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遭受欺凌与一般精神病理学:一项前瞻性、纵向研究。

Exposure to Bullying and General Psychopathology: A Prospective, Longitudinal Study.

机构信息

Department of Child and Adolescent Psychiatry/ Psychology, Erasmus MC-University Medical Center Rotterdam, P.O. Box 2040, 3000 CA, Rotterdam, the Netherlands.

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

出版信息

Res Child Adolesc Psychopathol. 2021 Jun;49(6):727-736. doi: 10.1007/s10802-020-00760-2. Epub 2021 Jan 22.

Abstract

Although there is mounting evidence that the experience of being bullied associates with both internalizing and externalizing symptoms, it is not known yet whether the identified associations are specific to these symptoms, or shared between them. The primary focus of this study is to assess the prospective associations of bullying exposure with both general and specific (i.e., internalizing, externalizing) factors of psychopathology. This study included data from 6,210 children participating in the Avon Longitudinal Study of Parents and Children (ALSPAC). Child bullying was measured by self-report at ages 8 and 10 years. Child psychopathology symptoms were assessed by parent-interview, using the Development and Well-being Assessment (DAWBA) at ages 7 and 13 years. Bullying exposure significantly associated with the general psychopathology factor in early adolescence. In particular, chronically victimized youth exposed to multiple forms of bullying (i.e., both overt and relational) showed higher levels of general psychopathology. Bullying exposure also associated with both internalizing and externalizing factors from the correlated-factors model. However, the effect estimates for these factors decreased considerably in size and dropped to insignificant for the internalizing factor after extracting the shared variance that belongs to the general factor of psychopathology. Using an integrative longitudinal model, we found that higher levels of general psychopathology at age 7 also associated with bullying exposure at age 8 which, in turn, associated with general psychopathology at age 13 through its two-year continuity. Findings suggest that exposure to bullying is a risk factor for a more general vulnerability to psychopathology.

摘要

虽然越来越多的证据表明被欺凌的经历与内化和外化症状都有关,但目前还不清楚这些关联是否特定于这些症状,或者它们之间是否存在共同之处。本研究的主要重点是评估欺凌暴露与一般和特定(即内化、外化)心理病理因素的前瞻性关联。这项研究包括来自 6210 名参与阿冯纵向父母和子女研究(ALSPAC)的儿童的数据。儿童欺凌通过 8 岁和 10 岁时的自我报告进行测量。儿童心理病理症状通过父母访谈,使用发展和福利评估(DAWBA)在 7 岁和 13 岁时进行评估。欺凌暴露与青少年早期的一般心理病理因素显著相关。特别是,长期受欺凌的青少年,暴露于多种形式的欺凌(即公开和关系性),表现出更高水平的一般心理病理。欺凌暴露也与相关因素模型中的内化和外化因素相关。然而,这些因素的效应估计值在大小上大大减小,并且在提取属于心理病理一般因素的共同方差后,对内化因素的效应估计值变得不显著。使用综合纵向模型,我们发现 7 岁时更高水平的一般心理病理与 8 岁时的欺凌暴露相关,而 8 岁时的欺凌暴露又与 13 岁时的一般心理病理相关,这是通过两年的连续性实现的。研究结果表明,暴露于欺凌是更容易出现一般心理病理的风险因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/727c/8096758/d3ece0429912/10802_2020_760_Fig1_HTML.jpg

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