Bullying in Medically Fragile Youth

Faith, Melissa A.; Reed, Gabriela; Heppner, Celia E.; Hamill, Lillian C.; Tarkenton, T; Donewar, Crista Wetherington

doi:10.1097/dbp.0000000000000155

Cited by 26 publications

(13 citation statements)

References 186 publications

(190 reference statements)

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“…Many studies have shown that youth with chronic illness or disability are more likely to be bullied [17, 18] which is in contrast to our data. We would speculate some uncollected information may explain these findings.…”

Section: Discussioncontrasting

confidence: 99%

Risk Behaviors in Teens with Chronic Kidney Disease: A Study from the Midwest Pediatric Nephrology Consortium

Xiao

Stolfi

Malatesta-Muncher

et al. 2019

International Journal of Nephrology

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Introduction There is a paucity of information about risk behaviors in adolescents with chronic kidney disease (CKD). We designed this study to assess the prevalence of risk behaviors among teens with CKD in the United States and to investigate any associations between risk behavior and patient or disease characteristics. Methods After informed consent, adolescents with CKD completed an anonymous, confidential, electronic web-based questionnaire to measure risk behaviors within five domains: sex, teen driving, alcohol and tobacco consumption, illicit drug use, and depression-related risk behavior. The reference group was composed of age-, gender-, and race-matched US high school students. Results When compared with controls, teens with CKD showed significantly lower prevalence of risk behaviors, except for similar use of alcohol or illicit substances during sex (22.5% vs. 20.8%, p=0.71), feeling depressed for ≥2 weeks (24.3% vs. 29.1%, p=0.07), and suicide attempt resulting in injury needing medical attention (36.4% vs. 32.5%, p=0.78). Furthermore, the CKD group had low risk perception of cigarettes (28%), alcohol (34%), marijuana (50%), and illicit prescription drug (28%). Use of two or more substances was significantly associated with depression and suicidal attempts (p < 0.05) among teens with CKD. Conclusions Teens with CKD showed significantly lower prevalence of risk behaviors than controls. Certain patient characteristics were associated with increased risk behaviors among the CKD group. These data are somewhat reassuring, but children with CKD still need routine assessment of and counselling about risk behaviors.

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Section: Discussioncontrasting

confidence: 99%

Risk Behaviors in Teens with Chronic Kidney Disease: A Study from the Midwest Pediatric Nephrology Consortium

Xiao

Stolfi

Malatesta-Muncher

et al. 2019

International Journal of Nephrology

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“…Research provides evidence of the critical importance of managing the school climate and involving as much as possible all school personnel in the reduction and elimination of bullying [18,53,54,55,56,57]. Results of this study show a number of key findings.…”

Section: Discussionmentioning

confidence: 49%

“…Students with disabilities also suffer the same immediate and long-term negative physical and psychosocial problems associated with victimization as students without disabilities. Programs are being developed that address these issues as part of the school-wide climate change and antibullying agenda [53,54,55,56,57]. …”

Section: Introductionmentioning

confidence: 99%

Victims Seeking Help from Speech-Language Pathologists: Bullying, Preparedness, and Perceptions

Blood

2016

Folia Phoniatr Logop

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Objective: Antibullying initiatives indicate that all school-based personnel should accept responsibility for changing the school climate and eliminating bullying. This study examined if victims seeking assistance for bullying contacted speech-language pathologists (SLPs), SLPs' preparation to address bullying and their current perceptions of responsibilities and interventions. Methods: A mailed survey consisting of a questionnaire and scale on bullying intervention strategies was completed by 418 school-based SLPs. Results: Sixty-one (14.6%) SLPs reported that victims on their caseloads told them directly about being bullied during the last month. The majority of SLPs (84.9%) reported that bullying was a problem in schools, and 65.1% reported that they had observed students being bullied in the past month. Less than half of the SLPs (46.7%) reported feeling prepared to deal with bullying episodes. Thirty-six SLPs (7.9%) reported that they did not address bullying issues because it was outside the scope of practice or job responsibilities. Conclusions: This is the first large study to report that victims seek help from SLPs directly for assistance with bullying incidents. SLPs stated that they received some training in addressing bullying issues but did not feel prepared. SLPs thought bullying was a problem but were undecided about the best strategies for assisting the students.

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“…Despite the increased risk factors for bullying in this population, there are currently no known studies that have specifically examined bullying perpetration or victimization among individuals with 22q. As a relevant comparison, children with chronic illness, complex medical conditions (e.g., asthma, inflammatory bowel disease, diabetes), and motor skills/coordination difficulties all have been noted to be at increased risk for bullying victimization (Bejerot et al, 2013; Faith et al, 2015; Pittet et al, 2010). Given the host of medical, physical, and neurodevelopmental challenges that typically present in individuals with 22q, there is a real concern about their increased risk factors for bullying victimization.…”

Section: Q112 Deletion Syndromementioning

confidence: 99%

Bullying and psychosis: The impact of chronic traumatic stress on psychosis risk in 22q11.2 deletion syndrome - a uniquely vulnerable population

Mayo

Bolden²,

Simon

et al. 2019

Journal of Psychiatric Research

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Bullying is an adverse childhood experience that is more common among youth with special needs and is associated with increased psychopathology throughout the lifespan. Individuals with chromosome 22q11.2 deletion syndrome (22q) represent one group of special needs youth who are at increased risk for bullying due to co-occurring genetically-mediated developmental, physical, and learning difficulties. Furthermore, individuals with 22q are at increased risk for developing psychotic disorders such as schizophrenia. However, there is a paucity of research exploring the impact of bullying on individuals with 22q and the possible impact this has on risk for psychosis in this population. To explore this relationship using existing research the goals of the review are: (i) to explore the nature of bullying among youth with special needs, and (ii) to discuss its potential role as a specific risk factor in the development of adverse outcomes, including psychosis symptoms. We reviewed the relationship between bullying and its short and long-term effects on the cognitive, social, and developmental functioning of typically developing individuals and those with special needs. We propose an interactive relationship between trauma, stress, and increased psychosis risk among youth with 22q with a history of bullying. The early childhood experience of trauma in the form of bullying promotes an altered developmental trajectory that may elevate the risk for maladaptive functioning and subsequent psychotic disorders, particularly in youth with genetic vulnerabilities. Therefore, we conclude the experience of bullying among individuals with 22q should be more closely examined.

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Bullying in Medically Fragile Youth

Cited by 26 publications

References 186 publications

Risk Behaviors in Teens with Chronic Kidney Disease: A Study from the Midwest Pediatric Nephrology Consortium

Risk Behaviors in Teens with Chronic Kidney Disease: A Study from the Midwest Pediatric Nephrology Consortium

Victims Seeking Help from Speech-Language Pathologists: Bullying, Preparedness, and Perceptions

Bullying and psychosis: The impact of chronic traumatic stress on psychosis risk in 22q11.2 deletion syndrome - a uniquely vulnerable population

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