ASEAN Journal of Psychiatry, Malaysia
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The Association Between The Attention Deficit Hyperactivity Disorder(ADHD) Symptoms And Bully/Victim Problem Among Malaysian Sixth-Graders

Author(s):
Wan Salwina Wan Ismail*, Nik Ruzyanei Nik Jaafar*, Tuti Iryani Mohd Daud*, Shamsul Azhar Shah**, Aniza Ismail**, Zasmani Shafiee***

Institution(s):
*Department of Psychiatry, Faculty of Medicine, Universiti Kebangsaan Malaysia, 56000 Cheras, Kuala Lumpur, Malaysia; **Department of Community Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, 56000 Cheras, Kuala Lumpur, Malaysia; ***Gleneagles Hospital, Penang, 10050 Malaysia

Abstract:
Objective:
School bullying in Malaysia is on the rise. While efforts are put together to combat the problem, the psychiatric aspect has been neglected. This is a cross-sectional study aimed to determine the association between the symptoms of ADHD and bully/victim problems among Malaysian sixth-graders attending primary schools in Kuala Lumpur.

Methods:
A total of 410 sixth-graders from seven randomly selected schools were assessed with regards to bully/victim problems and ADHD symptoms using self-reported questionnaires. Malaysian Bullying Questionnaire was used to rate bully/victim problems while ADHD symptoms were assessed using Conners-Wells’ Adolescent Self-report Scale (CASS). Teachers and parents also assessed students’ ADHD symptoms using Conner’s Teachers Rating Scale (CTRS) and Conner’s Parents Rating Scale (CPRS), respectively.

Results:
Self-reported questionnaires showed that 61.2% of the children were involved in bully/victim problems. The ADHD symptoms were found significant in relation to bully/victim problems as tested by multiple logistic regression. Only students and parents reported significant ADHD symptoms among the bully/victim groups. The ADHD symptoms reported by students were significant among bullies(OR=0.59,CI=0.42-0.83, p<0.01) and bully-victims(OR=0.55 CI=0.37-0.81,p<0.00). Parents reported significant ADHD symptoms only in victims(OR=1.260,CI=1.02-1.56,p=0.03).

Conclusion:
The ADHD symptoms were significantly present among bullies, victims and bully-victims. These findings open a new perspective of managing bully/victim problems since effective treatment is available for ADHD. ASEAN Journal of Psychiatry, Vol.11 (1): January - June 2010: XX XX.

Keywords: ADHD symptoms, bully/victim problems, sixth-graders, Malaysia

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The Association Between The Attention Deficit Hyperactivity Disorder(ADHD) Symptoms And Bully/Victim Problem Among Malaysian Sixth-Graders (format: pdf, size: 440 Kb)