Impact of direct and indirect bullying on the mental health of university students in Mexico
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https://doi.org/10.17979/reipe.2026.13.1.12675Abstract
This study examined the relationship between victimisation by bullying (direct, indirect, and mixed) and mental health in Mexican university students. A total of 271 students participated and were assessed for bullying, depression, anxiety, stress, and problematic substance use. The results showed that indirect forms of bullying (social exclusion, gossip/rumours) were more frequent than direct forms, and that social exclusion was higher among males. Mixed victimisation was associated with higher levels of depression, anxiety, and stress, while direct or indirect victimisation, separately, did not show consistent associations with other variables. Higher prevalence of anxiety was also observed in students from public institutions and in those who identified as LGBTQ+. No differences in problematic substance use were found between victimisation groups; however, belonging to the LGBTQ+ community doubled that risk. In addition, a clear dose-response pattern was evident: the greater the number of episodes of violence, the higher the levels of depression, anxiety, and stress, an effect that remained when controlling for covariates. In conclusion, the accumulation of violence, especially the coexistence of direct and indirect aggression, constitutes the main risk to mental health at university. This highlights the need for interventions that address the frequency and simultaneity of victimisation experiences.
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ALBDOUR, Maha M.; JENUWINE, Elizabeth S.; & HONG, Jun Sung (2024). Consequences of high school bullying on stress and health of Arab American college students. Journal of Child and Adolescent Psychiatric Nursing, 37(1). https://doi.org/10.1111/jcap.12453
ARCHER, J. (2010). What is indirect aggression in adults? En K. Österman (Ed.), Indirect and direct aggression (pp. 3-16). Peter Lang.
ARELLANEZ-HERNÁNDEZ, Jorge Luis; VALENCIA-OCHOA, Juliana; RIVERA-MONTOYA, Yenni; & GARCÍA VILLANUEVA, Jorge (2024). Diferencias de género en el consumo de sustancias psicoactivas en estudiantes mexicanos de bachillerato. Revista Internacional de Investigación en Adicciones, 10(2), 186-196. https://doi.org/10.28931/riiad.2024.2.09
ASOCIACIÓN MEXICANA DE AGENCIAS DE INTELIGENCIA DE MERCADO Y OPINIÓN (s.f.). Niveles Socioeconómicos. https://www.amai.org/NSE/
BAIER, Dirk; HONG, Jun Sung; KLIEM, Sören; & BERGMANN, Marie Christine (2019). Consequences of Bullying on Adolescents’ Mental Health in Germany: Comparing Face-to-Face Bullying and Cyberbullying. Journal of Child and Family Studies, 28(9), 2347-2357. https://doi.org/10.1007/s10826-018-1181-6
BALDRY, Anna C. (2004). The impact of direct and indirect bullying on the mental and physical health of Italian youngsters. Aggressive Behavior, 30(5), 343-355. https://doi.org/10.1002/ab.20043
BJÄREHED, Marlene; THORNBERG, Robert; WÄNSTRÖM, Linda; & GINI, Gianluca (2020). Mechanisms of moral disengagement and their associations with indirect bullying, direct bullying, and pro-aggressive bystander behavior. Journal of Early Adolescence, 40(1), 28-55. https://doi.org/10.1177/0272431618824745
