@article{ref1,
title="Trends in bullying and emotional and behavioral difficulties among Pakistani schoolchildren: a cross-sectional survey of seven cities",
journal="Frontiers in psychiatry",
year="2019",
author="Naveed, Sadiq and Waqas, Ahmed and Shah, Zarnain and Ahmad, Waqas and Wasim, Muhammad and Rasheed, Jawaria and Afzaal, Tayyaba",
volume="10",
number="",
pages="e976-e976",
abstract="<b>Background:</b> Bullying and peer victimization among adolescents are growing public health concerns that affect victims' emotional well-being, and their social and academic functioning. Despite concerns about this public health epidemic in low- and middle-income countries, most prevalence, policy and intervention studies have been conducted in developed countries and economies. <b>Methods:</b> This cross-sectional study was conducted between September 2016 and July 2017 at seven public and private schools located in five districts in Pakistan: Lodhran, Rahim Yar Khan, Bahawalpur, Faisalabad, Multan, Thatta, and Nawabshah. A total of 2,315 schoolchildren were surveyed with a specially designed instrument in Urdu with items about demographics and bullying behavior, together with a strengths and difficulties questionnaire. <b>Results:</b> Mean age of the respondents was 14.63 (2.87) years. More than half of the respondents were males (n = 1301, 56.2%), and a majority reported that their mothers were housewives (n = 2,100, 90.7%). A total of 615 (26.6%) respondents reported being bullied at school, and 415 (17.9%) reported being bullied away from school. Perpetration of bullying was reported by 430 (18.6%) participants at school and 376 (16.3%) away from school. Being bullied in the past was strongly associated with becoming a perpetrator of bullying in the future. Internalizing symptoms were significantly associated with male gender, older age, being a victim of bullying, and employment status of the respondent's mother. Externalizing symptoms were significantly associated with male gender, older age, being a victim and perpetrator of bullying, and mother's employment status. <b>Conclusion:</b> Bullying perpetrators have a greater tendency to exhibit externalizing symptoms, whereas victims develop both externalizing and internalizing psychopathologies.<br><br>Copyright © 2020 Naveed, Waqas, Shah, Ahmad, Wasim, Rasheed and Afzaal.<p /> <p>Language: en</p>",
language="en",
issn="1664-0640",
doi="10.3389/fpsyt.2019.00976",
url="http://dx.doi.org/10.3389/fpsyt.2019.00976"
}