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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">It is a great pleasure for me to welcome this very interesting article by Silva et al&#46;<a class="elsevierStyleCrossRef" href="#bib0105"><span class="elsevierStyleSup">1</span></a> It is especially important in identifying key risk factors for bullying perpetration and victimization in Brazil&#46; It shows that the most important risk factors for victimization include being female&#44; being bisexual or homosexual&#44; having low self-esteem&#44; and using downers or tranquillizers&#46; The most important risk factors for perpetration include being male&#44; having poor school performance&#44; consuming alcohol&#44; being a transgressor&#44; and having a favorable attitude to peer violence&#46; The identification of risk factors should be very useful in developing risk assessment instruments and in targeting risk-focused interventions&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">School bullying is defined as behavior that is intended to harm&#44; that is repetitive&#44; and that involves an imbalance of &#40;social or physical&#41; power between the bully and the victim&#46;<a class="elsevierStyleCrossRef" href="#bib0110"><span class="elsevierStyleSup">2</span></a> The main types of school bullying include being called nasty names&#44; being excluded by peers&#44; spreading unpleasant rumors&#44; being hit or kicked&#44; and having belongings stolen&#46;<a class="elsevierStyleCrossRef" href="#bib0115"><span class="elsevierStyleSup">3</span></a> Boys are generally more involved in direct bullying such as hitting or kicking&#44; while girls may be more involved in indirect or relational bullying such as spreading rumors or excluding other students&#46;<a class="elsevierStyleCrossRef" href="#bib0115"><span class="elsevierStyleSup">3</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">In recent years&#44; cyberbullying has also become a great problem&#46; Cyberbullying is defined as bullying perpetrated by electronic means&#44; such as mobile phones&#44; social media&#44; or the internet&#46;<a class="elsevierStyleCrossRef" href="#bib0120"><span class="elsevierStyleSup">4</span></a> One difference from school bullying is that the perpetrator can be anonymous in cyberbullying&#46; The main types of cyberbullying are online aggression or harassment&#44; denigration&#44; impersonation&#44; exclusion&#44; and posting unwanted embarrassing or sexual images &#40;especially to girls&#41;&#46; There is considerable overlap between school bullying and cyberbullying&#46; Students who are victims in school tend also to be victims of cyberbullying&#44; and <span class="elsevierStyleItalic">vice versa</span>&#46;<a class="elsevierStyleCrossRef" href="#bib0125"><span class="elsevierStyleSup">5</span></a> However&#44; I will only focus on school bullying in this article&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Surprisingly&#44; the Brazilian study reports that the prevalence of victimization was much less than the prevalence of perpetration&#46; Of course&#44; prevalence depends a great deal on the definition of bullying&#44; on the way it is measured&#44; and on the time period enquired about&#46;<a class="elsevierStyleCrossRef" href="#bib0130"><span class="elsevierStyleSup">6</span></a> Large-scale surveys have reported that the prevalence of both perpetration and victimization in the previous month is about one-third of students&#46;<a class="elsevierStyleCrossRef" href="#bib0135"><span class="elsevierStyleSup">7</span></a> Also&#44; surprisingly&#44; the Brazilian article reports a very low prevalence of combined perpetrator-victims &#40;2&#37;&#41;&#46; For comparison&#44; in a study in Nicaragua&#44; perpetration was reported by 6&#37;&#44; victimization was reported by 25&#37;&#44; and an additional 19&#37; were combined perpetrator-victims&#46;<a class="elsevierStyleCrossRef" href="#bib0140"><span class="elsevierStyleSup">8</span></a> Perpetrator-victims are often quite common in research on school bullying&#46;<a class="elsevierStyleCrossRef" href="#bib0145"><span class="elsevierStyleSup">9</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">School bullying is associated with many undesirable effects on perpetrators and victims&#46; For example&#44; Baldry et al&#46; found that perpetrator-victims reported more symptoms of post-traumatic stress than did other students&#46;<a class="elsevierStyleCrossRef" href="#bib0150"><span class="elsevierStyleSup">10</span></a> It is sometimes difficult to determine whether particular risk factors&#44; such as low self-esteem&#44; are causes or consequences&#46; However&#44; a systematic review of prospective longitudinal studies by Ttofi et al&#46; showed that victims of school bullying tended to be depressed up to 36 years later&#44; even after controlling for several childhood risk factors&#46;<a class="elsevierStyleCrossRef" href="#bib0155"><span class="elsevierStyleSup">11</span></a> Another systematic review of prospective longitudinal studies showed that perpetrators of school bullying tended to be offenders up to 11 years later&#44; even after controlling for several childhood risk factors&#46;<a