Two-hundred-sixty parents from a public school district in the Northeast completed an online survey. Results revealed that 90. % of parents reported seeing and / or engaging in bullying during their youth. Few parents reported involvement as a bully, but comparable numbers indicated being victimized or acting as a bystander.
Original Description:
Original Title
Parent Retrospective Recollections of Bullying and Current Views, Concerns, And Strategies to Cope With Children’s Bullying - Cooper (2013)
Two-hundred-sixty parents from a public school district in the Northeast completed an online survey. Results revealed that 90. % of parents reported seeing and / or engaging in bullying during their youth. Few parents reported involvement as a bully, but comparable numbers indicated being victimized or acting as a bystander.
Two-hundred-sixty parents from a public school district in the Northeast completed an online survey. Results revealed that 90. % of parents reported seeing and / or engaging in bullying during their youth. Few parents reported involvement as a bully, but comparable numbers indicated being victimized or acting as a bystander.
Parent Retrospective Recollections of Bullying and Current
Views, Concerns, and Strategies to Cope with Childrens Bullying Leigh A. Cooper
Amanda B. Nickerson Published online: 27 September 2012 Springer Science+Business Media New York 2012 Abstract In this study, parent history of bullying was examined in terms of general involvement with bullying, specic types of bullying experienced, level of hurtfulness associated with the experience, and when bullying occur- red. Parent current views, levels of concern, and strategies used to cope with bullying were also evaluated. Finally, the aforementioned constructs were analyzed for existing pre- dictive relationships. Two-hundred-sixty parents from a public school district in the Northeast completed an online survey. Results revealed that 90.3 % of parents reported seeing and/or engaging in bullying during their youth. Few parents reported involvement as a bully, but comparable numbers of participants indicated being victimized or act- ing as a bystander. Additional ndings suggest that a par- ents historical involvement with bullying was predictive of some of their current views, level of concern, and strategies implemented in association with bullying. Future research should attempt to account for the remaining var- iance among these variables. Implications for parents and school personnel are described, with recommendations for the increase of involvement by parents in anti-bullying initiatives. Keywords Bullying Level of concern Parents Retrospective report Victimization Introduction Bullying is a pervasive problem that is estimated to impact almost one-third of students (Dinkes et al. 2009), and has been found to be the form of school-based violence that affects the greatest number of children and adolescents (Juvonen and Graham 2001). Considered to be a less obvious form of abuse (Hazler et al. 2001), bullying can be characterized by specic features including peer-to-peer interaction with the intent to harm, repeated occurrences of these harmful acts, and a power differential between the bully and the victim (Borg 1998; Limber 2004; Olweus 1993b). Intentionally harmful acts can take both direct and indirect forms; specically, bullying can occur physically, verbally, through social manipulation or exclusion known as relational bullying, or by utilizing electronic means such as a computer or cell phone, known as cyberbullying (Crick and Grotpeter 1995; Olweus and Limber 2007). Bullying impacts individuals across gender, age, and nationality (Espelage et al. 2000; Nansel et al. 2007a, b), although the greatest frequency of bullying interactions occur during middle school (Barton 2006; Eslea and Rees 2001). Impact on Victims and Bullies Victims may experience a host of consequences associated with repetitive bullying attacks. For instance, academic problems may plague a victim exhibited by truancy, absenteeism, and school dropout (Kochenderfer-Ladd and Skinner 2002; Nansel et al. 2007a, b). Adjustment problems may arise including symptoms of depression, feelings of rejection, negative self-concept, withdrawal, loneliness, helplessness, and a sense that he or she deserves to be bullied (Hampel et al. 2009; Kochenderfer-Ladd and Skinner 2002; Woods et al. 2007). Additionally, psychological and L. A. Cooper (&) A. B. Nickerson Division of School Psychology, University at Albany, Albany, NY 12222, USA e-mail: leighacooper@gmail.com A. B. Nickerson Dr. Jean M. Alberti Center for the Prevention of Bullying Abuse and School Violence, University at Buffalo, Buffalo, NY, USA 1 3 J Child Fam Stud (2013) 22:526540 DOI 10.1007/s10826-012-9606-0 physical health problems have been linked to bullying attacks (Nansel et al. 2007a, b). Such consequences may extend from childhood and continue to impact a victim into adulthood (Hawker and Boulton 2000). Like victims, commonalities also are present among those who commit acts of bullying. A variety of negative outcomes have been identied among bullies, including a loss of condence, externalizing problems, inadequate coping skills, academic difculties, and trouble with emotional regulation (Kim et al. 2011; Orpinas and Horne 2006). Furthermore, the social supports of bullies can be impacted, as they often have a difcult time maintaining interpersonal relationships, experience peer rejection, and afliate with antisocial peer groups (Lassiter and Perry 2009; Olweus 2011). Aggressive tendencies appear to be consistent over time, suggesting that children who bully may continue engaging in hostile behaviors into adulthood (Farrington and Tto 2011). Aggressive adults are more likely to engage in domestic violence, workplace harassment, and illegal activities than non-hostile peers (Craig and Pepler 2007; Kim et al. 2011; Olweus 2011). Lastly, adults who had engaged in bullying behaviors in terms of physical and verbal aggression tend to raise children who act aggres- sively (Farrington 1993), which suggests a possible cycli- cal pattern of violence. Consequences are not limited to adults who bullied others, however; those with a history of victimization may experience psychological and physical health problems that persist from childhood into adulthood (Hawker and Boulton 2000). Parents of Victims and Bullies As stated previously, long-term consequences of bullying can extend into adulthood, impacting bullies and victims as they enter into the realm of parenthood. Researchers have focused primarily on parents in relation to their childrens present bullying or victimization, as opposed to investi- gating the role of parents who may have been bullies or victims in the past. Harsh, punitive, and generally stressful home environments can result in children who are more likely to be victimized by their peers (Schwartz et al. 2000; Shields and Cicchetti 2001). The most consistent ndings about parentchild relationships and victimization concern enmeshment (Nickerson et al. 2010). Enmeshment, or emotionally intense, positive interactions, and overprotec- tion on the part of the parent, has been associated with increased risk for victimization in observational studies (Ladd and Ladd 1998), child self-reports (Bowers et al. 1994; Finnegan et al. 1998; Rigby 1999), and interviews with parents of victimized boys (Olweus 1991). Children who bully are more likely to grow up with uninvolved, unempathic, or hostile parents who may be accepting or permissive of aggressive behaviors; they also may model aggression by demonstrating a power-assertive discipline style toward the child or domestic partner (Bernstein and Watson 1997; Georgiou and Stavrinides 2008; Olweus 1980, 1993a). While both victims and bullies may be raised under authoritarian parents (Chase-Lansdale et al. 1995; Schwartz et al. 2000), children raised in a consistent, authoritative environment are less likely to engage in bullying (Baumrind 1971). Recollections of Bullying in Adulthood Limited research exists that