Bullying in Swiss Youth Born with a Unilateral Cleft lip and Palate by Self- and Parent-Report

Abstract

Objective

This study aimed to gain a better understanding of bullying as victims and aggressors in youths born with unilateral cleft lip and palate (UCLP).

Design

This is an observational study comparing youths with UCLP (ages 8-16) and their parents with a control group (CG) of children in state schools and their parents.

Participants

Forty-one youths (43% female; mean age 12.4 ± 2.3 years) and their parents (n = 40) composed the UCLP group and 56 youths (47% female; mean age 12.4 ± 1.2 years) and their parents (n = 33) were in the CG.

Main Outcome Measure

The Olweus Bully/Victim questionnaire self- and parent-report was used to assess victims and aggressors involved in bullying behaviors.

Results

About 30% of all youths reported being a frequent victim of bullying at least 2-3 times a month and an additional 32.3% were bullied 1-2 times in the last 2-3 months. For the total sample, parents significantly (P < .05) underestimated any bullying, both as a victim (youths 62.5% vs parents 45.7%) and as an aggressor (youths 53.1% vs parents 37.1%). There were no significant group differences in experiencing any bullying between the youths with UCLP (52.5%) and the CG youths (69.6%) or in its perception by their parents (43.2% and 48.5%, respectively). There were no group differences between the combinations of victim and aggressor.

Conclusions

While there were no differences in bullying prevalence in our sample between youths with UCLP and their peers, this study highlights differences in bullying perceptions between parents and their children.

Keywords

bullying multi-rater victim bullies cleft lip and palate

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References

Center for Disease CaP. Cleft lip and cleft palate are birth defects that occur when a baby’s lip or mouth do not form properly during pregnancy. Together, these birth defects commonly are called “orofacial clefts”. 2020, December 28 [Available from: https://www.cdc.gov/ncbddd/birthdefects/cleftlip.html.

Boulet

Grosse

Honein

Correa-Villaseñor

. Children with orofacial clefts: Health-care use and costs among a privately insured population. Public Health Rep. 2009;124(3):447-453.

Cassell

Strassle

Mendez

, et al. Barriers to care for children with orofacial clefts in North Carolina. Birth Defects Research Part A: Clinical and Molecular Teratology. 2014;100(11):837-847.

Hohlfeld

de Buys Roessingh

Herzog

, et al. Prise en charge des fentes labio-maxillo-palatines au CHUV. Revue médicale suisse. 2009(191):402.

El Ezzi

Jung

Herzog

, et al. New features in the management of labio-maxillo-palatal clefts at the CHUV. Rev Med Suisse. 2020;16(679):237-240.

Montes

ABM

Oliveira

Gaviao

MBD

Barbosa

. Orofacial functions and quality of life in children with unilateral cleft lip and palate. Braz Oral Res. 2019;33(1):e0061.

Queiroz Herkrath

Herkrath

Rebelo

Vettore

. Measurement of health-related and oral health-related quality of life among individuals with nonsyndromic orofacial clefts: A systematic review and meta-analysis. Cleft Palate Craniofac J. 2015;52(2):157-172.

Hunt

Burden

Hepper

Johnston

. The psychosocial effects of cleft lip and palate: A systematic review. Eur J Orthod. 2005;27(3):274-285.

Khargekar

Rajan

. Cleft lip and palate—a psychology insight. Sci Publ Group. 2016;5(4-1):37-40.

10.

Berger

Dalton

. Coping with a cleft: Psychosocial adjustment of adolescents with a cleft lip and palate and their parents. Cleft Palate Craniofac J. 2009;46(4):435-443.

11.

Bjerke

Feragen

Bergvik

. Strengths and difficulties questionnaire (SDQ): Informant agreement between children born with cleft lip and/or palate and their parents. Cleft Palate Craniofac J. 2018;55(2):204-212.

12.

Branson

McGrath

Rausa

Kilpatrick

Crowe

. Psychological and Peer Difficulties of Children with Cleft Lip and/or Palate: A Systematic Review and Meta-Analysis. [published online ahead of print, 2022 Sep 9] Cleft Palate Craniofac J. 2022: 1-13. doi:10.1177/10556656221125377.

13.

Lebrun-Harris

Sherman

Miller

. State-level prevalence of bullying victimization among children and adolescents, national survey of children’s health, 2016-2017. Public Health Rep. 2020;135(3):303-309.

14.

Olweus

. Bullying at school: What we know and what we can do. Blackwell; 1993.

15.

Menesini

Salmivalli

. Bullying in schools: The state of knowledge and effective interventions. Psychol Health Med. 2017;22(sup1):240-253.

16.

Jones

Bellis

Wood

, et al. Prevalence and risk of violence against children with disabilities: A systematic review and meta-analysis of observational studies. Lancet. 2012;380(9845):899-907.

17.

Hartley

Bauman

Nixon

Davis

. Comparative study of bullying victimization among students in general and special education. Except Child. 2015;81(2):176-193.

18.