class="elsevierStyleCrossRef" href="#bib0160"><span class="elsevierStyleSup">12</span></a> Still another similar review discovered that perpetrators tended to be drug users up to 15 years later&#46;<a class="elsevierStyleCrossRef" href="#bib0165"><span class="elsevierStyleSup">13</span></a> This is the most convincing kind of evidence about the consequences of perpetration and victimization&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">Widely recognized risk factors for perpetration include antisocial peer influence&#44; low empathy&#44; antisocial attitudes or moral principles&#44; and externalizing problems such as aggression and defiance&#46;<a class="elsevierStyleCrossRefs" href="#bib0135"><span class="elsevierStyleSup">7&#44;14</span></a> Widely recognized risk factors for victimization include low self-esteem&#44; low social competence&#44; low status with peers &#40;unpopular&#44; with few friends&#41;&#44; and internalizing problems such as being withdrawn&#44; anxious&#44; or depressed&#46;<a class="elsevierStyleCrossRefs" href="#bib0135"><span class="elsevierStyleSup">7&#44;14</span></a></p><p id="par0035" class="elsevierStylePara elsevierViewall">Bullying perpetration at ages 14 and 18 was investigated in a major longitudinal study of 411 London boys&#44; in which information was obtained from peers&#44; parents&#44; teachers&#44; and records&#44; as well as from the boys themselves&#46;<a class="elsevierStyleCrossRef" href="#bib0110"><span class="elsevierStyleSup">2</span></a> The most important risk factors for bullying included individual factors such as low intelligence&#44; low school attainment&#44; and high daring or risk-taking&#44; family factors such as having a convicted parent and poor parental supervision&#44; peer factors such as having delinquent peers and not having few friends&#44; and socio-economic factors such as low family income&#44; large family size&#44; and poor housing&#46; In many ways&#44; risk factors for bullying perpetration are similar to risk factors for delinquency&#46;<a class="elsevierStyleCrossRef" href="#bib0175"><span class="elsevierStyleSup">15</span></a></p><p id="par0040" class="elsevierStylePara elsevierViewall">Widely recognized protective factors against perpetration include a positive school climate&#44; a good home environment&#44; high social competence&#44; prosocial peer influence&#44; good academic performance&#44; and high empathy&#46;<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">16</span></a> Widely recognized protective factors against victimization include high social competence&#44; high self-esteem&#44; high academic achievement&#44; high peer status or popularity&#44; prosocial peer influence&#44; a positive school climate&#44; and good family relationships&#46;<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">16</span></a> Ttofi et al&#46; carried out a systematic review of prospective longitudinal studies to investigate protective factors that interrupted the continuity from victimization to later internalizing problems&#44; and from perpetration to later externalizing problems&#46;<a class="elsevierStyleCrossRef" href="#bib0185"><span class="elsevierStyleSup">17</span></a> The most important protective factors included good social skills&#44; good school performance&#44; prosocial friends&#44; social support&#44; coming from an unbroken family&#44; and high parental attachment&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">Returning to the Brazilian research&#44; I was very happy that the authors chose to analyze dichotomous variables and to report odds ratios&#46; This makes their results very easy to understand and communicate to researchers and policy-makers&#44; which is very important&#46; It is not difficult to understand the statement that the odds of being victimized are 2&#46;4 times greater for students with low self-esteem&#46; I am concerned when researchers score bullying scales &#40;such as from &#8220;never&#8221; to &#8220;several times a week&#8221;&#41; from 0 to 4 and analyze these numbers as though they were normally distributed equal-interval scales like height and weight&#46; These mean scores are not very meaningful&#46; Also&#44; the distributions of these types of bullying variables are often highly skewed&#44; with the standard deviation often exceeding the mean&#44; making confidence intervals meaningless because the lower confidence interval is a negative number&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">The good news is that many interventions&#44; based on knowledge about risk and protective factors&#44; successfully prevent and reduce school bullying&#46; Gaffney et al&#46; reviewed 100 evaluations of school bullying prevention programs and found that&#44; overall&#44; they reduced victimization by about 15&#8211;16&#37;&#46;<a class="elsevierStyleCrossRef" href="#bib0190"><span class="elsevierStyleSup">18</span></a> These researchers also reviewed school bullying prevention programs across the world and concluded that they were most effective in reducing victimization in Italy&#44; Spain&#44; and Norway&#46;<a class="elsevierStyleCrossRef" href="#bib0195"><span class="elsevierStyleSup">19</span></a> Unfortunately&#44; the only evaluation in South America &#40;actually in