assesses parent experience with bullying in childhood (Duncan 1999). Despite the lack of research focused specically on the retrospective recall of bullying by adults, Rivers (2001) determined adults can report historical recollections of bullying consistently with over a year in between reports. Findings suggest that a variety of maladaptive characteristics of adults have been linked to a history of self-reported involvement with bul- lying (Schafer et al. 2004). To date, there exists only one research study that specically addresses the population of parents and their recollections of bullying experiences in childhood. Sawyer (2008) expanded an existing Canadian research project by interviewing the parents of children who had been identied as victims of bullying, some of whom volunteered narratives of their own experiences with bullying. As the volunteered information was not essential to this research project, the researcher recommended that parent history of bullying should be further investigated by future researchers to help develop a link between the parent perspective regarding bullying and recommendations made to parents to help combat bullying (Sawyer 2008). Parent Involvement in Bullying Prevention Although parent involvement is essential to reducing childrens bullying behavior (Baldry 2003; Smith et al. 2008), there is a dearth of research on parents concerns, reactions, and strategies used to help their children cope with bullying. Farrington and Ttos (2011) comprehen- sive meta-analysis of international bullying prevention programs revealed that parent training was one of the components of bullying prevention efforts that related to reduced bullying and victimization. Despite this, a survey conducted by Sherer and Nickerson (2010) revealed that practicing school psychologists perceived parental involvement in bullying prevention and intervention to be relatively ineffective; increasing the efcacy of parent involvement was listed as an area in need of improvement. Another recent research study revealed that parents views of the school climate may impact whether or not they intervene with their childs involvement as a bully or J Child Fam Stud (2013) 22:526540 527 1 3 victim, or assist with anti-bullying initiatives (Waasdorp et al. 2011). Similarly, research involving teachers has shown that teacher beliefs regarding bullying were asso- ciated with their bullying prevention and intervention behavior (Kochenderfer-Ladd and Pelletier 2008). Fol- lowing the ndings of Kochenderfer-Ladd and Pelletier (2008), it is possible that parents normative beliefs may impact if and how they attempt to resolve bullying situa- tions. Therefore, it is important to understand the views of parents if it is desired to alter or improve their response to bullying. Clearly, there are many areas in need of explo- ration regarding parents past experiences with bullying, as well as their concerns and reactions to their childrens bullying and victimization. Understanding parent personal experience with bullying may provide insight into both the long-term impact of bullying in childhood as well as the best way to involve parents in anti-bullying initiatives. Present Study This study aimed to help to develop a research base regarding parental recollections of experiences with bul- lying, including parent role in bullying, type of bullying experienced, impact of bullying, and when bullying occurred most frequently. Specically, we explored which bullying experiences parents can recall, both generally and specically, which is an area with no existing research base beyond anecdotal information. Additionally, the (a) rela- tionship between parent historical experience with bully- ing, (b) parental views and level of concern regarding his or her middle school childs bullying behavior, and (c) reactions to bullying and ones own child were inves- tigated. Hypotheses were as follows: 1. Parents who had a history of involvement in bullying (as bullies and/or victims) would be able to recall their experiences. 2. More parents would report experience as a victim over experience as a bully. 3. The types of bullying identied as most concerning would be related to parent personal history of bullying. 4. Parents who had been victimized would report more of a reaction to such behaviors in their own children as compared to parents who were not personally involved. Method Participants A total of 260 parents with at least one child enrolled in one of two suburban middle schools in the northeastern United States participated in this study. Students in the district were primarily White, but also came from African American, Asian/Pacic Islander, American Indian/Alas- kan Native, and Hispanic backgrounds. The rst school served approximately 700 students in grades 58; approx- imately one-third of students came from low socioeco- nomic status in this school as dened by those receiving free or reduced lunch costs. The second school served approximately 860 students in grades 58; approximately two-thirds of students came from low socioeconomic status. In addition, the school district had implemented an anti-bullying initiative as of the 20082009 school year (specically, the OBPP; Olweus and Limber 2007). Instruments The Parent Personal Experience, Views, and Reactions Regarding Bullying Behavior survey contains 54-items including four sections designed to evaluate demographic information, parent personal history of bullying, parent views and level of concern regarding bullying, and parent reactions to actual bullying events with his or her child. Because no one instrument exists that evaluates either these specic areas or the population of parents regarding these topics, sections from four existing instruments were adapted. Demographics Section The survey began with a brief demographics section designed to gather information regarding the respondent including: gender, age, race/ethnic background, marital status, and number of children. These questions were developed by consulting the literature; specically, items were developed based on the standards put forth by the United States Census Bureau (2010) and the National Center for Education Statistics (2010). A second brief demographic section asked for basic information about the middle school-aged child about which the parent is responding. Questions in this section evaluated: gender, grade, and respondents relationship to the child. Retrospective Recollection of Bullying Retrospective recollection of bullying victimization was measured in part using the Revised Bullying and Rela- tionship Scale (Revised BRS; Jantzer et al. 2006), adapted with permission (A. M. Jantzer, personal communication, May 4, 2010). The original BRS is a self-report measure divided into subscales by age group designed to evaluate both bullying experiences and friendship/romantic rela- tionships from childhood through college. In the Revised BRS, the relationship subscales were excluded in order to 528 J Child Fam Stud (2013) 22:526540 1 3 conduct research specically regarding bullying (Jantzer 2006). The Revised BRS demonstrated adequate internal consistency, with coefcient alpha found to be .93 for the total scale. The Revised BRS included 24 items rated on a 6-point Likert scale with no neutral option (e.g., 1 = Strongly disagree, 2 = Disagree, 3 = Slightly dis- agree, 4 = Slightly agree, 5 = Agree, 6 = Strongly agree). This scale is divided into four subscales to examine victimization in elementary school, middle school, high school, and college, respectively. For the present study, minor changes were made to the Revised BRS. As the Revised BRS included the same 6 items for each subscale (e.g., items from the elementary subscale were identical to those from the college subscale), the subscales were condensed to ask parents to respond regarding their K-12 school years. Then, one item was developed to inquire when the majority of these acts occurred, with responses including elementary school, middle school/junior high, high school, consistently during school (K-12), and did not agree to items 