Jones

Plumb

Sandage

. Social media as a platform for cyberbullying of individuals with craniofacial anomalies: A preliminary study. Lang Speech Hear Serv Sch. 2021;7;52(3):840-855.

19.

Olthof

Goossens

Vermande

Aleva

van der Meulen

. Bullying as strategic behavior: Relations with desired and acquired dominance in the peer group. J Sch Psychol. 2011;49(3):339-359.

20.

Juvonen

Graham

Schuster

. Bullying among young adolescents: The strong, the weak, and the troubled. Pediatrics. 2003;112(6):1231-1237.

21.

Bond

Carlin

Thomas

Rubin

Patton

. Does bullying cause emotional problems? A prospective study of young teenagers. Br Med J. 2001;323(7311):480-484.

22.

Garcia-Continente

Pérez-Giménez

Espelt

Nebot Adell

. Bullying among schoolchildren: Differences between victims and aggressors. Gac Sanit. 2013;27(4):350-354.

23.

Forero

McLellan

Rissel

Bauman

. Bullying behaviour and psychosocial health among school students in New South Wales, Australia: Cross sectional survey. Br Med J. 1999;319(7206):344-348.

24.

Falla

Ortega-Ruiz

Runions

Romera

. Why do victims become perpetrators of peer bullying? Moral disengagement in the cycle of violence. Youth Soc. 2022;54(3):397-418.

25.

Casper

Card

. Overt and relational victimization: A meta-analytic review of their overlap and associations with social–psychological adjustment. Child Dev. 2017;88(2):466-483.

26.

Bowers

Smith

Binney

. Perceived family relationships of bullies, victims and bully/victims in middle childhood. J Soc Pers Relat. 1994;11(2):215-232.

27.

Haynie

Nansel

Eitel

, et al. Bullies, victims, and bully/victims: Distinct groups of at-risk youth. J Early Adolesc. 2001;21(1):29-49.

28.

Stein

Dukes

Warren

. Adolescent male bullies, victims, and bully-victims: A comparison of psychosocial and behavioral characteristics. J Pediatr Psychol. 2007;32(3):273-282.

29.

Lorot-Marchand

Guerreschi

Pellerin

, et al. Frequency and socio-psychological impact of taunting in school-age patients with cleft lip-palate surgical repair. Int J Pediatr Otorhinolaryngol. 2015;79(7):1041-1048.

30.

Carroll

Shute

. School peer victimization of young people with craniofacial conditions: A comparative study. Psychol Health Med. 2005;10(3):291-305.

31.

Lorot-Marchand

Guerreschi

Pellerin

, et al. Frequency and socio-psychological impact of taunting in school-age patients with cleft lip-palate surgical repair. Int J Pediatr Otorhinolaryngol. 2015;79(7):1041-1048.

32.

Hunt

Burden

Hepper

Stevenson

Johnston

. Self-reports of psychosocial functioning among children and young adults with cleft lip and palate. Cleft Palate Craniofac J. 2006;43(5):598-605.

33.

Noar

. Questionnaire survey of attitudes and concerns of patients with cleft lip and palate and their parents. Cleft Palate Craniofac J. 1991;28(3):279-284.

34.

Feragen

Særvold

Aukner

Stock

. Speech, language, and Reading in 10-year-olds with cleft: Associations with teasing, satisfaction with speech, and psychological adjustment. Cleft Palate Craniofac J. 2017;54(2):153-165.

35.

Turner

Thomas

Dowell

Rumsey

Sandy

. Psychological outcomes amongst cleft patients and their families. Br J Plast Surg. 1997;50(1):1-9.

36.

Noor

SNFM

Musa

. Assessment of patients’ level of satisfaction with cleft treatment using the cleft evaluation profile. Cleft Palate Craniofac J. 2007;44(3):292-303.

37.

Broder

Smith

Strauss

. Habilitation of patients with clefts: Parent and child ratings of satisfaction with appearance and speech. Cleft Palate Craniofac J. 1992;29(3):262-267.

38.

Thomas

Turner

Rumsey

Dowell

Sandy

. Satisfaction with facial appearance among subjects affected by a cleft. Cleft Palate Craniofac J. 1997;34(3):226-231.

39.

Richman

. Behavior and achievement of cleft palate children. The University of Iowa; 1973.

40.

Richman

. Parents and teachers: Differing views of behavior of cleft palate children. Cleft Palate J. 1978;15(4):360-364.

41.

Schneiderman

Auer

. The behavior of the child with cleft lip and palate as perceived by parents and teachers. Cleft Palate J. 1984;21(3):224-228.

42.

Hunt

Burden

Hepper

Stevenson

Johnston

. Parent reports of the psychosocial functioning of children with cleft lip and/or palate. Cleft Palate Craniofac J. 2007;44(3):304-311.

43.

Kaufman

Birmaher

Brent

Ryan

Rao

. K-Sads-Pl. J Am Acad Child Adolesc Psychiatry. 2000;39(10):1208.

44.

