Department of Mental Health, Johns Hopkins Bloomberg School of Public Health.
Department of Psychology, Children's Hospital of Philadelphia.
Am J Orthopsychiatry. 2018;88(4):483-491. doi: 10.1037/ort0000294. Epub 2018 Jan 22.
Obese and overweight youth are at an increased risk for poor peer relations and psychosocial adjustment. Of particular concern is the high rate of bullying victimization experienced by obese and overweight youth. While it is known that victimized youth are at an increased risk for internalizing symptoms, few studies have examined if weight status exacerbates the association between victimization and internalizing symptoms. The current study drew upon data from over 43,000 youth attending 107 middle and high schools. Multilevel results suggested that compared with normal weight youth, both overweight and obese youth were at an increased risk for experiencing relational, verbal, and cyber victimization, with only obese youth being at an increased risk for experiencing physical victimization. Notably, the odds for experiencing cyber victimization were higher than the odds for experiencing other forms of victimization. Frequently victimized obese youth, but not frequently victimized overweight youth, had significantly higher levels of internalizing symptoms compared to their frequently victimized, normal-weight peers. Together, these findings highlight the increased risk for psychosocial adjustment problems among frequently victimized overweight and obese youth, suggesting these youth may require preventive interventions tailored to meet their unique needs. (PsycINFO Database Record
肥胖和超重的青少年面临着较差的同伴关系和心理社会适应的风险增加。特别值得关注的是,肥胖和超重青少年遭受欺凌的比例很高。虽然人们知道受害青少年患内化症状的风险增加,但很少有研究探讨体重状况是否会加剧受害与内化症状之间的关联。本研究利用了来自 107 所中学的 43000 多名青少年的数据。多层次的结果表明,与正常体重的青少年相比,超重和肥胖的青少年遭受关系、言语和网络欺凌的风险增加,只有肥胖的青少年遭受身体欺凌的风险增加。值得注意的是,遭受网络欺凌的几率高于遭受其他形式欺凌的几率。与经常遭受欺凌的、体重正常的同龄人相比,经常遭受欺凌的肥胖青少年的内化症状水平显著更高。这些发现共同强调了经常遭受欺凌的超重和肥胖青少年面临更多的心理社会适应问题的风险,这表明这些青少年可能需要针对他们独特需求的预防干预措施。