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Bullying of preterm children and emotional problems at school age : cross-culturally invariant effects
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Wolke, Dieter, Baumann, Nicole, Strauss, Victoria, Johnson, Samantha J. and Marlow, Neil (2015) Bullying of preterm children and emotional problems at school age : cross-culturally invariant effects. Journal of Pediatrics, 166 (6). pp. 1417-1422. doi:10.1016/j.jpeds.2015.02.055 ISSN 0022-3476.
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Official URL: http://dx.doi.org/10.1016/j.jpeds.2015.02.055
Abstract
Objective:
To investigate whether adolescents who were born extremely preterm (<26 weeks gestation), very preterm (<32 weeks gestation), or with very low birth weight (<1500 g) are more often bullied, and whether this contributes to higher emotional problem scores.
Study design:
We used 2 whole population samples: the German Bavarian Longitudinal Study (BLS) (287 very preterm/very low birth weight and 293 term comparison children) and the UK EPICure Study (183 extremely preterm and 102 term comparison children). Peer bullying was assessed by parent report in both cohorts at school years 2 and 6/7. The primary outcome was emotional problems in year 6/7. The effects of prematurity and bullying on emotional problems were investigated with regression analysis and controlled for sex, socioeconomic status, disability, and preexisting emotional problems.
Results:
Preterm-born children were more often bullied in both cohorts than term comparisons (BLS: relative risk, 1.27; 95% CI, 1.07-1.50; EPICure: relative risk, 1.69; 95% CI, 1.19-2.41). Both preterm birth and being bullied predicted emotional problems, but after controlling for confounders, only being bullied at both ages remained a significant predictor of emotional problem scores in both cohorts (BLS: B, 0.78; 95% CI, 0.28-1.27; P < .01; EPICure: B, 1.55; 95% CI, 0.79-2.30; P < .001). In the EPICure sample, being born preterm and being bullied at just a single time point also predicted emotional problems.
Conclusion:
Preterm-born children are more vulnerable to being bullied by peers. Those children who experience bullying over years are more likely to develop emotional problems. Health professionals should routinely ask about peer relationships.
Item Type: | Journal Article | ||||||||||
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Subjects: | R Medicine > RJ Pediatrics | ||||||||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Science, Engineering and Medicine > Science > Psychology Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Library of Congress Subject Headings (LCSH): | Premature infants, Victims of bullying, Emotional problems of children | ||||||||||
Journal or Publication Title: | Journal of Pediatrics | ||||||||||
Publisher: | Elsevier | ||||||||||
ISSN: | 0022-3476 | ||||||||||
Official Date: | June 2015 | ||||||||||
Dates: |
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Volume: | 166 | ||||||||||
Number: | 6 | ||||||||||
Page Range: | pp. 1417-1422 | ||||||||||
DOI: | 10.1016/j.jpeds.2015.02.055 | ||||||||||
Status: | Peer Reviewed | ||||||||||
Publication Status: | Published | ||||||||||
Access rights to Published version: | Restricted or Subscription Access | ||||||||||
Date of first compliant deposit: | 29 December 2015 | ||||||||||
Date of first compliant Open Access: | 28 March 2016 | ||||||||||
Funder: | Germany. Bundesministerium fΓΌr Bildung und Forschung (BMBF), Medical Research Council (Great Britain) (MRC) | ||||||||||
Grant number: | PKE24 (BMBF), JUG14 (BMBF), 01EP9504 (BMBF), 01ER0801 (BMBF) |
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