Bullying victimization in adolescence and psychotic symptomatology in adulthood: evidence from a 35-year study
Bullying victimization in adolescence and psychotic symptomatology in adulthood: evidence from a 35-year study
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DOI：
10.1017/s0033291715002962
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发表时间：
2016-04-01
影响因子：
6.9
通讯作者：
Fergusson, D. M.
中科院分区：
文献类型：
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作者：
Boden, J. M.;van Stockum, S.;Fergusson, D. M.
背景最近有相当大的兴趣在可能的因果关系之间的联系暴露于欺凌受害者和后来的精神病发病。以前的研究在这方面有几个限制，这使得它很难确定因果关系，并确定在何种程度上这些影响延伸到青春期后，方法数据来自基督城健康与发展研究，一个35年的纵向出生队列研究。本研究使用广义估计方程模型来估计欺负受害之间的关联（13-16岁）和精神病症状（18-35岁），在控制可能的混杂因素之前和之后，包括：性别;儿童社会经济地位;儿童智商;儿童期遭受性虐待;焦虑/退缩行为和注意力问题（7-9岁）;以及青少年精神病症状和妄想症（15-16岁）。结果（p < 0.0001）青少年欺负受害与成年期精神病性精神障碍之间的双变量关联。控制协变的连续模型将这种关联降低到统计学上的非显著性。在控制了协变量后，那些受欺负程度最高的人有精神病症状的比率为1.21（95%可信区间0.73-1.99）倍于未受欺负者。结论青少年期欺负行为与成年期精神障碍之间的关系可以在很大程度上解释为儿童期行为问题，以及童年时遭受性虐待的经历结果表明，欺凌受害不太可能是成年精神病症状的原因，但欺凌受害仍然是这些症状的风险标志。
Background There has been considerable recent interest in possible causal linkages between exposure to bullying victimization and later psychotic symptomatology. Prior research in this area has had several limitations which make it difficult to ascertain causality, and to determine the extent to which these effects extend beyond adolescence.Method Data were obtained from the Christchurch Health and Development Study, a 35-year study of a longitudinal birth cohort. This investigation used generalized estimating equation modelling to estimate the associations between bullying victimization (ages 13-16 years) and psychotic symptoms (ages 18-35 years), before and after controlling for possible confounding factors, including: gender; childhood socio-economic status; child intelligence quotient; exposure to sexual abuse in childhood; anxious/withdrawn behaviour and attention problems (ages 7-9 years); and adolescent psychotic symptoms and paranoid ideation (ages 15-16 years).Results There was a significant (p < 0.0001) bivariate association between bullying victimization in adolescence and psychotic symptomatology in adulthood. Successive models controlling for covariation reduced this association to statistical non-significance. After controlling for covariates, those with the highest level of bullying victimization had rates of psychotic symptoms that were 1.21 (95% confidence interval 0.73-1.99) times higher than those who were not victimized.Conclusions The association between bullying victimization in adolescence and psychotic symptomatology in adulthood could be largely explained by childhood behavioural problems, and exposure to sexual abuse in childhood. The results suggest that bullying victimization was unlikely to have been a cause of adult psychotic symptoms, but bullying victimization remained a risk marker for these symptoms.