Brazil&#41; that met their inclusion criteria did not yield encouraging results&#44; at least according to the analyses of Gaffney et al&#46;<a class="elsevierStyleCrossRef" href="#bib0200"><span class="elsevierStyleSup">20</span></a> The most effective programs were No Trap&#33; from Italy&#44; Bully-Proofing Your School from the United States&#44; and the Olweus Bullying Prevention Program from Norway&#46; Zych et al&#46; recommended that the Spanish concept of <span class="elsevierStyleItalic">convivencia</span> should be promoted in schools&#46;<a class="elsevierStyleCrossRef" href="#bib0130"><span class="elsevierStyleSup">6</span></a></p><p id="par0055" class="elsevierStylePara elsevierViewall">There is a great need&#44; in Brazil and in other countries&#44; for a longitudinal study of perpetration and victimization in schools from ages 8&#8211;10 to ages 16&#8211;18&#46; Ideally&#44; there should be yearly assessments of perpetration and victimization and of modifiable risk and protective factors&#46; Ideally&#44; information should be collected from students&#44; peers&#44; teachers&#44; parents&#44; and school records&#46; It would then be possible to document within-individual changes in risk and protective factors that were reliably followed by within-individual changes in perpetration and victimization&#46; Importantly&#44; this project would establish whether changes in specified factors &#40;<span class="elsevierStyleItalic">e&#46;g</span>&#46;&#44; self-esteem&#41;&#44; preceded&#44; followed&#44; or coincided with changes in perpetration and victimization&#46; In turn&#44; this would greatly advance knowledge about the causes of perpetration and victimization and suggest which factors should be especially targeted in intervention programs&#46;</p><p id="par0060" class="elsevierStylePara elsevierViewall">In conclusion&#44; it is clear that school bullying is a major problem&#44; causing great distress to many students&#46; There is a great need for more widespread investment in research on this topic and in effective intervention programs&#46; I hope that the article by Silva et al&#46; will direct attention to the important problems of bullying and victimization of children and young people&#44; and the need for more investment in school-based intervention programs&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0065" class="elsevierStylePara elsevierViewall">The author declares no conflicts of interest&#46;</p></span></span>"
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Editorial
The importance of risk factors for bullying perpetration and victimization
A importância dos fatores de risco para a prática de bullying e vitimização
David P. Farrington
Cambridge University, Psychological Criminology, Cambridge, United Kingdom
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">It is a great pleasure for me to welcome this very interesting article by Silva et al&#46;<a class="elsevierStyleCrossRef" href="#bib0105"><span class="elsevierStyleSup">1</span></a> It is especially important in identifying key risk factors for bullying perpetration and victimization in Brazil&#46; It shows that the most important risk factors for victimization include being female&#44; being bisexual or homosexual&#44; having low self-esteem&#44; and using downers or tranquillizers&#46; The most important risk factors for perpetration include being male&#44; having poor school performance&#44; consuming alcohol&#44; being a transgressor&#44; and having a favorable attitude to peer violence&#46; The identification of risk factors should be very useful in developing risk assessment instruments and in targeting risk-focused interventions&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">School bullying is defined as behavior that is intended to harm&#44; that is repetitive&#44; and that involves an imbalance of &#40;social or physical&#41; power between the bully and the victim&#46;<a class="elsevierStyleCrossRef" href="#bib0110"><span class="elsevierStyleSup">2</span></a> The main types of school bullying include being called nasty names&#44; being excluded by peers&#44; spreading unpleasant rumors&#44; being hit or kicked&#44; and having belongings stolen&#46;<a class="elsevierStyleCrossRef" href="#bib0115"><span class="elsevierStyleSup">3</span></a> Boys are generally more involved in direct bullying such as hitting or kicking&#44; while girls may be more involved in indirect or relational bullying such as spreading rumors or excluding other students&#46;<a class="elsevierStyleCrossRef" href="#bib0115"><span class="elsevierStyleSup">3</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">In recent years&#44; cyberbullying has also become a great problem&#46; Cyberbullying is defined as bullying perpetrated by electronic means&#44; such as mobile phones&#44; social media&#44; or the internet&#46;<a class="elsevierStyleCrossRef" href="#bib0120"><span class="elsevierStyleSup">4</span></a> One difference from school bullying is that the perpetrator can be anonymous in cyberbullying&#46; The main types of cyberbullying are online aggression or harassment&#44; denigration&#44; impersonation&#44; exclusion&#44; and posting unwanted embarrassing or sexual images &#40;especially to girls&#41;&#46; There