Skip to Main Content
Skip Nav Destination

PAS Coverage: Combination of face-to-face and online bullying may pack a powerful punch :

April 30, 2016

BALTIMORE – Bullying and taunts that may have once stayed in the schoolyard increasingly spill over into text messages and social media. A new study shows that the combined effect of both face-to-face and cyber-bullying may have a powerful effect on adolescents, increasing the odds that victims themselves show aggressive behaviors such as verbal hostility, physical fighting and damaging property.


An abstract of the study, “Increased Risk of Aggressive Behavior among Victims of Multiple Forms of Bullying,” will be presented at the Pediatric Academic Societies 2016 Meeting on Saturday, April 30 in Baltimore. Noting that previous studies showed victims of peer aggression are at greater risk for victimizing others, the researchers compared how likely a nationally representative sample of adolescents between ages 10 and 17 were to display hostile behaviors based on whether they themselves experienced face-to-face bullying, cyber-bullying, or both.

Overall, 43% of the teens in the study reported having been the victim of face-to-face bullying, while 7% reported that they experienced some form of cyber-bullying. Teens who were bullied either in person or online were more likely to engage in aggressive behaviors such as physical fighting, damaging property, verbal hostility and coercing peers. But teens who were victims of both face-to-face and cyber-bullying were even more likely to engage in aggressive behaviors. Compared to non-victims, victims of face-to-face bullying and victims of cyber-bullying were 4 and 10 times more likely to exhibit aggressive behaviors, respectively. However, youth who experienced both forms of victimization were at greatest risk; they were 38 times more likely to exhibit aggressive behaviors compared to youth who did not experience any bullying.

Senior investigator Andrew Adesman, M.D., FAAP, chief of developmental and behavioral pediatrics at the Cohen Children's Medical Center of New York, said it was concerning, though not surprising, that victims who had been subjected to multiple forms of peer aggression were at increasingly greater risk of showing aggressive behaviors themselves. “These behaviors may involve retaliatory measures against their aggressors, acting aggressive in order to fend off future bullying attempts, or worse, learning by example and engaging in bullying of previously uninvolved peers,” he said.

Principal investigator Alexandra Hua said that with the growing use of cell phones and the Internet among youth, there should be a greater focus on cyber-bullying and these negative “downstream” effects, especially when combined with face-to-face bullying. “Students who are victimized are more likely to exhibit aggressive behaviors towards others,” she said. “This phenomenon may lead to a vicious cycle whereby bullies create bullies out of those they victimize.”

The abstract, “Increased Risk of Aggressive Behavior among Victims of Multiple forms of Bullying," will be presented on Saturday, April 30, at 11:30 a.m. in Room 342 at the Baltimore Convention Center. To view the abstract, visit

The Pediatric Academic Societies (PAS) Meeting brings together thousands of individuals united by a common mission: to improve child health and wellbeing worldwide. This international gathering includes pediatric researchers, leaders in academic pediatrics, experts in child health, and practitioners. The PAS Meeting is produced through a partnership of four organizations leading the advancement of pediatric research and child advocacy: Academic Pediatric Association, American Academy of Pediatrics, American Pediatric Society, and Society for Pediatric Research. For more information, visit the PAS Meeting online at, follow it on Twitter @PASMeeting and #PASMeeting, or like it on Facebook.

Close Modal

or Create an Account

Close Modal
Close Modal