and association with bully-victim status and psychosocial adjustment. Computers in Human Behavior,53, 140–148. https://doi.org/10.1016/j.chb.2015.07.007.
Kowalski, R. M., Giumetti, G. W., Schroeder, A. N., & Lattanner, M. R. (2014). Bullying in the digital age: A critical review and meta-analysis of cyberbullying research among youth. Psychological Bulletin,140(4), 1073–1137. https://doi.org/10.1037/a0035618.
Smokowski, P. R., Evans, C. B. R., & Cotter, K. L. (2014). The differential impacts of episodic, chronic, and cumulative physical bullying and cyberbullying: The effects of victimization on the school experiences, social support, and mental health of rural adolescents. Violence and Victims,29(6), 1029–1046. https://doi.org/10.1891/0886-6708.VV-D-13-000761029.
Yudes-Gómez, C., Baridon-Chauvie, D., & González-Cabrera, J.-M. (2018). Cyberbullying and Problematic internet use in Colombia, Uruguay and Spain: Cross-cultural study. Comunicar,26(56), 2018. https://doi.org/10.3916/C56-2018-05.
Connell, N. M., Schell-Busey, N. M., Pearce, A. N., & Negro, P. (2014). Badgrlz? Exploring sex differences in cyberbullying behaviors. Youth Violence and Juvenile Justice,12(3), 209–228. https://doi.org/10.1177/1541204013503889.
Pabian, S., & Vandebosch, H. (2016). An investigation of short-term longitudinal associations between social anxiety and victimization and perpetration of traditional bullying and cyberbullying. Journal of Youth and Adolescence,45(2), 328–339. https://doi.org/10.1007/s10964-015-0259-3.
González-Cabrera, J., Balea, A., Vallina, M., Moya, A., & Laviana, O. (2017). Informe ejecutivo del Proyecto Ciberastur [CYBERASTUR Executive project report]. Oviedo. Retrieved from https://goo.gl/wLxQ6i. Accessed 28 Oct 2019.
Negriff, S., & Susman, E. J. (2011). Pubertal timing, depression, and externalizing problems: A framework, review, and examination of gender differences. Journal of Research on Adolescence,21(3), 717–746. https://doi.org/10.1111/j.1532-7795.2010.00708.x.
Mestre-Escriva, M. V., Samper-Garcia, P., Frias-Navarro, D., & Tur-Porcar, A. M. (2009). Are women more empathetic than men? A longitudinal study in adolescence. Spanish Journal of Psychology,12(1), 76–83. https://doi.org/10.1017/S1138741600001499.
Pouwels, J. L., Souren, P. M., Lansu, T. A. M., & Cillessen, A. H. N. (2016). Stability of peer victimization: A meta-analysis of longitudinal research. Developmental Review,40, 1–24. https://doi.org/10.1016/j.dr.2016.01.001.
Machimbarrena, J. M., & Garaigordobil, M. (2017). Bullying/cyberbullying in 5th and 6th grade: Differences between public and private schools. Anales de Psicologia,33(2), 319–326. https://doi.org/10.6018/analesps.33.2.249381.
Del Rey, R., Casas, J. A., & Ortega, R. (2016). Impact of the ConRed program on different cyberbulling roles. Aggressive Behavior,42(2), 123–135. https://doi.org/10.1002/ab.21608.
Ortega-Barón, J., Buelga, S., Ayllón, E., Martínez-Ferrer, B., & Cava, M.-J. (2019). Effects of intervention program prev@cib on traditional bullying and cyberbullying. International Journal of Environmental Research and Public Health,16(4), 527. https://doi.org/10.3390/ijerph16040527.
Garaigordobil, M., & Martínez-Valderrey, V. (2014). Efecto del Cyberprogram 2.0 sobre la reducción de la victimización y la mejora de la competencia social en la adolescencia. Revista de Psicodidactica,19(2), 289–306. https://doi.org/10.1387/revpsicodidact.10239.
Quintana-Orts, C., & Rey, L. (2018). Traditional bullying, cyberbullying and mental health in early adolescents: Forgiveness as a protective factor of peer victimisation. International Journal of Environmental Research and Public Health. https://doi.org/10.3390/ijerph15112389.
Acknowledgements
This research was funded by Spanish Ministry of Economy, Industry and Competitiveness, RTI2018-094212-B-I00: (CIBER-AACC); and by the International University of la Rioja, Project “Cyberpsychology” (Trienio Own Research Plan 4 [2017-2020]). We wish to thank the participating schools, their management teams, faculty, and, especially, the students and their families for realizing the importance of the study. We are especially grateful to the “Dirección General de Ordenación Académica e Innovación Educativa (Consejería de Educación y Cultura, Principado de Asturias, España).”
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González-Cabrera, J., Machimbarrena, J.M., Ortega-Barón, J. et al. Joint association of bullying and cyberbullying in health-related quality of life in a sample of adolescents. Qual Life Res 29, 941–952 (2020). https://doi.org/10.1007/s11136-019-02353-z
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DOI: https://doi.org/10.1007/s11136-019-02353-z