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参与校园欺凌的学生的创伤症状——在波斯尼亚和黑塞哥维那莫斯塔尔进行的一项横断面研究

Trauma symptoms in pupils involved in school bullying--a cross sectional study conducted in Mostar, Bosnia and Herzegovina.

作者信息

Obrdalj Edita Cerni, Sesar Kristina, Santic Zarko, Klarić Miro, Sesar Irena, Rumboldt Mirjana

机构信息

University of Mostar, School of Medicine, Department of Family Medicine, Mostar, Bosnia and Herzegovina.

出版信息

Coll Antropol. 2013 Mar;37(1):11-6.

PMID:23697244
Abstract

To determine the association between involvement in school bullying and trauma symptoms and to find whether children with presence of trauma symptoms participate in school bullying more as victims, as bullies or as bully/victims. The study included 1055, 6th to 8th grade (12-14 years of age) elementary school pupils from the western part of Mostar, The pupils were self-interviewed using a Questionnaire on School Violence developed in 2003 and validated in Croatia, and Trauma Symptoms Check List for Children (TSCC). The pupils involved in the school violence, either as victims, bullies, bully/victims had significantly more trauma symptoms than the not involved. Involvement in school bullying as a bully/ victim was a strong indicator of trauma symptoms, particularly anxiety, anger, posttraumatic stress, dissociation, obvious dissociation, and dissociation fantasy symptoms, while the victims of school violence had the highest odds ratio for the development of depressive symptoms. There is strong association between bullying and trauma symptoms in young adolescents. From our results, emphasis should be placed at the regularly screening on bullying in praxis of family physicians and regularly conduction of preventive measures and early intervention in every primary school.

摘要

确定参与校园欺凌与创伤症状之间的关联,并探究有创伤症状的儿童是否更多地作为受害者、欺凌者或欺凌/受害者参与校园欺凌。该研究纳入了来自莫斯塔尔西部的1055名六年级至八年级(12 - 14岁)的小学生。学生们使用2003年编制并在克罗地亚验证过的《校园暴力问卷》以及《儿童创伤症状检查表》(TSCC)进行自我访谈。参与校园暴力的学生,无论是作为受害者、欺凌者还是欺凌/受害者,其创伤症状都明显多于未参与的学生。作为欺凌/受害者参与校园欺凌是创伤症状的一个有力指标,尤其是焦虑、愤怒、创伤后应激、分离、明显分离和分离幻想症状,而校园暴力的受害者出现抑郁症状的比值比最高。青少年中的欺凌行为与创伤症状之间存在密切关联。根据我们的研究结果,家庭医生在实践中应重视定期筛查欺凌行为,并在每所小学定期开展预防措施和早期干预。

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