Association of attention deficit hyperactivity disorder symptoms and bullying behavior in children
Objective The association between school bullying and attention deficit hyperactivity disorder(ADHD)symptoms a-mong students in primary schools and the moderating role of gender was explored to provide scientific evidence for the prevention and control of school bullying.Methods A total of 4 764 students from 2 primary schools in Wuhan were selected using the con-venience sampling method in March 2023.The Olweus Bully/Victim Questionnaire and Strengths and Difficulties Questionnaire were used.A Pearson x2 test was used to compare differences in school bullying rates among children with and without ADHD symptoms.Pearson correlation analysis and Process 3.3 were used to analyse the association between ADHD symptoms,and school bullying be-haviour and the moderating role of gender.Results The reported rate of bullying victims in primary schools was 24.2％and the rate of bullying perpetration was 3.8％.The rate of ADHD symptom detection among primary school students was 5.9％.ADHD symp-toms were positively associated with bullying and bullying victim behaviour(r=0.16,0.27,P＜0.01).Specifically,the association between ADHD symptoms and bullying behavior tended to be stronger among boys than girls(βboy=0.17,t=11.13;βgirl=0.07,t=4.11,P＜0.01).Conclusions ADHD symptoms are an important factor influencing school bullying behaviors in students,and gen-der moderates the association.In the process of preventing and controlling school bullying,ADHD symptoms and gender differences should be emphasized and comprehensive interventions should be implemented.
Attention deficit disorder with hyperactivityViolenceMental healthBehaviorChild
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