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中国青少年早期的自伤和攻击行为:共发性及受欺凌的作用。

Self-harm and Aggression in Chinese Early Adolescents: Their Co-occurrence and the Role of Bullying Victimization.

机构信息

Collaborative Innovation Center of Assessment toward Basic Education Quality, Beijing Normal University, No. 19 Xinjiekouwai Street, Beijing, 100875, China.

China National Children's Center, 43 Pinganlixi Street, Beijing, 100035, China.

出版信息

J Youth Adolesc. 2022 Oct;51(10):2008-2017. doi: 10.1007/s10964-022-01620-6. Epub 2022 May 3.

DOI:10.1007/s10964-022-01620-6
PMID:35503194
Abstract

Self-harm and aggression increase markedly during early adolescence. However, few studies considered these harmful behaviors simultaneously. This study employed a person-centered approach to identify profiles of adolescents who differed in their patterns of self-harm, reactive aggression, and proactive aggression, examined the stability of these patterns, and explored the effect of bullying victimization on latent profile membership and transition. A total of 2463 early adolescents (48.8% girls, M = 13.93 ± 0.59) participated in two waves of the study over six months. The results indicated that low symptoms profile (80.4%), moderate aggression profile (14.2%), high aggression profile (3.0%), and high self-harm profile (2.4%) were identified at time 1, and low symptoms profile (82.1%), dual-harm profile (7.6%), high aggression profile (7.7%), and high self-harm profile (2.6%) were identified at time 2. Adolescents assigned to at-risk profiles showed moderate to high transition, suggesting the developmental heterogeneity of self-harm and aggression. Moreover, adolescents high in bullying victimization were more likely to belong or transition to at-risk profiles. The findings revealed the co-occurring and transitional nature of self-harm and aggression and the transdiagnostic role of bullying victimization, which can be used to guide prevention and intervention strategies.

摘要

自我伤害和攻击行为在青少年早期显著增加。然而,很少有研究同时考虑这些有害行为。本研究采用以个体为中心的方法来识别自我伤害、反应性攻击和主动性攻击模式不同的青少年群体,考察这些模式的稳定性,并探讨欺凌受害对潜在群体成员和转变的影响。共有 2463 名青少年(48.8%为女生,M=13.93±0.59)参与了为期六个月的两次研究。结果表明,在第一次测量时确定了低症状模式(80.4%)、中度攻击模式(14.2%)、高攻击模式(3.0%)和高自我伤害模式(2.4%),而在第二次测量时确定了低症状模式(82.1%)、双重伤害模式(7.6%)、高攻击模式(7.7%)和高自我伤害模式(2.6%)。被分配到高风险模式的青少年表现出中度到高度的转变,这表明自我伤害和攻击行为存在发展异质性。此外,欺凌受害程度高的青少年更有可能属于或转变为高风险模式。研究结果揭示了自我伤害和攻击行为的共同发生和过渡性质,以及欺凌受害的跨诊断作用,这可以用来指导预防和干预策略。

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引用本文的文献

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Developmental cascades among self-harm, other-harm, and emotion dysregulation in adolescents: a longitudinal within-person analysis of gender differences.青少年自我伤害、伤害他人与情绪失调之间的发展级联效应:基于性别的纵向个体内分析
Eur Child Adolesc Psychiatry. 2025 Jun 7. doi: 10.1007/s00787-025-02783-w.
2
The Association Between High Levels of Aggression and Insomnia in Chinese Adolescents: A Longitudinal Latent Profile Analysis.中国青少年高水平攻击性与失眠之间的关联:一项纵向潜在剖面分析
Depress Anxiety. 2025 May 14;2025:3713624. doi: 10.1155/da/3713624. eCollection 2025.
3
'If one doesn't happen, the other will': forensic mental health service patients' experiences of co-occurring self-harm and aggression.
“若其一未发生,另一则会发生”:法医精神卫生服务患者同时出现自我伤害和攻击行为的经历
BJPsych Open. 2025 Jan 22;11(1):e20. doi: 10.1192/bjo.2024.834.
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Longitudinal relations between bullying victimization and aggression: The multiple mediation effects of anger rumination and hostile automatic thoughts.受欺凌与攻击的纵向关系:愤怒反刍和敌意自动思维的多重中介效应。
Psych J. 2024 Oct;13(5):849-859. doi: 10.1002/pchj.760. Epub 2024 Apr 24.