Department of Pediatrics, Post Graduate Institute of Medical Education and Research, Sector 12, Chandigarh, 160012, India.
Indian J Pediatr. 2021 Oct;88(10):962-967. doi: 10.1007/s12098-020-03620-5. Epub 2021 Feb 2.
To examine the relationship between peer victimization and psychosomatic symptoms among school-going children.
A total of 213 school-going children (Mean = 11.49 y, SD = 1.44) studying in grades 5 to 8 were recruited from 2 schools from a north Indian city. The children were administered the California Bullying Victimization Scale (CBVS), Pre-Adolescent Adjustment Scale (PAAS), and the Children's Somatization Inventory (CSI). The total score on the somatization inventory and the total number of psychosomatic symptoms endorsed were used as the main outcome measures.
Out of the 213 students, 42.7% were involved in bullying either as victims or as perpetrators. A little more than one-fourth (26.8%) were victims. A consistent positive association between victimization and somatic complaints was found. The most common physical symptoms reported by victims included headache (60.7%), chest pain (35.7%), stomach pain (33.9%), weakness (30.4%), and pain in arms and legs (19.6%). Stepwise multiple regression analysis revealed that 22.6% of the variance in the total CSI scores was accounted by the total victimization score, self-reported adjustment with school teachers, and academic performance (F = 20.97, P = 0.0001). The total number of functional somatic symptoms were predicted by the total victimization score, academic performance, and age of the child (F = 16.03, P = 0.0001). These variables together predicted 18% of the variance in the total number of symptoms.
Primary health care clinicians and pediatricians need to consider bullying as one of the potential risk factors when they encounter physical symptoms among pediatric patients in their clinical practice.
探讨在校儿童同伴侵害与身心症状的关系。
从印度北部某城市的 2 所学校中招募了 213 名 5 至 8 年级的在校儿童（平均年龄=11.49 岁，标准差=1.44）。这些儿童接受了加利福尼亚欺凌受害量表（CBVS）、前青春期适应量表（PAAS）和儿童躯体化量表（CSI）的评估。躯体化量表的总分和躯体化症状的总数被用作主要的结果衡量标准。
在 213 名学生中，42.7%的学生参与了欺凌行为，要么是受害者，要么是加害者。略多于四分之一（26.8%）的学生是受害者。受害者的躯体抱怨与欺凌行为之间存在一致的正相关关系。受害者报告的最常见的躯体症状包括头痛（60.7%）、胸痛（35.7%）、腹痛（33.9%）、乏力（30.4%）和四肢疼痛（19.6%）。逐步多元回归分析显示，CSI 总分的 22.6%可由总受害得分、与学校教师的自我报告适应情况和学业成绩来解释（F=20.97，P=0.0001）。功能躯体症状的总数由总受害得分、学业成绩和儿童年龄来预测（F=16.03，P=0.0001）。这些变量共同预测了总症状数的 18%。
初级保健临床医生和儿科医生在临床实践中遇到儿科患者的躯体症状时，需要考虑欺凌行为是潜在的风险因素之一。
