The association between bullying and the psychological functioning of children with autism spectrum disorders.
The association between bullying and the psychological functioning of children with autism spectrum disorders.
复制标题
欺凌与自闭症谱系障碍儿童心理功能之间的关联。
DOI：
10.1097/dbp.0b013e31827a7c3a
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Law,PaulA
中科院分区：
文献类型：
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作者：
Zablotsky,Benjamin;Bradshaw,CatherineP;Anderson,Connie;Law,PaulA
目标：欺凌已成为全国关注的一个主要问题，特别是因为它影响到残疾儿童。目前的研究旨在确定自闭症谱系障碍 (ASD) 儿童中精神共存疾病、参与欺凌（受害者、欺凌或欺凌受害者）以及欺凌的直接心理关联之间的关联。方法：全国 1221 名家长样本完成了一项专门针对患有 ASD 的孩子的欺凌和学校经历的调查，报告了参与欺凌的直接后果，包括孩子的心理健康和任何影响。精神共病。进行多变量逻辑回归以确定特定的精神合并症是否与作为受害者、欺凌者或欺凌受害者的风险增加相关。方差分析确定了欺凌频率与心理功能之间的关系。所有模型均针对儿童和学校协变量进行了调整。结果：经常受害的儿童更有可能出现内化症状，而经常欺负他人的儿童更有可能出现情绪调节问题。被确定为经常欺凌受害者的儿童同时表现出内化症状和情绪调节问题。患有注意力缺陷多动障碍（ADHD）和抑郁症的儿童更有可能成为受害者，而患有行为障碍（CD）或对立违抗障碍（ODD）的儿童更有可能欺负其他孩子。被确定为欺凌受害者的儿童更有可能患有 ADHD、CD 或 ODD。结论：过去一个月表现出欺凌行为的 ASD 儿童表现出心理障碍，包括精神共病。欺凌行为的频率与损伤程度显着相关。
Objective:Bullying has become a major national concern, particularly as it affects children with disabilities. The current study aimed to determine the association between psychiatric comorbid conditions, involvement in bullying (victim, bully, or bully–victim), and the immediate psychological correlates of bullying among children with autism spectrum disorders (ASDs).Methods:A national sample of 1221 parents completed a survey dedicated to the bullying and school experiences of their child with ASD, reporting on the immediate consequences of bullying involvement, including their child's psychological well-being and any psychiatric comorbidity. Multivariate logistic regressions were performed to determine whether specific psychiatric comorbidities were associated with an increased risk of involvement as victim, bully, or bully–victim. Analyses of variance determined the relationship between bullying frequency and psychological functioning. All models adjusted for child and school covariates.Results:Children who were frequently victimized were more likely to present with internalizing symptoms, whereas children who frequently bullied others were more likely to exhibit emotion regulation problems. Children who were identified as frequent bully–victims presented with both internalizing symptoms and emotion regulation problems. Children with attention-deficit hyperactivity disorder (ADHD) and depression were more likely to have been victimized, whereas children with conduct disorder (CD) or oppositional defiant disorder (ODD) were more likely to have bullied other children. Children identified as bully–victims were more likely to have ADHD, CD, or ODD.Conclusions:Children with ASDs who had displayed bullying behaviors in the past month exhibited psychological impairments, including psychiatric comorbidity. The frequency of bullying behaviors was significantly associated with the level of impairment.