Masakala Mosa, Mofokeng Matieho, Muchocho Amanda, Sibisi Siphesihle, le Roux Johan, le Roux Helene, Joubert Gina
Department of Psychiatry, Faculty of Health Sciences, University of the Free State, Bloemfontein, South Africa.
Department of Biostatistics, Faculty of Health Sciences, University of the Free State, Bloemfontein, South Africa.
S Afr J Psychiatr. 2023 Mar 30;29:2000. doi: 10.4102/sajpsychiatry.v29i0.2000. eCollection 2023.
Bullying is a multifaceted problem with many consequences.
This study aimed to determine the psychiatric morbidity of children involved in bullying, either as bullies or victims, treated at the Child and Adolescent Mental Health Care Centre of the Free State Psychiatric Complex (FSPC).
Free State Psychiatric Complex, Bloemfontein, South Africa.
This retrospective cross-sectional study included children under 18 years treated at the FSPC Care Centre between January and September 2017. Information was extracted from patient files.
Of 288 patients, 98 (34.0%) were involved in bullying: 66 were bullies, 28 victims, 3 bully-victims, and 1 unspecified. For gender and family structure, there were no statistically significant differences between children involved and those not involved in bullying and between bullies and victims. Almost all bullies (95.4%) had aggression as presenting complaint compared with 39.3% of the victims ( < 0.01). Statistically significantly more victims, than bullies, reported sadness (21.4%, 4.6%, = 0.02). Attention deficit/hyperactivity disorder (ADHD) was diagnosed in most children, both involved (73.5%) and not involved (63.2%). Statistically significant differences for the presence of conduct disorder were found between children involved and those not involved in bullying (31.6%, 10.0%, < 0.01) and between bullies and victims (39.4%, 14.3%, = 0.02).
The prevalence of conduct disorder diagnosis was more common in bullies than in victims and those involved in bullying as opposed to those not involved.
Psychiatric information of bullying victims and perpetrators in the Free State, which had a high prevalence of bullying in a national survey.
欺凌是一个具有多方面影响且会引发诸多后果的问题。
本研究旨在确定在自由邦精神病综合医院（FSPC）儿童与青少年心理健康护理中心接受治疗的、涉及欺凌行为的儿童（无论是欺凌者还是受害者）的精神疾病发病率。
南非布隆方丹自由邦精神病综合医院。
这项回顾性横断面研究纳入了2017年1月至9月在FSPC护理中心接受治疗的18岁以下儿童。信息从患者档案中提取。
在288名患者中，98名（34.0%）涉及欺凌行为：66名是欺凌者，28名是受害者，3名既是欺凌者又是受害者，1名情况未明确说明。在性别和家庭结构方面，涉及欺凌行为的儿童与未涉及欺凌行为的儿童之间，以及欺凌者与受害者之间，均无统计学上的显著差异。几乎所有欺凌者（95.4%）的主要诉求是攻击性，而受害者中这一比例为39.3%（P<0.01）。报告有悲伤情绪的受害者在统计学上显著多于欺凌者（分别为21.4%、4.6%，P = 0.02）。大多数儿童，包括涉及欺凌行为的（73.5%）和未涉及欺凌行为的（63.2%），都被诊断患有注意力缺陷/多动障碍（ADHD）。在涉及欺凌行为的儿童与未涉及欺凌行为的儿童之间（分别为31.6%、10.0%，P<0.01）以及欺凌者与受害者之间（分别为39.4%、14.3%，P = 0.02），品行障碍的患病率存在统计学上的显著差异。
品行障碍诊断的患病率在欺凌者中比在受害者以及涉及欺凌行为的儿童中比未涉及欺凌行为的儿童中更为常见。
提供了自由邦欺凌受害者和实施者的精神疾病信息，在一项全国性调查中该地区欺凌行为的患病率较高。
