Perren Sonja, von Wyl Agnes, Stadelmann Stephanie, Bürgin Dieter, von Klitzing Kai
Jacobs Center for Productive Youth Development, University of Zürich, Zürich, Switzerland.
J Am Acad Child Adolesc Psychiatry. 2006 Jul;45(7):867-76. doi: 10.1097/01.chi.0000220853.71521.cb.
The aim of this study was to investigate the associations between children's difficulties (conduct problems, hyperactivity/impulsivity, and emotional symptoms) and peer victimization and rejection in kindergarten. For the assessment of children's difficulties, the authors used a multi-informant approach.
A total of 153 five-year-old children were interviewed (Berkeley Puppet Interview). Teachers and parents completed the Strengths and Difficulties Questionnaire. Teachers reported on peer victimization. Peer nominations (rejection and acceptance) were conducted in a subgroup of 92 children. Combining teacher, parent, and self-reports of children's difficulties, three components were established: trait (degree of problems), informant differences resulting from perspective (self versus others), and context (kindergarten versus home).
Children's difficulties were significantly associated with teacher- and self-reported victimization and peer rejection (r = 0.20-0.35), but not with peer acceptance. Conduct problems and emotional symptoms, but not hyperactivity/impulsivity, contributed independently to the variance of peer victimization and rejection. Perspective differences between children and adults according to hyperactivity/impulsivity also predicted peer rejection.
Behavioral and emotional difficulties as well as a lack of self-awareness regarding hyperactive/impulsive behavior may place children at risk of peer victimization and rejection. Child psychiatric assessments and therapeutic strategies should thus take children's self-perception of symptoms and their peer relationships into account.
本研究旨在调查儿童的行为困难(品行问题、多动/冲动及情绪症状)与幼儿园同伴受欺负及被拒斥之间的关联。为评估儿童的行为困难,作者采用了多 informant 方法。
共对 153 名五岁儿童进行了访谈(伯克利木偶访谈)。教师和家长完成了优势与困难问卷。教师报告了同伴受欺负情况。对 92 名儿童的一个亚组进行了同伴提名(拒斥和接纳)。综合教师、家长及儿童自身对行为困难的报告,确定了三个组成部分:特质(问题程度)、因视角不同(自我与他人)导致的 informant 差异以及情境(幼儿园与家庭)。
儿童的行为困难与教师及自我报告的受欺负情况和同伴拒斥显著相关(r = 0.20 - 0.35),但与同伴接纳无关。品行问题和情绪症状,而非多动/冲动,独立地对同伴受欺负和拒斥的差异产生影响。儿童与成人在多动/冲动方面的视角差异也预测了同伴拒斥。
行为和情绪困难以及对多动/冲动行为缺乏自我意识可能使儿童面临同伴受欺负和拒斥的风险。因此,儿童精神病学评估和治疗策略应考虑儿童对症状的自我认知及其同伴关系。