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Childhood bullying involvement predicts low-grade systemic inflammation into adulthood
Open accessAbstract
Significance: Bullying is a common childhood experience that affects children at all income levels and racial/ethnic groups. Being a bully victim has long-term adverse consequences on physical and mental health and financial functioning, but bullies themselves display few ill effects. Here, we show that victims suffer from greater increases in low-grade systemic inflammation from childhood to young adulthood than are seen in others. In contrast, bullies showed lower increases in inflammation into adulthood compared with those uninvolved in bullying. Elevated systemic low-grade inflammation is a mechanism by which this common childhood social adversity may get under the skin to affect adult health functioning, even many years later.
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“Similarly, exposure to bullying during childhood and adolescence is associated with elevated CRP during early (Copeland et al., 2014) and middle adulthood (Takizawa et al., 2015)”
From Developmental psychoneuroendocrine and psychoneuroimmune pathways from childhood adversity to disease (2017) · cites this paper as Copeland et al., 2014
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“Other studies failed to detect this reduction (3, 103, 122, 224, 234, 254, 469, 580).”
From The Sleep-Immune Crosstalk in Health and Disease (2019) · cites this paper as [122]
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Cited by
Sorted by citations
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“…is because of growing evidence that there are significant long-term adverse outcomes for victims (e.g., Copeland, Wolke, Angold, & Costello, 2013; Copeland et al., 2014; Kretschmer et al., 2017; Wolke, Copeland, Angold, & Costello, 2013) and to a lesser extent bullies (Bender & Lösel, 2011;…”
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“, 2013; Juvonen, Graham, & Schuster, 2003; Koh & Wong, 2015), physical health (Copeland et al., 2014; Wolke, Woods, Bloomfield, & Karstadt, 2001), and social skills that include theory of mind, cognitive empathy, leadership, social competence, and self-efficacy (e.”
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Does childhood bullying predict eating disorder symptoms? A prospective, longitudinal analysis
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Self-citationBully/victims: a longitudinal, population-based cohort study of their mental health
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“Bullies may come from disturbed families and are often deviant in their behaviour [8], but they are often strong and healthy children [5, 9] who do not show emotional or physical problems [5, 10].”
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“However, there are now longitudinal and genetically sensitive studies [40] that have shown that being victimized by peers has adverse effects that are as detrimental as being abused by adults [41], get under the skin [42], and last a lifetime [43, 44].”
BackgroundPeer Relations and Developmental Psychopathology
Prinstein, M. J., & Giletta, M. (2016) · Developmental Psychopathology · doi:10.1002/9781119125556.devpsy112 · Cited by 150
Evans, C. B. R., Smokowski, P., Rose, R. A., Mercado, M. C., & Marshall, K. J. (2018) · Journal of Child and Family Studies · doi:10.1007/s10826-018-1078-4 · Cited by 131
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“Bullying victimization has also been found to be associated with low-grade systemic inflammation in young adults in a US epidemiological sample (Copeland et al. 2014) and obesity (Midei & Matthews, 2011; Qualter et al.”
BackgroundChildhood victimization and inflammation in young adulthood: A genetically sensitive cohort study
Baldwin, J. R., Arseneault, L., Caspi, A., Fisher, H. L., Moffitt, T. E., Odgers, C. L., Pariante, C. M., Ambler, A. P., Dove, R. E., Kepa, A., et al. (2017) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2017.08.025 · Cited by 143
“We observed that victimized children already show high CRP levels in young adulthood, consistent with findings from a previous epidemiological study (Copeland et al., 2014).”
InfluentialOlvera Alvarez, H. A., Kubzansky, L. D., Campen, M. J., & Slavich, G. M. (2018) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2018.06.002 · Cited by 133
“Researchers have also found associations between experiences of bullying in childhood (9–16 years) and elevated CRP levels in young adulthood (19–21 years) (Copeland et al., 2014), as well as exposure to victimization during childhood (birth-12 years) and elevated levels of CRP at age 18 years (Baldwin et al.”
