Bullying victimization among adolescents during the early phase of war in Ukraine – A comparative cross-sectional study in 2016–2017

IF 5 3区医学 Q1 PEDIATRICS Child and Adolescent Mental Health Pub Date : 2025-03-18 DOI:10.1111/camh.12770

Sanju Silwal, Minja Westerlund, Olga Osokina, Susanna Hinkka-Yli-Salomäki, Matthew Hodes, Norbert Skokauskas, Andre Sourander

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Abstract

Background

War profoundly impacts adolescent development and may increase the likelihood of aggressive responses when such behavior is perceived as acceptable and accessible. War may, hence, exacerbate a form of interpersonal violence already prevalent among children and adolescents.

Methods

We conducted a comparative cross-sectional study 2 years after the Russian invasion of Eastern Ukraine in 2014 by comparing the prevalence of bullying victimization among adolescents aged 11–17 years (N = 2766) in two administrative regions with different levels of wartime traumatic stressor exposure.

Results

Female adolescents in the war-affected region were bullied more often compared to those in the non-affected region [65.3% vs. 56.3%, adjusted Odds Ratio (aOR) = 1.5, 95% CI 1.2–1.9]. For both boys and girls, symptoms of psychopathology were associated with bullying victimization often [girls: depression (aOR = 2.9, 95% CI 2.4–3.4); boys: depression (aOR = 3.3, 95% CI 2.6–4.1) and PTSD (aOR = 1.7, 95% CI 1.4–2.02)]. In the war-affected region, a dose–response relationship between bullying victimization often and war-event exposure was observed in both sexes [girls: 1–3 war-events (aOR = 1.4, 95% CI 0.7–2.6), 4–6 (aOR = 2.4, 95% CI 1.3–4.5) and ≥7 (aOR = 5.5, 95% CI 2.7–11.1); boys: 1–3 (aOR = 1.4, 95% CI 0.7–2.8), 4–6 (aOR = 3.2, 95% CI 1.7–6.3), and ≥7 (aOR = 6.8, 95% CI 3.1–14.8)].

Conclusions

War exposure was associated with bullying victimization, with girls being bullied more often than boys. Bullying victimization was linked to cumulative traumatic stressor exposure in the war-affected region for both sexes.

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乌克兰战争初期青少年的欺凌受害——2016-2017年的一项比较横断面研究

背景：战争深刻影响青少年的发展，并可能增加攻击性反应的可能性，当这种行为被认为是可接受的和可获得的。因此，战争可能加剧已经在儿童和青少年中普遍存在的一种形式的人际暴力。方法：在2014年俄罗斯入侵乌克兰东部2年后，我们进行了一项比较横断面研究，比较了两个行政区域11-17岁青少年（N = 2766）在战争创伤应激源暴露水平不同的情况下遭受欺凌的发生率。结果：受战争影响地区的女性青少年受欺凌的频率高于未受战争影响地区的女性青少年[65.3%对56.3%，调整优势比(aOR) = 1.5, 95% CI 1.2-1.9]。对于男孩和女孩来说，精神病理症状通常与欺凌受害有关[女孩：抑郁症（aOR = 2.9, 95% CI 2.4-3.4）；男孩：抑郁症（aOR = 3.3, 95% CI 2.6-4.1）和创伤后应激障碍（aOR = 1.7, 95% CI 1.4-2.02）。在受战争影响的地区，在两性中均观察到欺凌受害与战争事件暴露之间的剂量-反应关系[女孩：1-3次战争事件（aOR = 1.4, 95% CI 0.7-2.6）， 4-6次（aOR = 2.4, 95% CI 1.3-4.5）和≥7次（aOR = 5.5, 95% CI 2.7-11.1）；男孩:1 - 3 (aOR = 1.4, 95% CI 0.7 - -2.8), 4 - 6(优势比= 3.2,95% CI 1.7 - -6.3),和≥7(优势比= 6.8,95% CI 3.1 - -14.8)]。结论：战争暴露与欺凌受害有关，女孩比男孩更常受到欺凌。在受战争影响的地区，无论男女，受欺凌的受害者都与累积的创伤性压力源暴露有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Child and Adolescent Mental Health PEDIATRICS-PSYCHIATRY

CiteScore

8.30

自引率

3.30%

发文量

审稿时长

>12 weeks

期刊介绍： Child and Adolescent Mental Health (CAMH) publishes high quality, peer-reviewed child and adolescent mental health services research of relevance to academics, clinicians and commissioners internationally. The journal''s principal aim is to foster evidence-based clinical practice and clinically orientated research among clinicians and health services researchers working with children and adolescents, parents and their families in relation to or with a particular interest in mental health. CAMH publishes reviews, original articles, and pilot reports of innovative approaches, interventions, clinical methods and service developments. The journal has regular sections on Measurement Issues, Innovations in Practice, Global Child Mental Health and Humanities. All published papers should be of direct relevance to mental health practitioners and clearly draw out clinical implications for the field.