Cited by 100Bullying, Victimization, and AggressionChild and Adolescent Psychosocial and Emotional DevelopmentWorkplace Violence and Bullying

Psychiatric outcomes of bullying victimization: a study of discordant monozygotic twins

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Silberg, J. L., Copeland, W., Linker, J., Moore, A. A., Roberson-Nay, R., York, T. P.·2016·Psychological Medicine

Abstract

Background: Bullying victimization in childhood is associated with a broad array of serious mental health disturbances, including anxiety, depression, and suicidal ideation and behavior. The key goal of this study was to evaluate whether bullying victimization is a true environmental risk factor for psychiatric disturbance using data from 145 bully-discordant monozygotic (MZ) juvenile twin pairs from the Virginia Twin Study of Adolescent Behavioral Development (VTSABD) and their follow-up into young adulthood. Method: Since MZ twins share an identical genotype and familial environment, a higher rate of psychiatric disturbance in a bullied MZ twin compared to their non-bullied MZ co-twin would be evidence of an environmental impact of bullying victimization. Environmental correlations between being bullied and the different psychiatric traits were estimated by fitting structural equation models to the full sample of MZ and DZ twins (N = 2824). Environmental associations were further explored using the longitudinal data on the bullying-discordant MZ twins. Results: Being bullied was associated with a wide range of psychiatric disorders in both children and young adults. The analysis of data on the MZ-discordant twins supports a genuine environmental impact of bullying victimization on childhood social anxiety [odds ratio (OR) 1.7], separation anxiety (OR 1.9), and young adult suicidal ideation (OR 1.3). There was a shared genetic influence on social anxiety and bullying victimization, consistent with social anxiety being both an antecedent and consequence of being bullied. Conclusion: Bullying victimization in childhood is a significant environmental trauma and should be included in any mental health assessment of children and young adults.

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  • Associations between SLEs and depression may in part reflect non-causal influence or confounding by genetic or familial factors.

    “However, it has been found that associations may in part reflect non-causal influence or confounding by genetic or familial factors (Brown et al., 2014; Kendler et al., 1999a; Silberg et al., 2016).”

    From Stressful life events increase the risk of major depressive episodes: A population-based twin study (2023) · cites this paper as Silberg et al., 2016

    In the Results (Bullying victimization and psychiatric disturbance; page unavailable), bullying was associated with young-adult depression in the full sample, but depression rates did not differ significantly between bullied and non-bullied discordant identical twins. This is consistent with possible familial confounding, but the paper does not establish genetic or familial confounding specifically for depression, and it studies bullying rather than stressful life events generally. (LLM, conf=0.84)

    Experimental — accuracy not yet measured
  • Negative peer interactions increase emotional symptoms via non-shared environmental pathways, unconfounded by pre-existing genetic dispositions or by features of the familial environment shared by both twins.

    “Furthermore, twin studies show that negative peer interactions increase emotional symptoms via non‐shared environmental pathways, providing evidence that these associations are unconfounded by pre‐existing genetic dispositions or by features of the familial environment shared by both twins (Arseneault et al., 2008; Schaefer et al., 2018; Silberg et al., 2016).”

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Authors
Silberg, J. L., Copeland, W., Linker, J., Moore, A. A., Roberson-Nay, R., & York, T. P.
Affiliations
  • Virginia Commonwealth University (US)
  • Duke Medical Center (US)
Corresponding author
Silberg, J. L.
Venue
Psychological Medicine
Published
2016-03-16
Volume
46
Issue
9
Pages
1875-1883
ISSN
  • 0033-2917 (ISSN-L)
  • 1469-8978
OpenAlex
W2300895138
Cited by
100
References
6
Citations by year
2026: 2 · 2025: 7 · 2024: 7 · 2023: 4 · 2022: 16 · 2021: 13 · 2020: 18 · 2019: 14 · 2018: 8 · 2017: 9 · 2016: 1
FWCI
16.77
Type
journal article
Language
en
Open access
Locations
  • Psychological Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institutes of Health
  • National Institute of Mental Health (R01MH062368, T32MH020030)
Topics
  • Social Sciences › Psychology › Social Psychology › Bullying, Victimization, and Aggression
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
  • Social Sciences › Sociology and Political Science › Workplace Violence and Bullying
Keywords
bullying victimization, mental health outcomes, monozygotic twins, discordant twins, environmental risk factors, social anxiety, separation anxiety, suicidal ideation, childhood bullying, genetic factors, environmental correlation
MeSH terms
Phobia, Social, Adolescent, Adult, Anxiety, Separation, Child, Diseases in Twins, Female, Humans, Longitudinal Studies, Male, Twins, Monozygotic, Crime Victims, Young Adult, Bullying, Suicidal Ideation

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