Journal of Abnormal Child Psychology

, Volume 40, Issue 6, pp 901–911 | Cite as

Bullying and PTSD Symptoms

  • Thormod Idsoe
  • Atle Dyregrov
  • Ella Cosmovici Idsoe
Article

Abstract

PTSD symptoms related to school bullying have rarely been investigated, and never in national samples. We used data from a national survey to investigate this among students from grades 8 and 9 (n = 963). The prevalence estimates of exposure to bullying were within the range of earlier research findings. Multinomial logistic regression showed that boys were 2.27 times more likely to be exposed to frequent bullying than girls. A latent variable second-order model demonstrated an association between frequency of bullying exposure and PTSD symptoms (beta = 0.49). This relationship was not moderated by gender. However, the average levels of PTSD symptoms as well as clinical range symptoms were higher for girls. For all bullied students, 27.6% of the boys and 40.5% of the girls had scores within the clinical range. A mimic model showed that youth who identify as being both a bully and a victim of bullying were more troubled than those who were victims only. Our findings support the idea that exposure to bullying is a potential risk factor for PTSD symptoms among students. Future research could investigate whether the same holds for PTSD through diagnostic procedures, but this will depend on whether or not bullying is decided to comply with the DSM-IV classification of trauma required for diagnosis. Results are discussed with regard to their implications for school interventions.

Keywords

Bullying Victimization PTSD symptoms School 

References

  1. APA. (2000). Diagnostic and statistical manual of mental disorders (Text revision) (4th ed.). Washington, DC: American Psychiatric Association.Google Scholar
  2. Arseneault, L., Bowes, L., & Shakoor, S. (2010). Bullying victimization in youths and mental health problems:‘much ado about nothing’. Psychological Medicine, 40(5), 717–729. doi:10.1017/S0033291709991383.PubMedCrossRefGoogle Scholar
  3. Bedard-Gilligan, M., & Zoellner, L. A. (2008). The utility of the A1 and A2 criteria in the diagnosis of PTSD. Behaviour Research and Therapy, 46, 1062–1069. doi:10.1016/j.brat.2008.06.009.PubMedCrossRefGoogle Scholar
  4. Berger, K. S. (2007). Update on bullying at school: science forgotten? Developmental Review, 27(1), 90–126. doi:10.1016/j.dr.2006.08.002.CrossRefGoogle Scholar
  5. Berkowitz, L. (1993). Aggression: its causes, consequences, and control. New York: McGraw-Hill.Google Scholar
  6. Björkqvist, K., Österman, K., & Hjeltbäck, M. (1994). Aggression among university employees. Aggressive Behavior, 20, 173–184.CrossRefGoogle Scholar
  7. Bokszczanin, A. (2007). PTSD symptoms in children and adolescents 28 months after a flood: age and gender differences. Journal of Traumatic Stress, 20(3), 347–351. doi:10.1002/jts.20220.PubMedCrossRefGoogle Scholar
  8. Bowers, L., Smith, P. K., & Binney, V. (1994). Perceived family relationships of bullies, victims and bully/victims in middle childhood. Journal of Social and Personal Relationships, 11(2), 215–232. doi:10.1177/0265407594112004.CrossRefGoogle Scholar
  9. Bowes, L., Arseneault, L., Maughan, B., Taylor, A., Caspi, A., & Moffitt, T. E. (2009). School, neighborhood, and family factors are associated with children’s bullying involvement: a nationally representative longitudinal study. Journal of the American Academy of Child and Adolescent Psychiatry, 48(5), 545–553. doi:10.1097/CHI.0b013e31819cb017.PubMedCrossRefGoogle Scholar
