Heithaus Jennifer L, Twyman Kimberly A, Braddock Barbara A
1 Saint Louis University School of Medicine, St Louis, MO, USA.
Clin Pediatr (Phila). 2017 Dec;56(14):1301-1311. doi: 10.1177/0009922816682745. Epub 2017 Jan 5.
To better understand adolescents experiencing peer victimization, ostracism, and emotional health problems, this study aimed to describe a cohort of middle school students identified as having school peer-related social difficulties as 2 groups: those with mental health diagnoses (MHDs; n = 17) and those without diagnoses (n = 8). Participants were administered a test battery to examine communication ability, social responsiveness, social activity, ostracism, victimization, and emotional health. Results showed that adolescents with MHDs, relative to those without, scored significantly lower on measures of communication ability, social responsiveness, and social activity but similarly on measures of victimization, ostracism, and internalizing/externalizing factors. Results suggest that adolescents with and without MHDs can endure ostracism and peer victimization to a similar extent. Because ostracism and victimization have serious morbidity in adolescents, physicians and caregivers must look for signs in all adolescents, irrespective of MHD. Recommendations for appropriate primary care management are discussed.
为了更好地了解遭受同伴欺凌、排挤和存在情绪健康问题的青少年，本研究旨在将一群被认定存在与学校同伴相关社交困难的中学生分为两组进行描述：患有精神健康诊断的学生（MHDs；n = 17）和未患诊断的学生（n = 8）。对参与者进行了一系列测试，以检查沟通能力、社交反应能力、社交活动、排挤、欺凌和情绪健康状况。结果显示，患有MHDs的青少年在沟通能力、社交反应能力和社交活动方面的得分显著低于未患诊断的青少年，但在欺凌、排挤以及内化/外化因素方面的得分相似。结果表明，患有和未患MHDs的青少年在忍受排挤和同伴欺凌方面的程度相似。由于排挤和欺凌在青少年中会导致严重的发病率，医生和护理人员必须关注所有青少年的相关迹象，无论其是否患有MHD。本文还讨论了适当的初级保健管理建议。
