Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Taiwan; Department of Psychiatry, Faculty of Medicine, and Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Taiwan.
Department of Psychology, College of Humanities and Social Science, Kaohsiung Medical University, Taiwan.
Compr Psychiatry. 2014 Aug;55(6):1415-21. doi: 10.1016/j.comppsych.2014.05.006. Epub 2014 May 17.
This study aimed to examine the mediating effects of depression and anxiety on the relationships of bullying victimization and perpetration with pain among adolescents in Taiwan.
A total of 4976 students of junior and senior high schools completed the questionnaires. Bullying victimization and perpetration, pain problems, depression, and anxiety were assessed. The mediating effects of depression and anxiety on the relationship between bullying involvement and pain problems and the moderating effects of sex on the medicating roles of depression and anxiety were examined by structural equation model.
Both depression and anxiety were significant mediators of the relationship between bullying victimization and pain problems among adolescents. Depression was also a significant mediator of the relationship between bullying perpetration and pain problems among adolescents. Sex had no moderating effect on the mediating role of depression/anxiety on the association between bullying involvement and pain problems.
Medical and educational professionals should survey and intervene in depression and anxiety when managing pain problems among adolescents involved in bullying.
本研究旨在检验抑郁和焦虑在台湾青少年受欺凌和施欺凌与疼痛之间的关系中的中介作用。
共有 4976 名初中和高中生完成了问卷。评估了欺凌受害和欺凌施害、疼痛问题、抑郁和焦虑。通过结构方程模型检验了抑郁和焦虑对欺凌卷入与疼痛问题之间关系的中介作用，以及性别的调节作用对抑郁和焦虑的中介作用。
抑郁和焦虑都是青少年受欺凌与疼痛问题之间关系的重要中介。抑郁也是青少年施欺凌与疼痛问题之间关系的重要中介。性别对抑郁/焦虑在欺凌卷入与疼痛问题之间的关联中的中介作用没有调节作用。
医疗和教育专业人员在管理受欺凌青少年的疼痛问题时，应调查和干预抑郁和焦虑。
