Bullying behavior and associations with psychosomatic complaints and depression in victims

Bullying behavior and associations with psychosomatic complaints and depression in victims
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DOI:
10.1016/j.jpeds.2003.09.025
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发表时间:
2004-01-01
影响因子:
5.1
通讯作者:
Verloove-Vanhorick, SP
Verloove-Vanhorick, SP
中科院分区:
医学2区
文献类型:
--
作者:
Fekkes, M;Pijpers, FIM;Verloove-Vanhorick, SP

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研究设计:以2766名9 ~ 12岁的小学生为被试,采用横断面研究方法,对欺负行为和健康问题进行问卷调查。三组被欺负的孩子,主动欺负,欺负和被欺负的孩子与未参与欺负行为的孩子进行了比较。随后,心身症状和抑郁症的风险进行了计算,通过比值ratio.Results欺负受害者有显着较高的机会,抑郁症和心身症状相比,没有参与欺负行为的儿童。比值比如下:头痛,3.0;睡眠问题,2.4;腹痛,3.2;尿床,2.9;感觉疲劳,3.4;抑郁,7.7。积极欺负的儿童没有更高的机会,大多数调查的健康symptoms.Conclusions被欺负是强烈相关的广泛的心身症状和抑郁症。这些联系与已知的与虐待儿童有关的投诉类似。因此,当出现此类健康投诉时,儿科医生和其他卫生保健工作者也应该意识到儿童被欺凌的可能性,以采取预防措施。
Objectives To assess the association between bullying behavior and a wide variety of psychosomatic health complaints and depression.Study design in a cross-sectional study, 2766 elementary school children age 9 to 12 years filled out a questionnaire on bullying behavior and health complaints. Three groups-bullied children, active bullies, and children who both bully and are bullied-were compared with the group of children not involved in bullying behavior. Subsequently, risks for psychosomatic symptoms and depression were calculated by means of odds ratios.Results Bully victims had significantly higher chances for depression and psychosomatic symptoms compared with children not involved in bullying behavior. Odds ratios were as follows: headache, 3.0; sleeping problems, 2.4; abdominal pain, 3.2; bedwetting, 2.9; feeling tired, 3.4; and depression, 7.7. Children who actively bullied did not have a higher chance for most of the investigated health symptoms.Conclusions Being bullied is strongly associated with a wide range of psychosomatic symptoms and depression. These associations are similar to the complaints known to be associated with child abuse. Therefore, when such health complaints are presented, pediatricians and other health care workers should also be aware of the possibility that a child is being bullied to take preventive measures.