Articlehybrid2014

PEER VICTIMIZATION DURING ADOLESCENCE AND RISK FOR ANXIETY DISORDERS IN ADULTHOOD: A PROSPECTIVE COHORT STUDY

Lexine Ann Stapinski · Lucy Bowes · Dieter Wolke C · Rebecca M. Pearson · Liam Mahedy · Katherine Susan Button +2 more

202 citations0/0 files storedDepression and Anxiety

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Bullying, Victimization, and Aggression Child and Adolescent Psychosocial and Emotional Development Child Abuse and Trauma

Abstract

BACKGROUND: Peer victimization is ubiquitous across schools and cultures, and has been suggested as one developmental pathway to anxiety disorders. However, there is a dearth of prospective studies examining this relationship. The purpose of this cohort study was to examine the association between peer victimization during adolescence and subsequent anxiety diagnoses in adulthood. A secondary aim was to investigate whether victimization increases risk for severe anxiety presentations involving diagnostic comorbidity. METHODS: The sample comprised 6,208 adolescents from the Avon Longitudinal Study of Parents and Children who were interviewed about experiences of peer victimization at age 13. Maternal report of her child's victimization was also assessed. Anxiety disorders at age 18 were assessed with the Clinical Interview Schedule-Revised. Multivariable logistic regression was used to examine the association between victimization and anxiety diagnoses adjusted for potentially confounding individual and family factors. Sensitivity analyses explored whether the association was independent of diagnostic comorbidity with depression. RESULTS: Frequently victimized adolescents were two to three times more likely to develop an anxiety disorder than nonvictimized adolescents (OR = 2.49, 95% CI: 1.62-3.85). The association remained after adjustment for potentially confounding individual and family factors, and was not attributable to diagnostic overlap with depression. Frequently victimized adolescents were also more likely to develop multiple internalizing diagnoses in adulthood. CONCLUSIONS: Victimized adolescents are at increased risk of anxiety disorders in later life. Interventions to reduce peer victimization and provide support for victims may be an effective strategy for reducing the burden associated with these disorders.

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References

2005Lifetime Prevalence and Age-of-Onset Distributions of DSM-IV Disorders in the National Comorbidity Survey Replication 2003The Epidemiology of Major Depressive Disorder 2001Bullying Behaviors Among US Youth 2011The size and burden of mental disorders and other disorders of the brain in Europe 2010 2005Size and burden of mental disorders in Europe—a critical review and appraisal of 27 studies 2002Peer harassment in school: the plight of the vulnerable and victimized 2007The burden of disease and injury in Australia 2003 2013Adult Psychiatric Outcomes of Bullying and Being Bullied by Peers in Childhood and Adolescence

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2015Peer victimisation during adolescence and its impact on depression in early adulthood: prospective cohort study in the United Kingdom 2015Bully/victims: a longitudinal, population-based cohort study of their mental health 2017Mental Health Concerns and Insurance Denials Among Transgender Adolescents 2020Prospective associations between peer functioning and social anxiety in adolescents: A systematic review and meta-analysis 2022

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