Hostname: page-component-cd9895bd7-jn8rn Total loading time: 0 Render date: 2024-12-29T03:36:40.788Z Has data issue: false hasContentIssue false

Psychiatric outcomes of bullying victimization: a study of discordant monozygotic twins

Published online by Cambridge University Press:  16 March 2016

J. L. Silberg*
Affiliation:
Department of Human and Molecular Genetics, Virginia Commonwealth University School of Medicine, Richmond, Virginia, USA Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University, Richmond, Virginia
W. Copeland
Affiliation:
Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina, USA
J. Linker
Affiliation:
Department of Psychiatry, Virginia Commonwealth University School of Medicine, Richmond, Virginia, USA
A. A. Moore
Affiliation:
Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University, Richmond, Virginia Center for Clinical and Translational Research, Virginia Commonwealth University, Richmond, Virginia, USA
R. Roberson-Nay
Affiliation:
Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University, Richmond, Virginia Department of Psychiatry, Virginia Commonwealth University School of Medicine, Richmond, Virginia, USA
T. P. York
Affiliation:
Department of Human and Molecular Genetics, Virginia Commonwealth University School of Medicine, Richmond, Virginia, USA Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University, Richmond, Virginia
*
*Address for correspondence: J. L. Silberg, Ph.D., Department of Human and Molecular Genetics, Virginia Commonwealth University School of Medicine, Richmond, Virginia, USA. (Email: [email protected])

Abstract

Background

Bullying victimization in childhood is associated with a broad array of serious mental health disturbances, including anxiety, depression, and suicidal ideation and behavior. The key goal of this study was to evaluate whether bullying victimization is a true environmental risk factor for psychiatric disturbance using data from 145 bully-discordant monozygotic (MZ) juvenile twin pairs from the Virginia Twin Study of Adolescent Behavioral Development (VTSABD) and their follow-up into young adulthood.

Method

Since MZ twins share an identical genotype and familial environment, a higher rate of psychiatric disturbance in a bullied MZ twin compared to their non-bullied MZ co-twin would be evidence of an environmental impact of bullying victimization. Environmental correlations between being bullied and the different psychiatric traits were estimated by fitting structural equation models to the full sample of MZ and DZ twins (N = 2824). Environmental associations were further explored using the longitudinal data on the bullying-discordant MZ twins.

Results

Being bullied was associated with a wide range of psychiatric disorders in both children and young adults. The analysis of data on the MZ-discordant twins supports a genuine environmental impact of bullying victimization on childhood social anxiety [odds ratio (OR) 1.7], separation anxiety (OR 1.9), and young adult suicidal ideation (OR 1.3). There was a shared genetic influence on social anxiety and bullying victimization, consistent with social anxiety being both an antecedent and consequence of being bullied.

