School Bullying and Family Function in Children and Adolescents with Attention Deficit/ Hyperactivity Disorder in a Tertiary Care Hospital
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Abstract
Objective: To examine the prevalence of school bullying and the association between family function and school bullying in children and adolescents with attention deficit/ hyperactivity disorder at psychiatric clinic, Sunpasitthiprasong hospital.
Methods: This study was a cross-sectional descriptive study. Participants were 90 children aged 7 - 15 with attention deficit/ hyperactivity disorder treated at psychiatric clinic, Sunpasitthiprasong hospital during 4 November 2024 to 2 January 2025 and 90 guardians. Guardians answered the questionnaires including general information, Swanson, Nolan, and Pelham IV Scale Thai version and Chulalongkorn Family Inventory. Children and adolescents answered The Revised Olweus Bully/Victim Questionnaire Thai version. Descriptive statistics were used to explore descriptive data. Analytic statistics including Pearson Chi-Square, Independent t-test and Logistic regression were used to explore the association. Significant level was p < 0.05.
Results: Most of the participants (81.1%) were boy. More than half (57.8%) were bullied at school. SNAP-IV inattention and SNAP-IV hyperactivity/impulsivity were higher in bullied group compared with non-bullied group. Using multiple logistic regression, this study found that poor family communication was a risk factor for victimization compared with moderate to good family communication. Guardians with widow status was a protective factor for victimization compared with guardians with single status.
Conclusion: More than half of the participants were bullied at school. For victimization, poor family communication was a risk factor compared with moderate to good family communication while guardians with widow status was a protective factor compared with guardians with single status. Awareness and promotion of family communication may reduce the risk of victimization.
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