Early life adversity: Lasting consequences for emotional learning
Krugers, H. J., Arp, J. M., Xiong, H., Kanatsou, S., Lesuis, S. L., Kőrösi, A., Joëls, M., & Lucassen, P. J. (2016) · Neurobiology of Stress · doi:10.1016/j.ynstr.2016.11.005 · Cited by 139
“inflammatory disorders later in life (Danese et al., 2007; Copeland et al., 2014; Shirtcliff et al., 2009).”
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“Only a small handful of studies have used utilized such designs (e.g., Copeland et al., 2014; Slopen et al., 2013) and they did not test for the age-related interaction that we hypothesized here.”
BackgroundFuture Directions in Peer Relations Research
Prinstein, M. J., & Giletta, M. (2020) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2020.1756299 · Cited by 122
“For instance, using longitudinal data from the Great Smoky Mountains Study, Copeland et al. (2014) reported that children exposed to bullying victimization showed stronger increases in low-grade inflammation (i.e., CRP) over time as compared to their nonbullied peers.”
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“showed a heightened inflammatory response in those children who were the target of peer victimization (Copeland et al. 2014).”
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Matthews, T., Caspi, A., Danese, A., Fisher, H. L., Moffitt, T. E., & Arseneault, L. (2022) · Development and Psychopathology · doi:10.1017/s0954579420001005 · Cited by 93
“…including psychopathology (Bowes, 2015; Jaffee, 2017; Norman et al., 2012; Schaefer et al., 2018), lower educational and career attainment (Brown & Taylor, 2008; Currie & Widom, 2010), and risk markers for inflammatory disease (Baldwin et al., 2018; Copeland et al., 2014; Rasmussen et al., 2019).”
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“In contrast, the effects of very preterm birth (26-31 weeks gestation) may affect the same structures and networks(34) but are only leading to adverse emotion outcome when exposed to being bullied, a highly potent social stressor.(35,36) Recent evidence indicates that preterm children may be particularly sensitive to…”
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“Given past evidence that peer victimization in adolescence predicts greater systemic inflammation in adulthood (Copeland et al., 2014), we also explored associations with © 2017 Association for Child and Adolescent Mental Health. levels of baseline (prestress) pro-inflammatory cytokines.”
InfluentialBullying Victimization Among LGBTQ Youth: Critical Issues and Future Directions
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“Early research has found that boys who report victimization in early adolescence also reported greater depression and negative selfesteem (Schwartz et al. 2015), heightened risk of anxiety problems (Copeland et al. 2014) and increased suicidal behaviors (Klomek et al. 2009).”
BackgroundChildhood Bullying Victimization and Overweight in Young Adulthood: A Cohort Study
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“Children exposed to early life stress may also expend less energy owing to inflammation-related fatigue and physical inactivity (14,52).”
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“Inflammation and activated cellmediated immune pathways have consistently been found in diverse patient cohorts indexed by an up-regulated expression of pro-inflammatory cytokines [4, 5], triggered and sustained by environmental risk factors such as very early infections [6], severe childhood trauma [7] or lifelong ps…”
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“The consequences of traditional bullying victimization identified in previous research clearly demonstrate significant negative outcomes for youth (Cook, Williams, Guerra, Kim, & Sadek, 2010; Copeland et al., 2014; Reijntjes et al., 2011; Ttofi, Farrington, Lösel, & Loeber, 2011).”
BackgroundEarly adversity, neural development, and inflammation
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“However, prospective studies with repeated assessments of early adversity using parental reports, child reports, and behavioral observations have also found that early adversity is related to greater circulating levels of inflammatory markers in adulthood (Copeland et al., 2014; Danese, Pariante, Caspi, Taylor, & Poul…”
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“…some studies have used observational methods (e.g., Ostrov, 2008), others have used parents’ and teachers’ reports to examine victimization (e.g., Copeland et al., 2014; Fung, 2012) but both approaches have been criticized for relying on the respondents’ potentially limited knowledge of when a…”
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“In contrast, bullies do not need to be alert to the same potential threats, as they are often highly ranked and dominant in the social peer structure (Garandeau et al., 2014a, 2014b) and have low levels of stress as indicated by inflammatory markers (Copeland et al., 2014).”
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“Peer victimisation in childhood and adolescence has been associated with higher levels of CRP in midlife (Takizawa, Danese, Maughan, & Arseneault, 2015) and also in young adulthood (Copeland et al., 2014).”