BJÖRKQVIST, Kaj; LAGERSPETZ, Kirsti M. J.; & KAUKIAINEN, Ari (1992). Do girls manipulate and boys fight? developmental trends in regard to direct and indirect aggression. Aggressive Behavior, 18(2), 117-127. https://doi.org/10.1002/1098-2337(1992)18:2<117::AID-AB2480180205>3.0.CO;2-3
CARD, Noel A.; STUCKY, Brian D.; SAWALANI, Gita M.; & LITTLE, Todd D. (2008). Direct and indirect aggression during childhood and adolescence: a meta‐analytic review of gender differences, intercorrelations, and relations to maladjustment. Child Development, 79(5), 1185-1229. https://doi.org/10.1111/j.1467-8624.2008.01184.x
CARVALHO, Anabela Cruz; CUSSECALA, Amália; MARTINS, Carla; CARDOSO, Cândida; LOPES, Diana; GATO, Filomena; MIMOSO, Helena; COSTA, María José; & FERREIRA, Marisa (2017). Bullying ou conflito entre pares? Incidências, características das vítimas e impacto psicológico. Revista de Estudios e Investigación en Psicología y Educación, 069-076. https://doi.org/10.17979/reipe.2017.0.02.2693
CÔTÉ, Sylvana M.; VAILLANCOURT, Tracy; BARKER, Edward D.; NAGIN, Daniel; & TREMBLAY, Richard E. (2007). The joint development of physical and indirect aggression: Predictors of continuity and change during childhood. Development and Psychopathology, 19(01). https://doi.org/10.1017/S0954579407070034
CRICK, Nicki R.; & BIGBEE, Maureen A. (1998). Relational and overt forms of peer victimization: A multiinformant approach. Journal of Consulting and Clinical Psychology, 66(2), 337-347. https://doi.org/10.1037/0022-006X.66.2.337
CRICK, Nicki R.; & GROTPETER, Jennifer K. (1996). Children’s treatment by peers: Victims of relational and overt aggression. Development and Psychopathology, 8(2), 367-380. https://doi.org/10.1017/S0954579400007148
CRICK, Nicki R.; GROTPETER, Jennifer K.; & BIGBEE, Maureen A. (2002). Relationally and Physically Aggressive Children’s Intent Attributions and Feelings of Distress for Relational and Instrumental Peer Provocations. Child Development, 73(4), 1134-1142. https://doi.org/10.1111/1467-8624.00462
CRICK, Nicki R.; & NELSON, David A. (2002). Relational and physical victimization within friendships: Nobody told me there’d be friends like these. Journal of Abnormal Child Psychology, 30(6), 599-607. https://doi.org/10.1023/A:1020811714064
CRITCHLOW, E. Douglas; & FLIGNER, A. Michael (1991). On distribution-free multiple comparisons in the one-way analysis of variance. Communications in Statistics - Theory and Methods, 20(1), 127-139. https://doi.org/10.1080/03610929108830487
CULLERTON-SEN, Crystal; & CRICK, Nicki R. (2005). Understanding the effects of physical and relational victimization: The utility of multiple perspectives in predicting social-emotional adjustment. School Psychology Review, 34(2), 147-160. https://doi.org/10.1080/02796015.2005.12086280
DAZA, Patricia; NOVY, Diane M.; STANLEY, Melinda A.; & AVERILL, Patricia (2002). The depression anxiety stress scale-21: Spanish translation and validation with a Hispanic sample. Journal of Psychopathology and Behavioral Assessment, 24(3), 195-205. https://doi.org/10.1023/A:1016014818163
DWASS, Meyer (1960). Some k-Sample Rank-Order Tests. En Ingram OLKIN, Sudhist G. GHURYE, Wassily HOEFFDING, William G. MADOW, & Henry B. MANN (Eds.), Contributions to probability and statistics: Essays in honor of Harold Hotelling (pp. 198-202). Stanford University Press.
