Cumulative bullying victimization: An investigation of the dose–response relationship between victimization and the associated mental health outcomes, social supports, and school experiences of rural adolescents

2014 ◽  
Vol 44 ◽  
pp. 256-264 ◽  
Author(s):  
Caroline B.R. Evans ◽  
Paul R. Smokowski ◽  
Katie L. Cotter
2017 ◽  
Vol 41 (S1) ◽  
pp. s130-s131
Author(s):  
F. Jörg ◽  
D. Raven ◽  
E. Visser ◽  
R. Schoevers ◽  
T. Oldehinkel

IntroductionMultidisciplinary guidelines in adolescent mental health care are based on RCTs, while treatment efficacy can be different from effectiveness seen in ‘the real world’. Studies in the real world conducted so far suggest that treatment has a negligible effect on follow-up symptomatology. However, these studies did not incorporate the pre-treatment trajectory of symptoms nor investigated a dose-response relationship.ObjectivesTo test whether future treatment users and non-users differed in emotional and behavioural problem scores, whether specialist mental health treatment (SMHT) was effective in reducing problem levels while controlling for pre-treatment trajectory, and to seek evidence of a dose-response relationship.MethodsSix-year follow up data were used from the Tracking Adolescents’ Individual Lives Survey (TRAILS). We identified adolescents with a clinical level of problem behaviour on the Child Behaviour Checklist or Youth Self Report and first SMHT between the ages 13 and 16. Adolescents with a clinical level of problem behaviour but without SMHT use served as control group. A psychiatric case register provided data on number of treatment contacts. Using regression analysis, we predicted the effect of treatment on post-treatment problem scores.ResultsTreated adolescents more often had a (severe) diagnosis than untreated adolescents. Pre-treatment trajectories barely differed between treated and untreated adolescents. Treatment predicted an increase in follow-up problem scores, regardless of the number of sessions.ConclusionThe quasi-experimental design calls for modest conclusions. We might however need to take a closer look at real-world service delivery, and invest in developing treatments that can achieve sustainable benefits.Disclosure of interestThe authors have not supplied their declaration of competing interest.


SLEEP ◽  
2019 ◽  
Vol 42 (Supplement_1) ◽  
pp. A362-A362
Author(s):  
Thea Ramsey ◽  
Amy Athey ◽  
Jason Ellis ◽  
Andrew Tubbs ◽  
Robert Turner ◽  
...  

2019 ◽  
Author(s):  
Amanda L Johnson ◽  
Caroline X Gao ◽  
Martine Dennekamp ◽  
Grant J Williamson ◽  
David Brown ◽  
...  

ABSTRACTRationalIn 2014, local wildfires ignited a fire in the Morwell open cut coal mine, in south-eastern Australia, which burned for six weeks. Limited research was available regarding the respiratory health effects of coal mine fire-related PM2.5 smoke exposure.ObjectiveThis study examined associations between self-reported respiratory outcomes in adults and mine fire-related PM2.5 smoke exposure.ParticipantsEligible participants were adult residents of Morwell, identified using the Victorian electoral roll.Main outcome measuresSelf-reported data were collected as part of the Hazelwood Health Study Adult Survey.Mine fire-related PM2.5 concentrations were retrospectively modelled by the Commonwealth Scientific and Industrial Research Organisation Oceans & Atmosphere Flagship. Personalised mean 24-h and peak 12-h mine fire-related PM2.5 exposures were estimated for each participant. Data were analysed by multivariate logistic regression.ResultsThere was some evidence of a dose-response relationship between respiratory outcomes and mine fire PM2.5 concentrations. Chronic cough was associated with an Odds Ratio (OR) of 1.13 (95% Confidence Interval 1.03 to 1.23; p-value 0.007) per 10 μg/m3 increment in mean PM2.5 and 1.07 (1.02 to 1.12; 0.004) per 100 μg/m3 increment in peak PM2.5. Current wheeze was associated with peak PM2.5, OR=1.06 (1.02 to 1.11; 0.004) and chronic phlegm with mean PM2.5 OR=1.10 (1.00 to 1.20; 0.052). Males, participants 18-64 years and those residing in homes constructed from non-brick/concrete materials or homes with tin/metal roofs had higher estimated ORs.ConclusionsThese findings contribute to the formation of public health policy responses in the event of future major pollution episodes.Key MessagesWhat is the key question?Was there an association between mine fire-related PM2.5 smoke exposure and self-reported respiratory health outcomes for adult residents of Morwell, approximately 2.5 years after the mine fire?What is the bottom line?There was some evidence of a dose-response relationship between respiratory outcomes and mine fire-related PM2.5 concentrations.Why read on?There is limited research regarding the health effects of coal mine fire-related PM2.5 smoke exposure and to the best of our knowledge, this is the first study to examine self-reported respiratory symptoms associated with smoke exposure from a coal mine fire.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Karen A. Patte ◽  
Maram Livermore ◽  
Wei Qian ◽  
Scott T. Leatherdale