is considerable overlap between school bullying and cyberbullying&#46; Students who are victims in school tend also to be victims of cyberbullying&#44; and <span class="elsevierStyleItalic">vice versa</span>&#46;<a class="elsevierStyleCrossRef" href="#bib0125"><span class="elsevierStyleSup">5</span></a> However&#44; I will only focus on school bullying in this article&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Surprisingly&#44; the Brazilian study reports that the prevalence of victimization was much less than the prevalence of perpetration&#46; Of course&#44; prevalence depends a great deal on the definition of bullying&#44; on the way it is measured&#44; and on the time period enquired about&#46;<a class="elsevierStyleCrossRef" href="#bib0130"><span class="elsevierStyleSup">6</span></a> Large-scale surveys have reported that the prevalence of both perpetration and victimization in the previous month is about one-third of students&#46;<a class="elsevierStyleCrossRef" href="#bib0135"><span class="elsevierStyleSup">7</span></a> Also&#44; surprisingly&#44; the Brazilian article reports a very low prevalence of combined perpetrator-victims &#40;2&#37;&#41;&#46; For comparison&#44; in a study in Nicaragua&#44; perpetration was reported by 6&#37;&#44; victimization was reported by 25&#37;&#44; and an additional 19&#37; were combined perpetrator-victims&#46;<a class="elsevierStyleCrossRef" href="#bib0140"><span class="elsevierStyleSup">8</span></a> Perpetrator-victims are often quite common in research on school bullying&#46;<a class="elsevierStyleCrossRef" href="#bib0145"><span class="elsevierStyleSup">9</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">School bullying is associated with many undesirable effects on perpetrators and victims&#46; For example&#44; Baldry et al&#46; found that perpetrator-victims reported more symptoms of post-traumatic stress than did other students&#46;<a class="elsevierStyleCrossRef" href="#bib0150"><span class="elsevierStyleSup">10</span></a> It is sometimes difficult to determine whether particular risk factors&#44; such as low self-esteem&#44; are causes or consequences&#46; However&#44; a systematic review of prospective longitudinal studies by Ttofi et al&#46; showed that victims of school bullying tended to be depressed up to 36 years later&#44; even after controlling for several childhood risk factors&#46;<a class="elsevierStyleCrossRef" href="#bib0155"><span class="elsevierStyleSup">11</span></a> Another systematic review of prospective longitudinal studies showed that perpetrators of school bullying tended to be offenders up to 11 years later&#44; even after controlling for several childhood risk factors&#46;<a class="elsevierStyleCrossRef" href="#bib0160"><span class="elsevierStyleSup">12</span></a> Still another similar review discovered that perpetrators tended to be drug users up to 15 years later&#46;<a class="elsevierStyleCrossRef" href="#bib0165"><span class="elsevierStyleSup">13</span></a> This is the most convincing kind of evidence about the consequences of perpetration and victimization&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">Widely recognized risk factors for perpetration include antisocial peer influence&#44; low empathy&#44; antisocial attitudes or moral principles&#44; and externalizing problems such as aggression and defiance&#46;<a class="elsevierStyleCrossRefs" href="#bib0135"><span class="elsevierStyleSup">7&#44;14</span></a> Widely recognized risk factors for victimization include low self-esteem&#44; low social competence&#44; low status with peers &#40;unpopular&#44; with few friends&#41;&#44; and internalizing problems such as being withdrawn&#44; anxious&#44; or depressed&#46;<a class="elsevierStyleCrossRefs" href="#bib0135"><span class="elsevierStyleSup">7&#44;14</span></a></p><p id="par0035" class="elsevierStylePara elsevierViewall">Bullying perpetration at ages 14 and 18 was investigated in a major longitudinal study of 411 London boys&#44; in which information was obtained from peers&#44; parents&#44; teachers&#44; and records&#44; as well as from the boys themselves&#46;<a class="elsevierStyleCrossRef" href="#bib0110"><span class="elsevierStyleSup">2</span></a> The most important risk factors for bullying included individual factors such as low intelligence&#44; low school attainment&#44; and high daring or risk-taking&#44; family factors such as having a convicted parent and poor parental supervision&#44; peer factors such as having delinquent peers and not having few friends&#44; and socio-economic factors such as low family income&#44; large family size&#44; and poor housing&#46; In many ways&#44; risk factors for bullying perpetration are similar to risk factors for delinquency&#46;<a class="elsevierStyleCrossRef" href="#bib0175"><span class="elsevierStyleSup">15</span></a></p><p id="par0040" class="elsevierStylePara elsevierViewall">Widely recognized protective factors against perpetration include a positive school climate&#44; a good home environment&#44; high social competence&#44; prosocial peer influence&#44; good academic performance&#44; and high empathy&#46;<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">16</span></a> Widely recognized protective factors against