Yablon Yaacov B, Eden Sigal, Dayan-Sharabi Michal, Ezer-Cohen Yifat, Mazor-Yehezkel Dina, Charka Moria, Dahan Sigal, Avrahami Gali, Barzilai-Birenboim Shlomit, Gilad Gil, Martin Liron, Schwartz-Attias Irit, Yahel Anat, Izraeli Shai, Litichever Naomi, Elitzur Sarah
Faculty of Education, Bar-Ilan University, Ramat Gan, Israel.
Division of Pediatric Hematology and Oncology, Psychosocial Service, Schneider Children's Medical Center, Petah Tikva, Israel.
Psychooncology. 2025 Aug;34(8):e70244. doi: 10.1002/pon.70244.
With improving childhood cancer cure rates, there is a growing focus on the long-term health and well-being of survivors. School reintegration is crucial for their rehabilitation and psychosocial adaptation, yet little is known about school violence and bullying faced by cancer survivors upon their return.
This study aimed to investigate the prevalence and forms of school bullying against childhood acute lymphoblastic leukemia (ALL) survivors, identifying risk and protective factors.
ALL survivors aged 6-18 years were assessed through interviews and questionnaires. A paired comparison group of healthy students was recruited from their classrooms.
The study included 70 students from grades 6-12 (mean age 14.9 ± 1.82 years), comprising 35 ALL survivors and a paired comparison group. ALL survivors endured more physical (M = 1.64, SD = 1.00) and relational bullying (M = 1.50, SD = 1.04) than their healthy classmates (M = 0.90, SD = 0.58; M = 0.90, SD = 0.51 respectively), while facing similar verbal bullying levels (M = 1.71, SD = 0.99 vs. M = 1.38, SD = 0.69). However, survivors reported less cyberbullying (M = 0.45, SD = 0.36) and severe bullying (M = 0.41, SD = 0.05) than their healthy classmates (M = 1.49, SD = 0.48; M = 0.66, SD = 0.53 respectively). Survivors who returned to a different school cohort post-remission faced higher bullying risks than those who rejoined their original cohort (-0.79 < β < -0.92; p < 0.001). Physical disfigurements following cancer treatment were a risk factor for victimization only among those who returned to their original cohort.
The findings highlight the unique challenges faced by childhood leukemia survivors in school reintegration after cancer therapy, emphasizing the significant effect of the school cohort environment on their bullying experiences.
随着儿童癌症治愈率的提高，人们越来越关注幸存者的长期健康和福祉。重返学校对他们的康复和心理社会适应至关重要，但对于癌症幸存者返校后面临的校园暴力和欺凌情况却知之甚少。
本研究旨在调查针对儿童急性淋巴细胞白血病（ALL）幸存者的校园欺凌的患病率和形式，确定风险因素和保护因素。
通过访谈和问卷调查对6至18岁的ALL幸存者进行评估。从他们的班级中招募了一组配对的健康学生作为对照组。
该研究纳入了70名6至12年级的学生（平均年龄14.9±1.82岁），包括35名ALL幸存者和一组配对的对照组。ALL幸存者遭受的身体欺凌（M=1.64，标准差=1.00）和关系欺凌（M=1.50，标准差=1.04）比他们的健康同学更多（分别为M=0.90，标准差=0.58；M=0.90，标准差=0.51），而他们面临的言语欺凌水平相似（M=1.71，标准差=0.99对M=1.38，标准差=0.69）。然而，幸存者报告的网络欺凌（M=0.45，标准差=0.36）和严重欺凌（M=0.41，标准差=0.05）比他们的健康同学少（分别为M=1.49，标准差=0.48；M=0.66，标准差=0.53）。缓解后回到不同学校群体的幸存者比回到原群体的幸存者面临更高的欺凌风险（-0.79<β<-0.92；p<0.001）。癌症治疗后的身体毁容仅是回到原群体的幸存者遭受欺凌的一个风险因素。
研究结果突出了儿童白血病幸存者在癌症治疗后重返学校时面临的独特挑战，强调了学校群体环境对他们欺凌经历的重大影响。