ESPELAGE, Dorothy L.; HONG, Jun Sung; & MEBANE, Sarah (2016). Recollections of childhood bullying and multiple forms of victimization: correlates with psychological functioning among college students. Social Psychology of Education, 19(4), 715-728. https://doi.org/10.1007/s11218-016-9352-z
FELIX, Erika D.; SHARKEY, Jill D.; GREEN, Jennifer Greif; FURLONG, Michael J.; & TANIGAWA, Diane (2011). Getting precise and pragmatic about the assessment of bullying: The development of the California Bullying Victimization Scale. Aggressive Behavior, 37(3), 234-247. https://doi.org/10.1002/ab.20389
GALEN, Britt Rachelle; & UNDERWOOD, Marion K. (1997). A developmental investigation of social aggression among children. Developmental Psychology, 33(4), 589-600. https://doi.org/10.1037/0012-1649.33.4.589
GLOSTER, Andrew T.; RHOADES, Howard M.; NOVY, Diane; KLOTSCHE, Jens; SENIOR, Ashley; KUNIK, Mark; … STANLEY, Melinda A. (2008). Psychometric properties of the Depression Anxiety and Stress Scale-21 in older primary care patients. Journal of Affective Disorders, 110(3), 248-259. https://doi.org/10.1016/j.jad.2008.01.023
GÓMEZ-GALÁN, José; LÁZARO-PÉREZ, Cristina; & MARTÍNEZ-LÓPEZ, José Ángel (2021). Trajectories of victimization and bullying at university: Prevention for a healthy and sustainable educational environment. Sustainability (Switzerland), 13(6). https://doi.org/10.3390/su13063426
GONG, Zepeng; REINHARDT, Jan D.; HAN, Ziqiang; BA, Zhanlong; & LEI, Shangqing (2022). Associations between school bullying and anxiety in children and adolescents from an ethnic autonomous county in China. Psychiatry Research, 314. https://doi.org/10.1016/j.psychres.2022.114649
HARBIN, Shannon Marie; KELLEY, Mary Lou; PISCITELLO, Jennifer; & WALKER, Seandra J. (2019). Multidimensional Bullying Victimization Scale: Development and validation. Journal of School Violence, 18(1), 146-161. https://doi.org/10.1080/15388220.2017.1423491
INSTITUTO NACIONAL DE ESTADÍSTICA Y GEOGRAFÍA (2021). Encuesta Nacional sobre Diversidad Sexual y de Género (ENDISEG) 2021. Aguascalientes.
ISELIN, Anne Marie R.; DECOSTER, Jamie; DIGIUNTA, Laura; LANSFORD, Jennifer E.; DODGE, Kenneth A.; EISENBERG, Nancy; PASTORELLI, Concetta; URIBE TIRADO, Liliana Maria; & BACCHINI, Dario (2025). Rumination Mediates the Relation of Hostile Attribution to Psychological Maladjustment Among Adolescents from Three Countries. Research on Child and Adolescent Psychopathology, 53(6), 861-876. https://doi.org/10.1007/s10802-025-01288-z
KNIGHT, John R.; SHERRITT, Lon; SHRIER, Lydia A.; HARRIS, Sion Kim; & CHANG, Grace (2002). Validity of the CRAFFT Substance Abuse Screening Test Among Adolescent Clinic Patients. Archives of Pediatrics; & Adolescent Medicine, 156(6), 607. https://doi.org/10.1001/archpedi.156.6.607
KNIGHT, John R.; SHRIER, Lydia A.; BRAVENDER, Terrill D.; FARRELL, Michelle; VANDER BILT, Joni; & SHAFFER, Howard J. (1999). A new brief screen for adolescent substance abuse. Archives of Pediatrics; & Adolescent Medicine, 153, 591–596. https://doi.org/10.1001/archpedi.153.6.591
KRETSCHMER, Tina (2016, diciembre 1). What Explains Correlates of Peer Victimization? A Systematic Review of Mediating Factors. Adolescent Research Review. Springer. https://doi.org/10.1007/s40894-016-0035-y
LABELLA, Madelyn H.; KLEIN, Neelamberi D.; YEBOAH, Georgina; BAILEY, Claire; DOANE, Ashley N.; KAMINER, Debra; & BRAVO, Adrian J. (2024). Childhood bullying victimization, emotion regulation, rumination, distress tolerance, and depressive symptoms: A cross-national examination among young adults in seven countries. Aggressive Behavior, 50(1). https://doi.org/10.1002/ab.22111
