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患有自闭症谱系障碍的七年级学生的学校环境与受欺凌情况:一项队列研究。

The school environment and bullying victimization among seventh graders with autism spectrum disorder: a cohort study.

作者信息

Lu Hsin-Hui, Chen Duan-Rung, Chou An-Kuo

机构信息

Department of Psychology, College of Medicine, Chung Shan Medical University, Taichung, Taiwan.

Institute of Health Behaviors and Community Sciences, National Taiwan University, Room 636, No 17, Xu-Zhou Road, Taipei 100, Taipei, Taiwan.

出版信息

Child Adolesc Psychiatry Ment Health. 2022 Mar 15;16(1):22. doi: 10.1186/s13034-022-00456-z.

Abstract

BACKGROUND

There is strong evidence to support the association between bullying and the onset of mental health conditions in students with ASD (autism spectrum disorder). In Taiwan, the seventh grade marks the first year of middle school, following elementary school. This period is also when peers tend to perform bullying behaviours to establish status among the peer group. Therefore, seventh grade is considered one of the most challenging times for students with ASD due to several changes within the school environment and the developmental changes that arise at this age. This study aims to assess the association between the school environment and bullying victimization among students with autism spectrum disorder (ASD) enrolled in regular classes in their first year of middle school.

METHODS

Data were obtained from the Special Needs Education Longitudinal Study database located in the Survey Research Data Archive of Academia Sinica. The analysis included one hundred eighty-four seventh graders with ASD who were in regular classes across Taiwan. The primary variables under study were whether the participants had experienced social exclusion, insults or teasing, extortion, or sexual harassment over the past semester.

RESULTS

Participants with a higher positive friendship quality (P = 0.027) and who had received more peer support upon encountering difficulties in school (P = 0.041) were less likely to experience social exclusion. Participants with a higher positive friendship quality (P = 0.001) and a more positive classroom learning environment (P = 0.031) were less likely to have experienced insults or teasing. However, participants with more friends were more likely to be extorted (P = 0.015) and sexually harassed (P = 0.001) than those with fewer friends. Furthermore, participants in regular classes on a part-time basis were 2.59 times more likely to report sexual harassment than those in regular classes on a full-time basis (P = 0.021).

CONCLUSIONS

This study suggests that a supportive school environment reduces the likelihood that seventh-graders with ASD will be bullied. Clinicians should consider the association between the school environment and bullying victimization among adolescents with ASD in regular classes during their first year of middle school.

摘要

背景

有充分证据支持欺凌行为与自闭症谱系障碍(ASD)学生心理健康问题的发作之间存在关联。在台湾,七年级是小学之后中学的第一年。这个时期也是同龄人倾向于实施欺凌行为以在同龄人群体中确立地位的时候。因此,由于学校环境中的多种变化以及这个年龄段出现的发育变化,七年级被认为是ASD学生最具挑战性的时期之一。本研究旨在评估学校环境与在中学一年级就读于普通班级的自闭症谱系障碍(ASD)学生遭受欺凌之间的关联。

方法

数据取自位于中央研究院调查研究数据档案库中的特殊需求教育纵向研究数据库。分析纳入了全台湾在普通班级就读的184名七年级ASD学生。所研究的主要变量是参与者在过去一学期是否经历过社会排斥、侮辱或戏弄、敲诈或性骚扰。

结果

具有较高积极友谊质量的参与者(P = 0.027)以及在学校遇到困难时获得更多同伴支持的参与者(P = 0.041)遭受社会排斥的可能性较小。具有较高积极友谊质量的参与者(P = 0.001)和更积极的课堂学习环境的参与者(P = 0.031)遭受侮辱或戏弄的可能性较小。然而,朋友较多的参与者比朋友较少的参与者更容易受到敲诈(P = 0.015)和性骚扰(P = 0.001)。此外,兼职参加普通班级的参与者报告遭受性骚扰的可能性是全职参加普通班级的参与者的2.59倍(P = 0.021)。

结论

本研究表明,支持性的学校环境降低了七年级ASD学生被欺凌的可能性。临床医生在考虑中学一年级就读于普通班级的青少年ASD患者时,应考虑学校环境与遭受欺凌之间的关联。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3899/8925143/d84cad7b6937/13034_2022_456_Fig1_HTML.jpg

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