Bullying in Context: An Analysis of Psychosomatic Complaints Among Adolescents in Stockholm

Using multilevel modeling, this study examined how different types of bullying, involving both peers and teachers, relate to psychosomatic health complaints. Data were obtained via the Stockholm School Survey from 41,032 ninth- and eleventh-grade students in the years 2004, 2006, 2008, and 2010. Results showed that students involved in bullying as either a bully, a victim, or both a bully and a victim displayed poorer psychosomatic health than those not involved in bullying. Victims of peer-bullying also reported significantly poorer health than perpetrators. Two class-aggregated measures of bullying remained positively associated with ninth-grade student health complaints even when their individual-level analogues were taken into account. Thus, both the proportion of victims of teacher-bullying and peer-bullying in the school class appeared to generate health problems that go beyond the directly exposed students. However, an interaction revealed that the latter association was confined to female students only.