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“One of the proposed mechanisms is that acute stressor-mediated events may induce chronic alterations in immune/inflammatory processes in genetically predisposed individuals [12,13].”
BackgroundSchool-level contextual predictors of bullying and harassment experiences among adolescents
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“Longitudinal evidence suggests that bullies do not appear to suffer from physical and mental health costs in the short- to medium term (i.e., through to early adulthood; Copeland et al., 2014a, 2014b).”
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“The effects of engaging in bullying and aggression are measurable well into adulthood (e.g., Bender & L ¨ osel, 2011; Copeland et al., 2014; Sigurdson et al., 2015).”
BackgroundHow Well Do We Understand the Long-Term Health Implications of Childhood Bullying?
Zárate‐Garza, P. P., Biggs, B. K., Croarkin, P. E., Morath, B. A., Leffler, J. M., Barboza, A. B. C., & Tye, S. J. (2017) · Harvard Review of Psychiatry · doi:10.1097/hrp.0000000000000137 · Cited by 60
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“…(Crooks, 1999; Nyberg et al., 2012), elevated blood pressure and hypertension (Bindon, Knight, Dressler, & Crews, 1997; Dressler, Oths, & Gravlee, 2005; Gravlee, 2009; McClure et al., 2010), increased evening cortisol (Thayer & Kuzawa, 2015), and impaired immune function (Copeland et al., 2014).”
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“, 2020) are prevalent and are associated with stressful responses and cell aging (Condon et al., 2019; Copeland et al., 2014; Korous et al., 2017; Theall et al., 2013); they also contribute to poor health and behavioral problems for children and adults (Bhushan et al.”
BackgroundCumulative Effects of Bullying and Racial Discrimination on Adolescent Health in Australia
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“…victimization impacts include increased childhood mental illness and somatic problems (Wolke and Lereya 2015); increased systemic inflammation (Copeland et al. 2014); anxiety, depression, self-harm, and overall mental health problems among young adults (Lereya et al. 2015); and in adulthood,…”
BackgroundInfluentialHow does the school built environment impact students’ bullying behaviour? A scoping review
Francis, J., Strobel, N., Trapp, G., Pearce, N., Vaz, S. M. A., Christian, H. E., Runions, K., Martin, K., & CROSS, D. S. (2022) · Social Science & Medicine · doi:10.1016/j.socscimed.2022.115451 · Cited by 59
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Early adversities accelerate epigenetic aging into adulthood: a 10‐year, within‐subject analysis
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Priest, N., King, T. L., Bécares, L., & Kavanagh, A. M. (2016) · American Journal of Public Health · doi:10.2105/ajph.2016.303328 · Cited by 47
Panter‐Brick, C., Wiley, K. S., Sancilio, A., Dajani, R. B., & Hadfield, K. (2019) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2019.02.015 · Cited by 46
Chiang, J. J., Bower, J. E., Irwin, M. R., Taylor, S. E., & Fuligni, A. J. (2017) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2017.06.015 · Cited by 48
“Prospective studies have similarly shown that exposure to early adversity or to clinical and subclinical levels of depression predict higher levels of subsequent inflammation (Copeland et al., 2012, 2014; Danese et al., 2007; Deverts et al., 2010; Matthews et al., 2010; Slopen et al., 2013).”
Parent-Reported Bullying and Child Weight Gain between Ages 6 and 15
Sutin, A. R., Robinson, E., Daly, M., & Terracciano, A. (2016) · Childhood Obesity · doi:10.1089/chi.2016.0185 · Cited by 44
“34 Such physiological responses may increase risk of subsequent weight gain.”
Cullen, A. E., Tappin, B. M., Zunszain, P. A., Dickson, H., Roberts, R. E., Nikkheslat, N., Khondoker, M. R., Pariante, C. M., Fisher, H. L., & Laurens, K. R. (2017) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2017.07.002 · Cited by 44
“, trauma/maltreatment, bullying, and economic/social disadvantage (Baumeister et al., 2016; Copeland et al., 2014; Slopen et al., 2015)].”