15. This change was made to reduce the repetition of asking the same questions for each age group, respectively. Par- ents were not asked if they had experienced cyberbullying, as this form of bullying was rst formally identied in 2000 according to the Merriam-Webster dictionary (Cyberbullying, n.d.), and it was anticipated that asking regarding cyberbullying in their youth would result in confusion and inaccurate results. The Likert scale for each item was altered (e.g., 1 = Never, 2 = Sometimes, 3 = Often, 4 = Always) to clarify that bullying acts must have occurred more than once per week due to the repe- titious nature of this form of violence; this change was made as per recommendations by multiple experts in bul- lying assessment (D. Espelage, personal communication, October 7, 2010; S. Swearer, personal communication, October 10, 2010). Higher scores indicate higher levels of self-reported victimization. For the purposes of this study, the highest total score is 16, which suggests that the par- ticipant was victimized through various bullying means. Retrospective recall of bullying was also examined using the Retrospective Bullying Questionnaire (RBQ); this questionnaire evaluates bullying as a global construct instead of bullying by specic type (see BRS; Jantzer et al. 2006). The RBQ was selected for this study as it was one of the most commonly used measures found in past research with adequate reliability. It mimics questions asked of students by Olweus (1993a), but is presented in a long-term retrospective manner. While it is limited in scope as it assesses bullying as a general construct, it was used to provide a baseline of parent reported involvement as a bully and/or victim without requiring the parent to recall the specic type of bullying which occurred. Furthermore, based on limited existence of retrospective research on bullying behavior, this was the only retrospective measure available which assessed bullying involvement as a bully, victim, or bystander. This 44-item questionnaire was developed by researchers in Germany, Spain, and the United Kingdom to examine frequency, duration, and seriousness of bullying exchanges. The RBQ was based on a questionnaire developed by Rivers (2001), which was founded on the research by Olweus (1993a) and has been shown to produce reliable responses over time. Schafer et al. (2004) indicated that testretest reliability for this measure was adequate for both the primary school (r = .88) and secondary school scales (r = .87). An Eng- lish version of the RBQ was obtained from the lead author, who granted permission to alter this measure (M. Schafer, personal communication, May 6, 2010). For the purposes of this study, one item was taken from the RBQ to evaluate general involvement with bullying. As the Revised BRS focuses on specic types victimization, this item from the RBQ allows the participant to choose among options that include involvement as a bully, victim, or both for bullying as a general construct. While the BRS helps to examine victimization by type of bullying, the RBQ examines the respondents role as a bully, victim, or both. Additionally, the RBQ evaluates bullying as an all-encom- passing construct, while the BRS distinguishes between types of bullying behavior. Responses were combined to indicate if a parent never participated and never or rarely observed bullying (e.g., bystander), as compared with those who reported sometimes being involved as a bully, victim, or both for the purposes of comparing historical involvement with bullying with the presently occurring constructs. Views and Level of Concern The ParentSchool Climate Survey was developed as a tool to examine parent perceptions of bullying as well as to document the types of bullying occurring in middle school. This scale was developed to be parallel with an existing measure of student perceptions of bullying known as the School Climate Bullying Survey (SCBS; Cornell and Sheras 2003). For each denition on the ParentSchool Climate Survey, parents responded regarding if their child had experienced this type of bullying within the past month. Additionally, 21 positive and negative statements about bullying were provided. For all items, parents were asked to respond on a 3-point Likert scale (1 = Agree, 2 = Not sure, 3 = Disagree). The majority of this survey was adapted for use in this study. Parents were rst asked if their child had been bullied in the past month; if a parent responded negatively, he or she was directed to move onto the next question examining if the child had bullied others in the past month. If a parent responded positively to either item, he or she J Child Fam Stud (2013) 22:526540 529 1 3 was asked to endorse each type of bullying (e.g., physical, verbal, relational, cyberbullying) with which the child had been involved. Denitions and examples for each type of bullying were included within each option. Four items were adapted from the original survey to also evaluate parent level of concern regarding each type of bullying behavior as level of concern was not examined in either survey. In terms of parent perceptions regarding bullying, 10 of the 21 items were used for this study. Items selected examined subjective viewpoints about bullying; items were not included if they focused on views about the school or specic reactions to bullying behavior. Some items appeared to support bullying behavior while others suggest more prosocial views that bullying should not be tolerated. Additionally, the responses were changed from a 3-point to a 4-point Likert scale (1 = Never, 2 = Sometimes, 3 = Often, 4 = Always); this change allowed for consis- tency with the rest of the survey as well as the elimination of the neutral response (e.g., Not sure). Reactions to Bullying Behavior As no published research to date has examined how parents help their children cope with bullying situations, the Parent Personal Experience, Views, and Reactions Regarding Bullying Behavior survey was developed in part to evaluate parental reactions to bullying. One item regarding coping with bullying was utilized from the section on the RBQ examining general experiences at school for ones child. As the original question allowed respondents to check one or more coping method, this question was expanded to make each coping method an individual item; respondents were able to indicate whether or not they have utilized each coping method via a 4-point Likert scale (1 = Never, 2 = Sometimes, 3 = Often, 4 = Always). This change was made to not only determine if a parent had used a coping mechanism, but also to determine the frequency with which it has been used; to date, no systematic research has examined strategies used by parents. The Current Bullying Prevention/Intervention Activities scale was developed in order to examine current use of anti-bullying strategies in American schools according to school psychologists (Sherer and Nickerson 2010). The scale included techniques that were determined by con- sulting the most recent empirical and theoretical informa- tion available at the time of development; 43 prevention and intervention techniques were included in all. With permission from the authors, items from this scale were utilized in order to evaluate parent reactions to bullying instances regarding his or her own child. Specically, 11 prevention and intervention techniques were taken from the Current Bullying Prevention/Intervention Activities scale. Items selected examined actions parents could take regarding bullying; items were not included if they focused exclusively on actions taken by the school or by students. Parents were asked to respond to each strategy regarding the frequency of use on a 4-point Likert scale (1 = Never, 2 = Sometimes, 3 = Often, 4 = Always). An open-ended response area was included to allow parents to explain if they had used strategies that are not otherwise listed. Procedure The aforementioned items, combined into the Parent Personal Experience, Views, and Reactions Regarding Bullying Behavior survey, were accessible to parents