日常慢性压力源与心理弹性的结合与青少年校园欺凌及抑郁症状的中介作用有关

Future Pub Date : 2023-09-05 DOI:10.3390/future1020007
Maiheliyakezi Tuersunniyazi, Min Tong, Li Wang, Shumin Zhang, Yan Lu, Huijing Shi
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引用次数: 0

摘要

(1)背景:以往的研究表明,压力增加了青少年欺凌(包括施暴者和受害者)的风险,抑郁症状与压力和欺凌都有关联。然而,压力、抑郁症状和欺凌之间的关系尚未完全阐明。此外,以往的研究只关注压力源,而忽视了心理弹性在评估个体压力中的作用。本研究旨在将弹性纳入个体压力的评估中,我们称之为综合压力;探讨综合应激与霸凌的关系;然后调查抑郁症状在这一关系中的潜在作用。(2)方法:从上海市疾控中心2021年青少年危险行为监测项目中招募6353名初高中学生。在签署知情同意书后,参与者提供了人口统计信息,并完成了压力源、恢复力、抑郁症状和欺凌的有效测量。(3)结果:综合应激的潜在剖面分析显示,低应激-高应激力(37.57%,n = 2216)、中应激-平均应激力(14.38%,n = 848)、平均应激-中低应激力(33.33%,n = 1966)和高应激-低应激力(14.72%,n = 868)为综合应激的四个剖面。与低压力高恢复力组的学生相比,其他组的学生表现出更大的欺凌受害者和犯罪者的可能性,以及更高水平的抑郁症状。具体而言,高压力-低弹性组的学生遭受欺凌的几率最高(OR = 6.74, 95% CI: 4.92-9.22)和实施欺凌的几率最高(OR = 5.15, 95% CI: 3.56-7.46),抑郁症状水平最高(β = 11.35, Se(β) = 0.17)。平均压力源-中等低弹性特征的学生在欺凌受害(OR = 2.21, 95% CI: 1.63-3.00)和欺凌行为(OR = 2.69, 95% CI: 1.91-3.80)以及中度抑郁症状(β = 5.03, Se(β) = 0.13)的几率上有中等程度的增加。中等高压力源-平均恢复力组的学生也显示出欺凌受害(OR = 2.99, 95% CI: 2.12-4.20)和欺凌行为(OR = 2.80, 95% CI: 1.88-4.20)的几率增加,以及中度抑郁症状(β = 4.44, Se(β) = 0.16)。抑郁症状与加害者和加害者均呈正相关。进一步观察抑郁症状在综合应激与霸凌之间的中介作用。(4)结论:在评估个体压力时,结合应激源和心理弹性是至关重要的。综合压力与欺凌有关,抑郁症状可能部分介导这种关系。
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Daily Chronic Stressors in Combination with Resilience Are Associated with Adolescent School Bullying and the Mediating Role of Depressive Symptoms
(1) Background: Previous studies have shown that stress increases the risk of bullying (including perpetration and victimization) in adolescents, and depressive symptoms are associated with both stress and bullying. However, the relationship between stress, depressive symptoms, and bullying has not been fully elucidated. In addition, previous studies have focused only on stressors but have ignored the role of resilience in evaluating individual’s stress. This study aimed to incorporate resilience into the assessment of an individual’s stress, which we named comprehensive stress; to examine the relationship between comprehensive stress and bullying; and then to investigate the potential role of depressive symptoms in this relationship. (2) Methods: We recruited 6353 middle and high school students from the 2021 Shanghai CDC Youth Risk Behavior Surveillance Project. After signing informed consent, participants provided demographic information and completed effective measures of stressors, resilience, depressive symptoms, and bullying. (3) Results: Latent profile analysis revealed four profiles of comprehensive stress, labeled as Low stressor–High resilience (37.57%, n = 2216), Moderate high stressor–Average resilience (14.38%, n = 848), Average stressor–Moderate low resilience (33.33%, n = 1966), and High stressor–Low resilience (14.72%, n = 868). In comparison to students in the Low stressor–High resilience profile, students in other profiles demonstrated higher likelihoods of engaging in bullying victimization and perpetration, as well as higher levels of depressive symptoms. Specifically, students in the High stressor–Low resilience profile had the highest odds of bullying victimization (OR = 6.74, 95% CI: 4.92–9.22) and perpetration (OR = 5.15, 95% CI: 3.56–7.46), along with the highest level of depressive symptoms (β = 11.35, Se(β) = 0.17). Students in the Average stressor–Moderate low resilience profile had a moderate increase in the odds of bullying victimization (OR = 2.21, 95% CI: 1.63–3.00) and perpetration (OR = 2.69, 95% CI: 1.91–3.80), as well as a moderate level of depressive symptoms (β = 5.03, Se(β) = 0.13). Students in the Moderate high stressor–Average resilience profile also showed increased odds of bullying victimization (OR = 2.99, 95% CI: 2.12–4.20) and perpetration (OR = 2.80, 95% CI: 1.88–4.20), as well as a moderate level of depressive symptoms (β = 4.44, Se(β) = 0.16). Depressive symptoms were positively correlated with both perpetration and victimization. Furthermore, the mediating role of depressive symptoms between comprehensive stress and bullying was observed. (4) Conclusions: Combining stressors and resilience is crucial when evaluating an individual’s stress. Comprehensive stress is associated with bullying, and depressive symptoms may partially mediate this relationship.
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