Benedict Frances Turcotte, Vivier Patrick M, Gjelsvik Annie
Department of Emergency Medicine, Section of Pediatric Emergency Medicine, Brown University, Providence, RI, USA Brown University, School of Public Health, Providence, RI, USA
Brown University, School of Public Health, Providence, RI, USA.
J Interpers Violence. 2015 Mar;30(5):782-95. doi: 10.1177/0886260514536279. Epub 2014 Jun 11.
This article examines the association between mental health disorders and being identified as a bully among children between the ages of 6 and 17 years. Data from the 2007 National Survey of Children's Health were examined. A total of 63,997 children had data for both parental reported mental health and bullying status. Bivariate analysis and logistic regression was performed to assess the association between mental health status and being identified as a bully with an age-stratified analysis and sub-analysis by type of mental health disorder. In 2007, 15.2% of U.S. children ages 6 to 17 years were identified as bullies by their parent or guardian. Children with a diagnosis of depression, anxiety, or depression had a threefold increased odds of being a bully. The diagnosis of depression is associated with a 3.31 increased odds (95% CI = [2.7, 4.07]) of being identified as a bully. Children with anxiety and attention deficit and hyperactivity disorder (ADHD) had similar odds. The diagnosis of a mental health disorder is strongly associated with being identified as a bully. In particular, depression, anxiety, and ADHD are strongly associated with being identified as a bully. These findings emphasize the importance of providing psychological support to not only victims of bullying but bullies as well. Understanding the risk profile of childhood bullies is essential in gaining a better grasp of this public health problem and in creating useful and appropriate resources and interventions to decrease bullying.
本文探讨了6至17岁儿童心理健康障碍与被认定为欺凌者之间的关联。研究分析了2007年全国儿童健康调查的数据。共有63997名儿童有父母报告的心理健康状况和欺凌状态的数据。进行了双变量分析和逻辑回归，以评估心理健康状况与被认定为欺凌者之间的关联，并按年龄分层分析以及按心理健康障碍类型进行亚分析。2007年，美国6至17岁的儿童中有15.2%被其父母或监护人认定为欺凌者。被诊断患有抑郁症、焦虑症或抑郁的儿童成为欺凌者的几率增加了两倍。抑郁症的诊断与被认定为欺凌者的几率增加3.31倍（95%置信区间 = [2.7, 4.07]）相关。患有焦虑症和注意力缺陷多动障碍（ADHD）的儿童几率相似。心理健康障碍的诊断与被认定为欺凌者密切相关。特别是，抑郁症、焦虑症和ADHD与被认定为欺凌者密切相关。这些发现强调了不仅要为欺凌受害者，也要为欺凌者提供心理支持的重要性。了解儿童欺凌者的风险概况对于更好地掌握这一公共卫生问题以及创建有用且合适的资源和干预措施以减少欺凌行为至关重要。
