Relationship between Bullying Victimization and Quality of Life in Adolescents with Attention-Deficit/Hyperactivity Disorder (ADHD) in Taiwan: Mediation of the Effects of Emotional Problems and ADHD and Oppositional Defiant Symptoms

Chien-Wen Lin, Kun-Hua Lee, Ray C. Hsiao, Wen-Jiun Chou and Cheng-Fang Yen
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Chien-Wen Lin: Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung 80708, Taiwan
Kun-Hua Lee: Department of Educational Psychology and Counseling, National Tsing Hua University, Hsinchu 300044, Taiwan
Ray C. Hsiao: Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA 98195, USA
Wen-Jiun Chou: College of Medicine, Chang Gung University, Taoyuan 33302, Taiwan
Cheng-Fang Yen: Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung 80708, Taiwan

IJERPH, 2021, vol. 18, issue 18, 1-13

Abstract: This cross-sectional study investigated the mediating effects of emotional problems including depression, anxiety, attention-deficit/hyperactivity disorder (ADHD), and oppositional defiant disorder (ODD) symptoms on the association between bullying victimization and quality of life (QoL) among adolescents with ADHD in Taiwan. A total of 171 adolescents diagnosed as having ADHD participated in this study. Adolescents completed the School Bullying Experience Questionnaire, the Taiwanese Quality of Life Questionnaire for Adolescents, the Taiwanese version of the Children’s Depression Inventory and the Multidimensional Anxiety Scale for Children. Caregivers completed the Chinese version of the Swanson, Nolan, and Pelham Version IV Scale. Structural equation modeling (SEM) was used to examine the relationships among the variables. The results of SEM revealed that bullying victimization indirectly correlated with QoL through the mediation of emotional problems in adolescents with ADHD, whereas ADHD and ODD symptoms did not mediate the association between bullying victimization and QoL. Bullying victimization should be actively prevented and intervened on to ensure better QoL in adolescents with ADHD. Moreover, emotional problems should be alleviated among adolescents with ADHD with bullying victimization experience to maintain their QoL.

Keywords: attention-deficit/hyperactivity disorder; bullying victimization; children; emotional problems; oppositional defiant disorder; psychological well-being; quality of life (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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