BackgroundNeupane, S. P., Bramness, J. G., & Lien, L. (2017) · BMC Psychiatry · doi:10.1186/s12888-017-1479-8 · Cited by 43
“Also, recent prospective investigations have shown elevated levels of C-reactive protein (CRP), a commonly assayed acute phase protein, in survivors of childhood adverse events [25], and current CRP levels may predict the emergence of PTSD symptoms after trauma exposure later in life, implying a positive and prospecti…”
BackgroundLee, K. S., & Vaillancourt, T. (2019) · Child Psychiatry & Human Development · doi:10.1007/s10578-019-00884-7 · Cited by 42
Neural and Endocrine Correlates of Early Life Abuse in Youth With Depression and Obesity
Sun, K., Watson, K. T., Angal, S., Bakkila, B. F., Gorelik, A. J., Leslie, S. M., Rasgon, N., & Singh, M. K. (2018) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2018.00721 · Cited by 39
“We used a totaled PVS score in our linear models to adjust for the possible confounding effect of peer victimization on the relation between abuse and neural and endocrine outcomes, as childhood bullying has been shown to predict systemic inflammation and being overweight in early adulthood (46, 47).”
MethodOsborn, M. T., & Widom, C. S. (2019) · Psychological Medicine · doi:10.1017/s0033291719002575 · Cited by 36
“These relationships have been demonstrated in the short-term (Heim, 2017), throughout adolescence (Copeland et al., 2014), and into adulthood (Danese et al.”
BackgroundRahman, M. M., Rahman, M., Khan, M. M. A., Hasan, M., & Choudhury, K. N. (2020) · Depression and Anxiety · doi:10.1002/da.23033 · Cited by 39
“…the vulnerable developmental adolescent periods lead to neurobiological (Anda et al., 2006; Shonkoff, Boyce, & Mcewen, 2009) and inflammatory (Copeland et al., 2014) changes which then cause mental illness (Shonkoff et al., 2009); with adolescent who develop mental health problems attempting…”
BackgroundKretschmer, T., Veenstra, R., Branje, S., Reijneveld, S. A., Meeus, W., Deković, M., Koot, H. M., Vollebergh, W., & Oldehinkel, A. J. (2017) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-017-0316-3 · Cited by 38
“…are associated with quality of interpersonal experiences later on and might be beneficial for healthy development overall (Viner et al. 2012) whereas negative peer experiences such as being victimized by peers are linked to psychological maladjustment (Copeland et al. 2014; Takizawa et al. 2014).”
Wang, H., Bragg, F., Guan, Y., Zhong, J., Li, N., & Yu, M. (2022) · Journal of Affective Disorders · doi:10.1016/j.jad.2022.11.087 · Cited by 45
Matthews, K. A., Jennings, J. R., Lee, L., & Pardini, D. A. (2017) · Psychological Science · doi:10.1177/0956797617697700 · Cited by 39
“…for bullying would not have a deleterious effect on psychosocial risk factors and inflammation for men who also had lower scores for being bullied; this result would be anticipated on the basis of an evolutionary perspective as well as some evidence from other studies (e.g., Copeland et al., 2014).”
BackgroundResultInfluentialAnnual Research Review: Social relationships and the immune system during development
Robles, T. F. (2020) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.13350 · Cited by 37
Gender Minority Stress, Support, and Inflammation in Transgender and Gender-Nonconforming Youth
McQuillan, M. T., Kuhns, L. M., Miller, A. A., McDade, T. W., & Garofalo, R. (2020) · Transgender Health · doi:10.1089/trgh.2020.0019 · Cited by 38
Aggressiveness, violence, homicidality, homicide, and Lyme disease
Bransfield, R. C. (2018) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s155143 · Cited by 33
“53 LD is associated with chronic inflammation and activation of this circuit.”
Challenges in researching the immune pathways between early life adversity and psychopathology
Reid, B. M., & Danese, A. (2020) · Development and Psychopathology · doi:10.1017/s0954579420001157 · Cited by 37
“Analysis of ELA-related inflammation abnormalities in dried blood spot showed results comparable to those in serum (Copeland et al., 2014; Danese et al., 2011).”