through the internet via PsychData. PsychData is a secure website allowing for the collection of research data con- dentially (see www.psychdata.com for more information). Prior to opening the PsychData survey, the Parent Personal Experience, Views, and Reactions Regarding Bullying Behavior survey and the cover letters for the participating schools were reviewed by two local educators with expertise in the area of bully prevention. Additionally, the full survey was piloted with 10 parents in order to further evaluate the readability, comprehension, and over- all quality of this survey (Mangione 1995). Minor changes were made to the wording of the directions based on parent feedback; no major changes were made to the composition of the survey. Once full Institutional Review Board (IRB) approval was obtained, all participants received a letter from the school administration soliciting their participation in an internet survey regarding past and present experiences and thoughts related to bullying. Participants were able to type in the link given in the letter, and were also directed that the link was accessible from the school website. Further- more, a local media publication reported on this survey, again directing potential participants to the school website. Upon accessing the link, participants were automatically redirected to the PsychData survey and asked to read and consent to participate in this study. Upon providing con- sent, parents completed the Parent Personal Experience, Views, and Reactions Regarding Bullying Behavior survey and were thanked for their participation. As an incentive to participate, parents were informed that they had the option to receive the results of this study (Dillman et al. 2009); information on how to contact the researcher was provided upon completion of this survey. Additionally, participants had the option to enter a rafe to win a monetary prize, which has been found by previous researchers to increase response rate (Church 1993). Three weeks after parents received the invitation to participate in the study, a reminder from the school was sent. 530 J Child Fam Stud (2013) 22:526540 1 3 Results Respondents Two-hundred-seventy-six surveys were completed and 260 were interpretable (e.g., at least one section of the survey was completed in full). Of the 260 participants, the typical respondent was female (89.6 %), White (94.3 %), and aged 4150 (56.9 %). Two-hundred-fty-seven participants indicated the number of children they had, with the majority reporting more than one child (82.1 %). Of the 256 individuals who indicated marital status, the majority indicated being married (78.5 %). Demographic charac- teristics of the middle school child about whom partici- pants responded are summarized in Table 1. The middle school students described (N = 230) covered all grades and included approximately equal amounts of each gender (male = 52.5 %; female = 47.5 %). Participants typically identied as being the biological parent to the middle school child being discussed (91.3 %). Data Screening Before data were analyzed, the data were screened to ensure accuracy. Specically, responses were evaluated through SPSS for outliers, errors in data entry, missing data trends, and normality of distribution; additionally, reverse coding procedures were implemented for some items. Two cases were found to contain outliers; in each of these cases, the respondent reported being a non-parent and was therefore removed from the sample. Identiable errors in the data (e.g., reporting an age below 20 as a parent of a middle school student) were corrected for two cases by replacing with the mean age for that variable; this provides a conservative estimate of the age of the participants (Tabachnick and Fidell 2007). Additionally, participants who did not complete any items were removed from the database as they provided no serviceable information. Respondents who completed at least one section of the survey were retained within the sample. For the occasional missing item, two methods were utilized. If the item was associated with a categorical variable, the participant was excluded from that measure. In contrast, if the item was associated with a continuous variable, a mean substitution was completed to allow for a conservative estimate of the actual value (Heppner and Heppner 2004; Tabachnick and Fidell 2007). Additional data screening measures indicated that 19 participants completed demographic information exclusively; aside from describing the demographic characteristics of the sample (N = 260), the sample consisted of 241 respon- dents. The majority of respondents completed all survey items (80.5 %); when controlling for participants who only completed demographic information, 93.4 % of the remaining respondents completed all items. In initial analysis of the sample, it was observed that the vast majority of participants identied as female (n = 232; 89.6 %). An independent t test was conducted to determine if mean differences existed among male and female par- ticipants in this sample; results indicated that Levenes Test for Equality of Variance demonstrated equal variance. Therefore, it appears that there were no signicant differ- ences between the females and males in this sample. Parent History of Bullying Experience To determine the frequency with which parents reported historical involvement with bullying, two measures were used. First, the RBQ 1 , representative of the rst section utilized from the RBQ, was used to determine general involvement in bullying. The BRS was also utilized to assess parent reports of historical involvement with bully- ing; this construct evaluated overall victimization, as well as specic types of bullying. Results of the RBQ 1 and the BRS are summarized in Table 2. Based on the responses of the participants in this study, it appears that most parents were able to recall involvement with bullying; of 238 respondents, only 9.7 % indicated that they were uninvolved and unaware of bullying during their school days. A unique result of this study was iden- tifying parents that had not participated in bullying, but who recalled seeing it happen; these individuals would be known today as bystanders (OConnell et al. 1999). In the current sample, 34.5 % of participants would be classied as bystanders. Of parents who reported involvement in Table 1 Middle school child demographic characteristics Variable n % Child gender Male 120 52.5 Female 110 47.5 Child grade 5 71 30.7 6 68 29.4 7 44 19.0 8 48 20.8 Relationship to child Biological mother 193 83.9 Biological father 17 7.4 Adoptive mother 8 3.5 Stepmother 1 0.4 Grandparent 8 3.5 Guardian/caregiver 3 1.3 \241 due to missing data J Child Fam Stud (2013) 22:526540 531 1 3 bullying (n = 133), 32.8 % reported being victimized during childhood while 2.5 % indicated bullying others. Furthermore, 15.1 % of parents reported that they had experience as both a bully and as a victim at different points in time. Parents were asked to report on their experiences with physical, verbal, and two types of rela- tional bullying. Of the 241 parents who responded, the most commonly reported involvement was associated with verbal bullying (57.3 %), followed by relational bullying by isolation (51.0 %), then relational bullying by spreading rumors (36.5 %), and, lastly, physical bullying (24.1 %). Of the 152 participants who acknowledged involvement in bullying, 45.5 % indicated that bullying most frequently occurred in middle or junior high school. Parent Current Reports Beyond parent historical experience with bullying, parents were also asked to provide insight into their current views, level of concern, and reactions to bullying and their middle school student. To determine parent perceptions regarding bullying behavior, a total score was generated for responses on the SCBS 1 (i.e., the rst part of the SCBS pertaining to current viewpoints associated with bullying). The mean score of participants suggested slightly positive, prosocial responses on average (M = 29.19, SD = 5.1), with scores ranging from 11 to 