Does bullying cause emotional problems? A prospective study of young teenagers
Does bullying cause emotional problems? A prospective study of young teenagers
复制标题
DOI：
10.1136/bmj.323.7311.480
复制
发表时间：
2001-09-01
影响因子：
--
通讯作者：
Patton, G
中科院分区：
文献类型：
--
作者：
Bond, L;Carlin, JB;Patton, G
目标 确定反复出现的同伴受害与青少年早期自我报告的焦虑或抑郁症状之间的关系。设计为期两年的队列研究。在澳大利亚维多利亚设置中学。参与者 2680 名学生在第 8 年（13 岁）接受调查两次，在第 9 年接受一次调查。主要结果指标通过使用修订后的临床访谈时间表的计算机化版本来评估自我报告的焦虑或抑郁症状。事件案例是学生在 9 年级时得分大于或等于 12 分，但之前没有。先前受害被定义为在第 8 年的一个或两个调查时间都受到过欺凌。结果 第 8 年第二个调查点的受害发生率为 51%（95% 置信区间为 49% 至 54%），自我报告的焦虑或抑郁症状的发生率为 18%（16% 至 20%）。第 9 年自我报告的焦虑或抑郁症状的发生率 (7%) 与第 8 年报告的一次受害（比值比 1.94, 1.1 至 3.3）或两次（2.30,1.2 至 4.3）显着相关。在调整社会关系的可用性和社会公民人口因素后，反复受害仍然是女孩自我报告的焦虑或抑郁症状的预测因素 (2.60, 1.2 至 5.5)但男孩则不然（1.36、0.6 至 3.0）。 9 年级新报告的受害情况与之前自我报告的焦虑或抑郁症状没有显着相关性（1.48，0.4 至 6.0）。 结论 受害史和不良社会关系预示着青少年出现情绪问题。以前反复出现的情绪问题与未来的受害没有显着相关。这些发现对于如何认真对待受害事件以及旨在解决青少年心理健康问题的干预措施的重点具有影响。
Objectives To establish the relation between recurrent peer victimisation and onset of self reported symptoms of anxiety or depression in the early teen years.Design Cohort study over two years.Setting Secondary schools in Victoria, Australia.Participants 2680 students surveyed twice in year 8 (aged 13 years) and once in year 9.Main outcome measures Self reported symptoms of anxiety or depression were assessed by using the computerised version of the revised clinical interview schedule. Incident cases were students scoring greater than or equal to 12 in year 9 but not previously. Prior victimisation was defined as having been bullied at either or both survey times in year 8.Results Prevalence of victimisation at the second survey point in year 8 was 51% (95% confidence interval 49% to 54%), and prevalence of self reported symptoms of anxiety or depression was 18% (16% to 20%). The incidence of self reported symptoms of anxiety or depression in year 9 (7%) was significantly associated with victimisation reported either once (odds ratio 1.94, 1.1 to 3.3) or twice (2.30,1.2 to 4.3) in year 8. After adjustment for availability of social relations and for so cio demographic factors, recurrent victimisation remained predictive of self reported symptoms of anxiety or depression for girls (2.60, 1.2 to 5.5) but not for boys (1.36, 0.6 to 3.0). Newly reported victimisation in year 9 was not significantly associated with prior self report of symptoms of anxiety or depression (1.48, 0.4 to 6.0).Conclusion A history of victimisation and poor social relationships predicts the onset of emotional problems in adolescents. Previous recurrent emotional problems are not significantly related to future victimisation. These findings have implications for how seriously the occurrence of victimisation is treated and for the focus of interventions aimed at addressing mental health issues in adolescents.