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儿童频繁遭受欺凌与大脑形态学

Frequent Bullying Involvement and Brain Morphology in Children.

作者信息

Muetzel Ryan L, Mulder Rosa H, Lamballais Sander, Cortes Hidalgo Andrea P, Jansen Pauline, Güroğlu Berna, Vernooiji Meike W, Hillegers Manon, White Tonya, El Marroun Hanan, Tiemeier Henning

机构信息

Department of Child and Adolescent Psychiatry/Psychology, Erasmus MC University Medical Center, Rotterdam, Netherlands.

Department of Epidemiology, Erasmus MC University Medical Center, Rotterdam, Netherlands.

出版信息

Front Psychiatry. 2019 Sep 24;10:696. doi: 10.3389/fpsyt.2019.00696. eCollection 2019.

Abstract

Over the past few decades, bullying has been recognized as a considerable public health concern. Involvement in bullying is associated with poor long-term social and psychiatric outcomes for both perpetrators and targets of bullying. Despite this concerning prognosis, few studies have investigated possible neurobiological correlates of bullying involvement that may explain the long-term impact of bullying. Cortical thickness is ideally suited for examining deviations in typical brain development, as it has been shown to detect subtle differences in children with psychopathology. We tested associations between bullying involvement and cortical thickness using a large, population-based cohort. The study sample consisted of 2,602 participants from the Generation R Study. When children were 8 years old, parents and teachers reported on common forms of child bullying involvement (physical, verbal, and relational). Questions ascertained whether a child was involved as a perpetrator ( = 82), a target of bullying ( = 92), as a combined perpetrator and target of bullying ( = 47), or uninvolved in frequent bullying ( = 2,381). High-resolution structural MRI was conducted when children were 10 years of age. Cortical thickness estimates across the cortical mantle were compared among groups. Children classified as frequent targets of bullying showed thicker cortex in the fusiform gyrus compared to those uninvolved in bullying ( = 0.108, < 0.001). Results remained consistent when adjusted for socioeconomic factors, general intelligence, and psychiatric symptoms. Children classified as frequent perpetrators showed thinner cortex in the cuneus region; however, this association did not survive stringent correction for multiple testing. Lastly, no differences in cortical thickness were observed in perpetrator-targets. Bullying involvement in young children was associated with differential cortical morphology. Specifically, the fusiform gyrus, often involved in facial processing, showed thicker cortex in targets of frequent bullying. Longitudinal data are necessary to demonstrate the temporality of the underlying neurobiology associated with bullying involvement.

摘要

在过去几十年里,欺凌已被公认为一个相当严重的公共卫生问题。无论是欺凌行为的实施者还是受害者,卷入欺凌事件都与不良的长期社会和精神状况相关。尽管预后令人担忧,但很少有研究调查可能与卷入欺凌相关的神经生物学关联,而这些关联可能解释欺凌的长期影响。皮质厚度非常适合用于检查典型大脑发育中的偏差,因为它已被证明能够检测出患有精神病理学的儿童的细微差异。我们使用一个大型的基于人群的队列来测试卷入欺凌与皮质厚度之间的关联。该研究样本包括来自代际R研究的2602名参与者。当孩子8岁时,家长和老师报告了儿童卷入欺凌的常见形式(身体欺凌、言语欺凌和关系欺凌)。问题确定了一个孩子是作为欺凌实施者(n = 82)、欺凌受害者(n = 92)、既是欺凌实施者又是受害者(n = 47),还是未卷入频繁的欺凌行为(n = 2381)。当孩子10岁时进行了高分辨率结构磁共振成像。比较了各组之间整个皮质表面的皮质厚度估计值。被归类为频繁欺凌受害者的儿童与未卷入欺凌的儿童相比,梭状回的皮质更厚(p = 0.108,q < 0.001)。在对社会经济因素、一般智力和精神症状进行调整后,结果仍然一致。被归类为频繁欺凌实施者的儿童在楔叶区域的皮质较薄;然而,这种关联在经过严格的多重检验校正后并不显著。最后,在既是实施者又是受害者的儿童中未观察到皮质厚度的差异。幼儿卷入欺凌与不同的皮质形态有关。具体而言,经常参与面部处理的梭状回在频繁欺凌受害者中显示出更厚的皮质。需要纵向数据来证明与卷入欺凌相关的潜在神经生物学的时间顺序。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2909/6771170/f7a585260264/fpsyt-10-00696-g001.jpg

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