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  • 张萌萌,杨舒然,柯强,等.校园欺凌与攻击性行为对青少年非自杀性自伤的双重影响: 一项横断面研究[J].同济大学学报(医学版),2024,45(2):263-272.    [点击复制]
  • ZHANG Mengmeng,YANG Shuran,KE Qiang,et al.Relationship of school bullying and aggressive behavior with non-suicidal self-injury among adolescents[J].同济大学学报(医学版),2024,45(2):263-272.   [点击复制]
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校园欺凌与攻击性行为对青少年非自杀性自伤的双重影响: 一项横断面研究
张萌萌,杨舒然,柯强,赵旭东
0
(同济大学医学院,上海200092;同济大学附属东方医院临床心理科,上海200120;同济大学附属精神卫生中心(上海市浦东新区精神卫生中心),同济大学精神疾病临床研究中心,同济大学医学院中德精神卫生研究所,上海200122;上饶市第三人民医院心理睡眠科,江西 上饶334000)
摘要:
目的探讨青少年非自杀性自伤(non-suidical self-injury, NSSI)的发生和发展机制,关注校园欺凌和攻击性行为与青少年NSSI之间的关联,以期为预防和干预这一问题提供理论依据和实践建议。 方法采用横断面研究设计,研究对象为15 987位中国辽宁、上海和江西三个省的初高中学生,代表了不同的社会、经济和文化背景。通过问卷调查法收集数据,并运用相关分析、回归分析和结构方程模型等统计方法进行分析,以揭示各变量间的关系及相互作用。 结果校园欺凌与NSSI呈正向关系(非标准化系数=0.420,标准化系数=0.247,Z=18.123,P<0.001),欺凌程度越高,自伤风险也越高。攻击性行为与NSSI之间同样存在正向关系(非标准化系数=0.230,标准化系数=0.201,Z=14.301,P<0.001),攻击性行为越强烈,自伤风险也越高。校园欺凌对攻击性行为的影响显著(非标准化系数=1.052,标准化系数=0.708,Z=75.223,P<0.001),欺凌程度越高,攻击性行为也越严重。结构方程模型结果表明,模型在解释校园欺凌、攻击性行为与青少年NSSI关系方面具有较好的拟合效果。 结论研究发现,校园欺凌和攻击性行为对青少年NSSI具有显著影响,且青少年的欺凌和攻击性行为存在地区差异。预防和干预措施应综合学校、家庭和社会力量,加强师生间沟通,提高教师对问题行为的识别和干预能力,增进家长对青少年心理健康的关注,以降低青少年NSSI风险。
关键词:  非自杀性自伤  校园欺凌  攻击性行为  青少年  地区差异
DOI:10.12289/j.issn.2097-4345.23126
投稿时间:2023-04-18
基金项目:国家社会科学基金重大项目(22&ZD187);上海市卫生健康委员会行业临床研究专项(202140039);上海市浦东新区医学临床高原学科建设项目(PWYgy2018-10)
Relationship of school bullying and aggressive behavior with non-suicidal self-injury among adolescents
ZHANG Mengmeng,YANG Shuran,KE Qiang,ZHAO Xudong
(School of Medicine, Tongji University, Shanghai 200092, China; Department of Clinical Psychology, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai 200120, China; Clinical Research Center for Mental Disorders, Chinese-German Institute of Mental Health, Shanghai Pudong New Area Mental Health Center, School of Medicine, Tongji University, Shanghai 200122, China;Department of Sleep Psychology, Shangrao Third People’s Hospital, Shangrao 334000, Jiangxi Province, China)
Abstract:
ObjectiveTo investigate the relationship of school bullying and aggressive behavior with nonsuicidal self-injury(NSSI) in adolescents. MethodsA total of 15 987 middle and high school students from Liaoning, Shanghai, and Jiangxi provinces in China were enrolled in this cross-sectional study. Data were collected through questionnaires and analyzed using correlation analysis, regression analysis, and structural equation modeling to reveal the relationships and interactions between variables. ResultsThere was a positive relationship between school bullying and NSSI(unstandardized coefficient=0.420, standardized coefficient=0.247, Z=18.123, P<0.001). Similarly, a positive relationship was found between aggressive behavior and NSSI(unstandardized coefficient=0.230, standardized coefficient=0.201, Z=14.301, P<0.001). School bullying significantly influenced aggressive behavior(unstandardized coefficient=1.052, standardized coefficient=0.708, Z=75.223, P<0.001). The structural equation modeling results showed that the model had a good fit in explaining the relationship of school bullying and aggressive behavior with NSSI in adolescents. ConclusionThe study reveals that school bullying and aggressive behavior have a significant impact on nonsuicidal self-injury among adolescents, and regional differences may affect bullying and aggressive behavior in adolescents.
Key words:  non-suicidal self-injury  school bullying  aggressive behavior  adolescents  regional differences

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