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青少年时期的同伴关系侵害与躯体抱怨。

Peer relational victimization and somatic complaints during adolescence.

机构信息

Department of Psychology, Penn State Erie, The Behrend College, Erie, Pennsylvania 16563, USA.

出版信息

J Adolesc Health. 2011 Sep;49(3):294-9. doi: 10.1016/j.jadohealth.2010.12.018. Epub 2011 Feb 18.

Abstract

PURPOSE

To develop effective prevention and intervention efforts that optimize adolescent health, factors must be identified that affect health outcomes. The purpose of this study was to examine the association between somatic symptomatology and experiences with relational victimization (RV).

METHODS

We prospectively tested the unique role of relational peer victimization in predicting adolescents' somatic complaints (SC), while accounting for their previous physical symptoms and peer victimization experiences (i.e., relational and physical victimization), as well as concurrent experiences with physical victimization (PV). Questionnaires were administered to 1,595 students (52% females) from eight schools in one school district (grades, 5-8) in the Midwestern part of the United States during the fall and spring sessions of the academic school year. Self-reported measures included demographic characteristics, victimization experiences, and assessment of SC.

RESULTS

RV was a unique predictor of increased somatic symptoms, even after controlling for adolescents' sex, grade level, initial SC, previous victimization experiences, and concurrent experiences with PV. Notably, RV was a stronger predictor of somatic symptoms than was PV.

CONCLUSIONS

Our findings underscore the need for a comprehensive approach when addressing adolescents' physical health symptoms. Adolescents may benefit from clinicians looking beyond the obvious and using gentle probing to uncover how unique experiences with RV may be associated with overall health.

摘要

目的

为了制定有效的预防和干预措施,优化青少年健康,必须确定影响健康结果的因素。本研究的目的是检验躯体症状与关系性受虐经历(RV)之间的关联。

方法

我们前瞻性地测试了关系性同伴受虐对青少年躯体抱怨(SC)的独特预测作用,同时考虑了他们之前的身体症状和同伴受虐经历(即关系性和身体受虐),以及同时发生的身体受虐经历(PV)。在学术学年的秋季和春季学期,向美国中西部一个学区的八所学校的 1595 名学生(52%为女性)发放了问卷。自我报告的测量包括人口统计学特征、受虐经历和 SC 评估。

结果

即使在控制了青少年的性别、年级、初始 SC、先前的受虐经历和同时发生的 PV 经历后,RV 仍然是躯体症状增加的独特预测因素。值得注意的是,RV 是躯体症状的更强预测因素,而不是 PV。

结论

我们的研究结果强调了在解决青少年身体健康症状时需要采取综合方法。临床医生可能需要超越明显的症状,通过温和的探查,发现与整体健康相关的独特的 RV 经历。

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