50. Results of this measure indicate a wide variety of perceptions regarding bullying behavior. In order to determine the level of concern that parents have regarding their childs actual or potential involvement with various forms of bullying behavior, frequencies of responses on the SCBS 2 were evaluated, which included questions selected from the second section of the original SCBS. The most concerning type of bullying reported by parents was verbal, with parents indicating slight (26.1 %), moderate (27.5 %), and strong (17.6 %) concern with more frequency than other forms of bullying. Relational bullying was also concerning to parents, with participants reporting slight (25.6 %), moderate (21.0 %), and strong (15.5 %) concerns. Participants indicated the least amount of con- cern associated with cyberbullying and physical bullying, with close to half of parents indicating no concern (46.2 and 45.2 %, respectively). To evaluate parent response to bullying, participants were asked to complete items related to what parents reported telling their child to do to cope with bullying (RBQ 2 ), as well as what parents have done personally to help prevent or intervene with bullying (Current Bullying Prevention/Intervention Activities scale). Parents reported telling their child to get help from adults with the most frequency; specically, combined totals indicated parents most often recommended seeking out help from family/ parents (98.2 %) and teachers (97.3 %). Avoiding the situation (86.2 %) was also commonly recommended. Children were less frequently advised to try to negotiate the bullying exchange independently; 73.1 % of respon- dents indicated that they would never tell their child to handle the situation alone, with 66.4 % reporting they would never tell their child to make fun of the bullying situation. Respondents were approximately split on whe- ther or not to tell their child to ght back, with 44.1 % reporting never telling their child to ght back, while 42.3 % reported telling their child to ght back some- times. In terms of strategies that parents personally reported utilizing, the majority of respondents indicated that they have at least sometimes (a) talked with their child about bullying (89.8 %), (b) offered suggestions for coping if the child had been victimized (79.0 %), and (c) developed ways to avoid contact between the bully and victim (74.0 %). Approximately one-third (34.4 %) of parents reported contacting the parent of another child following a bullying incident. Table 2 Parent historical involvement with bullying Variable n % RBQ 1 I was not involved at all, and I never saw it happen 23 9.7 I was not involved at all, but I saw it happen sometimes 82 34.5 I would sometimes join in bullying others 6 2.5 I would sometimes get bullied by others 91 38.2 At various times, I was both a bully and a victim 36 15.1 BRS Physically bullied a 58 24.1 Verbally bullied a 137 57.3 Relationally bullied, isolated a 123 51.0 Relationally bullied, rumors a 88 36.5 Bullying experienced was hurtful Strongly disagree 13 5.5 Disagree 7 3.0 Slightly disagree 6 2.5 Slightly agree 19 8.0 Agree 50 21.1 Strongly agree 55 23.2 Did not report experiencing bullying b (87) (36.7) When bullying occurred Elementary school 38 25.0 Middle school/junior high 69 45.4 High school 36 23.7 Consistently during school (K-12) 9 5.9 Did not report experiencing bullying b (86) (36.1) N\241 due to missing data a Frequency for each item out of a possible N = 241 b Responses not calculated toward total 532 J Child Fam Stud (2013) 22:526540 1 3 Hierarchical Regression Analyses A secondary goal of the current study was to determine if parent historical experience with bullying was predictive of current views, levels of concern, and strategies used with ones child to prevent and intervene with bullying. Prior to entering demographic variables into the analysis, a pre- liminary screening was conducted to determine if these variables were associated with the dependent variable (Kleinbaum et al. 2008). Demographic variables that were unrelated to the dependent variable were excluded from the hierarchical analysis. Additionally, choices from the RBQ 1 were consolidated into categories using averages to identify participants among two groups (0 = uninvolved or observers, 1 = personally involved in bullying as a victim, bully, or both). Hierarchical regression analyses were used to determine if relationships exist between parental history of experiencing bullying and parents (a) perceptions of bullying, (b) level of concern regarding bullying, and (c) reaction to bullying with their own child. Demographic information was inputted into the rst block of the regres- sion analysis, with the associated predictor vari- able(s) entered in the second block for each analysis. Results suggest that parent history of experience with bullying provided limited, yet signicant predictive value for some of the criterion variables. While the results are summarized below, Tables 3 and 4 provide signicant statistical ndings. Two predictor variables (parent historical involvement in bullying as measured with the RBQ 1 , parent gender) accounted for approximately 5 % of the variance in current views regarding bullying, adjusted R 2 = 0.05; R 2 change = 0.03; F(1,232) = 6.00; p \.01. These results Table 3 Hierarchical regression of history of bullying experience on current views and level of concern regarding bullying Variable F R R 2 Adj. R 2 F change R 2 change B SE B b Current views of bullying 6.00** .22* .05 .04* Demographic characteristic 5.66* .020* Parent gender a -2.5* 1.1 -.15* History of bullying experience 6.21* .030* History of involvement in bullying .62* .25 .16* Concern for physical bullying 7.95** .40** .16** .14** Demographic characteristics 6.52** .074** Parent age .26* .13 .15* Child grade -.18** .07 -.18** Marital status .17** .06 .17** History of bullying experience 9.24** .084* History of physical bullying .61** .18 .25** History of verbal bullying .05 .11 .04 Concern for verbal bullying 3.96** .83* .07* .05* Demographic characteristic 4.16* .019* Child grade .35* .15 .16* History of bullying experience 3.83* .050* History of physical bullying .45* .19 .19* History of Relational bullying (rumors) .11 .16 .06 History of verbal bullying .03 .13 .02 Concern for relational bullying 3.40** .24** .06** .04** Demographic characteristic 3.86* .017 Marital status b .12 .06 .12 History of bullying experience 3.20** .042 History of physical bullying .40** .19 .17** History of relational bullying (rumors) .14 .16 .08 History of verbal bullying -.02 .13 -.10 SE Standard Error, b Beta * p \.05 ** p \.01 a Gender (1 = female, 2 = male) b Marital status (1 = Married, 2 = Single, Never married, 3 = Separated, 4 = Divorced, 5 = Widowed) J Child Fam Stud (2013) 22:526540 533 1 3 suggest that male participants and/or participants who had a greater history of involvement in bullying indicated more prosocial views in association with bullying. In contrast, female participants and/or participants with less historical experience with bullying reported more negative views associated with bullying behavior. Total parent historical experience of bullying (measured by the BRS) was analyzed for predictive ability of current levels of concern regarding types of bullying behavior (SCBS 2 ). History of involvement with physical bullying was the strongest predictor of level of concern for physical, verbal, and relational bullying; when demographic char- acteristics were included in the equation, between 4 and 14 % of the variance in level of concern was predicted. When evaluating different coping strategies used by parents to combat bullying, strategies were grouped into subcategories (i.e., Resist Bullying, Get Help from Adults); this technique was utilized to improve reliability by cre- ating subscales rather than analyzing by single item. The Resist Bullying subscale consisted of two items, (a) try to avoid the situation, and (b) try to ignore it. The Get Help from Adults subscale consisted of two items, (a) get help from a teacher, and (b) get help from family/parents. Four of the items on the scale (i.e., ght back, get help from friends, try to make fun of a bullying situation, try to handle it alone) were unrelated and treated individually in data analyses. Although parent history of bullying was not predictive of what parents report telling their child regarding bullying, a number of demographic characteris- tics were found to have predictive value. Two subcatego- ries were created when evaluating the coping strategies that parents personally use (General Anti-Bullying/Involve Others, Specic Anti-Bullying/Involve Own Child). Results indicate that historical involvement in bullying was the only variable predictive of the Specic Anti-Bullying/ Involve Own Child subscale of strategies utilized by par- ents, adjusted R 2 = 0.06; F(1,212) = 13.42; p \.01. This suggests that a parents historical involvement in bullying accounts for approximately 6 % of the variance in the Specic Anti-Bullying/Involve Own Child subscale. However, parent historical involvement in bullying was not predictive of the General Anti-Bullying/Involve Others subscale of strategies implemented. Discussion Parent Retrospective Reports of Bullying and Victimization The results of this study provide previously unknown base- line evidence to suggest that the majority of parents are able Table 4 Hierarchical regression of history of bullying experience on strategies used by parents Variable F R R 2 Adj. R 2 B SE B b Told to child: resist bullying 3.97* .13* .02 .01* Demographic characteristic Child grade .18* .09 .13* Told to child: get help from adults 5.69* .16* .03* .02* Demographic characteristic Parent gender .87* .37 .16* Told to child: ght back 7.94** .19** .04** .03** Demographic characteristic Parent age -.24** .09 -.19** Told to child: get help from friends 5.31* .16* .02* .02* Demographic characteristic Child gender .31* .14 .16* Used by parent: general anti-bullying/ involve others 5.07* .15* .02* .02* Demographic characteristic Parent ethnicity .94* .42 .15* Used by parent: specic anti-bullying/ involve own child 13.42** .24** .06** .06** History of bullying experience History of involvement in bullying .87** .24 .24** SE Standard Error, b Beta * p \.05 ** p \.01 534 J Child Fam Stud (2013) 22:526540 1 3 to recall bullying experiences fromtheir youth. Based on the average age range of parents (4150) and most commonly reported time of victimization (middle/junior high school), the majority of participants appear to be able to recall bul- lying exchanges fromapproximately 3040 years prior. This information is consistent with the limited existing literature where parents willingly disclosed narrative accounts of bullying situations from childhood (Sawyer 2008). Addi- tionally, Rivers (2001) demonstrated that retrospective accounts of bullying reported by adult victims remained relatively consistent over time, supporting the ability of adults to recall bullying incidents years after occurrence. The reported prevalence of parent involvement in bully- ing suggested that while 32.8 % reported being victimized during childhood, only 2.5 % indicated engaging in bully- ing, as measured by the RBQ 1 . Over one-third (34.5 %) reported acting as bystanders to bullying. Although the study evaluating parents of victimized children by Sawyer (2008) contained a very small sample (N = 20), the parents in that study reported similar trends of involvement in bullying; specically, 30.0 % of parents reported being victimized while 5.0 % indicated bullying others. As recent estimates indicate that over 5.7 million American youth were involved in bullying as a bully or victim, comprising approximately 32 % of all students nationwide (Dinkes et al. 2009; Nansel et al. 2007a, b), parent reports suggest tentatively that the prevalence of bullying involvement has remained relatively stable over time. In turn, it is likely that the acknowledge- ment of involvement as a bully is an underestimate, as a recent assessment determined that approximately 20 % of middle school students reported engaging in bullying (Rivers et al. 2009). Underestimating the prevalence of bullying is not uncommon; for instance, teacher reports of the frequency of bullying attacks are often considerably lower than reports made by students (Craig et al. 2000; Schafer et al. 2004). As reports from parents acknowledging acting as bullies appear to be underestimated, all responses should be interpreted with caution as they may also be modest in nature. It is unknown if results of the current study are indica- tive that parents have more difculty recalling bullying others, or if parents were less involved in bullying as compared to current middle school students. However, given that reports from the RBQ 1 indicated that over 30 % of individuals consistently reported being victimized by others, and over 30 % of uninvolved individuals recalled observing bullying exchanges, it is likely that more indi- viduals were involved as bullies than has been either admitted or realized by the bully. It should also be noted that 15.1 % of participants indicated that they acted both as a bully and as a victim during childhood; this would allow for 17.6 % of the parent participants to be characterized as bullies, which is considerably closer to the recent estimates by Rivers et al. (2009). Empirical research on bullying has identied this subset as bully/victims; it has been suggested that the majority of bullies have also experienced victim- ization, comprising the bully/victim group (Nansel et al. 2004; Wolke et al. 2001). This is the rst known study asking parents to report on their recollection of bullying experience by type experi- enced, so there is no previous research with which to com- pare these results. However, a recent assessment by Wang et al. (2009) regarding types of victimization experienced reported similar trends. Of the 7,182 students surveyed, they reported most frequently experiencing verbal bullying (53.6 %), followed by relational bullying (51.4 %), and physical bullying (20.8 %). It should be noted that current students reported the least amount of involvement in cyberbullying (13.6 %) as compared to the other types (Wang et al. 2009). Comparing the current results against recent assessments evaluating prevalence of bullying by type, when excluding cyberbullying for lack of comparison, it appears that experience by type of bullying has remained relatively stable over time. It should be noted that results of the original BRS (Jantzer et al. 2006) were reported in terms of when bullying was experienced; therefore, total scores were reported by grade-level, as opposed to by type of bul- lying recalled by the participating adult. Therefore, com- parisons by type of bullying experienced cannot be inferred in terms of relating the current results to the original BRS. Current Views Beyond what parents report from their personal histories, this study aimed to determine what parents would acknowledge regarding their current views, level of con- cern, and reaction to bullying and their own child. Of the views parents report regarding bullying, the mean score of participants on this measure suggested slightly positive, prosocial responses. The greatest consensus was on an item stating, Students who are bullied or teased often deserve it. Of the 235 responses, 78.3 % strongly disagreed with this statement, and less than 1 % of participants agreed with this statement. Although the majority of respondents (57.1 %) indicated that bullying will always occur in school, it is apparent that the vast majority of parents do not believe this likelihood is at the fault of the victim. Overall, the slightly positive trend of responses suggests that the majority of parents believe that there are actions that can be taken to prevent bullying, and the dominating belief is that bullying should not be dismissed as normal. Level of Concern Participants indicated the least amount of concern associ- ated with cyberbullying and physical bullying, and physical and cyberbullying are reported to occur with the lowest