The effect of peer victimisation on cognitive development in childhood: evidence for mediation via inflammation.

Ellie Roberts, Marta Francesconi, Eirini Flouri
Author Information
  1. Ellie Roberts: Department of Arts and Sciences, University College London, Malet Place, London, NW1 6AP, UK.
  2. Marta Francesconi: Department of Psychology and Human Development, Institute of Education, University College London, 20 Bedford Way, London, WC1H 0AL, UK.
  3. Eirini Flouri: Department of Psychology and Human Development, Institute of Education, University College London, 20 Bedford Way, London, WC1H 0AL, UK. e.flouri@ucl.ac.uk.

Abstract

PURPOSE: Peer victimisation, often a serious childhood stressor, has been associated with poor cognitive outcomes. The current study sought to uncover whether peer victimisation is associated with poor cognitive functioning in childhood via inflammation.
METHODS: Data from 4583 participants in the Avon Longitudinal Study of Parents and Children (ALSPAC) were analysed. Path analysis was conducted to determine whether inflammation, measured using IL-6 and CRP levels (age 9), mediates the effects of peer victimisation (age 8), even after controlling for other stressors, on multiple cognitive outcomes, including working memory (age 10), reading (accuracy, speed, and comprehension) (age 9), spelling (age 9), response inhibition (age 10), attentional control (age 11), and selective attention (age 11).
RESULTS: IL-6 and CRP partially mediated the effects of peer victimisation on working memory, reading accuracy, and selective attention. IL-6 partially mediated the effect of peer victimisation on reading comprehension, while CRP partially mediated the effect of peer victimisation on reading speed. All effects were small. Inflammation did not mediate the effects of peer victimisation on spelling, response inhibition or attentional control.
CONCLUSION: Peer victimisation may impact on some aspects of children's cognitive functioning via inflammation. The cognitive outcome specificity observed warrants further research.

