Silwal Sanju, Westerlund Minja, Osokina Olga, Hinkka-Yli-Salomäki Susanna, Hodes Matthew, Skokauskas Norbert, Sourander Andre
Research Centre for Child Psychiatry, INVEST Flagship, University of Turku, Turku, Finland.
Addiction Psychiatry and Medical Psychology, Donetsk National Medical University, Kramatorsk, Ukraine.
Child Adolesc Ment Health. 2025 Sep;30(3):247-255. doi: 10.1111/camh.12770. Epub 2025 Mar 18.
War profoundly impacts adolescent development and may increase the likelihood of aggressive responses when such behavior is perceived as acceptable and accessible. War may, hence, exacerbate a form of interpersonal violence already prevalent among children and adolescents.
We conducted a comparative cross-sectional study 2 years after the Russian invasion of Eastern Ukraine in 2014 by comparing the prevalence of bullying victimization among adolescents aged 11-17 years (N = 2766) in two administrative regions with different levels of wartime traumatic stressor exposure.
Female adolescents in the war-affected region were bullied more often compared to those in the non-affected region [65.3% vs. 56.3%, adjusted Odds Ratio (aOR) = 1.5, 95% CI 1.2-1.9]. For both boys and girls, symptoms of psychopathology were associated with bullying victimization often [girls: depression (aOR = 2.9, 95% CI 2.4-3.4); boys: depression (aOR = 3.3, 95% CI 2.6-4.1) and PTSD (aOR = 1.7, 95% CI 1.4-2.02)]. In the war-affected region, a dose-response relationship between bullying victimization often and war-event exposure was observed in both sexes [girls: 1-3 war-events (aOR = 1.4, 95% CI 0.7-2.6), 4-6 (aOR = 2.4, 95% CI 1.3-4.5) and ≥7 (aOR = 5.5, 95% CI 2.7-11.1); boys: 1-3 (aOR = 1.4, 95% CI 0.7-2.8), 4-6 (aOR = 3.2, 95% CI 1.7-6.3), and ≥7 (aOR = 6.8, 95% CI 3.1-14.8)].
War exposure was associated with bullying victimization, with girls being bullied more often than boys. Bullying victimization was linked to cumulative traumatic stressor exposure in the war-affected region for both sexes.
战争对青少年发展产生深远影响，当攻击性行为被视为可接受且可行时，可能会增加这种行为出现的可能性。因此，战争可能会加剧儿童和青少年中已经普遍存在的一种人际暴力形式。
2014年俄罗斯入侵乌克兰东部两年后，我们进行了一项比较性横断面研究，比较了两个战时创伤应激源暴露水平不同的行政区中11至17岁青少年（N = 2766）遭受欺凌的发生率。
与未受影响地区的青少年相比，受战争影响地区的女性青少年更常遭受欺凌[65.3%对56.3%，调整后的优势比（aOR）= 1.5，95%置信区间1.2 - 1.9]。对于男孩和女孩来说，精神病理学症状都常常与遭受欺凌有关[女孩：抑郁症（aOR = 2.9，95%置信区间2.4 - 3.4）；男孩：抑郁症（aOR = 3.3，95%置信区间2.6 - 4.1）和创伤后应激障碍（aOR = 1.7，95%置信区间1.4 - 2.02）]。在受战争影响的地区，观察到男女遭受欺凌与战争事件暴露之间存在剂量反应关系[女孩：1 - 3次战争事件（aOR = 1.4，95%置信区间0.7 - 2.6），4 - 6次（aOR = 2.4，95%置信区间1.3 - 4.5），≥7次（aOR = 5.5，95%置信区间2.7 - 11.1）；男孩：1 - 3次（aOR = 1.4，95%置信区间0.7 - 2.8），4 - 6次（aOR = 3.2，95%置信区间1.7 - 6.3），≥7次（aOR = 6.8，95%置信区间3.1 - 14.8）]。
接触战争与遭受欺凌有关，女孩比男孩更常遭受欺凌。在受战争影响的地区，男女遭受欺凌都与累积的创伤应激源暴露有关。
