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Consequences of bullying victimization in childhood and adolescence:A systematic review and meta-analysis

World Journal of Psychiatry 2017年第1期7卷 60-76页

作者： Sophie E Moore Rosana E Norman shuichi suetani Hannah J Thomas Peter D Sly James G Scott Child Health Research Centre the University of Queensland Institute of Health and Biomedical Innova-tion Queensland University of Technology School of Public Health and Social Work Queensland University of Technology Queensland Centre for Mental Health Research the Park Centre for Mental Health Faculty of Medicine the University of Queensland the University of Queensland Centre for Clinical Research the University of Queensland Metro North Mental Health Royal Brisbane and Women’s Hospital

AIM To identify health and psychosocial problems associated with bullying victimization and conduct a meta-analysis summarizing the causal *** A systematic review was conducted using Pub Med, EMBASE, ERIC and Psyc INFO electronic databases up to 28 February 2015. The study included published longitudinal and cross-sectional articles that examined health and psychosocial consequences of bullying victimization. All meta-analyses were based on qualityeffects models. Evidence for causality was assessed using Bradford Hill criteria and the grading system developed by the World Cancer Research *** Out of 317 articles assessed for eligibility, 165 satisfied the predetermined inclusion criteria for *** significant associations were observed between bullying victimization and a wide range of adverse health and psychosocial problems. The evidence was strongest for causal associations between bullying victimization and mental health problems such as depression, anxiety, poor general health and suicidal ideation and behaviours. Probable causal associations existed between bullying victimization and tobacco and illicit drug use. CONCLUSION Strong evidence exists for a causal relationship between bullying victimization, mental health problems and substance use. Evidence also exists for associations between bullying victimization and other adverse health and psychosocial problems, however, there is insufficient evidence to conclude causality. The strong evidence that bullying victimization is causative of mental illness highlights the need for schools to implement effective interventions to address bullying behaviours.

关键词： Bullying Victimization Systematic review Meta-analysis Child Adolescent

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