Liu Tai-Ling, Hsiao Ray C, Chou Wen-Jiun, Yen Cheng-Fang
Department of Psychiatry, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan.
Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung 80708, Taiwan.
Int J Environ Res Public Health. 2021 May 26;18(11):5728. doi: 10.3390/ijerph18115728.
Victimization and perpetration of cyberbullying and traditional bullying are prevalent among adolescents with autism spectrum disorder (ASD) and attention deficit hyperactivity disorder (ADHD). The aims of this study were to examine the role of social anxiety in victimization and perpetration of cyberbullying and traditional bullying in adolescents with ASD and ADHD in Taiwan. A total of 219 adolescents with ASD and 287 adolescents with ADHD aged 11-18 years and their caregivers were recruited from the child psychiatry outpatient clinics into this study. The associations of social anxiety with victimization and perpetration of cyberbullying and traditional bullying were examined using logistic regression analysis. The results indicated that after the effects of sex, age, and autistic social impairment were controlled, social anxiety increased the risk of being a victim of cyberbullying (Odds Ratios (OR) = 1.048; 95% Confidence Interval (CI): 1.013-1.084), a victim of traditional bullying (OR = 1.066; 95% CI: 1.036-1.097), and a perpetrator of traditional bullying (OR = 1.061; 95% CI: 1.027-1.096) in adolescents with ASD. After the effects of sex, age, and ADHD symptoms were controlled for, social anxiety increased the risk of being a victim of traditional bullying in adolescents with ADHD (OR = 1.067; 95% CI: 1.039-1.096). Social anxiety was significantly associated with several forms of bullying involvement in adolescents with ASD and ADHD and warrants being considered into prevention and intervention programs for bullying involvement.
在患有自闭症谱系障碍（ASD）和注意力缺陷多动障碍（ADHD）的青少年中，网络欺凌和传统欺凌的受害及实施情况很普遍。本研究的目的是探讨社交焦虑在台湾患有ASD和ADHD的青少年网络欺凌和传统欺凌的受害及实施情况中所起的作用。从儿童精神科门诊招募了总共219名年龄在11至18岁之间的患有ASD的青少年和287名患有ADHD的青少年及其照顾者参与本研究。使用逻辑回归分析来检验社交焦虑与网络欺凌和传统欺凌的受害及实施情况之间的关联。结果表明，在控制了性别、年龄和自闭症社交障碍的影响后，社交焦虑增加了患有ASD的青少年成为网络欺凌受害者的风险（优势比（OR）= 1.048；95%置信区间（CI）：1.013 - 1.084）、成为传统欺凌受害者的风险（OR = 1.066；95% CI：1.036 - 1.097）以及成为传统欺凌实施者的风险（OR = 1.061；95% CI：1.027 - 1.096）。在控制了性别、年龄和ADHD症状的影响后，社交焦虑增加了患有ADHD的青少年成为传统欺凌受害者的风险（OR = 1.067；95% CI：1.039 - 1.096）。社交焦虑与患有ASD和ADHD的青少年参与多种形式的欺凌行为显著相关，因此在针对欺凌行为的预防和干预项目中应予以考虑。
