新加坡一家三级精神病院接受治疗的青少年中同伴受害情况的患病率及影响：一项横断面研究。
Prevalence and impact of peer victimisation among youth seeking treatment at a tertiary psychiatric institution in Singapore: a cross-sectional study.
作者信息
Subramaniam Mythily, Shahwan Shazana, Abdin Edimansyah, Verma Swapna, Gupta Bhanu, Chua Boon Yiang, Zhang Yunjue, Sambasivam Rajeswari, Chong Siow Ann
机构信息
Research Division, Institute of Mental Health, Buangkok Green Medical Park, 10 Buangkok View, Singapore, 539747, Singapore.
Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.
出版信息
Ann Gen Psychiatry. 2022 Nov 24;21(1):47. doi: 10.1186/s12991-022-00424-z.
BACKGROUND
Peer victimization is common among adolescents and leads to negative consequences. However, few studies have examined the extent of peer-victimization and its correlates among adolescent patients in a psychiatric setting. The current study aimed to examine the prevalence and correlates of peer victimisation among youth with mental illness and to examine its association with depressive symptoms and health-related quality of life (HRQOL).
METHODS
A sample of 239 youths aged 15-24 years were recruited from the outpatient clinics of a tertiary psychiatric hospital in Singapore using convenience sampling. All participants were administered the Multidimensional Peer Victimisation Scale (MPVS), Short Form 12 (SF-12) questionnaire and the Patient Health Questionnaire-8 (PHQ-8). The effect of MPVS total and subscores on depression scores, quality of life subscores and quality of life total scores were examined using multiple linear regression analyses.
RESULTS
The majority of the patients reported that they had experienced at least one form of peer victimisation (95.8%, n = 229) during their school years. Higher levels of 'verbal victimisation', 'attacks on property' and higher total MPVS scores were significantly associated with lower social functioning; additionally, higher levels of 'verbal victimisation' were significantly associated with lower mental component summary scores in the quality of life assessment. Higher scores on all four subscales as well as higher total scores on the MPVS were significantly associated with more severe depressive symptoms.
CONCLUSIONS
Given the high prevalence of peer victimisation in our sample and its associations with more severe depressive symptoms and lower quality of life, it is vital to implement interventions that prevent peer victimisation in educational and other social settings and to provide youth with strategies to more effectively manage instances of peer victimisation.
背景
同伴欺凌在青少年中很常见，并会导致负面后果。然而，很少有研究探讨在精神科环境中青少年患者遭受同伴欺凌的程度及其相关因素。本研究旨在调查患有精神疾病的青少年中同伴欺凌的患病率及其相关因素，并研究其与抑郁症状和健康相关生活质量（HRQOL）的关联。
方法
采用便利抽样的方法，从新加坡一家三级精神病医院的门诊招募了239名年龄在15至24岁之间的青少年。所有参与者都接受了多维同伴欺凌量表（MPVS）、简短健康调查问卷12项版（SF-12）和患者健康问卷-8项版（PHQ-8）的测试。使用多元线性回归分析检验MPVS总分及各子分数对抑郁得分、生活质量子分数和生活质量总分的影响。
结果
大多数患者报告说，他们在上学期间至少经历过一种形式的同伴欺凌（95.8%，n = 229）。较高水平的“言语欺凌”、“财产攻击”以及较高的MPVS总分与较低的社会功能显著相关；此外，较高水平的“言语欺凌”与生活质量评估中较低的心理成分综合得分显著相关。MPVS所有四个子量表的较高得分以及总分较高都与更严重的抑郁症状显著相关。
结论
鉴于我们样本中同伴欺凌的高患病率及其与更严重的抑郁症状和较低生活质量的关联，在教育和其他社会环境中实施预防同伴欺凌的干预措施，并为青少年提供更有效应对同伴欺凌情况的策略至关重要。
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