Bordeaux Population Health Research Centre, INSERM U1219, University of Bordeaux, Bordeaux, France.
Laval University, Quebec, Canada.
Psychol Med. 2023 Apr;53(5):2072-2084. doi: 10.1017/S0033291721003822. Epub 2021 Oct 25.
Peer victimization is associated with a wide range of mental health problems in youth, yet few studies described its association with mental health comorbidities.
To test the association between peer victimization timing and intensity and mental health comorbidities, we used data from 1216 participants drawn from the Quebec Longitudinal Study of Child Development, a population-based birth cohort. Peer victimization was self-reported at ages 6-17 years, and modeled as four trajectory groups: low, childhood-limited, moderate adolescence-emerging, and high-chronic. The outcomes were the number and the type of co-occurring self-reported mental health problems at age 20 years. Associations were estimated using negative binomial and multinomial logistic regression models and adjusted for parent, family, and child characteristics using propensity score inverse probability weights.
Youth in all peer victimization groups had higher rates of co-occurring mental health problems and higher likelihood of comorbid internalizing-externalizing problems [odds ratios ranged from 2.06, 95% confidence interval (CI) 1.52-2.79 for childhood-limited to 4.34, 95% CI 3.15-5.98 for high-chronic victimization] compared to those in the low victimization group. The strength of these associations was highest for the high-chronic group, followed by moderate adolescence-emerging and childhood-limited groups. All groups also presented higher likelihood of internalizing-only problems relative to the low peer victimization group.
Irrespective of timing and intensity, self-reported peer victimization was associated with mental health comorbidities in young adulthood, with the strongest associations observed for high-chronic peer victimization. Tackling peer victimization, especially when persistent over time, could play a role in reducing severe and complex mental health problems in youth.
同伴侵害与青少年广泛的心理健康问题有关，但很少有研究描述其与心理健康共病的关系。
为了检验同伴侵害时间和强度与心理健康共病的关系，我们使用了来自魁北克儿童发展纵向研究的 1216 名参与者的数据，这是一个基于人群的出生队列。同伴侵害是在 6-17 岁时自我报告的，并建模为四个轨迹组：低、童年有限、中度青春期出现、高慢性。结果是 20 岁时同时出现的自我报告心理健康问题的数量和类型。使用负二项和多项逻辑回归模型估计关联，并使用倾向评分逆概率权重对父母、家庭和儿童特征进行调整。
所有同伴侵害组的青少年都有更高的共患心理健康问题的发生率，以及更可能同时出现内化-外化问题[比值比范围从童年有限组的 2.06（95%置信区间 1.52-2.79）到高慢性侵害组的 4.34（95%置信区间 3.15-5.98）]，与低侵害组相比。这些关联的强度以高慢性组最高，其次是中度青春期出现组和童年有限组。所有组也比低同伴侵害组更有可能出现单纯内化问题。
无论时间和强度如何，自我报告的同伴侵害与年轻人的心理健康共病有关，与高慢性同伴侵害的关联最强。解决同伴侵害问题，特别是当它持续时间较长时，可能在减少青少年严重和复杂的心理健康问题方面发挥作用。
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