Abstract Background The purpose of this study was to explore whether the way youth perceive their weight and their experiences of bullying victimization account for the increased risk of depression and anxiety symptoms, and poor psychosocial well-being, associated with overweight/obesity in a large sample of Canadian secondary school students. We also explored if associations differed by gender. Methods We used cross-sectional survey data from year 7 (2018–19) of the COMPASS study. The sample included 57,059 students in grades 9–12 (Secondary III-V in Quebec) at 134 Canadian secondary schools (Alberta, British Columbia, Ontario, Quebec). First, multiple regression models tested associations between body mass index (BMI) classification and mental health outcomes (anxiety [GAD-7] and depression [CESD-10] symptoms, and psychosocial well-being [Diener’s Flourishing Scale]). Second, weight perception and bullying victimization were added to the models. Models were stratified by gender and controlled for sociodemographic covariates and school clustering. Results When weight perception and bullying victimization were added to the models, obesity BMI status no longer predicted internalizing symptoms and flourishing scores relative to normal-weight BMIs. Students with ‘overweight’ or ‘underweight’ perceptions, and experiences of bullying victimization in the past month, reported higher anxiety and depressive symptomatology, and lower flourishing levels, in comparison to students with ‘about right’ weight perceptions and without experiences of bullying victimization, respectively, controlling for BMI status. Results were largely consistent across boys and girls. Conclusions Results suggest perceptions of weight and experiences of bullying independently contribute to differences in mental health outcomes by weight status among youth. Continued efforts targeting weight-based bullying and weight bias, and the promotion of body size acceptance and positive body image, may help reduce the risk of mental illness and poor mental health among adolescents.


Author(s):  
Sheng Zhang ◽  
Meiqian Gong ◽  
Wenyan Li ◽  
Wanxin Wang ◽  
Ruipeng Wu ◽  
...  

Bullying victimization in school students is a serious public health concern and has been linked to a wide range of mental health problems. The current study aims to examine patterns of involvement in different types of bullying victimization among Chinese adolescents and evaluate the associations between bullying victimization and mental health problems. Cross-sectional data from 20,722 middle school students from Guangdong Province were sampled using a multistage, stratified cluster-randomized sampling method. Latent class analysis (LCA) was performed on seven items representing bullying victimization. Levels of mental health outcomes were compared across each latent class. Four latent classes were identified for boys: the high victimization class (0.6%), the moderate victimization class (2.8%), the verbal victimization class (12.4%), and the low victimization class (84.2%). For girls, three latent classes were identified: the high victimization class (0.7%), the moderate victimization class (5.6%), and the low victimization class (93.7%). Characteristics of the item probabilities were different between boys and girls. For both genders, a graded relationship was found between bullying victimization class membership and mental health outcomes. These findings underline the complexity of bullying victimization patterns among Chinese adolescents. Students with higher involvement in bullying victimization have more severe mental health problems.


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