RT Journal
A1 Nansel TR, Craig W, Overpeck MD, Saluja G, Ruan W
T1 CRoss-national consistency in the relationship between bullying behaviors and psychosocial adjustment
JF Archives of Pediatrics & Adolescent Medicine
JO Archives of Pediatrics & Adolescent Medicine
YR 2004
FD August 1
VO 158
IS 8
SP 730
OP 736
DO 10.1001/archpedi.158.8.730
UL http://dx.doi.org/10.1001/archpedi.158.8.730
AB Objective 
    To determine whether the relationship between bullying and psychosocial adjustment is consistent across countries by standard measures and methods.Design 
    Cross-sectional self-report surveys were obtained from nationally representative samples of students in 25 countries. Involvement in bullying, as bully, victim, or both bully and victim, was assessed.Setting 
    Surveys were conducted at public and private schools throughout the participating countries.Participants 
    Participants included all consenting students in sampled classrooms, for a total of 113 200 students at average ages of 11.5, 13.5, and 15.5 years.Main Outcome Measures 
    Psychosocial adjustment dimensions assessed included health problems, emotional adjustment, school adjustment, relationships with classmates, alcohol use, and weapon carrying.Results 
    Involvement in bullying varied dramatically across countries, ranging from 9% to 54% of youth. However, across all countries, involvement in bullying was associated with poorer psychosocial adjustment (P<.05). In all or nearly all countries, bullies, victims, and bully-victims reported greater health problems and poorer emotional and social adjustment. Victims and bully-victims consistently reported poorer relationships with classmates, whereas bullies and bully-victims reported greater alcohol use and weapon carrying.Conclusions 
    The association of bullying with poorer psychosocial adjustment is remarkably similar across countries. Bullying is a critical issue for the health of youth internationally.