Understanding Young People's Experiences and Perceptions of Relational Bullying: a Mixed Methods Study

Aim This research sought to understand the experience and perception of relational bullying among young people in England. Background Bullying among young people has been widely acknowledged as a public health concern. Bullying behaviours can be categorised as physical, verbal, relational and cyber. Relational bullying causes harm through the systematic manipulation and damage of peer relationships and may include behaviours such as rumour spreading and social exclusion. Evidence indicates relational bullying can be detrimental for young people’s wellbeing, but it is often considered to be less harmful than other forms of bullying. Wider perceptions among adults and young people suggest these behaviours are commonly not defined as bullying, particularly in a UK context. Further, relational bullying has traditionally been perceived as a female form of aggression. The way in which relational bullying is perceived is likely to influence detection and intervention efforts; considering the potential negative outcomes for young people, relational bullying warranted further exploration from the perspective of young people themselves. The social-ecological theory has been applied within the study of bullying as it acknowledges the social context in which these behaviours happen; the social-ecological theory may be particularly pertinent to the study of relational bullying which often occurs among friendship groups. Methods The social-ecological theory was adopted as a guiding theoretical framework, positioning young people central in the research. A sequential mixed methods approach was employed, with the quantitative methodology playing a dominant role. Secondary analysis of data from 5335 young people (aged 11, 13 and 15 years old) who participated in the 2014 Health Behaviour in School-aged Children (HBSC) study in England was undertaken. Descriptive statistics established the prevalence and demographic picture of relational bullying. A series of three multilevel regression models examined the association between relational bullying and three health and wellbeing outcomes: general self-rated health, health related quality of life (HRQL) and life satisfaction. A fourth multilevel regression model identified factors from the ecologies of young people which helped them to successfully navigate relational bullying. The quantitative findings informed 11 face-to-face interviews with young people (aged 12-18 years), providing a unique opportunity to gain in-depth insight into young people’s perspective of relational bullying and the factors which they perceived as influencing the navigation of relational bullying. Results The quantitative analysis identified 16.6% of the young people (13.7% of boys and 19.7% of girls) had experienced relational bullying in the ‘past couple of months’ prior to the survey. Multilevel regression models identified a significant association between experiencing relational bullying and reporting poorer health and wellbeing outcomes, whilst controlling for other forms of bullying and demographic variables. Possessing positive attributes in relation to body image, general self-efficacy, family activities and family support significantly increased the odds of reporting improved wellbeing amongst those who experienced weekly relational bullying. Thematic analysis of qualitative data resonated with the quantitative findings, also illustrating the harmful effects of relational bullying and identifying internal (e.g. personal wellbeing) and external (e.g. the family) resources which young people perceived as supporting them through relational bullying. Further, the qualitative findings provided insight into the perspectives and experiences of young people, including the role of social media and friends in relational bullying. Both the quantitative and qualitative findings were united in order to inform the development of the Young People’s Relational Bullying model, which provides a visual illustration of how young people experience and perceive this form of bullying. Conclusions Relational bullying is significantly associated with the health and wellbeing of young people. Bullying interventions, and those which help enable young people to manage friendships and peer relationships successfully, are likely to have considerable reach in terms of improving the health of young people. The results challenge the assumption of relational bullying as a female problem, with both boys and girls reporting equal levels of distress from relational bullying. The research identifies factors from the young person’s perspective which may help and hinder the navigation of relational bullying - the family plays a crucial role in mitigating the negative effects, supported by both the quantitative and qualitative results. The Young People’s Relational Bullying model provides a framework for understanding relational bullying, with a focus on the young person’s perspective. Considering wider inconsistent understandings of relational bullying it was important to recognise how young people themselves experience these behaviours. While this study specifically focused on relational bullying, the results are likely to have relevance to other forms of bullying

Associations between physical activity in adolescence and health behaviours, well-being, family and social relations.

This is an Accepted Manuscript of an article published by Taylor & Francis Group in International Journal of Health Promotion and Education on 16 September 2014, available online at: https://doi.org/10.1080/14635240.2014.923287Across Europe and North America, few young people meet the recommended levels of physical activity (PA) of 1 hour of moderate to vigorous PA per day. However, the lives of young people cannot simply be polarised as either completely sedentary or active. Drawing on findings from the World Health Organization Health Behaviour in School-aged Children cross sectional international study, this paper examines the domains of adolescent life associated with young people's participation in overall PA, including health behaviours, social relationships and family activities. Consideration is also given to gender differences. Information in England was collected from 4404 students aged 11, 13 and 15 years, using anonymised self-completed questionnaires. Physical aspects of lifestyle were determined using internationally validated items for measuring PA that met international guidelines for activity and the frequency and duration of vigorous exercise undertaken during leisure activities. Separate analyses were conducted for boys and girls. Levels of PA and vigorous exercise were compared using the chi-squared test for trend. The findings draw attention to the value for the health and well-being of young people participating in some form of PA, even if they do not meet the recommended levels. Medium levels of PA appear to be associated with high levels of life satisfaction, self-rated health and an improved sense of body image. Significant health gains are likely to be made for adolescents in encouraging sedentary young people to undertake some form of PAPeer reviewedFinal Accepted Versio

