Hamal Manisha, Kekkonen Virve, Kraav Siiri-Liisi, Kivimäki Petri, Rissanen Marja-Liisa, Hintikka Jukka, Tolmunen Tommi
Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland.
Department of Adolescent Psychiatry, Kuopio University Hospital, Kuopio, Finland.
Nord J Psychiatry. 2023 Oct;77(7):676-685. doi: 10.1080/08039488.2023.2222698. Epub 2023 Jun 14.
Bullying victimization is experienced by more than 10% of children and adolescents worldwide and has been associated with numerous negative mental health consequences, such as depression and dissociation.
We investigated the association between bullying victimization and self-cutting in a Finnish adolescent population and whether depression and dissociation act as mediators in this association.
We used cross-sectional questionnaire data from Finnish students (age 13-18; = 3345; boys = 1454; girls = 1891). Logistic regression and mediation analyses were performed.
Bullying victimized adolescents were younger, more likely to be afraid to go to school, had fewer friends, felt lonelier, and had a poorer relationship with family members, as well as higher level of depressive and dissociative symptoms compared to non-bullied adolescents. According to logistic regression analysis, the association between bullying and self-cutting remained significant despite all other adjustments besides those for depressive symptoms. In serial mediation analysis, depressive and dissociative symptoms mediated the effect of bullying victimization on self-cutting, regardless of their order in the model.
Self-cutting is more common among bullying victimized adolescents than their peers. The association is mediated by depressive and dissociative symptoms. More studies are needed to clarify the exact mechanisms which depressive and dissociative symptoms interact with the association between bullying and self-harm.
全球超过10%的儿童和青少年遭受过欺凌，这与许多负面心理健康后果相关，如抑郁和解离。
我们调查了芬兰青少年群体中欺凌受害与自我切割行为之间的关联，以及抑郁和解离是否在这种关联中起中介作用。
我们使用了芬兰学生（年龄13 - 18岁；n = 3345；男生 = 1454；女生 = 1891）的横断面问卷调查数据。进行了逻辑回归和中介分析。
与未受欺凌的青少年相比，受欺凌的青少年年龄更小，更害怕上学，朋友更少，感到更孤独，与家庭成员的关系更差，并且抑郁和解离症状水平更高。根据逻辑回归分析，除了对抑郁症状进行调整外，在所有其他调整后，欺凌与自我切割之间的关联仍然显著。在系列中介分析中，抑郁和解离症状介导了欺凌受害对自我切割的影响，无论它们在模型中的顺序如何。
自我切割行为在受欺凌的青少年中比同龄人中更为常见。这种关联由抑郁和解离症状介导。需要更多研究来阐明抑郁和解离症状与欺凌和自我伤害之间关联相互作用的确切机制。
