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Member Research and Reports

Taiwan Researchers Find Precollege Bullying Experiences Linked with Health-Related Quality of Life in College

Precollege bullying experiences may have long-term effects on college students’ health-related quality of life (HRQOL), as measured by the World Health Organization Quality of Life (WHOQOL-BREF) assessment. According to a new study by researchers at National Taiwan University (NTU), earlier verbal and relational bullying-victimization experiences affected college students’ current HRQOL in social relationships and could also affect their psychological HRQOL through depression.

Jiun-Hau Huang
[Photo: Dr. Jiun-Hau Huang]

Conducted by Dr. Jiun-Hau Huang, associate professor of health behaviors and community sciences in the College of Public Health, NTU and his colleague, Mr. Yu-Ying Chen, this study has been published by the American Academy of Pediatrics in the January issue of Pediatrics, and also reported by Reuters Health.

“Precollege bullying-victimization experiences are not something kids simply grow out of once they get to college. Notably, the long-term impact of bullying on their social relationships sometimes goes unnoticed, and they become hidden victims with social difficulties,” said Dr. Huang, the study’s senior author.

Among 1,439 surveyed Taiwanese college students, 45.7 percent of them reported ever being bullied. The most common type of bullying-victimization experience was verbal bullying (33.9 percent), followed by relational (23.4 percent), physical (11.7 percent), and cyber bullying (7.2 percent).

Multiple linear regression models showed that college students with verbal (β=-.086) and relational (β=-.056) bullying-victimization experiences, both before and in college, reported significantly lower HRQOL in social relationships. “These victimization experiences may have detrimental effects on interpersonal confidence of the victims, thereby leading to social avoidance and even self-inflicted isolation. The victims could also be marginalized after being bullied,” said Dr. Huang.

Interestingly, those with cyber bullying-victimization experiences before college (β=.060) and in college (β=.068) reported significantly higher HRQOL in physical health and environment, respectively, suggesting that cyber bullying victimization may have a lifestyle-altering effect. In addition, the effects of verbal and relational bullying-victimization experiences on psychological HRQOL could be mediated and manifested through depression.

In conclusion, Dr. Huang said, “it is reasonable to suggest that previous exposure to bullying victimization may have latent effects that could be triggered and exacerbated by future bullying-related traumatization. Hence, further research is warranted to elucidate their causal mechanisms and to explore school policies and health education initiatives that may help ameliorate the short-term and long-term effects of bullying on HRQOL.”