HBSC England National Report: Health Behaviour in School-aged Children (HBSC) : World Health Organization Collaborative Cross National Study

Findings from the 2014 HBSC study for Englan

Written evidence submitted by HBSC England study team, Centre for Research in Primary and Community Care (CRIPACC), University of Hertfordshire (BYC033)

The 2017 Youth Select Committee conducted an inquiry into body image, inviting submissions from individuals and organisations. The HBSC England study team from the Centre for Research in Primary and Community Care (CRIPACC), University of Hertfordshire submitted evidence based on analysis of data from the HBSC study.Final Published versio

Video gaming in adolescence : factors associated with leisure time use

This is an Accepted Manuscript of an article published by Taylor & Francis Group in Journal of Youth Studies on 14 July 2015, available online at: https://doi.org/10.1080/13676261.2015.1048200The geographies of the current generation of young people are markedly distinct from previous generations by virtue of their access to a virtual playground. The vast majority of young people now engage in video gaming as a leisure activity. Drawing on findings from the 2009/2010 WHO Health Behaviour in School-aged Children study this paper set out to investigate the factors that might be associated with higher levels of video gaming. Information was collected from 4404 school students aged 11, 13 and 15 years, using anonymised self-completed questionnaires. Higher usage was defined as game play exceeding two hours a day. Separate analyses were conducted for boys and girls. For both genders higher levels of game playing was associated with early adolescence, opposite sex friends and minimal parental mediation. Bullying and going to bed hungry were associated with higher usage for boys only, while life satisfaction and family activities were linked to girls’ game playing only. Parents were identified as effective mediators of young people’s video game usage. The study identified gendered motivations for higher levels of game play, suggesting different interventions for boys and girls may be required in order for young people to create a balanced approach to video gamingPeer reviewedFinal Accepted Versio

Understanding young people’s experiences and perceptions of relational bullying: A qualitative study

© 2023 MA Healthcare Ltd. This is an open access article under the CC BY-NC-ND licence, https://creativecommons.org/licenses/by-nc-nd/4.0/Background: Bullying among young people has been acknowledged as a public health concern. Relational bullying is the systematic manipulation and damage of peer relationships; the way in which it is perceived can influence detection and interventions, in view of this, relational bullying warranted further exploration from the perspectives of young people. Aim: To understand the experience and perception of relational bullying among young people. Methods: A qualitative approach underpinned the undertaking of 11 face-to-face interviews with young people aged 12-18 years. Data was thematically analysed. Findings: Seven themes emerged: The complexity of defining bullying; The role of friends; Negative impacts; Social media; Normalisation; Personal resources to aid navigation; External resources to aid navigation. Conclusions: Factors that help and hinder the navigation of relational bullying were identified, the family playing a crucial role in mitigating the negative effects. The findings have the potential to be relevant to other forms of bullying.Peer reviewe

Self-harm in Adolescence: Protective Health Assets in the Family, School and Community

© The Author(s) 2016 This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The final publication is available at Springer via http://dx.doi.org/10.1007/s00038-016-0900-2Objectives and main purpose: The aim of this paper was to examine if the multiple environments of the adolescent including family, peers, school and neighbourhood might function as protective health assets against self-harming behaviour during adolescence. Methods: The present study utilised data collected from 1608 respondents aged 15 years as part of the HBSC England Study. Multilevel modelling was undertaken using the package MLwiN (version 2.33) to investigate the potential domains and dimensions of family life, school culture and environment, and neighbourhood factors that may operate as protective health assets. Results: The results indicated that while peer support did not appear to operate as a protective health asset in the context of self-harm, key dimensions of adolescent/ parent interaction and adolescent experience of the school culture and their neighbourhood were associated with reduced likelihood of self-harming behaviours during adolescence. Conclusions: The Findings highlight the significance of belonging and connectedness as important constituent elements of protective health assets for young people. Interventions that address the multiple environments of the young person, may offer an effective means to reduce the levels of self-harm.Peer reviewe

Is there a link between overactive bladder and the metabolic syndrome in women? : A systematic review of observational studies

This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.To conduct a systematic review to determine whether there is an association between metabolic syndrome (MetS) and lower urinary tract symptoms (LUTS) or overactive bladder (OAB) in women. We systematically reviewed English language observational studies on the effect of MetS (or component factors) on the presence of OAB or LUTS in women. We searched PubMed, Web of Science and The Cochrane Library with no date restrictions, checked reference lists and undertook citation searches in PubMed and Google Scholar. Studies were assessed for risk of bias. Because of heterogeneity, results were not pooled, but are reported narrativelyPeer reviewe