Joint association of bullying and cyberbullying in health-related quality of life in a sample of adolescents

Qual Life Res. 2020 Apr;29(4):941-952. doi: 10.1007/s11136-019-02353-z. Epub 2019 Nov 9.


Purpose: Health-related quality of life (HRQoL) has been analyzed in relation to multiple psychosocial and health problems. However, only a few studies have analyzed the impact of bullying and cyberbullying on HRQoL. The main purpose of this study was to analyze the level of severity of bullying and cyberbullying on HRQoL. The effects of different roles, especially the conjunctions of of victim-cybervictim and bully-victim/cyberbully-cybervictim on HRQoL, were explored.

Methods: An analytical and cross-sectional study was conducted in a region of northern Spain. Random and representative sampling was employed. The participants included 12, 285 adolescents between 11 and 18 years of age, with a mean age of 14.69 ± 1.73. The Spanish version of the KIDSCREEN-27, the Spanish version of the European bullying intervention project questionnaire (EBIPQ), and the cyberbullying triangulation questionnaire (CTQ) were employed.

Results: The prevalence of bullying victimization, cybervictimization, bullying perpetration, and cyberbullying perpetration was 12%, 8.1%, 10.4%, and 7%, respectively. Significant and negative correlations between all the dimensions of the EBIPQ and the CTQ with the KIDSCREEN-27 were found. Victimization and cybervictimization had more impact than bullying perpetration and cyberbullying perpetration, especially on psychological well-being and school environment. The mixed roles of the victim-cybervictim and victim-cybervictim/bully-cyberbully obtained lower scores than the remaining roles in all the dimensions of KIDSCREEN-27.

Conclusions: Those in mixed roles related to victimization and cybervictimization obtained the lowest scores in all HRQoL dimensions. The results enhance an understanding of the severity of the problem of bullying and cyberbullying and their impact on HRQoL.

Keywords: Adolescence; Bullying; Child; Cyberbullying; Health-related quality of life.

MeSH terms

  • Adolescent
  • Adolescent Behavior / psychology*
  • Bullying / psychology
  • Child
  • Crime Victims / psychology*
  • Cross-Sectional Studies
  • Cyberbullying / psychology*
  • Employment
  • Female
  • Health Status
  • Humans
  • Internet
  • Male
  • Prevalence
  • Quality of Life / psychology*
  • Spain
  • Surveys and Questionnaires