Ding Han, Cao Leilei, Xu Baoyu, Li Yuan, Xie Jinyu, Wang Jun, Su Puyu, Wang Gengfu
Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, Hefei, Anhui, China.
Key Laboratory of Population Health Across Life Cycle, Anhui Medical University, Ministry of Education of the People's Republic of China, Hefei, Anhui, China.
Front Psychiatry. 2023 Apr 27;14:1115561. doi: 10.3389/fpsyt.2023.1115561. eCollection 2023.
School bullying may cause sleep disorders in early adolescents. Here, we determined the relationship between school bullying (considering all the features of bullying involvement) and sleep disorders, which are the common problems in Chinese early adolescents.
We conducted a questionnaire survey among 5,724 middle school students from Xuancheng, Hefei, and Huaibei cities in Anhui province, China. The self-report questionnaires included the Olweus Bully/Victim Questionnaire and Pittsburgh Sleep Quality Index. We used latent class analysis to identify the potential subgroups of bullying behavior. Logistic regression analysis was used to investigate the association between school bullying and sleep disorders.
Active participants in bullying interactions, including the bullies and victims, reported higher levels of sleep disorders compared with the non-active participants [Bully: physical (aOR = 2.62), verbal (aOR = 1.73), relational (aOR = 1.80), and cyber (aOR = 2.08); Victim: physical (aOR = 2.42), verbal (aOR = 2.59), relational (aOR = 2.61), and cyber (aOR = 2.81)]. A dose-response relationship was observed between the number of school bullying types and sleep disorders. In the context of bullying roles, bully-victims had the highest risk of reporting sleep disorders (aOR = 3.07, 95% CI: 2.55-3.69). We identified four potential categories of school bullying behaviors: low involvement in bullying, verbal and relational victims, medium bully-victims, and high bully-victims, and the highest frequency of sleep disorders was observed in the high bully-victims group (aOR = 4.12, 95% CI: 2.94-5.76).
Our findings indicate a positive correlation between bullying roles and sleep disorders in early adolescents. Therefore, targeted intervention for sleep disorders should include an evaluation of bullying experiences.
校园欺凌可能导致青少年早期出现睡眠障碍。在此，我们确定了校园欺凌（考虑欺凌行为的所有特征）与睡眠障碍之间的关系，睡眠障碍是中国青少年早期的常见问题。
我们对来自中国安徽省宣城市、合肥市和淮北市的5724名中学生进行了问卷调查。自我报告问卷包括奥维斯欺负/受欺负问卷和匹兹堡睡眠质量指数。我们使用潜在类别分析来识别欺凌行为的潜在亚组。采用逻辑回归分析来研究校园欺凌与睡眠障碍之间的关联。
与非积极参与者相比，积极参与欺凌互动的人，包括欺凌者和受害者，报告的睡眠障碍水平更高[欺凌者：身体欺凌（调整后的比值比[aOR]=2.62）、言语欺凌（aOR=1.73）、关系欺凌（aOR=1.80）和网络欺凌（aOR=2.08）；受害者：身体欺凌（aOR=2.42）、言语欺凌（aOR=2.59）、关系欺凌（aOR=2.61）和网络欺凌（aOR=2.81）]。观察到校园欺凌类型的数量与睡眠障碍之间存在剂量反应关系。在欺凌角色的背景下，欺凌受害者报告睡眠障碍的风险最高（aOR=3.07，95%可信区间：2.55-3.69）。我们确定了校园欺凌行为的四个潜在类别：低欺凌参与度、言语和关系受害者、中度欺凌受害者以及重度欺凌受害者，并且在重度欺凌受害者组中观察到睡眠障碍的发生率最高（aOR=4.1,2，95%可信区间：2.94-5.76）。
我们的研究结果表明，青少年早期的欺凌角色与睡眠障碍之间存在正相关。因此，针对睡眠障碍的有针对性干预应包括对欺凌经历的评估。