ResultCannon, M. D., Clarke, M. C., & Cotter, D. (2014) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2014.14060749 · Cited by 32
Macalli, M., Orri, M., Tzourio, C., & Côté, S. M. (2021) · BMC Psychiatry · doi:10.1186/s12888-021-03354-4 · Cited by 38
Adolescent Bullying in Schools: An Evolutionary Perspective
Volk, A. A., Farrell, A. H., Franklin, P., Mularczyk, K. P., & Provenzano, D. A. (2016) · Evolutionary psychology · doi:10.1007/978-3-319-29986-0_7 · Cited by 39
Lee, K., Dale, J. R., Guy, A., & Dieter Wolke, C. (2017) · Journal of Adolescence · doi:10.1016/j.adolescence.2017.12.008 · Cited by 32
“…evidence that being bullied has extensive adverse effects on physical and psychological health, as well as on social and educational outcomes (Copeland et al., 2014; Gini & Pozzoli, 2009; Moore, Norman, Suetani, Thomas, Sly, & Scott., 2017; Takizawa, Maughan, & Arseneault, 2014; Winsper,…”
BackgroundYbarra, M. L., Prescott, T. L., & Espelage, D. L. (2016) · JMIR mhealth and uhealth · doi:10.2196/mhealth.4936 · Cited by 30
“Emerging research suggests that bullying also has a negative physiological impact: victims have greater changes in C-reactive protein as they age into adulthood [7].”
BackgroundShea, M., Wang, C., Shi, W., Gonzalez, V., & Espelage, D. L. (2016) · Asian American Journal of Psychology · doi:10.1037/aap0000047 · Cited by 37
“Bullying involvement—as a perpetrator, a victim, or both—has been associated with negative academic, social, and mental health consequences (Cook, Williams, Guerra, Kim, & Sadek, 2010; Copeland et al., 2014; Kim, Catalano, Haggerty, & Abbott, 2011; Rigby, 2003).”
Adverse childhood experiences: impacts on adult mental health and social withdrawal
Wakuta, M., Nishimura, T., Osuka, Y., Tsukui, N., Takahashi, M., Adachi, M., Suwa, T., & Katayama, T. (2023) · Frontiers in Public Health · doi:10.3389/fpubh.2023.1277766 · Cited by 30
Paediatric stress: from neuroendocrinology to contemporary disorders
Stavrou, S., Nicolaides, N. C., Critselis, E., Darviri, C., Charmandari, E., & Chrousos, G. P. (2017) · European Journal of Clinical Investigation · doi:10.1111/eci.12724 · Cited by 28
The Relationship Between Workplace Bullying and Positive Mental Health Among Registered Nurses
Harb, A., Rayan, A., & Al.khashashneh, O. Z. (2019) · Journal of the American Psychiatric Nurses Association · doi:10.1177/1078390319877223 · Cited by 30
“Bullying at the workplace can be a source of long-standing stress that affects social and emotional well-being, possibly through neurobiological changes in the human body (Copeland et al., 2014).”
BackgroundSIBLING CONFLICTS IN FULL- AND HALF-SIBLING HOUSEHOLDS IN THE UK
Tanskanen, A. O., Danielsbacka, M., Jokela, M. M., & Rotkirch, A. (2016) · Journal of Biosocial Science · doi:10.1017/s0021932016000043 · Cited by 29
“The data have been described in detail by Hansen (2014). For the analytic sample, cases where the main respondents were the biological mothers of the respondent child (in the fifth wave over 95% of all main respondents) were selected.”
MethodCorrelates of Help-Seeking Behaviour in Adolescents Who Experience Bullying Victimisation
Anthony, L., Scott, J. G., Campbell, M. A., Lawrence, D. M., Zubrick, S. R., Bartlett, J., & Thomas, H. J. (2021) · International Journal of Bullying Prevention · doi:10.1007/s42380-021-00090-x · Cited by 36
Pathways from childhood maltreatment to cardiometabolic disease: a research review
Baldwin, J. R., & Danese, A. (2019) · Adoption & Fostering · doi:10.1177/0308575919856175 · Cited by 29
Assessing within- and between-family variations in an expanded measure of childhood adversity.