  10. Bremner, J. D. (2006). Traumatic stress from a multiple-levels-of-analysis perspective. In D. Cicchetti & D. J. Cohen (Eds.), Developmental psychopathology: developmental neuroscience (Vol. 2, pp. 656–676). Hoboken: John Wiley & Sons, Inc.Google Scholar
  11. Brewin, C. R., Andrews, B., Rose, S., & Kirk, M. (1999). Acute stress disorder and posttraumatic stress disorder in victims of violent crime. The American Journal of Psychiatry, 156(3), 360–366.PubMedGoogle Scholar
  12. Brewin, C. R., Andrews, B., & Valentine, J. D. (2000). Meta-analysis of risk factors for posttraumatic stress disorder in trauma-exposed adults. Journal of Consulting and Clinical Psychology, 68(5), 748. doi:10.1037/0022-006X.68.5.748.PubMedCrossRefGoogle Scholar
  13. Brewin, C. R., Lanius, R. A., Novac, A., Schnyder, U., & Galea, S. (2009). Reformulating PTSD for DSM-V: life after criterion A. Journal of Traumatic Stress, 22(5), 366–373. doi:10.1002/jts.20443.PubMedCrossRefGoogle Scholar
  14. Browne, M. W., & Cudeck, R. (1993). Alternative ways of assessing model fit. In K. A. Bollen & J. S. Long (Eds.), Testing structural equation models (pp. 136–162). Newbury Park: Sage.Google Scholar
  15. Bru, E., Boyesen, M., Munthe, E., & Roland, E. (1998). Perceived social support at school and emotional and musculoskeletal complaints among Norwegian 8th grade students. Scandinavian Journal of Educational Research, 4, 339–356. doi:10.1080/0031383980420402.CrossRefGoogle Scholar
  16. Carlisle, N., & Rofes, E. (2007). School bullying: do adult survivors perceive long-term effects? Traumatology, 13(1), 16–26. doi:10.1177/1534765607299911.CrossRefGoogle Scholar
  17. Cicchetti, D., & Curtis, J. (2006). The developing brain and neural plasticity: Implications for normality, psychopathology, and resilience. In D. Cicchetti & D. J. Cohen (Eds.), Developmental psychopathology: developmental neuroscience (Vol. 2, pp. 1–64). Hoboken: John Wiley & Sons, Inc.Google Scholar
  18. Craig, W., Harel-Fisch, Y., Fogel-Grinvald, H., Dostaler, S., Hetland, J., Simons-Morton, B., & Due, P. (2009). A cross-national profile of bullying and victimization among adolescents in 40 countries. International Journal of Public Health, 54, 216–224. doi:10.1007/s00038-009-5413-9.PubMedCrossRefGoogle Scholar
  19. Derryberry, D., & Tucker, D. M. (2006). Motivation, self-regulation, and self-organization. In D. Cicchetti & D. J. Cohen (Eds.), Developmental psychopathology: developmental neuroscience (Vol. 2, pp. 502–532). Hoboken: John Wiley & Sons, Inc.Google Scholar
  20. Dyregrov, A., Kuterovac, G., & Barath, A. (1996). Factor analysis of the impact of event scale with children in war. Scandinavian Journal of Psychology, 36, 339–350. doi:10.1111/j.1467-9450.1996.tb00667.x.CrossRefGoogle Scholar
  21. Enders, C. K. (2001). A primer on maximum likelihood algorithms available for use with missing data. Structural Equation Modeling, 8(1), 128–141. doi:10.1207/S15328007SEM0801_7.CrossRefGoogle Scholar
  22. Giedd, J. N. (2008). The teen brain: insights from neuroimaging. Journal of Adolescent Health, 42(4), 335–343. doi:10.1016/j.jadohealth.2008.01.007. Review.PubMedCrossRefGoogle Scholar
  23. Gilbert, R., Widom, C. S., Browne, K., Fergusson, D., Webb, E., & Janson, S. (2009). Burden and consequences of child maltreatment in high-income countries. The Lancet, 373(9657), 68–81. doi:10.1016/S0140-6736(08)61706-7 |.CrossRefGoogle Scholar