Keywords

References

  1. Adelantado-Renau M, Beltran-Valls MR, Moliner-Urdiales D (2020) Inflammation and cognition in children and adolescents: a call for action. Front Pediatr 8:583. https://doi.org/10.3389/fped.2020.00583 [DOI: 10.3389/fped.2020.00583]
  2. Armitage R (2021) Bullying in children: impact on child health. BMJ Paediatr Open 5(1):e000939. https://doi.org/10.1136/bmjpo-2020-000939 [DOI: 10.1136/bmjpo-2020-000939]
  3. Arnsten AF (2009) Stress signalling pathways that impair prefrontal cortex structure and function. Nat Rev Neurosci 10(6):410–422. https://doi.org/10.1038/nrn2648 [DOI: 10.1038/nrn2648]
  4. Arseneault L (2018) Annual research review: the persistent and pervasive impact of being bullied in childhood and adolescence: implications for policy and practice. J Child Psychol Psychiatry Allied Discip 59(4):405–421. https://doi.org/10.1111/jcpp.12841 [DOI: 10.1111/jcpp.12841]
  5. Bacchini D, Licenziati MR, Garrasi A, Corciulo N, Driul D, Tanas R, Fiumani PM, Di Pietro E, Pesce S, Crinò A, Maltoni G, Iughetti L, Sartorio A, Deiana M, Lombardi F, Valerio G (2015) Bullying and victimization in overweight and obese outpatient children and adolescents: an Italian Multicentric Study. PLoS ONE 10(11):e0142715. https://doi.org/10.1371/journal.pone.0142715 [DOI: 10.1371/journal.pone.0142715]
  6. Barnett BE, Hanna B, Parker G (1983) Life event scales for obstetric groups. J Psychosom Res 27(4):313–320. https://doi.org/10.1016/0022-3999(83)90054-5 [DOI: 10.1016/0022-3999(83)90054-5]
  7. Baumeister D, Akhtar R, Ciufolini S, Pariante CM, Mondelli V (2016) Childhood trauma and adulthood inflammation: a meta-analysis of peripheral C-reactive protein, interleukin-6 and tumour necrosis factor-α. Mol Psychiatry 21(5):642–649. https://doi.org/10.1038/mp.2015.67 [DOI: 10.1038/mp.2015.67]
  8. Boyd A, Golding J, Macleod J, Lawlor DA, Fraser A, Henderson J, Molloy L, Ness A, Ring S, Davey Smith G (2013) Cohort Profile: the ’children of the 90s’–the index offspring of the Avon Longitudinal Study of Parents and Children. Int J Epidemiol 42(1):111–127. https://doi.org/10.1093/ije/dys064 [DOI: 10.1093/ije/dys064]
  9. Carbone-Lopez K, Esbensen F-A, Brick BT (2010) Correlates and consequences of peer victimization: Gender differences in direct and indirect forms of bullying. Youth Violence Juv 8(4):332–350. https://doi.org/10.1177/1541204010362954 [DOI: 10.1177/1541204010362954]
  10. Case R, Kurland DM, Goldberg J (1982) Operational efficiency and the growth of short-term memory span. J Exp Child Psychol 33(3):386–404. https://doi.org/10.1016/0022-0965(82)90054-6 [DOI: 10.1016/0022-0965(82)90054-6]
  11. Carroll IC, Planalp EM, Van Hulle CA, Goldsmith HH (2019) Peer victimization and selective attention in adolescence: evidence from a monozygotic twin difference design. J Abnorm Child Psychol 47(8):1303–1313. https://doi.org/10.1007/s10802-019-00516-7 [DOI: 10.1007/s10802-019-00516-7]
  12. Casper DM, Card NA (2017) Overt and relational victimization: a meta-analytic review of their overlap and associations with social-psychological adjustment. Child Dev 88(2):466–483. https://doi.org/10.1111/cdev.12621 [DOI: 10.1111/cdev.12621]
  13. Copeland WE, Wolke D, Lereya ST, Shanahan L, Worthman C, Costello EJ (2014) Childhood bullying involvement predicts low-grade systemic inflammation into adulthood. Proc Natl Acad Sci USA 111(21):7570–7575. https://doi.org/10.1073/pnas.1323641111 [DOI: 10.1073/pnas.1323641111]
  14. Cullen AE, Tappin BM, Zunszain PA, Dickson H, Roberts RE, Nikkheslat N, Khondoker M, Pariante CM, Fisher HL, Laurens KR (2017) The relationship between salivary C-reactive protein and cognitive function in children aged 11–14years: does psychopathology have a moderating effect? Brain Behav Immun 66:221–229. https://doi.org/10.1016/j.bbi.2017.07.002 [DOI: 10.1016/j.bbi.2017.07.002]
