Bullying and Parasomnias: A Longitudinal Cohort Study

BACKGROUND AND OBJECTIVES: Environmental factors such as serious trauma or abuse and related stress can lead to nightmares or night terrors. Being bullied can be very distressing for children, and victims display long-term social, psychological, and health consequences. Unknown is whether being bullied by peers may increase the risk for experiencing parasomnias such as nightmares, night terrors, or sleepwalking. METHODS: A total of 6796 children of the Avon Longitudinal Study of Parents and Children (ALSPAC) birth cohort were interviewed at elementary school age (8 and 10 years) about bullying experiences with a previously validated bullying interview and at secondary school age (12.9 years) about parasomnias such as nightmares, night terrors and sleepwalking by trained postgraduate psychologists. RESULTS: Even after adjusting for pre-existing factors related to bullying and parasomnias, being bullied predicted having nightmares (8 years odds ratio [OR], 1.23; 95% confidence interval [CI], 1.05–1.44; 10 years OR, 1.62; 95% CI, 1.35–1.94) or night terrors (8 years OR, 1.39; 95% CI, 1.10–1.75; 10 years OR, 1.53; 95% CI, 1.18–1.98) at age 12 to 13 years. Especially being a chronic victim was associated with both nightmares (OR, 1.82; 95% CI, 1.46–2.27) and night terrors (OR, 2.01; 95% CI, 1.48–2.74). Being a bully/victim also increased the risk for any parasomnia at ages 8 or 10 years (8 years OR, 1.42; 95% CI, 1.08–1.88; 10 years OR, 1.75; 95% CI, 1.30–2.36). In contrast, bullies had no increased risk for any parasomnias. CONCLUSIONS: Being bullied increases the risk for having parasomnias. Hence, parents, teachers, school counselors, and clinicians may consider asking about bullying experiences if a child is having parasomnias. Pediatrics 2014;134:e1040–e1048 AUTHORS: Dieter Wolke, PhD,ab and Suzet Tanya Lereya, PhDa aDepartment of Psychology, University of Warwick, Coventry, United Kingdom, and bDivision of Mental Health and Wellbeing, University of Warwick Medical School, Coventry, United Kingdom