  24. Gold, S. D., Marx, B. P., Soler-Baillo, J. M., & Sloan, D. M. (2005). Is life stress more traumatic than traumatic stress? Journal of Anxiety Disorders, 19(6), 687–698. doi:10.1016/j.janxdis.2004.06.002.PubMedCrossRefGoogle Scholar
  25. Graham, J. W. (2009). Missing data analysis: making it work in the real world. Annual Review of Psychology, 60, 549–576. doi:10.1146/annurev.psych.58.110405.085530.PubMedCrossRefGoogle Scholar
  26. Hawker, D. S. J., & Boulton, M. J. (2000). Twenty years’ research on peer victimization and psychosocial maladjustment: a meta-analytic review of cross-sectional studies. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 41(4), 441–469. doi:10.1111/1469-7610.00629.PubMedCrossRefGoogle Scholar
  27. Herba, C. M., Ferdinand, R. F., Stijnen, T., Veenstra, R., Oldehinkel, A. J., Ormel, J., & Verhulst, F. C. (2008). Victimisation and suicide ideation in the TRAILS study: specific vulnerabilities of victims. Journal of Child Psychology and Psychiatry, 49(8), 867–876. doi:10.1111/j.1469-7610.2008.01900.x.PubMedCrossRefGoogle Scholar
  28. Horowitz, M. J., Wilner, N., & Alvarez, W. (1979). Impact of event scale: a measure of subjective stress. Psychosomatic Medicine, 41, 209–218.PubMedGoogle Scholar
  29. Johnson, M. H., & de Haan, M. (2006). Typical and atypical human functional brain development. In D. Cicchetti & D. J. Cohen (Eds.), Developmental psychopathology: developmental neuroscience (Vol. 2, pp. 197–215). Hoboken: John Wiley & Sons, Inc.Google Scholar
  30. Jöreskog, K. G. (1993). Testing structural equation models. In K. A. Bollen & J. S. Long (Eds.), Testing structural equation models (pp. 294–316). Newbury Park: Sage.Google Scholar
  31. Kassam-Adams, N., & Winston, F. K. (2004). Predicting child PTSD: the relationship between acute stress disorder and PTSD in injured children. Journal of the American Academy of Child and Adolescent Psychiatry, 43(4), 403–411.PubMedCrossRefGoogle Scholar
  32. Kilpatrick, D. G., Resnick, H. S., & Acierno, R. (2009). Should PTSD criterion a be retained? Journal of Traumatic Stress, 22(5), 374–383. doi:10.1002/jts.20436.PubMedCrossRefGoogle Scholar
  33. Klomek, A. B., Marrocco, F., Kleinman, M., Schonfeld, I., & Gould, M. S. (2007). Bullying, depression, and suicidality in adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 46(1), 40–49. doi:10.1097/01.chi.0000242237.84925.18.CrossRefGoogle Scholar
  34. Klomek, A. B., Sourander, A., Niemela, S., Kumpulainen, K., Piha, J., Tamminen, T., & Gould, M. (2009). Childhood bullying behaviors as a risk for suicide attempts and completed suicides: a population-based birth cohort study. Journal of the American Academy of Child and Adolescent Psychiatry, 48(3), 254–261. doi:10.1097/CHI.0b013e318196b91f.PubMedCrossRefGoogle Scholar
  35. Kraemer, B., Wittmann, L., Jenewein, J., Maier, T., & Schnyder, U. (2009). Is the stressor criterion dispensable? Psychopathology, 42(5), 333–336. doi:10.1159/000232976.PubMedCrossRefGoogle Scholar
  36. Lancaster, S. L., Melka, S. E., & Rodriguez, B. F. (2009). An examination of the differential effects of the experience of DSM-IV defined traumatic events and life stressors. Journal of Anxiety Disorders, 23, 711–717. doi:10.1016/j.janxdis.2009.02.010.PubMedCrossRefGoogle Scholar
  37. Laufer, A., & Solomon, Z. (2009). Gender differences in PTSD in Israeli youth exposed to terror attacks. Journal of Interpersonal Violence, 24(6), 959–976. doi:10.1177/0886260508319367. Article.PubMedCrossRefGoogle Scholar
