| 引用本文： |
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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].Journal of Tongji University(Medical Science),2024,45(2):263-272. [点击复制]
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| 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 |
| 通信作者: |
| 投稿时间：2023-04-18 |
| 录用日期： |
| 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） |
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| 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 |
