Bullied Children and Psychosomatic Problems: A Meta-analysis
Bullied Children and Psychosomatic Problems: A Meta-analysis
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DOI：
10.1542/peds.2013-0614
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发表时间：
2013-10-01
期刊：
影响因子：
8
通讯作者：
Pozzoli, Tiziana
中科院分区：
文献类型：
--
作者：
Gini, Gianluca;Pozzoli, Tiziana
背景与目的：之前的一项荟萃分析表明，童年时期被欺负与心身问题有关，但此后发表了许多其他研究，包括一些纵向研究。我们进行了一项新的荟萃分析，以量化的同伴受害和心身投诉在学龄population.METHODS之间的关联：我们搜索在线数据库到2012年4月，检索的研究和叙述性评论的书目，研究被欺负和心身投诉之间的关联在儿童和青少年。最初的检索识别出119个非重复的研究，其中30个符合预先规定的纳入标准。对6项纵向研究进行了两项独立的随机效应荟萃分析（比值比= 2.39，95%置信区间，1.76至3.24）和24项横断面研究（比值比= 2.17，95%置信区间，1.91至2.46）。结果显示，受欺负的儿童和青少年比未受欺负的老年人有更高的心身问题的风险。在横断面研究中，随着研究样本中女性参与者比例的增加，效应量的大小显著降低。没有其他主持人统计显着。结论：被欺负和心身问题之间的关联得到证实。鉴于校园欺凌在世界许多国家都是一种普遍现象，目前的结果表明，欺凌应被视为一个重大的国际公共卫生问题。
BACKGROUND AND OBJECTIVE: A previous meta-analysis showed that being bullied during childhood is related to psychosomatic problems, but many other studies have been published since then, including some longitudinal studies. We performed a new meta-analysis to quantify the association between peer victimization and psychosomatic complaints in the school-aged population.METHODS: We searched online databases up to April 2012, and bibliographies of retrieved studies and of narrative reviews, for studies that examined the association between being bullied and psychosomatic complaints in children and adolescents. The original search identified 119 nonduplicated studies, of which 30 satisfied the prestated inclusion criteria.RESULTS: Two separate random effects meta-analyses were performed on 6 longitudinal studies (odds ratio = 2.39, 95% confidence interval, 1.76 to 3.24) and 24 cross-sectional studies (odds ratio = 2.17, 95% confidence interval, 1.91 to 2.46), respectively. Results showed that bullied children and adolescents have a significantly higher risk for psychosomatic problems than non-bullied agemates. In the cross-sectional studies, the magnitude of effect size significantly decreased with the increase of the proportion of female participants in the study sample. No other moderators were statistically significant.CONCLUSIONS: The association between being bullied and psychosomatic problems was confirmed. Given that school bullying is a widespread phenomenon in many countries around the world, the present results indicate that bullying should be considered a significant international public health problem.