中国青少年早期同伴侵害与自杀意念的纵向关系:失眠症状的中介作用及性别差异

Longitudinal Relations Between Peer Victimization and Suicidal Ideation Among Chinese Early Adolescents: The Mediating Role of Insomnia Symptoms and Sex Differences.

作者信息

Gong Xue, Zhou Jianhua

机构信息

Department of Psychology, School of Education Science, Qingdao University, Qingdao, China.

School of Psychology, Northwest Normal University, Lanzhou, China.

出版信息

J Youth Adolesc. 2025 Jun 18. doi: 10.1007/s10964-025-02201-z.

Abstract

Research has demonstrated the predictive effect of peer victimization on adolescent suicidal ideation. However, few studies have explored the bidirectional relations between peer victimization and suicidal ideation and how insomnia symptoms mediate these bidirectional relations. The present study examined reciprocal relations between peer victimization (i.e., physical and relational victimization) and suicidal ideation and the potential mediating role of insomnia symptoms and sex differences by disentangling between- and within-person effects. A total of 4731 students (44.9% girls; Mage = 10.91 years, SD = 0.52) participated in a four-wave longitudinal study with 6-month intervals. Results from random intercept cross-lagged panel modeling indicated significant positive associations between peer victimization, insomnia symptoms, and suicidal ideation at the between-person level. At the within-person level, significant sex differences were identified in the bidirectional associations between physical or relational victimization, insomnia symptoms, and suicidal ideation. Specifically, boys showed significant bidirectional associations between physical victimization and suicidal ideation. In contrast, for girls, suicidal ideation significantly predicted subsequent physical victimization, but the reverse pathway was not significant. Furthermore, no significant cross-lagged associations were found between relational victimization and suicidal ideation among boys. However, for girls, relational victimization and suicidal ideation demonstrated significant cross-lagged effects. Significant bidirectional associations between physical victimization and insomnia symptoms were observed in both boys and girls. For girls, insomnia symptoms significantly mediated the bidirectional relations between physical victimization and suicidal ideation, but the bidirectional relations between relational victimization and insomnia symptoms were not supported. For boys, while both physical and relational victimization significantly predicted insomnia symptoms, insomnia symptoms did not predict suicidal ideation. In the reverse pathway, insomnia symptoms mediated the pathway from suicidal ideation to physical victimization among boys. The findings underscore the importance of considering both sex differences and insomnia symptoms in understanding the pathways linking peer victimization to suicidal ideation, offering valuable insights for targeted interventions.

摘要

研究已经证明了同伴侵害对青少年自杀意念的预测作用。然而,很少有研究探讨同伴侵害与自杀意念之间的双向关系,以及失眠症状如何介导这些双向关系。本研究通过区分个体间效应和个体内效应,检验了同伴侵害(即身体侵害和关系侵害)与自杀意念之间的相互关系,以及失眠症状的潜在中介作用和性别差异。共有4731名学生(44.9%为女生;平均年龄=10.91岁,标准差=0.52)参与了一项为期四个阶段、间隔6个月的纵向研究。随机截距交叉滞后面板模型的结果表明,在个体间水平上,同伴侵害、失眠症状和自杀意念之间存在显著的正相关。在个体内水平上,身体侵害或关系侵害、失眠症状和自杀意念之间的双向关联存在显著的性别差异。具体而言,男孩在身体侵害和自杀意念之间表现出显著的双向关联。相比之下,对于女孩来说,自杀意念显著预测了随后的身体侵害,但反向路径并不显著。此外,在男孩中,关系侵害与自杀意念之间未发现显著的交叉滞后关联。然而,对于女孩来说,关系侵害和自杀意念表现出显著的交叉滞后效应。在男孩和女孩中均观察到身体侵害与失眠症状之间存在显著的双向关联。对于女孩来说,失眠症状显著介导了身体侵害与自杀意念之间的双向关系,但关系侵害与失眠症状之间的双向关系未得到支持。对于男孩来说,虽然身体侵害和关系侵害均显著预测了失眠症状,但失眠症状并未预测自杀意念。在反向路径中,失眠症状介导了男孩从自杀意念到身体侵害的路径。这些发现强调了在理解将同伴侵害与自杀意念联系起来的路径时考虑性别差异和失眠症状的重要性,为有针对性的干预提供了有价值的见解。

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