LAGERSPETZ, Kirsti M. J.; BJÖRKQVIST, Kaj; & PELTONEN, Tarja (1988). Is indirect aggression typical of females? gender differences in aggressiveness in 11- to 12-year-old children. Aggressive Behavior, 14(6), 403-414. https://doi.org/10.1002/1098-2337(1988)14:6<403::AID-AB2480140602>3.0.CO;2-D
LOVIBOND, Peter F.; & LOVIBOND, S. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33(3), 335-343. https://doi.org/10.1016/0005-7967(94)00075-U
MALAMUT, Sarah T.; & SALMIVALLI, Christina (2023). Adolescent Victimization Predicts Adult Depression and Aggression: The Role of Rumination. Developmental Psychology. https://doi.org/10.1037/dev0001544
MARINI, Zopito A.; DANE, Andrew V.; BOSACKI, Sandra L.; & CURA, Y. L. C. (2006). Direct and indirect bully-victims: Differential psychosocial risk factors associated with adolescents involved in bullying and victimization. Aggressive Behavior, 32(6), 551-569. https://doi.org/10.1002/ab.20155
MONELOS, Estrella; MENDIRI, Paula; & GARCÍA-FUENTES, Carmen Delia (2015). El bullying: revisión teórica, instrumentos y programas de intervención. Revista de Estudios e Investigación en Psicología y Educación, 074-078. https://doi.org/10.17979/reipe.2015.0.02.1299
MÚZQUIZ, Juan; PÉREZ-GARCÍA, Ana M.; & BERMÚDEZ, José (2023). Relationship between Direct and Relational Bullying and Emotional Well-being among Adolescents: The role of Self-compassion. Current Psychology, 42(18), 15874-15882. https://doi.org/10.1007/s12144-022-02924-3
PRINSTEIN, Mitchell J.; BOERGERS, Julie; & VERNBERG, Eric M. (2001). Overt and Relational Aggression in Adolescents: Social-Psychological Adjustment of Aggressors and Victims. Journal of Clinical Child and Adolescent Psychology, 30(4), 479-491. https://doi.org/10.1207/S15374424JCCP3004_05
PUTALLAZ, Martha; GRIMES, Christina L.; FOSTER, Kristen J.; KUPERSMIDT, Janis B.; COIE, John D.; & DEARING, Karen (2007). Overt and relational aggression and victimization: Multiple perspectives within the school setting. Journal of School Psychology, 45(5), 523-547. https://doi.org/10.1016/j.jsp.2007.05.003
QUAN, Fangying; YANG, Rujiao; ZHU, Wenfeng; WANG, Yueyue; GONG, Xinyu; CHEN, Yunli; … XIA, Ling Xiang (2019). The relationship between hostile attribution bias and aggression and the mediating effect of anger rumination. Personality and Individual Differences, 139, 228-234. https://doi.org/10.1016/j.paid.2018.11.029
RAVELO, Yennifer; MARRERO, Hipólito; ALEGRE DE LA ROSA, Olga M.; & GONZÁLEZ-MÉNDEZ, Rosaura (2024). Affect and post-traumatic growth in previously bullied students: Intrusive and deliberate rumination as mediators. Personality and Individual Differences, 231. https://doi.org/10.1016/j.paid.2024.112822
REYNA-BARAJAS, Gloria Velia; COPERTARI-ISAACSON, Luis Fernando; GONZÁLEZ-BETANZOS, Fabiola; & PADRÓS-BLÀZQUEZ, Ferran (2016). Estudio psicométrico del instrumento CARLOS (CRAFFT) en estudiantes universitarios mexicanos. Revista Evaluar, 16(1). https://doi.org/10.35670/1667-4545.v16.n1.15756
SANDOVAL, Aneta; VYSKOCILOVA, Jana; HRUBY, Radovan; PRASKO, Jan; JELENOVA, Daniela; KAMARADOVA, Dana; LATALOVA, Klara; OCISKOVA, Marie; & VRBOVA, Kristyna (2015). Childhood bullying experiences as a factor predisposing to mental problems in adulthood. Activitas Nervosa Superior Rediviva, 57(4), 112-121.