  15. Del Giudice M, Gangestad SW (2018) Rethinking IL-6 and CRP: Why they are more than inflammatory biomarkers, and why it matters. Brain Behav Immun 70:61–75. https://doi.org/10.1016/j.bbi.2018.02.013 [DOI: 10.1016/j.bbi.2018.02.013]
  16. Dennis E, Manza P, Volkow ND (2022) Socioeconomic status, BMI, and brain development in children. Transl Psychiatry 12(1):33. https://doi.org/10.1038/s41398-022-01779-3 [DOI: 10.1038/s41398-022-01779-3]
  17. Dillon MC, Opris DC, Kopanczyk R, Lickliter J, Cornwell HN, Bridges EG, Nazar AM, Bridges KG (2010) Detection of homocysteine and C-reactive protein in the saliva of healthy adults: comparison with blood levels. Biomark Insights 5:57–61. https://doi.org/10.4137/bmi.s5305 [DOI: 10.4137/bmi.s5305]
  18. Entringer S, de Punder K, Overfeld J, Karaboycheva G, Dittrich K, Buss C, Winter SM, Binder EB, Heim C (2020) Immediate and longitudinal effects of maltreatment on systemic inflammation in young children. Dev Psychopathol 32(5):1725–1731. https://doi.org/10.1017/S0954579420001686 [DOI: 10.1017/S0954579420001686]
  19. Flouri E, Francesconi M, Papachristou E, Midouhas E, Lewis G (2019) Stressful life events, inflammation and emotional and behavioural problems in children: a population-based study. Brain Behav Immun 80:66–72. https://doi.org/10.1016/j.bbi.2019.02.023 [DOI: 10.1016/j.bbi.2019.02.023]
  20. Fraser A, Macdonald-Wallis C, Tilling K, Boyd A, Golding J, Davey Smith G, Henderson J, Macleod J, Molloy L, Ness A, Ring S, Nelson SM, Lawlor DA (2013) Cohort profile: the avon longitudinal study of parents and children: ALSPAC mothers cohort. Int J Epidemiol 42(1):97–110. https://doi.org/10.1093/ije/dys066 [DOI: 10.1093/ije/dys066]
  21. Gogtay N, Giedd JN, Lusk L, Hayashi KM, Greenstein D, Vaituzis AC, Nugent TF 3rd, Herman DH, Clasen LS, Toga AW, Rapoport JL, Thompson PM (2004) Dynamic mapping of human cortical development during childhood through early adulthood. Proc Natl Acad Sci USA 101(21):8174–8179. https://doi.org/10.1073/pnas.0402680101 [DOI: 10.1073/pnas.0402680101]
  22. Golding J, ALSPAC Study Team (2004) The avon longitudinal study of parents and children (ALSPAC)—study design and collaborative opportunities. Eur J Endocrinol 151(Suppl 3):U119–U123. https://doi.org/10.1530/eje.0.151u119 [DOI: 10.1530/eje.0.151u119]
  23. Hamburger ME, Basile KC, Vivola AM (2011) Measuring bullying victimization, perpetration, and bystander experiences: a compendium of assessment tools. Center for Disease Control and Prevention, National Center for Injury Prevention and Control, Atlanta
  24. Hosenbocus S, Chahal R (2012) A review of executive function deficits and pharmacological management in children and adolescents. J Can Acad Child Adolesc Psychiatry 21(3):223–229 [PMID: 22876270]
  25. Jonker I, Klein HC, Duivis HE, Yolken RH, Rosmalen JG, Schoevers RA (2014) Association between exposure to HSV1 and cognitive functioning in a general population of adolescents. The TRAILS study. PLoS ONE 9(7):e101549. https://doi.org/10.1371/journal.pone.0101549 [DOI: 10.1371/journal.pone.0101549]
  26. Khanna D, Khanna S, Khanna P, Kahar P, Patel BM (2022) Obesity: a chronic low-grade inflammation and its markers. Cureus 14(2):e22711. https://doi.org/10.7759/cureus.22711 [DOI: 10.7759/cureus.22711]
  27. Logan GD, Cowan WB, Davis KA (1984) On the ability to inhibit simple and choice reaction time responses: a model and a method. J Exp Psychol Hum Percept Perform 10(2):276. https://doi.org/10.1037/0096-1523.10.2.276 [DOI: 10.1037/0096-1523.10.2.276]
