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同伴侵害与社交恐惧症:青少年后续研究。

Peer victimization and social phobia: a follow-up study among adolescents.

机构信息

Department of Adolescent Psychiatry, Tampere University Hospital, Box 2000, 33521 Tampere, Finland.

出版信息

Soc Psychiatry Psychiatr Epidemiol. 2013 Apr;48(4):533-44. doi: 10.1007/s00127-012-0583-9. Epub 2012 Sep 29.

Abstract

OBJECTIVE

This study examined longitudinal associations between direct and relational peer victimization (DV/RV) and self-reported social phobia (SP) among adolescents from 15 to 17 years of age, controlling for depression and family socioeconomic covariates.

METHODS

A total of 3,278 Finnish adolescents with a mean age of 15.5 years were surveyed at baseline (T1), and followed up 2 years afterwards (T2) their mean age being 17.6 years. In all, 2,070 adolescents were reached for the follow-up. Both types of victimization were assessed with structured questions, SP with the Social Phobia Inventory, and depression with the 13-item Beck Depression Inventory. Socioeconomic covariates were assessed with items from the Life Events Checklist. Frequency of victimization and SP were assessed at T1 and T2, and incidence and persistence from T1 to T2. Longitudinal associations between victimization and SP were examined with three logistic regression analyses with depression and socioeconomic covariates controlled for, with SP, DV, and RV in turn as the dependent endpoint (T2) variables.

RESULTS

Among boys a bidirectional association between DV and SP was found with DV both predicting SP [Odds Ratio (OR) 2.6] and being predicted by SP (OR 3.9). Among girls RV predicted SP (OR 2.8), but not vice versa, while depression in turn predicted DV (OR 4.3).

CONCLUSIONS

Direct victimization and SP have a bidirectional association among boys, while among girls RV increases the risk of subsequent SP.

摘要

目的

本研究旨在探讨青少年时期直接和关系性同伴侵害(DV/RV)与自我报告社交恐惧症(SP)之间的纵向关联,同时控制抑郁和家庭社会经济协变量。

方法

共有 3278 名芬兰青少年参与了这项研究,他们的平均年龄为 15.5 岁,在基线(T1)进行了调查,并在 2 年后(T2)进行了随访,此时他们的平均年龄为 17.6 岁。总共有 2070 名青少年接受了随访。两种类型的侵害都使用结构化问题进行评估,SP 使用社交恐惧症量表进行评估,抑郁使用贝克抑郁量表的 13 项进行评估。社会经济协变量使用生活事件清单中的项目进行评估。侵害和 SP 的频率在 T1 和 T2 进行评估,从 T1 到 T2 的发生率和持续性进行评估。在控制抑郁和社会经济协变量的情况下,使用三个逻辑回归分析来检验侵害和 SP 之间的纵向关联,将 SP、DV 和 RV 依次作为 T2 的依赖终点变量。

结果

在男孩中,DV 和 SP 之间存在双向关联,DV 既预测 SP(OR 2.6),也被 SP 预测(OR 3.9)。在女孩中,RV 预测 SP(OR 2.8),但反之则不然,而抑郁反过来预测 DV(OR 4.3)。

结论

在男孩中,直接侵害和 SP 之间存在双向关联,而在女孩中,RV 增加了随后发生 SP 的风险。

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