Abstract

The objectives of this study are to assess the association between childhood bullying and preference-based health-related quality of life (QoL) in Australian school children and their parents and estimate quality-adjusted life years (QALYs) associated with bullying chronicity. Children aged 8–10 years completed the child health utilities (CHU-9D), while parents completed the Australian quality of life (AQoL-8D). Children were grouped into four categories of bullying involvement (no bullying, victim, perpetrator, or both perpetrator and victim) based on the Revised Olweus Bully/Victim Questionnaire. Parental data were compared across two bullying involvement groups (bullying vs. no bullying). QALYs were calculated for children over two years and comparisons made based on the number of assessments where bullying was reported (baseline, 1- and 2-year follow up). Children who were involved in bullying (victims and/or perpetrators) reported statistically significantly lower mean utility scores compared to children who were not involved in bullying. Parents whose child was involved in bullying had significantly lower mean utility scores compared to parents of children not involved with bullying. There appeared to be a dose–response relationship, with higher QALY losses associated with increasing frequency of reported bullying. Bullying among Australian school children was associated with significantly lower preference-based QoL for themselves and their parents. This study also confirmed the significant burden of disease for bullying among children measured by an incremental decrease in QALY with an increasing chronicity of bullying over time.

Keywords

Bullying, Perpetrator, Preference-based quality of life, Quality-adjusted life years

Document Type

Journal Article

Date of Publication

2023

Publication Title

European Child & Adolescent Psychiatry

Publisher

Springer

School

School of Medical and Health Sciences

RAS ID

38804

Funding Information

This study was supported by grants from the National Health and Medical Research Council (APP1047185); Australian Government Department of Education; and Macquarie University. Ron Rapee is supported by an ARC Laureate Fellowship, FL150100096. Donna Cross’ contribution to this paper was supported by NHMRC Research Fellowship GNT1119339.

Funding received from the Australian Research Council (ARC)

FL150100096

Funding received from the National Health and Medical Research Council (NHMRC)

APP1047185, GNT1119339

Comments

This is a post-peer-review, pre-copyedit version of an article published in European Child & Adolescent Psychiatry. The final authenticated version is available online at: http://dx.doi.org/10.1007/s00787-021-01807-5

Le, L. K. D., Chatterton, M. L., Rapee, R. M., Fitzpatrick, S., Bussey, K., Hudson, J., ... Mihalopoulos, C. (2023). Burden and preference-based quality of life associated with bullying in children. European Child & Adolescent Psychiatry, 32, 53-62.

https://doi.org/10.1007/s00787-021-01807-5

Content Type

Full object

Recommended Citation

Le, L. K. D., Chatterton, M. L., Rapee, R. M., Fitzpatrick, S., Bussey, K., Hudson, J., ... Mihalopoulos, C. (2023). Burden and preference-based quality of life associated with bullying in children. European Child & Adolescent Psychiatry, 32, 53-62.

https://doi.org/10.1007/s00787-021-01807-5

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Link to publisher version (DOI)

10.1007/s00787-021-01807-5

Australian Research Council (ARC) ROR ID:

05mmh0f86

National Health and Medical Research Council (NHMRC) ROR ID:

011kf5r70