中学生校园被欺凌行为、情绪行为与非自杀性自伤的关系  

Relationships of Bullying Victimization and Emotional Behaviors to Non-Suicidal Self-Injury in Middle School Students

作　　者：陈小龙 唐寒梅[2] 邹仪瑄[3] 杨丽霞 傅树坚[5] 章利明 胡旺 詹文韵[7] 黄鹏 CHEN Xiao-long;TANG Han-mei;ZOU Yi-xuan;YANG Li-xia;FU Shu-jian;ZHANG Li-ming;HU Wang;ZHAN Wen-yun;HUANG Peng(2016 Grade of Medical Department of Graduated School Nanchang 330031,China;Evidence-Based Medicine Center of School of Public Health,Nanchang University,Nanchang 330006,China;2016 Grade,School of Queen Marie,Nanchang University,Nanchang 330031,China;Psychological Counseling Room,the Affiliated Middle School of Nanchang University, Nanchang 330029,China;Linchuan Second Middle School of Jiangxi Province, Linchuan 344000,China;Chongren County Second Middle School,Chongren 344200,China;Department of Basic Nursing,Jiangxi School of Nursing of Institute of Science and Technology College,Nanchang 330098,China;Jiangxi Province Key Laboratory of Preventive Medicine,Nanchang University,Nanchang 330006,China)

机构地区：[1]南昌大学研究生院医学部,2016级南昌330006 [2]南昌大学公共卫生学院循证医学中心,南昌330006 [3]南昌大学玛丽女王学院,2016级南昌330031 [4]南昌大学附属中学心理咨询室,南昌330029 [5]江西省临川第二中学,江西临川344000 [6]崇仁县第二中学,江西崇仁344200 [7]江西科技学院护理学院基础护理教研室,南昌330098 [8]江西省预防医学重点实验室,南昌330006

出　　处：《南昌大学学报（医学版）》2019年第1期71-75,共5页Journal of Nanchang University：Medical Sciences

基　　金：江西省教育厅科学技术研究项目(GJJ150224);南昌大学研究生创新专项资金项目(CX2018178)

摘　　要：目的了解中学生校园被欺凌行为、情绪行为与非自杀性自伤(NSSI)的关系,同时通过结构方程模型分析情绪行为问题在该关系中的中介或调节作用。方法以南昌大学附属中学、江西省临川第二中学和崇仁县第二中学的中学生为研究对象。使用自伤评定问卷、Olweus欺凌问卷、长处与困难问卷(SDQ)对研究对象进行问卷调查。运用SPSS22.0软件进行数据统计分析,使用Mplus7.0软件进行结构方程模型构建以及中介效应分析。结果中学生NSSI检出率为33.7%,校园被欺凌的报告率为13.7%。校园被欺凌、情绪行为得分与NSSI得分呈正相关(r=0.18、0.27,均P<0.001);被欺凌是中学生NSSI的独立危险因素(β=0.305,P<0.001),情绪行为能够正向预测NSSI的发生(β=0.255,P<0.001);在中学生校园被欺凌对NSSI的影响过程中,情绪行为发挥中介作用,且为部分中介作用,中介效应占总效应的29.95%。结论中学生被欺凌、情绪行为均与NSSI有关联,情绪行为问题在被欺凌对NSSI的影响中发挥部分中介作用。对中学生情绪行为问题进行及时干预,可能有利于NSSI的预防和控制。Objective To explore the relationshipsofbullying victimization and emotional behaviorsto non-suicidal self-injury(NSSI) in middle school students,and to analyze the mediating or regulating effect of emotional and behavioral difficulties using structural equation modeling. Methods The students were investigated usingthe Self-Injury Assessment Questionnaire,Olweus Bully/Victim Questionnaire and Strengths and Difficulties Questionnaire in three middle schools in Jiangxi Province,which were the middle school attached to Nanchang university,Linchuan No.2 middle school and Chongren No.2 middle school,respectively. The data were analyzed by SPSS22.0. The Mplus7.0 was used to constructthe structural equation model and to analyze the mediating effect. Results The prevalence rate of NSSI was 33.7% and the rate of reported bullying victimization was 13.7%in middle school students.Both bullying victimization and emotional behaviors were positively related to NSSI( r =0.18、0.27,all P <0.001).Bullying victimization was an independent risk factor for NSSI in middle school students(β=0.305, P <0.001).Emotional behaviors could positively predict the occurrence of NSSI(β=0.255, P <0.001).Emotional and behavioral problems played a partial mediating effect(29.95% of the total effect) between bullying victimization and NSSI. Conclusion middle school students,both bullyingvictimization and emotional behaviors are associated with NSSI,and emotional and behavioral problems play a partial mediating role in the impact of bullying victimization on NSSI.Timely intervention for emotional and behavioral problems may be beneficial to the prevention and control of NSSI in middle school students.

关 键 词：被欺凌行为 情绪行为 非自杀性自伤 中介 中学生 

分 类 号：R181[医药卫生—流行病学] R749[医药卫生—公共卫生与预防医学]