Liu Mingxiao, Liu Aiyi, Liu Sihan, Xu Boya, Wu Xinchun
Beijing Key Laboratory of Applied Experimental Psychology, National Demonstration Center for Experimental Psychology Education (Beijing Normal University), Faculty of Psychology, Beijing Normal University, Beijing 100875, China.
CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing 100101, China.
Depress Anxiety. 2025 Jun 13;2025:9166230. doi: 10.1155/da/9166230. eCollection 2025.
Individuals who have experienced bullying victimization often develop symptoms of complex post-traumatic stress disorder (CPTSD), depression, and anxiety, with these symptoms mutually influencing one another. This study aims to explore the reciprocal relationships between CPTSD, depression, and anxiety among adolescents and emerging adults who have experienced childhood bullying victimization, from both variable-level and symptom-level perspectives. A total of 3945 adolescents and 2726 emerging adults with childhood bullying victimization experiences were measured 6-month interval in the study. All the participants completed the questionnaires assessing for bullying victimization, CPTSD, depression, and anxiety. The data were analyzed using cross-lagged panel analysis and cross-lagged network analysis. The cross-lagged panel analysis reveals that CPTSD more strongly and consistently predicts depression and anxiety, whereas the reverse influence is weaker across both groups. At the symptom level, for adolescents, "death" (in depression) influences "feel worthless" (in CPTSD) and "feel like a failure" (in CPTSD). Additionally, "death" (in depression) is more likely to predict subsequent symptoms, while "feel like a failure" (in CPTSD) is more frequently activated by other symptoms. In the emerging adults, some strong cross-lagged effects were observed, such as "motor" (in depression) to "traumatic dreams" (in CPTSD) and "worthless" (in depression) to "feel like a failure" (in CPTSD). In addition, "exaggerated startle" (in CPTSD) tends to predict symptoms, while "feel like a failure" (in CPTSD) is more frequently activated. Findings suggested that interventions alleviating "death" (in depression) among adolescents and "exaggerated startle" (in CPTSD) among emerging adults may improve overall mental health.
经历过受欺凌受害的个体常常会出现复杂创伤后应激障碍(CPTSD)、抑郁和焦虑症状,这些症状相互影响。本研究旨在从变量水平和症状水平两个角度,探讨经历过童年受欺凌受害的青少年和新兴成年人中CPTSD、抑郁和焦虑之间的相互关系。在该研究中,共有3945名青少年和2726名有童年受欺凌受害经历的新兴成年人每隔6个月进行一次测量。所有参与者都完成了评估受欺凌受害、CPTSD、抑郁和焦虑的问卷。数据采用交叉滞后面板分析和交叉滞后网络分析进行分析。交叉滞后面板分析表明,CPTSD对抑郁和焦虑的预测更为强烈和一致,而反向影响在两组中都较弱。在症状水平上,对于青少年,(抑郁中的)“想死”影响(CPTSD中的)“觉得自己毫无价值”和“觉得自己是个失败者”。此外,(抑郁中的)“想死”更有可能预测后续症状,而(CPTSD中的)“觉得自己是个失败者”更频繁地被其他症状激活。在新兴成年人中,观察到一些强烈的交叉滞后效应,如(抑郁中的)“坐立不安”到(CPTSD中的)“创伤性梦境”,以及(抑郁中的)“毫无价值”到(CPTSD中的)“觉得自己是个失败者”。此外,(CPTSD中的)“夸张的惊吓反应”倾向于预测症状,而(CPTSD中的)“觉得自己是个失败者”更频繁地被激活。研究结果表明,减轻青少年(抑郁中的)“想死”和新兴成年人(CPTSD中的)“夸张的惊吓反应”的干预措施可能会改善整体心理健康。
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