Department of Psychiatry and Addiction, University of Montreal, and CHU Ste Justine Research Center, Montreal, QC, Canada.
Dev Psychopathol. 2023 Aug;35(3):1454-1467. doi: 10.1017/S0954579421001358. Epub 2022 Feb 7.
Bullying victimization is common in adolescence and has been associated with a broad variety of psychopathology and alcohol use. The present study assessed time-varying associations between bullying victimization and alcohol use through internalizing and externalizing symptoms and whether this indirect association throughout time is moderated by personality. This 5-year longitudinal study (3,800 grade 7 adolescents) used Bayesian multilevel moderated mediation models: independent variable was bullying victimization; moderators were four personality dimensions (anxiety sensitivity, hopelessness, impulsivity, and sensation seeking); internalizing symptoms (anxiety, depressive symptoms) and externalizing symptoms (conduct, hyperactivity problems) were the mediators; and alcohol use, the outcome. Results indicated significant between, within, and lagged effects on alcohol use through internalizing and externalizing symptoms. There were significant between and within effects on alcohol use through internalizing symptoms for adolescents with high anxiety sensitivity and hopelessness, and significant between, within, and lagged effects on alcohol use through externalizing symptoms for adolescents with high impulsivity and sensation seeking. These findings implicate two risk pathways that account for how bullying victimization enhances alcohol use risk and emphasize the importance of personality profiles that can shape the immediate and long-term consequences of victimization.
欺凌受害在青少年中很常见，与多种精神病理学和酒精使用有关。本研究通过内化和外化症状评估了欺凌受害与酒精使用之间随时间变化的关联，以及这种随时间的间接关联是否受到个性的调节。这项为期 5 年的纵向研究（3800 名 7 年级青少年）使用了贝叶斯多层次调节中介模型：自变量是欺凌受害；调节变量是四个个性维度（焦虑敏感性、绝望感、冲动性和感觉寻求）；内化症状（焦虑、抑郁症状）和外化症状（行为问题、多动问题）是中介变量；酒精使用是结果变量。结果表明，通过内化和外化症状，对酒精使用存在显著的跨时、同时和滞后影响。对于焦虑敏感性和绝望感高的青少年，通过内化症状对酒精使用存在显著的跨时和同时影响，对于冲动性和感觉寻求高的青少年，通过外化症状对酒精使用存在显著的跨时、同时和滞后影响。这些发现暗示了两种风险途径，解释了欺凌受害如何增加酒精使用风险，并强调了个性特征的重要性，这些特征可以塑造受害的即时和长期后果。
