QUESTION 1: READING COMPREHENSION
[20 marks]
Bullying at school and mental health problems among adolescents: A repeated cross-
sectional study
By Hakan Kallmen and Mat Hallgren
Journal of Child and Adolescent Psychiatry and Mental Health (2021)
Introduction
A. Bullying involves repeated hurtful actions between peers where an imbalance of power
exists (Oluwesu, 2013). Arseneault et al. (2010) conducted a review of the mental health
consequences of bullying for children and adolescents and found that bullying is associated
with severe symptoms of mental health problems, including self-harm and suicidality.
Bullying was shown to have detrimental effects that persist into late adolescence and
contribute independently to mental health problems. Updated reviews have presented
evidence indicating that bullying is causative of mental illness in many adolescents.
B. There are indications that mental health problems are increasing among adolescents in
some Nordic countries. Hagquist et al. (2019) examined trends in mental health among
Scandinavian adolescents aged 11-15 years between 1993 and 2014. Mental health
problems were operationalised as difficulty concentrating, sleep disorders, headache,
stomach pain, feeling tense, sad or dizzy. The study revealed increasing rates of adolescent
mental health problems in Finland and Sweden, with Sweden experiencing a sharp increase
among older adolescents, particularly girls. Worsening adolescent mental health has also
been reported in England. A study of 28,100 school-aged adolescents in England found that
two out of five young people scored above thresholds for emotional problems, conduct
problems or hyperactivity (Deighton & Casey, 2019). Female gender, deprivation, high needs
status, ethnic background, and older age were all associated with higher odds of
experiencing mental health difficulties.
C. Bullying is shown to increase the risk of poor mental health and may partly explain these
detrimental changes. Children with more friends experienced fewer mental health
problems. Hysing et al. (2019) investigated the association between experiences of bullying
(as a victim or perpetrator) and mental health, sleep disorders, and school performance
among 16-19 year olds from Norway. Participants were categorised as victims, bullies, or
bully-victims - that is, victims who also bullied others. All three categories were associated
with worse mental health, school performance, and sleeping difficulties. Those who had
been bullied also reported more emotional problems, while those who bullied others
reported more conduct disorders.
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