RT Journal Article
T1 School bullying in children and adolescents with neurodevelopmental and psychiatric conditions: a systematic review and meta-analysis
A1 Abregu-Crespo, Renzo
A1 Garriz-Luis, Alexandra
A1 Ayora, Miriam
A1 Martín-Martínez, Nuria
A1 Cavones, Vito
A1 Carrasco, Miguel Angel
A1 Díaz-Caneja, Covadonga M.
A1 Fraguas Herráez, David
A1 Martín Babarro, Javier
A1 Arango López, Celso
AB Background: Bullying is a common form of violence among children and adolescents. Young people with neurodevelopmental or psychiatric conditions might have an increased risk of bullying victimisation and perpetration. We aimed to assess the odds of bullying involvement and its association with mental health measures in these populations.Methods: In this systematic review and meta-analysis, we searched PubMed, ERIC, Psychology and Behavioural Sciences Collection, Web of Science Core Collection, PsycArticles, and PsycInfo databases from inception up to Aug 8, 2023, and included articles reporting data on bullying outcomes of current bullying (within the past year) among children and adolescents (aged 4-17 years) with a diagnosis of a neurodevelopmental or psychiatric condtion provided by a health professional. Bullying type was classified as traditional (physical, verbal, or relational) or as cyberbullying (intentional and repeated harm inflicted through electronic devices and social media), and bullying involvement was classified as victimisation, perpetration, and perpetration-victimisation. Mental health measures were collected and the associations with bullying involvement assessed. We used random-effects meta-analyses to estimate prevalence and odds ratios (ORs) for bullying involvement. Heterogeneity was assessed using the I2 statistic, and publication bias was tested with Egger's regression. This study is registered with PROSPERO, CRD42021235043.Findings: We included 212 studies in the meta-analysis. The total sample comprised 126 717 cases (mean age 12·34 years [SD 1·82], 37·6% girls) and 504 806 controls (12·5 years [SD 1·86], 47·6% girls). For traditional bullying, the pooled prevalence was 42·2% (95% CI 39·6-44·9) for victimisation, 24·4% (22·6-26·3) for perpetration, and 14·0% (11·4-17·1) for perpetration-victimisation. For cyberbullying, the prevalence was 21·8% (16·0-28·9) for victimisation, 19·6% (13·4-27·7) for perpetration, and 20·7% (8·4-42·6) for perpetration-victimisation. Compared with controls, young people with neurodevelopmental or psychiatric conditions were more likely to be involved in traditional and cyberbullying as a victim (OR 2·85 [95% CI 2·62-3·09] and 2·07 [1·63-2·61]), perpetrator (2·42 [2·20-2·66] and 1·91 [1·60-2·28]), and perpetrator-victim (3·66 [2·83-4·74] and 1·85 [1·05-3·28]). Bullying involvement was associated with higher scores in mental health measures in young people with neurodevelopmental or psychiatric conditions, particularly internalising symptoms and externalising symptoms.Interpretation: Our study underscores bullying involvement as a prevalent risk factor in young people with neurodevelopmental or psychiatric conditions that might add to their disease burden through its negative effects on mental health. Interventions targeting these vulnerable populations are warranted to improve their mental health and their future social integration.
PB Elsevier
YR 2023
FD 2023-12-15
LK https://hdl.handle.net/20.500.14352/116880
UL https://hdl.handle.net/20.500.14352/116880
LA eng
NO Abregú-Crespo, R., Garriz-Luis, A., Ayora, M., Martín-Martínez, N., Cavone, V., Carrasco, M. Á., Fraguas, D., Martín-Babarro, J., Arango, C., & Díaz-Caneja, C. M. (2024). School bullying in children and adolescents with neurodevelopmental and psychiatric conditions: a systematic review and meta-analysis. The Lancet. Child & adolescent health, 8(2), 122–134. https://doi.org/10.1016/S2352-4642(23)00289-4
NO Ministerio de Ciencia e Innovación (España)
NO Consorcio Centro de Investigación Biomédica en Red
NO Instituto de Salud Carlos III (ISCIII)
NO Gobierno Regional de la Comunidad de Madrid
NO Fundación Alicia Koplowitz.
NO Fundación Familia Alonso
NO Unión Europea
NO National Institute of Mental Health of the US National Institutes of Health
DS Docta Complutense
RD 10 abr 2025