Jiangxi Province Key Laboratory of Preventive Medicine, School of Public Health & Queen Mary School, Nanchang University, Nanchang 330006, Jiangxi, China.
Center for Disease Control and Prevention in Dongxiang District, Fuzhou 331800, Jiangxi, China.
Int J Environ Res Public Health. 2020 May 12;17(10):3371. doi: 10.3390/ijerph17103371.
(1) Purpose: To analyze the role of psychological problems in connection with school bullying and non-suicidal self-injury (NSSI) among rural primary and middle school students in developing areas of China. (2) Methods: A multi-stage, stratified, cluster random sampling method was used to select 2284 rural primary and middle school students in Jiangxi Province for study. Questionnaires regarding the health risk behaviors of children in developing areas were left behind at primary and middle schools, and they were later collected and analyzed by using the mental health diagnostic monitoring scale for Chinese primary and middle school students. Pearson correlation, logistic regression, and bootstrap tests were conducted to analyze the association between psychological problems, school bullying, and NSSI. (3) Results: The incidence of NSSI in rural primary and middle school students in Jiangxi Province was 14.84%. Compared with other children with behavioral problems, those who had experienced school bullying and had mild/severe psychological problems were more likely to have engaged in NSSI behaviors ( < 0.001). Psychological problems have a mediating effect between school bullying and NSSI, which accounted for 12.96% of the total effect. (4) Conclusion: Psychological problems are likely an effect modifier in the connection between school bullying and NSSI behaviors. Therefore, effectively targeting psychological problems in rural primary and middle school students in Jiangxi Province may help prevent and control NSSI behaviors in students who have experienced school bullying.
(1)目的：分析心理问题在中国农村地区中小学中与校园欺凌和非自杀性自伤（NSSI）的关系。(2)方法：采用多阶段、分层、整群随机抽样方法，选取江西省 2284 名农村中小学生进行研究。在中小学留下发展中地区儿童健康风险行为的问卷，然后使用中国中小学生心理健康诊断监测量表收集和分析。采用 Pearson 相关、逻辑回归和 bootstrap 检验分析心理问题、校园欺凌与 NSSI 之间的关联。(3)结果：江西省农村中小学生 NSSI 的发生率为 14.84%。与其他有行为问题的儿童相比，经历过校园欺凌且有轻度/重度心理问题的儿童更有可能有 NSSI 行为（<0.001）。心理问题在校园欺凌和 NSSI 之间具有中介效应，占总效应的 12.96%。(4)结论：心理问题可能是校园欺凌与 NSSI 行为之间的效应修饰剂。因此，有效针对江西省农村中小学生的心理问题，可能有助于预防和控制经历过校园欺凌的学生的 NSSI 行为。