victimization include high social competence&#44; high self-esteem&#44; high academic achievement&#44; high peer status or popularity&#44; prosocial peer influence&#44; a positive school climate&#44; and good family relationships&#46;<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">16</span></a> Ttofi et al&#46; carried out a systematic review of prospective longitudinal studies to investigate protective factors that interrupted the continuity from victimization to later internalizing problems&#44; and from perpetration to later externalizing problems&#46;<a class="elsevierStyleCrossRef" href="#bib0185"><span class="elsevierStyleSup">17</span></a> The most important protective factors included good social skills&#44; good school performance&#44; prosocial friends&#44; social support&#44; coming from an unbroken family&#44; and high parental attachment&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">Returning to the Brazilian research&#44; I was very happy that the authors chose to analyze dichotomous variables and to report odds ratios&#46; This makes their results very easy to understand and communicate to researchers and policy-makers&#44; which is very important&#46; It is not difficult to understand the statement that the odds of being victimized are 2&#46;4 times greater for students with low self-esteem&#46; I am concerned when researchers score bullying scales &#40;such as from &#8220;never&#8221; to &#8220;several times a week&#8221;&#41; from 0 to 4 and analyze these numbers as though they were normally distributed equal-interval scales like height and weight&#46; These mean scores are not very meaningful&#46; Also&#44; the distributions of these types of bullying variables are often highly skewed&#44; with the standard deviation often exceeding the mean&#44; making confidence intervals meaningless because the lower confidence interval is a negative number&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">The good news is that many interventions&#44; based on knowledge about risk and protective factors&#44; successfully prevent and reduce school bullying&#46; Gaffney et al&#46; reviewed 100 evaluations of school bullying prevention programs and found that&#44; overall&#44; they reduced victimization by about 15&#8211;16&#37;&#46;<a class="elsevierStyleCrossRef" href="#bib0190"><span class="elsevierStyleSup">18</span></a> These researchers also reviewed school bullying prevention programs across the world and concluded that they were most effective in reducing victimization in Italy&#44; Spain&#44; and Norway&#46;<a class="elsevierStyleCrossRef" href="#bib0195"><span class="elsevierStyleSup">19</span></a> Unfortunately&#44; the only evaluation in South America &#40;actually in Brazil&#41; that met their inclusion criteria did not yield encouraging results&#44; at least according to the analyses of Gaffney et al&#46;<a class="elsevierStyleCrossRef" href="#bib0200"><span class="elsevierStyleSup">20</span></a> The most effective programs were No Trap&#33; from Italy&#44; Bully-Proofing Your School from the United States&#44; and the Olweus Bullying Prevention Program from Norway&#46; Zych et al&#46; recommended that the Spanish concept of <span class="elsevierStyleItalic">convivencia</span> should be promoted in schools&#46;<a class="elsevierStyleCrossRef" href="#bib0130"><span class="elsevierStyleSup">6</span></a></p><p id="par0055" class="elsevierStylePara elsevierViewall">There is a great need&#44; in Brazil and in other countries&#44; for a longitudinal study of perpetration and victimization in schools from ages 8&#8211;10 to ages 16&#8211;18&#46; Ideally&#44; there should be yearly assessments of perpetration and victimization and of modifiable risk and protective factors&#46; Ideally&#44; information should be collected from students&#44; peers&#44; teachers&#44; parents&#44; and school records&#46; It would then be possible to document within-individual changes in risk and protective factors that were reliably followed by within-individual changes in perpetration and victimization&#46; Importantly&#44; this project would establish whether changes in specified factors &#40;<span class="elsevierStyleItalic">e&#46;g</span>&#46;&#44; self-esteem&#41;&#44; preceded&#44; followed&#44; or coincided with changes in perpetration and victimization&#46; In turn&#44; this would greatly advance knowledge about the causes of perpetration and victimization and suggest which factors should be especially targeted in intervention programs&#46;</p><p id="par0060" class="elsevierStylePara elsevierViewall">In conclusion&#44; it is clear that school bullying is a major problem&#44; causing great distress to many students&#46; There is a great need for more widespread investment in research on this topic and in effective intervention programs&#46; I hope that the article by Silva et al&#46; will direct attention to the important problems of bullying and victimization of children and young people&#44; and the need for more investment in school-based intervention programs&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0065" class="elsevierStylePara elsevierViewall">The author declares no conflicts of interest&#46;</p></span></span>"
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