J Child Fam Stud (2013) 22:526540 535 1 3 frequency as compared to verbal and relational bullying attacks (Wang et al. 2009). The basis for the small amount of concern may be different for these types of bullying. Physical bullying appears to be the form of bullying most commonly recognized by adults; therefore, parents may expect that they would be more easily able to recognize overt, aggressive acts involving their child as compared to more covert, non-physical acts. In contrast, cyberbullying is the most recently identied form of bullying, suggesting that some parents may be unconcerned due to a lack of awareness or understanding regarding this form of aggression. Parent ratings regarding level of concern for verbal and relational bullying paralleled recent reports by students indicating that verbal and relational bullying occur with greater frequencies than other forms of bullying (Wang et al. 2009). Both verbal and relational bullying involve actions that can be taken without leaving physical scarring (as with physical bullying) or a paper-trail (as with cy- berbullying); parents may be more concerned with these forms of bullying as they are less easily detectable by adults. Based on the social nature of verbal and relational bullying, adults have reported difculty in identifying if an argument between friends is typical social behavior or a bullying exchange (Mishna et al. 2008). Confusion surrounding what actions are developmentally appropriate versus unwanted bullying may also contribute to higher levels of concern for these types of bullying. Reported Coping Strategies It is often recommended that parents be included in efforts to combat bullying (Batsche and Porter 2006; Felix and Furlong 2008; Olweus and Limber 2007). Parents in the current study identied utilizing some empirically-based, recommended strategies to help combat bullying and their child. In the current study, approximately half of parents reported involvement by obtaining anti-bullying resources, attending an anti-bullying presentation, or spreading information about bullying to others; these proactive measures are consistent with recommendations for best practice (Felix and Furlong 2008; Olweus and Limber 2007). It should be noted that the parents recruited for this study were within a school district that was implementing OBPP, which could have impacted their responses. Parents indicated at least occasionally contacting the school fol- lowing a bullying event with more frequency (58.1 %) than contacting the parents of a bully or victim after an inter- action involving bullying (34.4 %). This is consistent with past research indicating that parents reported contacting the school more often (45.0 %) than contacting other parents (14.0 %) following a bullying incident (Holt et al. 2009). Indeed, it is recommended that parents of a victim contact the school, not the bullys family, when reacting to a bul- lying incident because contacting the parent of a bully is rarely considered effective and may escalate the issue (Holt et al. 2009; Rigby 2008). Predictive Relationships Individuals who identied as female and/or indicated little to no involvement in bullying based on responses to the RBQ 1 were predictive of more negative views regarding bullying. While virtually no research has evaluated parent history of experience with bullying, it was expected that more involvement with bullying would be predictive of more negative views regarding bullying, with less involved par- ents demonstrating the most prosocial views. As victims of bullying tend to have lower self-condence in adulthood (Barton 2006; Schafer et al. 2004), it was anticipated that more parental involvement as a victim would result in more negative views regarding the ability to stop such behaviors. While gender was not identied as an expected predictor of views of bullying, research has shown that males and females are directed to cope with bullying in different ways, with males advised to ght back and females taught to avoid confrontation (Turkel 2007). Results of the current study suggest that those who experienced bullying in the past may have successfully overcome the bullying or did not perceive a considerable negative impact; therefore, bullying may be perceived as a problem that can be easily resolved, espe- cially for those who perceive that they were not signicantly impacted by bullying experienced in childhood. In contrast, parents who were uninvolved in bullying exchanges during childhood may identify bullying as an overwhelming prob- lem; for individuals with less experience with bullying, the problem may be seen as impossible to resolve, resulting in the more negative perceptions regarding bullying. When parent history of involvement with bullying was evaluated against current level of concern for various types of bullying, history of experience with physical bullying was the only type predictive of current levels of concern for verbal and relational bullying. Although more parents reported involvement in verbal and relational bullying exchanges, it appears that that physical bullying may have a longer-lasting or more severe impact. Additionally, level of concern for physical bullying was found to be associated with parent history of involvement with physical bullying. While parents reported less concern over physical bullying and less child involvement with this form of bullying, the increased severity of the long-term consequences of this form of bullying suggests the importance of regulating any involvement in physical bullying, even if this form occurs less frequently than verbal and relational types of bullying. Parent historical involvement in bullying was not a signicant predictor of any of the reports regarding what 536 J Child Fam Stud (2013) 22:526540 1 3 parents advise their child regarding bullying exchanges. It had been anticipated that experiencing bullying as a child would impact a how a parent advised his or her child to negotiate a bullying exchange. Other variables, such as locus of control, were not studied in the current research, but may have contributed to parental recommendations (Fosse and Holen 2007; Hunter and Boyle 2002). In terms of what a parent is personally doing to prevent and intervene with bullying, parent historical experience with bullying as a bully, victim, or bystander was not associated with parent implementation of strategies on the General Anti-Bullying/Involve Others scale. Parent his- torical experience with bullying as a bully, victim, or bystander was a signicant predictor of the Specic Anti- Bullying/Involve Own Child subscale; the majority of the strategies on this subscale are reactive in nature. The pre- dictive relationship suggests that parents who experienced or witnessed bullying when in school are more apt to respond to bullying with their child by discussing the sit- uation, offering suggestions for coping, increasing super- vision in unstructured areas, and contacting the school when compared with parents who had no involvement in bullying as a child. It is plausible that a parents personal experience with bullying is associated with an increased reaction to bullying exchanges involving ones own child. A parents increased involvement with bullying during childhood may be predictive of the strategies implemented with their own child for a number of reasons. First, an adult who recalls involvement with bullying may also be able to recall what strategies were effective or ineffective during childhood. Therefore, personal experience may be impacting which strategies a parent is willing to imple- ment. Additionally, a parents recollection of his or her parents reactions to bullying may also be a driving force; if the parent recalls that his or her parents did not react in a desirable fashion, the parent may overcompensate by ensuring a number of strategies are implemented to prevent or intervene with current bullying situations. In contrast, it is understandable that parents who were uninvolved with bullying during childhood may be less likely to participate in anti-bullying