Abstract：
OBJECTIVE: This population-based cohort study aimed to examine the association with childhood attention deficit/hyperactivity disorder (ADHD) and bullying experiences during adolescence among Digital Generation individuals, exploring both traditional and cyberbullying.
METHODS: This study included data from 15,240 participants, collected from the Taiwan Adolescent to Adult Longitudinal Study project. Participants, initially in seventh and 10th grade in 2015, were selected through a multistage stratified sampling approach. Self-report questionnaires assessed traditional and cyberbullying victimization experiences during adolescence, with 5-year longitudinal follow-up. Childhood ADHD diagnoses were identified by linking data to Taiwan\'s National Health Insurance Research Database from 2000 to 2015. Logistic regression models were employed to examine the relationship between childhood ADHD and bullying victimization while controlling for relevant covariates.
RESULTS: Individuals diagnosed with childhood ADHD exhibited a significantly higher likelihood of experiencing bullying during adolescence (adjusted odds ratio (aOR) = 1.52, 95% confidence interval (CI): 1.28-1.80). This association extended to various forms of bullying, including physical (aOR = 1.42, 95% CI: 1.20-1.68), verbal (aOR = 1.42, 95% CI: 1.20-1.67), relational (aOR = 1.45, 95% CI: 1.22-1.71), and cyber (aOR = 1.35, 95% CI: 1.14-1.61). Additional factors positively associated with bullying victimization included male, binge drinking, and depression, while a positive campus atmosphere was protective against bullying. However, there is no evidence for interactions between these factors and ADHD in their associations with bullying.
CONCLUSIONS: Childhood ADHD increases the risk of both traditional and cyberbullying during adolescence. Recognizing this risk is essential for targeted interventions and further research on underlying mechanisms.
METHODS: This study included data from 15,240 participants, collected from the Taiwan Adolescent to Adult Longitudinal Study project. Participants, initially in seventh and 10th grade in 2015, were selected through a multistage stratified sampling approach. Self-report questionnaires assessed traditional and cyberbullying victimization experiences during adolescence, with 5-year longitudinal follow-up. Childhood ADHD diagnoses were identified by linking data to Taiwan\'s National Health Insurance Research Database from 2000 to 2015. Logistic regression models were employed to examine the relationship between childhood ADHD and bullying victimization while controlling for relevant covariates.
RESULTS: Individuals diagnosed with childhood ADHD exhibited a significantly higher likelihood of experiencing bullying during adolescence (adjusted odds ratio (aOR) = 1.52, 95% confidence interval (CI): 1.28-1.80). This association extended to various forms of bullying, including physical (aOR = 1.42, 95% CI: 1.20-1.68), verbal (aOR = 1.42, 95% CI: 1.20-1.67), relational (aOR = 1.45, 95% CI: 1.22-1.71), and cyber (aOR = 1.35, 95% CI: 1.14-1.61). Additional factors positively associated with bullying victimization included male, binge drinking, and depression, while a positive campus atmosphere was protective against bullying. However, there is no evidence for interactions between these factors and ADHD in their associations with bullying.
CONCLUSIONS: Childhood ADHD increases the risk of both traditional and cyberbullying during adolescence. Recognizing this risk is essential for targeted interventions and further research on underlying mechanisms.
摘要：
目的：这项基于人群的队列研究旨在研究数字一代个体在青春期与儿童注意力缺陷/多动障碍（ADHD）和欺凌经历的关联。探索传统和网络欺凌。
方法：这项研究包括来自15,240名参与者的数据，从台湾青少年到成人纵向研究项目中收集。参与者,最初于2015年7年级和10年级，通过多阶段分层抽样方法选择。自我报告问卷评估了青春期传统和网络欺凌的受害经历，5年纵向随访。从2000年到2015年，通过将数据链接到台湾的国家健康保险研究数据库来确定儿童多动症的诊断。在控制相关协变量的同时，采用Logistic回归模型检查儿童多动症与欺凌受害之间的关系。
结果：被诊断为儿童多动症的个体在青春期表现出明显更高的受欺凌的可能性（调整比值比（aOR）=1.52，95％置信区间（CI）：1.28-1.80）。这种联系扩展到各种形式的欺凌行为，包括物理（AOR=1.42，95%CI：1.20-1.68），口头(AOR=1.42，95%CI：1.20-1.67)，关系(AOR=1.45，95%CI：1.22-1.71)，和网络（aOR=1.35，95%CI：1.14-1.61）。与欺凌受害呈正相关的其他因素包括男性，暴饮暴食,和抑郁症,而积极的校园氛围可以防止欺凌。然而,没有证据表明这些因素与多动症之间的相互作用与欺凌有关.
结论：儿童多动症增加了青春期传统和网络欺凌的风险。认识到这种风险对于有针对性的干预措施和进一步研究潜在机制至关重要。
方法：这项研究包括来自15,240名参与者的数据，从台湾青少年到成人纵向研究项目中收集。参与者,最初于2015年7年级和10年级，通过多阶段分层抽样方法选择。自我报告问卷评估了青春期传统和网络欺凌的受害经历，5年纵向随访。从2000年到2015年，通过将数据链接到台湾的国家健康保险研究数据库来确定儿童多动症的诊断。在控制相关协变量的同时，采用Logistic回归模型检查儿童多动症与欺凌受害之间的关系。
结果：被诊断为儿童多动症的个体在青春期表现出明显更高的受欺凌的可能性（调整比值比（aOR）=1.52，95％置信区间（CI）：1.28-1.80）。这种联系扩展到各种形式的欺凌行为，包括物理（AOR=1.42，95%CI：1.20-1.68），口头(AOR=1.42，95%CI：1.20-1.67)，关系(AOR=1.45，95%CI：1.22-1.71)，和网络（aOR=1.35，95%CI：1.14-1.61）。与欺凌受害呈正相关的其他因素包括男性，暴饮暴食,和抑郁症,而积极的校园氛围可以防止欺凌。然而,没有证据表明这些因素与多动症之间的相互作用与欺凌有关.
结论：儿童多动症增加了青春期传统和网络欺凌的风险。认识到这种风险对于有针对性的干预措施和进一步研究潜在机制至关重要。