SCHEITHAUER, Herbert; HAYER, Tobias; PETERMANN, Franz; & JUGERT, Gert (2006). Physical, verbal, and relational forms of bullying among German students: Age trends, gender differences, and correlates. Aggressive Behavior, 32(3), 261-275. https://doi.org/10.1002/ab.20128
SINKKONEN, Hanna Maija; PUHAKKA, Helena; & MERILÄINEN, Matti (2014). Bullying at a university: Students’ experiences of bullying. Studies in Higher Education, 39(1), 153-165. https://doi.org/10.1080/03075079.2011.649726
SOLBERG, Mona E.; & OLWEUS, Dan (2003). Prevalence Estimation of School Bullying with the Olweus Bully/Victim Questionnaire. Aggressive Behavior, 29(3), 239-268. https://doi.org/10.1002/ab.10047
STEEL, Robert G. D. (1960). A Rank Sum Test for Comparing All Pairs of Treatments. Technometrics, 2(2), 197-207. https://doi.org/10.1080/00401706.1960.10489894
TOMADA, Giovanna; & SCHNEIDER, Barry H. (1997). Relational aggression, gender, and peer acceptance: Invariance across culture, stability over time, and concordance among informants. Developmental Psychology, 33(4), 601-609. https://doi.org/10.1037/0012-1649.33.4.601
VAILLANCOURT, Tracy; BRENDGEN, Mara; BOIVIN, Michel; & TREMBLAY, Richard E. (2003). A Longitudinal Confirmatory Factor Analysis of Indirect and Physical Aggression: Evidence of Two Factors Over Time? Child Development, 74(6), 1628-1638. https://doi.org/10.1046/j.1467-8624.2003.00628.x
VALDÉS-CUERVO, Ángel Alberto; ALCÁNTAR-NIEBLAS, Carolina; TÁNORI-QUINTANA, Jesús; & TORRES-ACUÑA, Gisela Margarita (2016). Apuntes y análisis de la investigación acerca de la violencia entre estudiantes en México. En Raquel GARCÍA FLORES, Sonia Verónica MORTIS LOZOYA, Jesús TÁNORI QUINTANA, & Teresa Iveth SOTELO QUIÑONEZ (Eds.), Educación y salud: Evidencias y propuestas de investigación en Sonora (pp. 70-78). Instituto Tecnológico de Sonora.
VAN DER WAL, Marcel F.; DE WIT, Cees A. M.; & HIRASING, Remy A. (2003). Psychosocial health among young victims and offenders of direct and indirect bullying. Pediatrics, 111(6), 1312-1317. https://doi.org/10.1542/peds.111.6.1312
VEGA-CAUICH, Julio Isaac (2019). Prevalencia del bullying en México: Un meta-análisis del bullying tradicional y cyberbullying. Diversitas: Perspectivas en Psicología, 15(1), 113-129. http://www.scielo.org.co/scielo.php?pid=S1794-99982019000100113&script=sci_abstract
VEGA-CAUICH, Julio Isaac; & CISNEROS-COHERNOUR, Edith (2022). Validación del California Bullying Victimization Scale en una muestra de universitarios mexicanos. Revista Criminalidad, 64(3), 9-22. https://doi.org/10.47741/17943108.363
WANG, Yueyue; CAO, Shen; DONG, Yan; & XIA, Ling Xiang (2019). Hostile attribution bias and angry rumination: A longitudinal study of undergraduate students. PLoS ONE, 14(5). https://doi.org/10.1371/journal.pone.0217759
WERNER, Nicole E.; & CRICK, Nicki R. (1999). Relational aggression and social-psychological adjustment in a college sample. Journal of Abnormal Psychology, 108(4), 615-623. https://doi.org/10.1037/0021-843X.108.4.615
WOHLWILL, Joachim F. (1970). The age variable in psychological research. Psychological Review, 77(1), 49-64. https://doi.org/10.1037/h0028600
WOLKE, Dieter; WOODS, Sarah; BLOOMFIELD, Linda; & KARSTADT, Lyn (2000). The Association between Direct and Relational Bullying and Behaviour Problems among Primary School Children. Journal of Child Psychology and Psychiatry, 41(8), 989-1002. https://doi.org/10.1111/1469-7610.00687
WU, Wanchun; ZOU, Hongyu; CAO, Feizhen; CHEN, Fang; & ZHANG, Wei (2025). School Bullying Victimization and Depressive Symptoms Among College Students: The Role of Rumination and Different Social Support. Psychiatric Quarterly. https://doi.org/10.1007/s11126-025-10193-z
ZHOU, Yanyun; LI, Pengyuan; TSE, Chi Shing; HUANG, Liang; WANG, Yihan; & FANG, Yuan (2025). Early Bullying’s Long Shadow: How Victimization in Childhood and Adolescence is Associated with University Students’ Mental Health and Loneliness. Journal of Interpersonal Violence. https://doi.org/10.1177/08862605251327392