initiatives. Furthermore, as locus of control was hypothesized to be associated with what a parent tells their child to do in association with bullying, it is also plausible that the strategies implemented by parents may be associated with this phenomenon. A parent with an internal locus of control, or a sense of control over a situation, may be more apt to utilize intervention strategies with his or her child; in contrast, a parent with an external locus of control may not intervene as he or she perceives no ability to change the situation. If history of experience with bullying has impacted the sense of control that adults in this study are currently experiencing, as per previous research (Hunter and Boyle 2002; Fosse and Holen 2007), this may also impact the strategies with which an adult is willing to use regarding bullying behavior. Implications There are a variety of implications for parents and school personnel based on the results of this study. Even after adults have children, the long-term impact of involvement with bullying can remain within a parents memory. While critics continue to express concerns regarding retrospective research (Flick 2006; Hardt and Rutter 2004), the over- whelming majority of parents aware of and/or able to recall involvement in bullying is concerning. Even if over 90 % of parents recalling see and/or participating in bullying within decades prior is a gross overestimate attributed to error in memory, it remains clear that watching and participating in bullying in childhood is not easily forgotten. Educating adults on the long-lasting consequences of bullying could provide incentive to act now with preventative strategies in order to spare children similar long-term impacts. As current prevalence rates of bullying are relatively consistent with the results of this study, it is suggested that bullying trends will continue without considerable inter- vention by adults. Therefore, it is recommended that par- ents and school personnel take the lead in raising awareness regarding the various types of bullying and possible anti-bullying initiatives that may assist in decreasing the frequency of bullying attacks. Additionally, raising awareness of the less commonly known parties associated with bullying (e.g., bully/victims, bystanders) and lesser known forms of bullying (e.g., cyberbullying) may help to identify the widespread impact that bullying exchanges can have on school communities. Understanding the experience that a parent has had with bullying may provide critical information for schools attempting to implement an anti-bullying initiative (Olweus and Limber 2007), as parent willingness to participate in preventative and intervention movements could be related to personal experience. Furthermore, it is important that schools become aware of what strategies parents are utilizing in hopes of reducing bullying; parents may be aware of bullying, yet intervening with ineffective strategies. If prosocial views can be harvested, parents may be able to be guided to attempt using more empirically-based strategies, such as contacting the school to help deal with bullying, while eliminating those strategies which may result in more challenges. Limitations and Future Research There were several limitations of the current study. First, it is difcult to know the true response rate of this study as we were unable to determine how many parents were given the survey invitation from their child, or how many parents J Child Fam Stud (2013) 22:526540 537 1 3 accessed the PsychData website through the school web- sites. Furthermore, it is unknown if there were differences among those who responded to the survey and non- respondents. While this is consistent with the majority of anonymous surveys and there is no way to conclude if the non-respondents are, in fact, different from the respon- dents, the fact remains that the results may have been impacted by this unknown variable (Dillman et al. 2009; Mangione 1995). Future researchers may benet from establishing a way to characterize whether or not differ- ences exist among these groups. Another limitation of this study included the relatively homogenous nature of the sample. Demographically, the majority of participants fromthe sample of 260 parents were of a White background (94.3 %), aged between 41 and 50 (56.8 %), and female (89.6 %). While these demographic characteristics limit the generalizability of this research to more diverse areas, it is a relatively consistent representation of parents within this school district. Furthermore, research suggests that females have been more apt to respond to surveys regarding bullying than males (Holt et al. 2009; Stockdale et al. 2002). Although the predominantly female sample is relatively consistent with past research and no gender differences were apparent within the sample, it is recommended that results be generalized with caution based on limited male respondents. To allow for generalization of these results to other, more diverse settings, it is recom- mended that future researchers collect a national sample to evaluate parent history, views, concerns, and reactions to bullying among a more diverse population. This study identied a portion of participants who would have been considered bystanders to bullying exchanges; this group demonstrated that those who witness bullying without active participation continue to recall these exchanges into adulthood. It is recommended that future researchers further investigate this group to determine the long-term impact of observing bullying on bystanders. Additionally, conducting this survey with a sample of parents who had experience with cyberbullying may yield important information in terms of the long-term repercus- sions of this most recently identied form of bullying. While this study was aimed at providing baseline data as to the nature of parent historical experience with bullying, as well as their coinciding views, level of concern, and reactions to bullying behavior, this research should only be regarded as the rst step in including parents in research related to their personal experiences with bullying. As small, yet signicant, relationships were found between parent historical experience with bullying and current views, level of concern for some types of bullying, and current responses regarding bullying, it is recommended that future researchers analyze these relationships more thoroughly through larger studies with more questions specic to long-term recollection and impact of involve- ment with bullying. Additionally, other variables that were not identied in this study may be able to account for some of the missing variance. Furthermore, a childs experience with and reactions to bullying incidents could be impera- tive as a potential predictor accounting for some of the remaining variance. Future researchers may expand this study to include assessments of locus of control, empathy, perspective-taking, anti-bullying education, attachment styles, and parenting styles to create a more comprehensive model of predicting parent views, level of concern, and reactions to bullying behavior. To date, there has been very little research dedicated to adult history of experience with bullying and the potential impact on children (Mishna et al. 2008). Results of the current study suggest that bullying can be recalled long after the actual incident occurred, with over 90 % of par- ents in the current sample recalling some involvement as a bully, victim, or bystander. Given that the prevalence rates have remained relatively stable over time, it is likely that this trend will continue without considerable intervention by schools, parents, and students alike. 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The Effectiveness of Psychoeducation and Systematic Desensitization To Reduce Test Anxiety Among First-Year Pharmacy Students - Rajiah & Saravanan (2014)
The Effectiveness of Psychoeducation and Systematic Desensitization To Reduce Test Anxiety Among First-Year Pharmacy Students - Rajiah & Saravanan (2014)