Song Yueping, Li Yifei, Zhou Kai, Tang Jia, Chen Xuemeng, Liu Gaowang
Research Center for Social and Population Development, Renmin University of China, Beijing, China.
School of Population and Health, Renmin University of China, Beijing, China.
Front Psychol. 2025 Aug 14;16:1551243. doi: 10.3389/fpsyg.2025.1551243. eCollection 2025.
School bullying poses significant risks to the physiological and psychological health of female adolescent migrants, a vulnerable group often overlooked during their critical developmental period. This study investigates the specific correlations between different types of bullying exposure and multi-dimensional health outcomes among female high school students aged 15 to 18 in China.
Data were derived from a longitudinal observational cohort, including clinical records and structured survey assessments. We introduced a novel digital visual analog scale (VAS) to quantify psychological tendencies (e.g., depressive symptoms, sleep disturbances) and physiological indicators (e.g., menstrual irregularities, EEG/ECG variations). Participants were categorized into five groups: violent bullying, multiple bullying, verbal bullying, social bullying, and a non-bullied control group. Statistical analyses were performed to compare health outcomes across these groups.
Students subjected to violent and multiple bullying exhibited markedly higher levels of physiological dysfunction and psychological distress compared to the control group. Verbal and social bullying also resulted in significant psychological symptoms. The severity of bullying showed a positive correlation with elevated VAS scores, indicating a dose-response relationship. These findings underscore the profound impact of school bullying on the health of female adolescent migrants.
The results highlight an urgent need for targeted early detection and intervention strategies for this population. The digital VAS developed in this study proves to be an effective and sensitive tool for educators and clinicians to monitor and address the adverse health outcomes of bullying. These findings call for integrated support systems that address both the physical and mental health of vulnerable adolescents.
校园欺凌对女性青少年移民的生理和心理健康构成重大风险，这一弱势群体在其关键发育阶段常常被忽视。本研究调查了中国15至18岁女高中生中不同类型的欺凌暴露与多维度健康结果之间的具体关联。
数据来源于纵向观察队列，包括临床记录和结构化调查评估。我们引入了一种新型数字视觉模拟量表（VAS）来量化心理倾向（如抑郁症状、睡眠障碍）和生理指标（如月经不调、脑电图/心电图变化）。参与者被分为五组：暴力欺凌组、多重欺凌组、言语欺凌组、社交欺凌组和非受欺凌对照组。进行统计分析以比较这些组之间的健康结果。
与对照组相比，遭受暴力和多重欺凌的学生表现出明显更高水平的生理功能障碍和心理困扰。言语和社交欺凌也导致了显著的心理症状。欺凌的严重程度与VAS得分升高呈正相关，表明存在剂量反应关系。这些发现强调了校园欺凌对女性青少年移民健康的深远影响。
结果凸显了针对这一人群制定有针对性的早期检测和干预策略的迫切需求。本研究中开发的数字VAS被证明是教育工作者和临床医生监测和解决欺凌对健康的不良影响的有效且敏感的工具。这些发现呼吁建立综合支持系统，以解决弱势青少年的身心健康问题。