  38. Leymann, H., & Gustafsson, A. (1996). Mobbing at work and the development of post-traumatic stress disorders. European Journal of Work and Organizational Psychology, 5, 251–275. doi:10.1080/13594329608414858.CrossRefGoogle Scholar
  39. Long, M. E., Elhai, J. D., Schweinle, A., Gray, M. J., Grubaugh, A. L., & Frueh, B. C. (2008). Differences in posttraumatic stress disorder diagnostic rates and symptom severity between criterion A1 and non-criterion A1 stressors. Journal of Anxiety Disorders, 22, 1255–1263. doi:10.1016/j.janxdis.2008.01.006.PubMedCrossRefGoogle Scholar
  40. Longford, N. T., & Muthén, B. O. (1992). Factor analysis for clustered observations. Psychometrika, 57(4), 581–597. doi:10.1007/BF02294421.CrossRefGoogle Scholar
  41. Marsh, H. W., Nagengast, B., Morin, A. J. S., Parada, R. H., Craven, R. G., & Hamilton, L. R. (2011). Construct validity of the multidimensional structure of bullying and victimization: an application of exploratory structural equation modeling. Journal of Educational Psychology, 103(3), 701–732. doi:10.1037/a0024122.CrossRefGoogle Scholar
  42. Matthiesen, S. B., & Einarsen, S. (2004). Psychiatric distress and symptoms of PTSD among victims of bullying at work. British Journal of Guidance and Counselling, 32(3), 335–356. doi:10.1080/03069880410001723558.CrossRefGoogle Scholar
  43. McKenney, K. S., Pepler, D. J., Craig, W. M., & Connolly, J. A. (2005). Psychosocial consequences of peer victimization in elementary and high school - an examination of posttraumatic stress disorder Symptomatology. In K. A. Kendall-Tackett & S. M. Giacomoni (Eds.), Child victimization. Kingston: Civic Research Institute.Google Scholar
  44. Meiser-Stedman, R., Yule, W., Smith, P., Glucksman, E., & Dalgleish, T. (2005). Acute stress disorder and posttraumatic stress disorder in children and adolescents involved in assaults or motor vehicle accidents. The American Journal of Psychiatry, 162, 1381–1383. doi:10.1176/appi.ajp. 162.7.1381.PubMedCrossRefGoogle Scholar
  45. Mikkelsen, E. G., & Einarsen, S. (2002). Basic assumptions and symptoms of post-traumatic stress among victims of bullying at work. European Journal of Work and Organizational Psychology, 11(1), 87–111. doi:10.1080/13594320143000861.CrossRefGoogle Scholar
  46. Mol, S. S. L., Arntz, A., Metsemakers, J. F. M., Dinant, G.-J., Vilters-van Montfort, P. A. P., & Knottnerus, J. A. (2005). Symptoms of post-traumatic stress disorder after non-traumatic events: evidence from an open population study. The British Journal of Psychiatry, 186, 494–499. doi:10.1192/bjp. 186.6.494.PubMedCrossRefGoogle Scholar
  47. Muthén, B. O. (1997). Latent variable modeling of longituidinal and multilevel data. In A. Raftery (Ed.), Sociological methodology (pp. 453–480). Boston: Blackwell Publishers.Google Scholar
  48. Muthén, B. O. (2007). Chi-square difference testing using the Satorra–Bentler scaled chi-square, from http://www.statmodel.com/chidiff.shtml.
  49. Muthén, L. K., & Muthén, B. O. (2011). Mplus version 6.11. Los Angeles: Muthén & Muthén.Google Scholar
  50. Mynard, H., Joseph, S., & Alexander, J. (2000). Peer victimization and posttraumatic stress in adolescents. Personality and Individual Differences, 29, 815–821. doi:10.1016/S0191-8869(99)00234-2.CrossRefGoogle Scholar
  51. Nader, R., & Koch, W. J. (2006). Does bullying result in posttraumatic stress disorder?, from http://www.drwilliamkoch.com/articles/Bullying%20and%20PTSD%20Review.doc.
