Multiple types of harassment victimization in adolescents with autism spectrum disorder: Related factors and effects on mental health problems

Background/Purpose: This study examined the prevalence and related factors of multiple (two or three) types of harassment victimization, including school bullying, cyberbullying, and teacher harassment, and their cumulative effects on depression, anxiety, self-esteem, and suicidality in adolescents...

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Main Authors: Tai-Ling Liu, Peng-Wei Wang, Ray C. Hsiao, Hsing-Chang Ni, Sophie Hsin-Yi Liang, Chiao-Fan Lin, Hsiang-Lin Chan, Yi-Hsuan Hsieh, Liang-Jen Wang, Min-Jing Lee, Wen-Jiun Chou, Cheng-Fang Yen
Format: Article
Language:English
Published: Elsevier 2022-11-01
Series:Journal of the Formosan Medical Association
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0929664622001073
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author Tai-Ling Liu
Peng-Wei Wang
Ray C. Hsiao
Hsing-Chang Ni
Sophie Hsin-Yi Liang
Chiao-Fan Lin
Hsiang-Lin Chan
Yi-Hsuan Hsieh
Liang-Jen Wang
Min-Jing Lee
Wen-Jiun Chou
Cheng-Fang Yen
author_facet Tai-Ling Liu
Peng-Wei Wang
Ray C. Hsiao
Hsing-Chang Ni
Sophie Hsin-Yi Liang
Chiao-Fan Lin
Hsiang-Lin Chan
Yi-Hsuan Hsieh
Liang-Jen Wang
Min-Jing Lee
Wen-Jiun Chou
Cheng-Fang Yen
author_sort Tai-Ling Liu
collection DOAJ
description Background/Purpose: This study examined the prevalence and related factors of multiple (two or three) types of harassment victimization, including school bullying, cyberbullying, and teacher harassment, and their cumulative effects on depression, anxiety, self-esteem, and suicidality in adolescents with autism spectrum disorder (ASD) but without intellectual disability. Methods: A total of 219 adolescents with ASD but without intellectual disability and their parents participated in this study. Their experiences of school bullying, cyberbullying, and teacher harassment were evaluated. The related factors of multiple types of harassment victimization, including demographic characteristics, socio-communicative skills, comorbid attention-deficit/hyperactivity disorder (ADHD), and oppositional defiant disorder (ODD) symptoms, were examined. Moreover, the effects of multiple types of harassment victimization on depression, anxiety, self-esteem, and suicidality were examined. Results: In total, 20.54% of participants were victims of multiple types of harassment. Hyperactivity or impulsivity and ODD symptoms were positively associated with multiple types of harassment victimization. Adolescents with ASD who experienced multiple types of harassment victimization had higher severities of depression and anxiety and were more likely to have suicidality than nonvictims and those who experienced only one type of harassment victimization. Conclusion: Experiencing more than one type of harassment victimization was significantly associated with the development of mental health problems in adolescents with ASD. ODD and hyperactivity/impulsivity symptoms predicted the risk of experiencing multiple types of harassment.