  28. Lupien SJ, McEwen BS, Gunnar MR, Heim C (2009) Effects of stress throughout the lifespan on the brain, behaviour and cognition. Nat Rev Neurosci 10(6):434–445. https://doi.org/10.1038/nrn2639 [DOI: 10.1038/nrn2639]
  29. Levis B, Negeri Z, Sun Y, Benedetti A, Thombs BD (2020) Accuracy of the Edinburgh Postnatal Depression Scale (EPDS) for screening to detect major depression among pregnant and postpartum women: systematic review and meta-analysis of individual participant data. BMJ. https://doi.org/10.1136/bmj.m4022 [DOI: 10.1136/bmj.m4022]
  30. MacKinnon DP, Fairchild AJ, Fritz MS (2007) Mediation analysis. Annu Rev Psychol 58:593–614. https://doi.org/10.1146/annurev.psych.58.110405.085542 [DOI: 10.1146/annurev.psych.58.110405.085542]
  31. Martinez-Muniz GA, Wood SK (2020) Sex differences in the inflammatory consequences of stress: implications for pharmacotherapy. J Pharmacol Exp Ther 375(1):161–174. https://doi.org/10.1124/jpet.120.266205 [DOI: 10.1124/jpet.120.266205]
  32. Masarik AS, Conger RD (2017) Stress and child development: a review of the Family Stress Model. Curr Opin Psychol 13:85–90. https://doi.org/10.1016/j.copsyc.2016.05.008 [DOI: 10.1016/j.copsyc.2016.05.008]
  33. McManus E, Haroon H, Duncan NW, Elliott R, Muhlert N (2022) The effects of stress across the lifespan on the brain, cognition and mental health: a UK biobank study. Neurobiol Stress 18:100447. https://doi.org/10.1016/j.ynstr.2022.100447 [DOI: 10.1016/j.ynstr.2022.100447]
  34. Menken MS, Isaiah A, Liang H, Rivera PR, Cloak CC, Reeves G, Lever NA, Chang L (2022) Peer victimization (bullying) on mental health, behavioral problems, cognition, and academic performance in preadolescent children in the ABCD Study. Front Psychol 13:925727. https://doi.org/10.3389/fpsyg.2022.925727 [DOI: 10.3389/fpsyg.2022.925727]
  35. Mitchell RH, Goldstein BI (2014) Inflammation in children and adolescents with neuropsychiatric disorders: a systematic review. J Am Acad Child Adolesc Psychiatry 53(3):274–296. https://doi.org/10.1016/j.jaac.2013.11.013 [DOI: 10.1016/j.jaac.2013.11.013]
  36. Muscatell KA, Brosso SN, Humphreys KL (2020) Socioeconomic status and inflammation: a meta-analysis. Mol Psychiatry 25(9):2189–2199. https://doi.org/10.1038/s41380-018-0259-2 [DOI: 10.1038/s41380-018-0259-2]
  37. Neale MD (1997) Neale analysis of reading ability-revised: manual for schools. NFER-Nelson, Windsor
  38. Nomaguchi K, Fettro MN (2020) Children’s bullying involvement and maternal depressive symptoms. Soc Sci Med 245:112695. https://doi.org/10.1016/j.socscimed.2019.112695 [DOI: 10.1016/j.socscimed.2019.112695]
  39. Nunes T, Bryant P, Bindman M (1997) Morphological spelling strategies: developmental stages and processes. Dev Psychol 33(4):637. https://doi.org/10.1037/0012-1649.33.4.637 [DOI: 10.1037/0012-1649.33.4.637]
  40. Radford L, Corral S, Bradley C, Fisher HL (2013) The prevalence and impact of child maltreatment and other types of victimization in the UK: findings from a population survey of caregivers, children and young people and young adults. Child Abuse Negl 37(10):801–813. https://doi.org/10.1016/j.chiabu.2013.02.004 [DOI: 10.1016/j.chiabu.2013.02.004]
  41. Robertson IH, Ward T, Ridgeway V, Nimmo-Smith IAN (1996) The structure of normal human attention: the test of everyday attention. J Int Neuropsychol Soc 2(6):525–534. https://doi.org/10.1017/S1355617700001697 [DOI: 10.1017/S1355617700001697]
  42. Sandi C (2013) Stress and cognition. Wiley Interdiscip Rev Cogn Sci 4(3):245–261. https://doi.org/10.1002/wcs.1222 [DOI: 10.1002/wcs.1222]
  43. Schmeer KK, Tarrence J (2018) Racial-ethnic disparities in inflammation: evidence of weathering in childhood? J Health Soc Behav 59(3):411–428. https://doi.org/10.1177/0022146518784592 [DOI: 10.1177/0022146518784592]
