ReviewHealthcare (Basel, Switzerland)2026
Bullying and Cyberbullying in Childhood and Adolescence: A Narrative Review and Proposed Clinical Response Framework.
Review in Healthcare (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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2 authors.
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Abstract
backgroundExisting reviews establish that bullying and cyberbullying are associated with substantial health burden, but they rarely integrate conceptual distinctions, evidence strength, and healthcare response.
objectiveTo synthesize evidence on traditional bullying, peer victimization, and cyberbullying among children and adolescents and to identify clinically defensible implications and research priorities.
methodsA structured narrative review informed by SANRA addressed three questions concerning construct boundaries, health consequences and modifiers, and healthcare response. PubMed/MEDLINE was searched through 29 August 2026; Google Scholar supported citation tracing and the retrieval of named institutional reports. Eligibility, selection, charting, and narrative evidence-characterization procedures are reported. The final synthesis included 61 sources (53 journal articles and eight institutional reports, guidance documents, or books).
resultsCross-national surveillance estimated 11% repeated school bullying and 15% cybervictimization under different frequency thresholds. Meta-analytic estimates were 25% for victimization and 16% each for perpetration and bully-victim involvement. A longitudinal meta-analysis of 27 studies (13,497 participants) found a small prospective association between cybervictimization and later mental-health symptoms. School programs reduced perpetration by approximately 18-19% and victimization by 15-16%; cyberbullying effects were small (g = -0.18 and -0.13, respectively). The evidence was strongest for associations with internalizing symptoms, suicidality, psychosomatic complaints, sleep disruption, and impaired functioning but bidirectionality and residual confounding limit causal inference.
conclusionsSymptom- or risk-triggered, behavior-specific inquiry and coordinated safety assessment are justified; evidence is insufficient to recommend universal clinical screening. BV-CARE is presented as an author-developed, hypothesis-generating framework requiring stakeholder co-design, feasibility testing, and prospective validation before routine use.
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