  52. Nansel, T. R., Overpeck, M., Pilla, R. S., Ruan, W. J., Simons-Morton, B., & Scheidt, P. (2001). Bullying behaviors among US youth: prevalence and association with psychosocial adjustment. Journal of the American Medical Association, 285, 2094–2100. doi:10.1001/jama.285.16.2094.PubMedCrossRefGoogle Scholar
  53. Olweus, D. (1994). Bullying at school: basic facts and effects of a school based intervention program. Journal of Child Psychology and Psychiatry, 35(7), 1171–1190. doi:10.1111/j.1469-7610.1994.tb01229.x.PubMedCrossRefGoogle Scholar
  54. Perrin, S., Meiser-Stedman, R., & Smith, P. (2005). The Children’s Revised Impact of Event Scale (CRIES): validity as a screening instrument for PTSD. Behavioural and Cognitive Psychotherapy, 33(4), 487–498. doi:10.1017/S1352465805002419.CrossRefGoogle Scholar
  55. Pynoos, R. S., Steinberg, A. M., Layne, C. M., Briggs, E. C., Ostrowski, S. A., & Fairbank, J. A. (2009). DSM-V PTSD diagnostic criteria for children and adolescents: a developmental perspective and recommendations. Journal of Traumatic Stress, 22(5), 391–398. doi:10.1002/jts.20450. Proceedings Paper.PubMedCrossRefGoogle Scholar
  56. Rivers, I. (2004). Recollections of bullying at school and their long-term implications for lesbians, gay men and bisexuals. Crisis: The Journal of Crisis Intervention and Suicide Prevention, 24, 169–175. doi:10.1027/0227-5910.25.4.169.CrossRefGoogle Scholar
  57. Robinson, J. S., & Larson, C. (2010). Are traumatic events necessary to elicit symptoms of posttraumatic stress? Psychological Trauma: Theory, Research, Practice, and Policy, 2(2), 71–76. doi:10.1037/a0018954.CrossRefGoogle Scholar
  58. Roland, E. (2002). Aggression, depression and bullying others. Aggressive Behavior, 28(3), 198–206. doi:10.1002/ab.90022.CrossRefGoogle Scholar
  59. Roland, E., & Idsoe, T. (2001). Aggression and bullying. Aggressive Behavior, 27(6), 446–462. doi:10.1002/ab.1029.CrossRefGoogle Scholar
  60. Rubin, D. C., Boals, A., & Berntsen, D. (2008). Memory in posttraumatic stress disorder: properties of voluntary and involuntary, traumatic and nontraumatic autobiographical memories in people with and without posttraumatic stress disorder symptoms. Journal of Experimental Psychology, 137(4), 591–614. doi:10.1037/a0013165.PubMedGoogle Scholar
  61. Salmivalli, C. (2010). Bullying and the peer group: a review. Aggression and Violent Behavior, 15(2), 112–120. doi:10.1016/j.avb.2009.08.007 |.CrossRefGoogle Scholar
  62. Satorra, A., & Bentler, P. M. (1999). A scaled difference chi-square test statistic for moment structure analysis, from http://www.stat.ucla.edu/papers/preprints/260/.
