Lamb Jennifer, Pepler Debra J, Craig Wendy
University of Toronto, Department of Family and Community Medicine, Women's College Hospital, Burton Hall, 60 Grosvenor St, Toronto, Ontario.
Can Fam Physician. 2009 Apr;55(4):356-60.
To review the epidemiology, identification, and management of bullying and victimization among children in the primary care setting.
Information was obtained from PsycINFO and MEDLINE databases, as well as the authors' own clinical and research experience. Information is based on levels II and III evidence.
Involvement in bullying is a destructive relationship problem, with important health implications. Physicians need to be aware of the physical and psychosocial symptoms commonly associated with involvement in bullying so that they can screen and identify those children involved. This article presents a review of bullying and associated symptoms, a tool for assessing bullying involvement, and an overview of intervention and management.
Bullying is a substantial problem affecting Canadian children. With an increased awareness and understanding of bullying as a health problem, physicians can play an instrumental role in identifying children involved in bullying and providing them with the support needed to develop healthy relationships.
回顾初级保健环境中儿童欺凌与受欺凌的流行病学、识别及管理情况。
信息取自心理学文摘数据库（PsycINFO）和医学文献数据库（MEDLINE），以及作者自身的临床和研究经验。信息基于二级和三级证据。
参与欺凌是一种具有破坏性的人际关系问题，对健康有重要影响。医生需要了解与参与欺凌通常相关的身体和心理社会症状，以便他们能够筛查并识别那些参与其中的儿童。本文对欺凌及相关症状进行了综述，介绍了一种评估欺凌参与情况的工具，并概述了干预和管理措施。
欺凌是影响加拿大儿童的一个重大问题。随着对欺凌作为一个健康问题的认识和理解不断提高，医生在识别参与欺凌的儿童并为他们提供建立健康人际关系所需的支持方面可以发挥重要作用。