Kyriakides

Kaloyirou

Lindsay

. An analysis of the revised olweus bully/victim questionnaire using the Rasch measurement model. Brit J Educ Psychol. 2006;76(4):781-801.

45.

Kubiszewski

Fontaine

Chasseigne

Rusch

, eds. Évaluation du bullying scolaire (harcèlement scolaire) chez les adolescents français: validité de l’adaptation française du questionnaire Agresseur/Victime révisé d’Olweus (1996). Annales Médico-psychologiques, revue psychiatrique. Elsevier; 2014.

46.

Solberg

Olweus

. Prevalence estimation of school bullying with the Olweus Bully/victim questionnaire. Aggressive Behavior: Official Journal of the International Society for Research on Aggression. 2003;29(3):239-268.

47.

Olweus

. The Revised Olweus Bullying Questionnaire. Mimeo. Bergen, Norway: Research Center for Health Promotion. University of Bergen; 1996.

48.

Craig

Harel-Fisch

Fogel-Grinvald

, et al. A cross-national profile of bullying and victimization among adolescents in 40 countries. Int J Public Health. 2009;54(2):216-224.

49.

Sidera

Serrat

Collell

Perpiñà

Ortiz

Rostan

. Bullying in primary school children: The relationship between victimization and perception of being a victim. Int J Environ Res Public Health. 2020;17(24):9540.

50.

Arseneault

Bowes

Shakoor

. Bullying victimization in youths and mental health problems:‘Much ado about nothing’? Psychol Med. 2010;40(5):717-729.

51.

Rigby

. Consequences of bullying in schools. The Canadian Journal of Psychiatry. 2003;48(9):583-590.

52.

Rigby

Smith

. Is school bullying really on the rise? Soc Psychol Educ. 2011;14(4):441-455.

53.

National Academies of Sciences E, Medicine. 2016. Preventing bullying through science, policy, and practice.

54.

Olweus

Limber

Breivik

. Addressing specific forms of bullying: A large-scale evaluation of the olweus bullying prevention program. International Journal of Bullying Prevention. 2019;1(1):70-84.

55.

Olweus

Limber

. Bullying in school: Evaluation and dissemination of the Olweus bullying prevention program. American Journal of Orthopsychiatry. 2010;80(1):124.

56.

Olweus

Limber

. 1983. Olweus bullying prevention program.

57.

Ttofi

Farrington

. Effectiveness of school-based programs to reduce bullying: A systematic and meta-analytic review. J Exp Criminol. 2011;7(1):27-56.

58.

Ttofi

Farrington

. What works in preventing bullying: Effective elements of anti-bullying programmes. J Aggress Confl Peace Res. 2009;1(1):13-24.

59.

Holt

Kaufman Kantor

Finkelhor

. Parent/child concordance about bullying involvement and family characteristics related to bullying and peer victimization. J Sch Violence. 2008;8(1):42-63.

60.

Gerrard

. The teasing syndrome in facially deformed children. Australian and New Zealand Journal of Family Therapy. 1991;12(3):147-154.

61.

Skrivan

Habersaat

. Naissance d'un enfant avec une malformation faciale: Analyse clinique du discours parental. Enfances Psy. 2009;2(43):113-118.

62.

Morris

Bardach

Ardinger

, et al. Multidisciplinary treatment results for patients with isolated cleft palate. Plast Reconstr Surg. 1993;92(5):842-851.

63.

Davidson

Demaray

. Social support as a moderator between victimization and internalizing–externalizing distress from bullying. School Psych Rev. 2007;36(3):383-405.

64.

Rothon

Head

Klineberg

Stansfeld

. Can social support protect bullied adolescents from adverse outcomes? A prospective study on the effects of bullying on the educational achievement and mental health of adolescents at secondary schools in east London. J Adolesc. 2011;34(3):579-588.

65.

Karna

Voeten

Little

Alanen

Poskiparta

Salmivalli

. Effectiveness of the KiVa antibullying program: Grades 1-3 and 7-9. J Educ Psychol. 2013;105(2):535-551.

66.

Karna

Voeten

Little

Poskiparta

Kaljonen

Salmivalli

. A large-scale evaluation of the KiVa antibullying program: Grades 4-6. Child Dev. 2011;82(1):311-330.

67.

Salmivalli

Karna

Poskiparta

. Counteracting bullying in Finland: The KiVa program and its effects on different forms of being bullied. Int J Behav Dev. 2011;35(5):405-411.

68.

Dayer

. Le pouvoir de l’injure. Guide de prévention des violences et des discriminations. Editons de l’Aube; 2017.

69.

Dayer

. Quand les violences se donnent un genre : Enjeux et pratiques du management. Sciences sociales; 2020.

70.

Espelage

Polanin

Low

. Teacher and staff perceptions of school environment as predictors of student aggression, victimization, and willingness to intervene in bullying situations. Sch Psychol Q. 2014;29(3):287-305.

71.

Bagwell

Coie

Terry

Lochman

. Peer clique participation and social status in preadolescence. Merrill Palmer Quart. 2000;46(2):280-305.