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同伴受害的多终性:从青少年早期到中期的适应不良模式及转变

Multifinality of peer victimization: maladjustment patterns and transitions from early to mid-adolescence.

作者信息

Kretschmer Tina, Barker Edward D, Dijkstra Jan Kornelis, Oldehinkel Albertine J, Veenstra René

机构信息

Faculty of Behavioral and Social Sciences, Interuniversity Centre of Social Science Theory and Methodology (ICS), University of Groningen, Grote Rozenstraat 31, 9712 TG, Groningen, The Netherlands.

Interdisciplinary Center Psychopathology and Emotion regulation (ICPE), University Medical Centre Groningen, Groningen, The Netherlands.

出版信息

Eur Child Adolesc Psychiatry. 2015 Oct;24(10):1169-79. doi: 10.1007/s00787-014-0667-z. Epub 2014 Dec 25.

Abstract

Peer victimization is a common and pervasive experience in childhood and adolescence and is associated with various maladjustment symptoms, including internalizing, externalizing, and somatic problems. This variety suggests that peer victimization is multifinal where exposure to the same risk leads to different outcomes. However, very little is known about the relative likelihood of each form of maladjustment. We used a latent profile approach to capture multiple possible outcomes and examined prediction by peer victimization. We also examined the role of peer victimization with regard to stability and change in maladjustment. Maladjustment symptoms and peer victimization were assessed from the participants of the large cohort study TRacking Adolescents' Individual Lives Survey in early and mid-adolescence. Latent profile and latent transition analyses were conducted to examine associations between victimization and maladjustment profile and to test the role of victimization in maladjustment profile transitions. Four maladjustment profiles were identified for early adolescence (Low, Internalizing, Externalizing, Comorbid) and three profiles (Low, Internalizing, Externalizing) were identified for mid-adolescence. Internalizing problems were more likely in victimized adolescents than low symptom levels or externalizing problems. Victimized adolescents were at greater risk to develop internalizing problems between early and mid-adolescence than non-victimized adolescents. Peer victimization is multifinal mostly when outcomes are examined separately. If multiple outcomes are tested simultaneously, internalizing problems seem to be the most likely outcome.

摘要

同伴侵害在儿童期和青少年期是一种常见且普遍的经历,与各种适应不良症状相关,包括内化问题、外化问题和躯体问题。这种多样性表明同伴侵害具有多终性,即暴露于相同风险会导致不同结果。然而,对于每种适应不良形式的相对可能性知之甚少。我们采用潜在类别分析方法来捕捉多种可能结果,并研究同伴侵害的预测作用。我们还研究了同伴侵害在适应不良的稳定性和变化方面的作用。适应不良症状和同伴侵害是通过大型队列研究“追踪青少年个体生活调查”的参与者在青少年早期和中期进行评估的。进行潜在类别和潜在转变分析,以检验侵害与适应不良类别之间的关联,并测试侵害在适应不良类别转变中的作用。在青少年早期确定了四种适应不良类别(低、内化、外化、共病),在青少年中期确定了三种类别(低、内化、外化)。与低症状水平或外化问题相比,受侵害青少年更易出现内化问题。与未受侵害青少年相比,受侵害青少年在青少年早期到中期之间出现内化问题的风险更大。同伴侵害大多在分别考察结果时具有多终性。如果同时测试多种结果,内化问题似乎是最可能的结果。

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