中国儿童和青少年中与校园欺凌受害相关的焦虑：心理韧性的中介作用
School bullying victimization-associated anxiety in Chinese children and adolescents: the mediation of resilience.
作者信息
Fang Die, Lu Jin, Che Yusan, Ran Hailiang, Peng Junwei, Chen Lin, Wang Sifan, Liang Xuemeng, Sun Hao, Xiao Yuanyuan
机构信息
Department of Epidemiology and Health Statistics, School of Public Health, Kunming Medical University, 1168 West Chunrong Road, Yuhua Street, Chenggong District, Kunming, 650500, Yunnan, China.
Department of Psychiatry, The First Affiliated Hospital, Kunming Medical University, Kunming, Yunnan, China.
出版信息
Child Adolesc Psychiatry Ment Health. 2022 Jun 25;16(1):52. doi: 10.1186/s13034-022-00490-x.
BACKGROUND
School bullying victimization is associated with increased risk of anxiety in children and adolescents. However, little is known about the role of resilience in this association. The purpose of this study was to investigate the possible mediation by resilience in this association in a large group of Chinese children and adolescents.
METHODS
A population-based cross-sectional study adopting two-stage simple random cluster sampling was implemented in Yunnan province, southwestern China. A comprehensive questionnaire was used to collect information from the participants. Among all the participants, 4624 were included in the final analysis. Descriptive statistics were used to present general characteristics of the study participants. Univariate and multivariate logistic regression models were adopted to estimate crude and adjusted associations among bullying victimization, anxiety, and resilience. A path model was used to analyze the hypothesized mediation by resilience in the association between bullying victimization and anxiety.
RESULTS
Analytical results of multivariate logistic regression models suggested that bullying victimization was significantly associated with anxiety in Chinese children and adolescents; compared with individuals who had not been bullied, victims of bullying were more likely to experience anxiety symptoms, with an adjusted odds ratio (OR) of 3.02 (95% CI 2.46-3.71). Path analysis revealed a prominent mediating effect of resilience in the association between bullying victimization and anxiety, accounting for 31.89% of the total association. Further analysis indicated that, among the five dimensions of resilience, emotional regulation, interpersonal assistance, and family support were significant mediators, accounting for 30.34%, 10.79%, and 8.35% of the total association.
CONCLUSIONS
Our major findings highlighted the promising role of resilience-based intervention measures in reducing the risk of anxiety associated with school bullying victimization in Chinese children and adolescents.
背景
校园欺凌受害经历与儿童及青少年焦虑风险增加有关。然而，关于心理韧性在这种关联中的作用却知之甚少。本研究旨在调查在中国大量儿童和青少年中，心理韧性在这种关联中可能起到的中介作用。
方法
在中国西南部的云南省开展了一项采用两阶段简单随机整群抽样的基于人群的横断面研究。使用一份综合问卷从参与者那里收集信息。在所有参与者中，4624人纳入最终分析。描述性统计用于呈现研究参与者的一般特征。采用单因素和多因素逻辑回归模型来估计欺凌受害、焦虑和心理韧性之间的粗略关联及校正关联。使用路径模型分析心理韧性在欺凌受害与焦虑关联中的假设中介作用。
结果
多因素逻辑回归模型的分析结果表明，在中国儿童和青少年中，欺凌受害与焦虑显著相关；与未遭受欺凌的个体相比，欺凌受害者更有可能出现焦虑症状，校正后的比值比（OR）为3.02（95%可信区间2.46 - 3.71）。路径分析显示心理韧性在欺凌受害与焦虑的关联中具有显著的中介作用，占总关联的31.89%。进一步分析表明，在心理韧性的五个维度中，情绪调节、人际协助和家庭支持是显著的中介因素，分别占总关联的30.34%、10.79%和8.35%。
结论
我们的主要研究结果突出了基于心理韧性的干预措施在降低中国儿童和青少年因校园欺凌受害而产生焦虑风险方面的潜在作用。
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