Washington University in St Louis, School of Medicine, Department of Psychiatry, St Louis, MO, USA.
American University of Beirut, Faculty of Health Sciences, Department of Epidemiology, Beirut, Lebanon.
Psychiatry Res. 2018 Mar;261:94-101. doi: 10.1016/j.psychres.2017.12.039. Epub 2017 Dec 15.
Understanding the contextual determinants of bullying behavior is pivotal for effective interventions. This paper describes the prevalence of bullying, its socio-demographic correlates and factors influencing its relationship with psychiatric disorders among a population-based sample of adolescents from Beirut recruited through a two-stage cluster sampling design. Recruited participants (n = 510) and their parents completed a battery of questionnaires and interviews including the Development and Wellbeing Assessment (DAWBA) and the Peer-Relations Questionnaire (PRQ). We found that around 30% of the adolescent participants were involved in bullying. Younger age, lower family income, lower parental education, receiving private tutoring, having an anxiety disorder and having a disruptive behavior disorder were correlated with being bullied by peers while lower family income, repeating a school-grade, and having a disruptive behavior disorder were associated with bullying others. Several factors including gender, age group, family income, and attending private versus public schools moderated the relationship between bullying behavior and having psychiatric disorders. Our findings thus highlight the complexity of the association between psychiatric disorders and bullying in settings like Lebanon.
了解欺凌行为的背景决定因素对于有效的干预至关重要。本文描述了在贝鲁特通过两阶段聚类抽样设计招募的基于人群的青少年样本中，欺凌行为的流行程度、其社会人口统计学相关性以及影响其与精神障碍关系的因素。招募的参与者（n=510）及其父母完成了一系列问卷和访谈，包括发展和幸福感评估（DAWBA）和同伴关系问卷（PRQ）。我们发现，约 30%的青少年参与者遭受过欺凌。年龄较小、家庭收入较低、父母受教育程度较低、接受私人辅导、患有焦虑障碍和患有破坏性行为障碍与被同龄人欺凌有关，而家庭收入较低、留级和患有破坏性行为障碍与欺凌他人有关。一些因素，包括性别、年龄组、家庭收入以及上私立学校还是公立学校，调节了欺凌行为与精神障碍之间的关系。因此，我们的研究结果突出了在黎巴嫩等环境中精神障碍与欺凌行为之间关联的复杂性。
