Background Bullying is a multifaceted problem with many consequences. Aim This study aimed to determine the psychiatric morbidity of children involved in bullying, either as bullies or victims, treated at the Child and Adolescent Mental Health Care Centre of the Free State Psychiatric Complex (FSPC). Setting Free State Psychiatric Complex, Bloemfontein, South Africa. Methods This retrospective cross-sectional study included children under 18 years treated at the FSPC Care Centre between January and September 2017. Information was extracted from patient files. Results Of 288 patients, 98 (34.0%) were involved in bullying: 66 were bullies, 28 victims, 3 bully-victims, and 1 unspecified. For gender and family structure, there were no statistically significant differences between children involved and those not involved in bullying and between bullies and victims. Almost all bullies (95.4%) had aggression as presenting complaint compared with 39.3% of the victims (p < 0.01). Statistically significantly more victims, than bullies, reported sadness (21.4%, 4.6%, p = 0.02). Attention deficit/hyperactivity disorder (ADHD) was diagnosed in most children, both involved (73.5%) and not involved (63.2%). Statistically significant differences for the presence of conduct disorder were found between children involved and those not involved in bullying (31.6%, 10.0%, p < 0.01) and between bullies and victims (39.4%, 14.3%, p = 0.02). Conclusion The prevalence of conduct disorder diagnosis was more common in bullies than in victims and those involved in bullying as opposed to those not involved. Contribution Psychiatric information of bullying victims and perpetrators in the Free State, which had a high prevalence of bullying in a national survey.

中文翻译：

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在 Free State Psychiatric Complex 接受欺凌治疗的儿童的精神病发病率。

背景 欺凌是一个多方面的问题，会带来许多后果。目的 本研究旨在确定在自由州精神病院 (FSPC) 的儿童和青少年心理健康护理中心接受治疗的参与欺凌行为的儿童（无论是欺凌者还是受害者）的精神病发病率。设置自由状态精神病综合体，布隆方丹，南非。方法 这项回顾性横断面研究纳入了 2017 年 1 月至 9 月期间在 FSPC 护理中心接受治疗的 18 岁以下儿童。信息是从患者档案中提取的。结果 288 名患者中，98 名 (34.0%) 涉及欺凌行为：66 名是欺凌者，28 名受害者，3 名欺负受害者，1 名未指明。对于性别和家庭结构，参与欺凌和未参与欺凌的儿童之间以及欺凌者和受害者之间在统计上没有显着差异。几乎所有欺凌者 (95.4%) 在提出投诉时都表现出攻击性，而受害者中这一比例为 39.3% (p < 0.01)。据统计，比欺凌者更多的受害者报告悲伤 (21.4%, 4.6%, p = 0.02)。大多数儿童被诊断为注意力缺陷/多动障碍 (ADHD)，包括受累 (73.5%) 和未受累 (63.2%)。在参与欺凌的儿童和未参与欺凌的儿童之间 (31.6%, 10.0%, p < 0.01) 以及欺凌者和受害者之间 (39.4%, 14.3%, p = 0.02)，发现品行障碍存在统计学上的显着差异。结论 品行障碍诊断的患病率在欺凌者中比在受害者中更常见，参与欺凌的人比没有参与的人更常见。贡献 自由州欺凌受害者和肇事者的精神病学信息，该州在一项全国调查中欺凌的发生率很高。