Faculty of Medicine, University of Turku, Finland; Turku University Hospital, Turku, Finland.
Faculty of Medicine, University of Turku, Finland.
J Am Acad Child Adolesc Psychiatry. 2020 Apr;59(4):531-540. doi: 10.1016/j.jaac.2019.03.023. Epub 2019 Apr 2.
We assessed changes in traditional and cyberbullying victimization, and their associations with mental health, before and after the introduction of a nationwide antibullying program in Finnish schools in 2009.
This time-trend assessment comprised two methodologically identical cross-sectional survey studies, with 2,061 adolescents in 2008 (response rate 90.2%) and 1,936 in 2014 (91.8%). Their mean age was 14.4 years. They completed questionnaires about traditional and cyberbullying, mental health, and perceptions of school safety. Odds ratios (OR) and 95% CIs are presented with 2008 as the reference year.
From 2008 to 2014, traditional victimization decreased from 28.9% to 19.1% (odds ratio [OR] = 0.5, 95% CI = 0.4-0.7) among boys and from 23.2% to 17.4% (OR = 0.7, 95% CI = 0.6-0.9) among girls. Cyberbullying victimization remained fairly stable at 3.3% and 3.0% (OR = 0.7, 95% CI = 0.4-1.2) for boys and at 2.7% and 4.1% (OR = 1.4, 95% CI = 0.9-2.4) for girls. Combined traditional and cyberbullying victimization decreased from 6.1% to 3.9% (OR = 0.5, 95% CI = 0.4-0.8) among boys and from 7.5% to 6.7% (OR = 0.8, 95% CI = 0.6-1.2) among girls. Those experiencing both traditional and cyberbullying reported the highest mental health problems. Perceived school safety improved among boys, but not among girls. Both boys and girls reported greater efforts by teachers and fellow students to stop bullying.
Combined traditional and cyberbullying victimization was an indicator of comorbid mental health problems. Interventions that target both types of bullying, and that are integrated with mental health promotion, are needed.
我们评估了 2009 年在芬兰学校引入全国反欺凌计划前后,传统欺凌和网络欺凌受害情况的变化及其与心理健康的关系。
本时间趋势评估包括两项方法学上完全相同的横断面调查研究,共有 2008 年的 2061 名青少年(应答率 90.2%)和 2014 年的 1936 名青少年(应答率 91.8%)参与。他们的平均年龄为 14.4 岁。他们完成了关于传统欺凌和网络欺凌、心理健康以及对学校安全的看法的问卷。呈现的比值比(OR)和 95%置信区间(CI)以 2008 年为参考年。
2008 年至 2014 年期间,男孩的传统欺凌受害率从 28.9%降至 19.1%(OR=0.5,95%CI=0.4-0.7),女孩的传统欺凌受害率从 23.2%降至 17.4%(OR=0.7,95%CI=0.6-0.9)。男孩的网络欺凌受害率保持在 3.3%和 3.0%(OR=0.7,95%CI=0.4-1.2),女孩的网络欺凌受害率保持在 2.7%和 4.1%(OR=1.4,95%CI=0.9-2.4)。男孩的传统和网络欺凌混合受害率从 6.1%降至 3.9%(OR=0.5,95%CI=0.4-0.8),女孩的传统和网络欺凌混合受害率从 7.5%降至 6.7%(OR=0.8,95%CI=0.6-1.2)。经历传统和网络欺凌的青少年报告的心理健康问题最多。男孩对学校安全的感知有所改善,但女孩没有。男孩和女孩都报告说,教师和同学更加努力地制止欺凌行为。
传统和网络欺凌混合受害是共患心理健康问题的一个指标。需要针对这两种类型的欺凌行为开展干预,并将其与心理健康促进相结合。