Children with asthma face serious mental health risk, but the pathways remain unclear. This study aimed to examine bullying victimisation and perpetration in children with asthma and a comparison sample without a chronic health condition, and the role of bullying in moderating psychosocial adjustment outcomes for those with asthma. A sample of children with (n = 24) and without asthma (n = 39), and their parents, were recruited from hospital clinics. Parents rated children’s psychosocial adjustment; children provided self-report of bullying victimisation and perpetration; from which co-occurring bully/victim status was derived. No differences in mean perpetration or victimisation were found, but children with asthma were more likely to be bully/victims (involved both as target and perpetrator), compared to those without asthma. Children with asthma who were victims of bullying had greater peer problems and overall adjustment problems; bully/victims did not show this pattern. Children with asthma may be more likely to be bully/victims, and those who are victims of bullying may be at elevated risk for psychosocial adjustment problems and require particular support in this area from school counsellors and psychologists.

中文翻译：

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患有和未患有哮喘的儿童的欺凌和心理社会适应

哮喘儿童面临严重的心理健康风险，但途径仍不清楚。本研究旨在检查哮喘儿童和没有慢性健康状况的比较样本中的欺凌受害和实施情况，以及欺凌在调节哮喘患者心理社会适应结果中的作用。儿童样本 (n= 24) 且无哮喘 (n= 39）和他们的父母是从医院诊所招募的。家长对孩子的心理社会适应情况进行评分；儿童提供欺凌受害和实施的自我报告；从中得出同时出现的欺凌者/受害者身份。没有发现平均施暴或受害的差异，但与没有哮喘的儿童相比，患有哮喘的儿童更有可能成为欺凌者/受害者（既是目标又是施暴者）。遭受欺凌的哮喘儿童有更大的同伴问题和整体适应问题；欺凌者/受害者没有表现出这种模式。患有哮喘的儿童更有可能成为欺凌者/受害者，而那些成为欺凌者的人可能面临更高的心理社会适应问题风险，并且需要学校辅导员和心理学家在这方面的特别支持。