Xiaodan Lin, Xiuhua Mao, FuZhi Ai, Weiguang Yao
Factors influencing utilization of communicable disease prevention and treatment education among the floating population: a cross-sectional study in China
BMC public health
number studies shown victimization bullying behavior associated substantial adverse effects physical psychological health unclear comes first victimization healthrelated symptoms present study investigated whether victimization precedes psychosomatic psychosocial symptoms whether symptoms precede victimization sixmonth cohort study baseline measurements taken fall 1999 followup measurements spring 2000 eighteen elementary schools netherlands study included 1118 children aged 9 11 years participated filling questionnaire occasions data collection selfadministered questionnaire measured victimization bullying well wide variety psychosocial psychosomatic symptoms including depression anxiety bedwetting headaches sleeping problems abdominal pain poor appetite feelings tension tiredness victims bullying significantly higher chances developing new psychosomatic psychosocial problems compared children bullied contrast psychosocial physical health symptoms preceded bullying victimization children depressive symptoms significantly higher chance newly victimized children anxiety many psychosomatic psychosocial health problems follow episode bullying victimization findings stress importance doctors health practitioners establish whether bullying plays contributing role etiology symptoms furthermore results indicate children depressive symptoms anxiety increased risk victimized victimization could adverse effect childrens attempts cope depression anxiety important consider teaching children skills could make less vulnerable bullying behavior