Conclusion

Bullying victimization in childhood is a significant environmental trauma and should be included in any mental health assessment of children and young adults.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 2016 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Psychiatric Association, Committee on Nomenclature and Statistics (1987). Diagnostic and Statistical Manual of Mental Disorders, 3rd edn, Revised. American Psychiatric Association: Washington, DC.Google Scholar
Angold, A, Costello, EJ (2000). The child and adolescent psychiatric assessment (CAPA). Journal of the American Academy of Child and Adolescent Psychiatry 39, 3948.Google Scholar
Arseneault, L, Milne, BJ, Taylor, A, Adams, F, Delgado, K, Caspi, A, Moffitt, TE (2008). Being bullied as an environmentally mediated contributing factor to children's internalizing problems: a study of twins discordant for victimization. Archives of Pediatrics and Adolescent Medicine 162, 145150.Google Scholar
Bell, JT, Spector, TD (2011). A twin approach to unraveling epigenetics. Trends in Genetics 27, 116125.Google Scholar
Bradshaw, CP, Sawyer, AL, O'Brennan, LM (2009). A social disorganization perspective on bullying-related attitudes and behaviors: the influence of school context. American Journal of Community Psychology 43, 204220.Google Scholar
Card, NA, Hodges, EV (2006). Shared targets for aggression by early adolescent friends. Developmental Psychology 42, 13271338.CrossRefGoogle ScholarPubMed
Catone, G, Marwaha, S, Kuipers, E, Lennox, B, Freeman, D, Bebbington, P, Broome, M (2015). Bullying victimisation and risk of psychotic phenomena: analyses of British national survey data. Lancet Psychiatry 2, 618624.Google Scholar
Copeland, WE, Wolke, D, Angold, A, Costello, EJ (2013). Adult psychiatric outcomes of bullying and being bullied by peers in childhood and adolescence. Journal of the American Medical Association Psychiatry 70, 419426.Google Scholar
Copeland, WE, Wolke, D, Lereya, ST, Shanahan, L, Worthman, C, Costello, EJ (2014). Childhood bullying involvement predicts low-grade systemic inflammation into adulthood. Proceedings of the National Academy of Sciences USA 111, 75707575.Google Scholar
Eaves, LJ, Silberg, JL, Meyer, JM, Maes, HH, Simonoff, E, Pickles, A, Rutter, M, Neale, MC, Reynolds, CA, Erikson, MT, Heath, AC, Loeber, R, Truett, KR, Hewitt, JK (1997). Genetics and developmental psychopathology: 2 The main effects of genes and environment on behavioral problems in the Virginia Twin Study of Adolescent Behavioral Development. Journal of Child Psychology and Psychiatry 38, 965980.Google Scholar
Gini, G, Pozzoli, T (2009). Association between bullying and psychosomatic problems: a meta-analysis. Pediatrics 123, 10591065.Google Scholar
Hawker, DS, Boulton, MJ (2000). Twenty years’ research on peer victimization and psychosocial maladjustment: a meta-analytic review of cross-sectional studies. Journal of Child Psychology and Psychiatry 41, 441455.Google Scholar
Holt, MK, Vivolo-Kantor, AM, Polanin, JR, Holland, KM, DeGue, S, Matjasko, JL, Wolfe, M, Reid, G (2015). Bullying and suicidal ideation and behaviors: a meta-analysis. Pediatrics 135, 496509.CrossRefGoogle ScholarPubMed
Klomek, AB, Sourander, A, Elonheimo, H (2015). Bullying by peers in childhood and effects on psychopathology suicidality and criminality in adulthood. Lancet Psychiatry 2, 930941.Google Scholar
Linker, J, Gillespie, NA, Maes, H, Eaves, L, Silberg, JL (2012). Suicidal ideation depression and conduct disorder in a sample of adolescent and young adult twins. Suicide and Life Threatening Behavior 42, 426436.Google Scholar
McEwen, BS, Eiland, L, Hunter, RG, Miller, MM (2012). Stress and anxiety: structural plasticity and epigenetic regulation as a consequence of stress. Neuropharmacology 62, 312.Google Scholar
Olweus, D (1993). Bullying at School: What we Know and What we Can Do. Blackwell: Oxford.Google Scholar
Neale, MC, Baker, SM, Xie, G, Maes, HH (2003). Mx Statistical Modeling, 6th edn. Department of Psychiatry Virginia Commonwealth University: Richmond, VA.Google Scholar
Petronis, A (2006). Epigenetics and twins: three variations on the theme. Trends in Genetics 22, 347350.CrossRefGoogle ScholarPubMed
Reijntjes, A, Kamphuis, JH, Prinzie, P, Telch, MJ (2010). Peer victimization and internalizing problems in children: a meta-analysis of longitudinal studies. Child Abuse and Neglect 34, 244252.CrossRefGoogle ScholarPubMed
Rutter, M, Silberg, J (2002). Gene-environment interplay in relation to emotional and behavioral disturbance. Annual Review of Psychology 53, 463490.Google Scholar
SAS Institute (2000). The SAS Software for Windows for the PC: Version 9. SAS Institute: Cary, NC.Google Scholar
Silberg, J, Meyer, J, Pickles, A, Simonoff, E, Eaves, L, Hewitt, J, Maes, H, Rutter, M (1996). Heterogeneity among juvenile antisocial behaviours: findings from the Virginia Twin Study of Adolescent Behavioural Development. Ciba Foundation Symposium 194, 7686.Google ScholarPubMed
Sourander, A, Jensen, P, Ronning, JA, Niemela, S, Helenius, H, Sillanmaki, L, Kumpulainen, K, Piha, J, Tamminen, T, Moilanen, I, Almqvist, F (2007). What is the early adulthood outcome of boys who bully or are bullied in childhood? The Finnish ‘From a Boy to a Man’ study. Pediatrics 120, 397404.Google Scholar
Spitzer, RL, Williams, JB, Gibbon, M (1987). Structured Clinical Interview for DSM-III-R. Biometrics Research Department New York State Psychiatric Institute: New York, NY.Google Scholar
Stapinski, LA, Bowes, L, Wolke, D, Pearson, RM, Mahedy, L, Button, KS, Lewis, G, Araya, R (2014). Peer victimization during adolescence and risk for anxiety disorders in adulthood: a prospective cohort study. Depression and Anxiety 31, 574582.Google Scholar
Sugden, K, Arseneault, L, Harrington, H, Moffitt, TE, Williams, B, Caspi, A (2010). Serotonin transporter gene moderates the development of emotional problems among children following bullying victimization. Journal of the American Academy of Child and Adolescent Psychiatry 49, 830840.Google Scholar
Takizawa, R, Maughan, B, Arseneault, L (2014). Adult health outcomes of childhood bullying victimization: evidence from a five-decade longitudinal British birth cohort. American Journal of Psychiatry 171, 777784.Google Scholar
Trotta, A, Murray, RM, Fisher, HL (2015). The impact of childhood adversity on the persistence of psychotic symptoms: a systematic review and meta-analysis. Psychological Medicine 45, 24812498.Google Scholar
York, TP, Brumelle, J, Juusola, J, Kendler, KS, Eaves, LJ, Amstadter, AB, Aggen, SH, Jones, KH, Ferreira-Gonzalez, A, Jackson-Cook, C (2013). Increased frequency of micronuclei in adults with a history of childhood sexual abuse: a discordant monozygotic twin study. PLoS ONE 8, e55337.Google Scholar