Morrill, M. I., Schulz, M. S., Nevarez, M. D., Preacher, K. J., & Waldinger, R. J. (2019) · Psychological Assessment · doi:10.1037/pas0000691 · Cited by 28
“, 2013; Wade, Shea, Rubin, & Wood, 2014), especially socioeconomic (SES) stressors and bullying from peers, which have been found to be associated with later life functioning (Copeland et al., 2014; Culpin, Stapinski, Miles, Araya, & Joinson, 2015).”
BackgroundEstévez, E., Flores, E., Estévez, J. F., & Huéscar, E. (2019) · Revista Latinoamericana de Psicología · doi:10.14349/rlp.2019.v51.n3.8 · Cited by 26
“En las víctimas, además, se suelen observar problemas psicosomáticos como dolor abdominal, desórdenes del sueño o cefaleas (Arseneault, 2017; Copeland et al., 2014; Gini & Pozzoli, 2013).”
BackgroundDownward Spiral of Bullying: Victimization Timeline From Former Victims’ Perspective
Wójcik, M., Thornberg, R., Flak, W., & Leśniewski, J. (2021) · Journal of Interpersonal Violence · doi:10.1177/0886260521990835 · Cited by 29
“However, at the same time, such victimization poses more serious consequences for young adult development: poor mental and physical health, poor relationship building and maintenance, and unsatisfactory professional life (Copeland et al., 2017).”
BackgroundSkarstein, S. O., Helseth, S., & Kvarme, L. G. (2020) · BMC Psychology · doi:10.1186/s40359-020-00478-2 · Cited by 34
Metadata
- Authors
- Copeland, W. E., Wolke, D., Lereya, S. T., Shanahan, L., Worthman, C., & Costello, E. J.
- Affiliations
- Duke University (US)
- Department of Psychology and Division of Mental Health and Wellbeing, University of Warwick, Coventry CV4 7AL, United Kingdom;
- University of Warwick (GB)
- University of North Carolina at Chapel Hill (US)
- Emory University (US)
- Corresponding author
- Copeland, William E.
- Venue
- Proceedings of the National Academy of Sciences
- Publisher
- National Academy of Sciences
- Published
- 2014-05-12
- Volume
- 111
- Issue
- 21
- Pages
- 7570-7575
- ISSN
- 0027-8424 (ISSN-L)
- 1091-6490
- PMC
- PMC4040559
- OpenAlex
- W2159691606
- Cited by
- 291
- References
- 62
- Citations by year
- 2026: 16 · 2025: 20 · 2024: 15 · 2023: 19 · 2022: 33 · 2021: 34 · 2020: 19 · 2019: 27 · 2018: 23 · 2017: 27 · 2016: 24 · 2015: 29 · 2014: 5
- FWCI
- 41.68
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Proceedings of the National Academy of Sciences (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- DukeSpace (Duke University) (submittedVersion, cc-by-nc-nd)
- Funders
- William T. Grant Foundation (MH63671, MH48085, DA/MH11301, MH63970)
- National Alliance for Research on Schizophrenia and Depression (MH63970, MH48085, MH63671, DA/MH11301)
- Economic and Social Research Council (ES/K003593/1)
- National Institute of Mental Health (MH-63671, R01MH063970, R01MH048085, DA/MH11301, MH-63970, MH080230, MH63970, MH63671, MH48085, R03MH094605, and MH080230, MH-48085, K23MH080230, R01MH063671)
- National Institute on Drug Abuse (MH63671, MH63970, MH48085, DA/MH11301, P30DA023026, R01DA011301, DA023026)
- Topics
- Social Sciences › Psychology › Social Psychology › Bullying, Victimization, and Aggression
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Health › Health disparities and outcomes
- Keywords
- childhood bullying, bullying victimization, bullying perpetration, C-reactive protein, low-grade inflammation, biological embedding, social adversity, dominance, psychosocial adversity, adolescent development, early adulthood, Great Smoky Mountains Study
- MeSH terms
- C-Reactive Protein, Child, Humans, Interviews as Topic, Longitudinal Studies, North Carolina, Prospective Studies, Fluoroimmunoassay, Models, Statistical, Systemic Inflammatory Response Syndrome, Bullying
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