Cross-informant agreement about bullying and victimization among eight-year-olds: whose information best predicts psychiatric caseness 10-15 years later?

Cross-informant agreement about bullying and victimization among eight-year-olds: whose information best predicts psychiatric caseness 10-15 years later?
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DOI:
10.1007/s00127-008-0395-0
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发表时间:
2009-01-01
影响因子:
4.4
通讯作者:
Almqvist, Fredrik
Almqvist, Fredrik
中科院分区:
医学2区
文献类型:
--
作者:
Ronning, John A.;Sourander, Andre;Almqvist, Fredrik

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目的 研究跨信息者的一致性,以及谁的有关童年欺凌和受害的信息(父母、老师、儿童)对青春期后期的精神结果影响最大。讨论了此类预测中欺凌频率的重要性。方法 将 2,713 名男孩在 8 岁时有关欺凌和受害的信息与有关 18-23 岁精神疾病的信息相关联。结果 知情者之间的一致性较差。教师报告的欺凌行为比其他人更频繁,而儿童报告的受害比例最高。所有三个线人团体关于“频繁欺凌”的报告都预示着后来的精神障碍。教师关于“频繁受害”的报告是后来精神障碍的最强预测因素。受访者关于“不频繁欺凌”的报告最多显示不良结果的风险相当低。当欺凌/受害与精神结果之间的关联用 8 岁时的总精神病理学评分进行调整时,没有任何关联仍然显着。结论男孩的“频繁欺凌”行为是当前和以后精神病理学的标志。儿童中期的教育系统和学校保健服务对于及早发现欺凌行为并预防以后的不良后果非常重要。应促进这些系统在学校环境中的更紧密整合。
Objective To examine cross-informant agreement and whose information (parents, teachers, children) about childhood bullying and victimization carry the strongest weight to late adolescent psychiatric outcome. The importance of frequency of bullying in such predictions is addressed. Methods Information from 2,713 boys about bullying and victimization at the age of eight was correlated with information about psychiatric disorder at 18-23. Results Agreement between informants was poor. Teachers reported higher levels of frequent bullying than others, whereas children reported the highest percentage of victimization. All three informant groups' reports of "frequent bullying'' predicted later psychiatric disorder. Teachers' reports of "frequent victimization'' was the strongest predictor of later psychiatric disorder. Informants' report about "infrequent bullying'' showed at most a rather low risk of adverse outcome. When the associations between bullying/victimization and psychiatric outcome were adjusted with total psychopathology score at age 8, none of the associations remained significant. Conclusion "Frequent bullying'' behaviour of boys is a marker of present and later psychopathology. The education system and school health-care service in mid-childhood are of great importance for the early detection of bullying and prevention of later adverse outcomes. A closer integration of these systems in the context of school should be promoted.