Klomek Anat Brunstein, Sourander Andre, Kumpulainen Kirsti, Piha Jorma, Tamminen Tuula, Moilanen Irma, Almqvist Fredrik, Gould Madelyn S
Division of Child and Adolescent Psychiatry, Department of Psychiatry, Columbia University, New York, NY 10032, USA.
J Affect Disord. 2008 Jul;109(1-2):47-55. doi: 10.1016/j.jad.2007.12.226. Epub 2008 Jan 24.
Little is known about the predictive association between childhood bullying behavior with depression and suicidal ideation at age 18.
The sample included 2348 boys born in 1981. Information about bullying was gathered at the age of 8 from self, parent and teacher's reports. Depression and suicidal ideation were assessed during the Finnish military call-up examination.
Based on regression models, boys who were bullies frequently, but not merely sometimes, were more likely to be severely depressed and to report suicidal ideation compared to boys who were not bullies. When controlling for depression at age 8 the association between frequent bullying and severe depression was maintained but the association with suicidal ideation became non-significant. Boys who were only victimized were not more likely to be depressed or to report suicidal ideation at age 18. Boys who were frequently both bullies and victims were found to be at risk for later depression.
Our finding can only be generalized to boys who were involved in bullying at elementary school age. Data at age 18 was based only on self-reports and the bullying/victimization questions were very general.
Childhood bullying behavior is a risk factor for later depression. Screening and intervention for bullying behavior in the early school years is recommended to avoid subsequent internalizing problem in late adolescence.
关于儿童期欺凌行为与18岁时的抑郁及自杀意念之间的预测关联,人们了解甚少。
样本包括2348名1981年出生的男孩。8岁时通过自我报告、家长报告和教师报告收集欺凌相关信息。在芬兰征兵体检期间评估抑郁和自杀意念。
基于回归模型,与非欺凌者相比,经常(而非仅仅偶尔)实施欺凌的男孩更有可能出现严重抑郁并报告有自杀意念。在控制8岁时的抑郁情况后,频繁欺凌与严重抑郁之间的关联依然存在,但与自杀意念的关联不再显著。仅受欺凌的男孩在18岁时抑郁或报告有自杀意念的可能性并不更高。经常既是欺凌者又是受害者的男孩被发现有日后抑郁的风险。
我们的研究结果仅能推广至小学阶段参与欺凌的男孩。18岁时的数据仅基于自我报告,且欺凌/受欺凌问题非常笼统。
儿童期欺凌行为是日后抑郁的一个风险因素。建议在早年对欺凌行为进行筛查和干预,以避免在青春期后期出现内化问题。