  63. Scott, M. J., & Stradling, S. C. (1992). Counselling of post traumatic stress disorder. London: Sage.Google Scholar
  64. Sentse, M., Scholte, R., Salmivalli, C., & Voeten, M. (2007). Person–group dissimilarity in involvement in bullying and its relation with social status. Journal of Abnormal Child Psychology, 35(6), 1009–1019. doi:10.1007/s10802-007-9150-3.PubMedCrossRefGoogle Scholar
  65. Shakoor, S., Jaffee, S. R., Andreou, P., Bowes, L., Ambler, A. P., Caspi, A., & Arseneault, L. (2011). Mothers and children as informants of bullying victimization: results from an epidemiological cohort of children. Journal of Abnormal Child Psychology, 39, 379–387. doi:10.1007/s10802-010-9463-5.PubMedCrossRefGoogle Scholar
  66. Shields, A., & Cicchetti, D. (2001). Parental maltreatment and emotion dysregulation as risk factors for bullying and victimization in middle childhood. Journal of Clinical Child Psychology, 30(3), 349–363. doi:10.1207/S15374424JCCP3003_7.PubMedCrossRefGoogle Scholar
  67. Smith, P. K. (1997). Commentary III. Bullying in life-span perspective: what can studies of school bullying and workplace bullying learn from each other? Journal of Community and Applied Social Psychology, 7, 249–255. doi:10.1002/(SICI)1099-1298(199706)7:3<249::AID-CASP425>3.0.CO;2-2.CrossRefGoogle Scholar
  68. Solberg, M. E., & Olweus, D. (2003). Prevalence estimation of school bullying with the Olweus Bully/victim questionnaire. Aggressive Behavior, 29, 239–268. doi:10.1002/ab.10047.CrossRefGoogle Scholar
  69. Solberg, M. E., Olweus, D., & Endresen, I. M. (2007). Bullies and victims at school: are they the same pupils? British Journal of Educational Psychology, 77(2), 441–464. doi:10.1348/000709906X105689.PubMedCrossRefGoogle Scholar
  70. SPSS. (2009). SPSS for windows, Rel. 18.0.0. Chicago: IBM SPSS Inc.Google Scholar
  71. Tehrani, N. (2004). Bullying: a source of chronic posttraumatic stress? British Journal of Guidance and Counselling, 32, 357–366. doi:10.1080/03069880410001727567.CrossRefGoogle Scholar
  72. Thabet, A. A. M., Abed, Y., & Vostanis, P. (2004). Comorbidity of PTSD and depression among refugee children during war conflict. Journal of Child Psychology and Psychiatry, 45(3), 533–542. doi:10.1111/j.1469-7610.2004.00243.x.PubMedCrossRefGoogle Scholar
  73. Tolin, D. F., & Foa, E. B. (2006). Sex differences in trauma and posttraumatic stress disorder: a quantitative review of 25 years of research. Psychological Bulletin, 132(6), 959. doi:10.1037/0033-2909.132.6.959.PubMedCrossRefGoogle Scholar
  74. Van Hooff, M., McFarlane, A. C., Baur, J., Abraham, M., & Barnes, D. J. (2009). The stressor Criterion-A1 and PTSD: a matter of opinion? Journal of Anxiety Disorders, 23, 77–86. doi:10.1016/j.janxdis.2008.04.001.PubMedCrossRefGoogle Scholar
  75. Veenstra, R., Lindenberg, S., Oldehinkel, A. J., De Winter, A. F., Verhulst, F. C., & Ormel, J. (2005). Bullying and victimization in elementary schools: a comparison of bullies, victims, bully/victims, and uninvolved preadolescents. Developmental Psychology, 41(4), 672. doi:10.1037/0012-1649.41.4.672.PubMedCrossRefGoogle Scholar
  76. Weathers, F. W., & Keane, T. M. (2007). The criterion a problem revisited: controversies and challenges in defining and measuring psychological trauma. Journal of Traumatic Stress, 20(2), 107–121. doi:10.1002/jts.20210.PubMedCrossRefGoogle Scholar
  77. Weaver, A. (2000). Can post-traumatic stress disorder be diagnosed in adolescence with catastrophic stressor? A case report. Clinical Child Psychology and Psychiatry, 5(1), 2–7. doi:10.1177/1359104500005001008.CrossRefGoogle Scholar
  78. Yule, W. (1992). Post traumatic stress disorder in child survivors of shipping disasters: the sinking of the “Jupiter”. Journal of Psychotherapy. Psychosomatics, 57, 200–205.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Thormod Idsoe
    • 1
    • 2
  • Atle Dyregrov
    • 2
  • Ella Cosmovici Idsoe
    • 1
  1. 1.Centre for Behavioural ResearchUniversity of StavangerStavangerNorway
  2. 2.Center for Crisis PsychologyBergenNorway

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