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spelling doaj.art-399ec1a8dd5842e78188ab05e074f9462022-12-22T03:31:24ZengElsevierJournal of the Formosan Medical Association0929-66462022-11-011211121612171Multiple types of harassment victimization in adolescents with autism spectrum disorder: Related factors and effects on mental health problemsTai-Ling Liu0Peng-Wei Wang1Ray C. Hsiao2Hsing-Chang Ni3Sophie Hsin-Yi Liang4Chiao-Fan Lin5Hsiang-Lin Chan6Yi-Hsuan Hsieh7Liang-Jen Wang8Min-Jing Lee9Wen-Jiun Chou10Cheng-Fang Yen11Department of Psychiatry, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan; Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung 80708, TaiwanDepartment of Psychiatry, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan; Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung 80708, TaiwanDepartment of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA 98195-6560, USA; Department of Psychiatry, Children's Hospital and Regional Medical Center, Seattle, WA98105, USADepartment of Psychiatry, Chang Gung Memorial Hospital at Linkou, Taoyuan City 33305, TaiwanDepartment of Psychiatry, Chang Gung Memorial Hospital at Linkou, Taoyuan City 33305, Taiwan; School of Medicine, Chang Gung University, Taoyuan 33302, TaiwanDepartment of Psychiatry, Chang Gung Memorial Hospital at Linkou, Taoyuan City 33305, TaiwanDepartment of Psychiatry, Chang Gung Memorial Hospital at Linkou, Taoyuan City 33305, TaiwanDepartment of Psychiatry, Chang Gung Memorial Hospital at Linkou, Taoyuan City 33305, TaiwanSchool of Medicine, Chang Gung University, Taoyuan 33302, Taiwan; Department of Child and Adolescent Psychiatry, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Kaohsiung 83301, TaiwanSchool of Medicine, Chang Gung University, Taoyuan 33302, Taiwan; Department of Psychiatry, Chiayi Chang Gung Memorial Hospital, Chiayi 61363, TaiwanSchool of Medicine, Chang Gung University, Taoyuan 33302, Taiwan; Department of Child and Adolescent Psychiatry, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Kaohsiung 83301, Taiwan; Corresponding author. 123, Dapi Road, Niaosong District, Kaohsiung City 833, Taiwan.Department of Psychiatry, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan; Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung 80708, Taiwan; Corresponding author. 100, Tzyou 1st Rd, Kaohsiung 807, Taiwan.Background/Purpose: This study examined the prevalence and related factors of multiple (two or three) types of harassment victimization, including school bullying, cyberbullying, and teacher harassment, and their cumulative effects on depression, anxiety, self-esteem, and suicidality in adolescents with autism spectrum disorder (ASD) but without intellectual disability. Methods: A total of 219 adolescents with ASD but without intellectual disability and their parents participated in this study. Their experiences of school bullying, cyberbullying, and teacher harassment were evaluated. The related factors of multiple types of harassment victimization, including demographic characteristics, socio-communicative skills, comorbid attention-deficit/hyperactivity disorder (ADHD), and oppositional defiant disorder (ODD) symptoms, were examined. Moreover, the effects of multiple types of harassment victimization on depression, anxiety, self-esteem, and suicidality were examined. Results: In total, 20.54% of participants were victims of multiple types of harassment. Hyperactivity or impulsivity and ODD symptoms were positively associated with multiple types of harassment victimization. Adolescents with ASD who experienced multiple types of harassment victimization had higher severities of depression and anxiety and were more likely to have suicidality than nonvictims and those who experienced only one type of harassment victimization. Conclusion: Experiencing more than one type of harassment victimization was significantly associated with the development of mental health problems in adolescents with ASD. ODD and hyperactivity/impulsivity symptoms predicted the risk of experiencing multiple types of harassment.http://www.sciencedirect.com/science/article/pii/S0929664622001073Attention-deficit/hyperactivity disorderAutism spectrum disorderHarassmentPsychological wellbeingOppositional defiant disorder
spellingShingle Tai-Ling Liu
Peng-Wei Wang
Ray C. Hsiao
Hsing-Chang Ni
Sophie Hsin-Yi Liang
Chiao-Fan Lin
Hsiang-Lin Chan
Yi-Hsuan Hsieh
Liang-Jen Wang
Min-Jing Lee
Wen-Jiun Chou
Cheng-Fang Yen
Multiple types of harassment victimization in adolescents with autism spectrum disorder: Related factors and effects on mental health problems
Journal of the Formosan Medical Association
Attention-deficit/hyperactivity disorder
Autism spectrum disorder
Harassment
Psychological wellbeing
Oppositional defiant disorder
title Multiple types of harassment victimization in adolescents with autism spectrum disorder: Related factors and effects on mental health problems
title_full Multiple types of harassment victimization in adolescents with autism spectrum disorder: Related factors and effects on mental health problems
title_fullStr Multiple types of harassment victimization in adolescents with autism spectrum disorder: Related factors and effects on mental health problems
title_full_unstemmed Multiple types of harassment victimization in adolescents with autism spectrum disorder: Related factors and effects on mental health problems
title_short Multiple types of harassment victimization in adolescents with autism spectrum disorder: Related factors and effects on mental health problems
title_sort multiple types of harassment victimization in adolescents with autism spectrum disorder related factors and effects on mental health problems
topic Attention-deficit/hyperactivity disorder
Autism spectrum disorder
Harassment
Psychological wellbeing
Oppositional defiant disorder
url http://www.sciencedirect.com/science/article/pii/S0929664622001073
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