  44. Scholte RH, Engels RC, Overbeek G, de Kemp RA, Haselager GJ (2007) Stability in bullying and victimization and its association with social adjustment in childhood and adolescence. J Abnorm Child Psychol 35(2):217–228. https://doi.org/10.1007/s10802-006-9074-3 [DOI: 10.1007/s10802-006-9074-3]
  45. Sudheimer KD, O’Hara R, Spiegel D, Powers B, Kraemer HC, Neri E, Weiner M, Hardan A, Hallmayer J, Dhabhar FS (2014) Cortisol, cytokines, and hippocampal volume interactions in the elderly. Front Aging Neurosci 6:153. https://doi.org/10.3389/fnagi.2014.00153 [DOI: 10.3389/fnagi.2014.00153]
  46. Takizawa R, Danese A, Maughan B, Arseneault L (2015) Bullying victimization in childhood predicts inflammation and obesity at mid-life: a five-decade birth cohort study. Psychol Med 45(13):2705–2715. https://doi.org/10.1017/S0033291715000653 [DOI: 10.1017/S0033291715000653]
  47. Tampubolon G (2015) Repeated systemic inflammation was associated with cognitive deficits in older Britons. Alzheimers Dement (Amst) 3:1–6. https://doi.org/10.1016/j.dadm.2015.11.009 [DOI: 10.1016/j.dadm.2015.11.009]
  48. Tippett N, Wolke D (2014) Socioeconomic status and bullying: a meta-analysis. Am J Public Health 104(6):e48–e59. https://doi.org/10.2105/AJPH.2014.301960 [DOI: 10.2105/AJPH.2014.301960]
  49. Wen X, Shu Y, Qu D, Wang Y, Cui Z, Zhang X, Chen R (2023) Associations of bullying perpetration and peer victimization subtypes with preadolescent’s suicidality, non-suicidal self-injury, neurocognition, and brain development. BMC Med 21:141. https://doi.org/10.1186/s12916-023-02808-8 [DOI: 10.1186/s12916-023-02808-8]
  50. Wolke D, Lereya ST (2015) Long-term effects of bullying. Arch Dis Child 100(9):879–885. https://doi.org/10.1136/archdischild-2014-306667 [DOI: 10.1136/archdischild-2014-306667]
  51. Wolke D, Woods S, Bloomfield L, Karstadt L (2000) The association between direct and relational bullying and behaviour problems among primary school children. J Child Psychol Psychiatry Allied Discip 41(8):989–1002 [DOI: 10.1111/1469-7610.00687]
  52. Xu M, Macrynikola N, Waseem M, Miranda R (2020) Racial and ethnic differences in bullying: review and implications for intervention. Aggress Violent Behav 50:101340. https://doi.org/10.1016/j.avb.2019.101340 [DOI: 10.1016/j.avb.2019.101340]
  53. Yirmiya R, Goshen I (2011) Immune modulation of learning, memory, neural plasticity and neurogenesis. Brain Behav Immun 25(2):181–213. https://doi.org/10.1016/j.bbi.2010.10.015 [DOI: 10.1016/j.bbi.2010.10.015]
  54. Zendarski N, Breaux R, Eadeh HM, Smith ZR, Molitor SJ, Mulraney M, Bourchtein E, Green CD, Sciberras E (2021) Peer victimization and poor academic outcomes in adolescents with ADHD: what individual factors predict risk? J Atten Disord 25(10):1455–1465. https://doi.org/10.1177/1087054720914387 [DOI: 10.1177/1087054720914387]

Grants

  1. ES/P001742/1/Economic and Social Research Council
  2. ES/P001742/1/Economic and Social Research Council
  3. ES/P001742/1/Economic and Social Research Council

Word Cloud

Created with Highcharts 10.0.0victimisationagepeercognitiveinflammationeffectsreadingPeerviaIL-6CRP9partiallymediatedeffectchildhoodassociatedpooroutcomeswhetherfunctioningALSPACworkingmemory10accuracyspeedcomprehensionspellingresponseinhibitionattentionalcontrol11selectiveattentionInflammationPURPOSE:oftenseriousstressorcurrentstudysoughtuncoverMETHODS:Data4583participantsAvonLongitudinalStudyParentsChildrenanalysedPathanalysisconducteddeterminemeasuredusinglevelsmediates8evencontrollingstressorsmultipleincludingRESULTS:smallmediateCONCLUSION:mayimpactaspectschildren'soutcomespecificityobservedwarrantsresearchdevelopmentchildhood:evidencemediationCognitionStress

Similar Articles

Cited By

No available data.