江西省中学生被欺凌与非自杀性自伤的关系:社会支持和心理韧性的链式中介作用  

Association between bullying victimization and NSSI in secondary school students in Jiangxi Province:the chain-mediated role of social support and resilience

作　　者：王璐 胡达振 段文静 谢煜相 羊姝 黄鹏[1] WANG Lu;HU Da-zhen;DUAN Wen-jing;XIE Yu-xiang;YANG Shu;HUANG Peng(Center for Evidence-Based Medicine,School of Public Health,Jiangxi Medical College/Jiangxi Provincial Key Laboratory of Disease Prevention and Public Health,Nanchang University,Nanchang,Jiangxi 330006,China)

机构地区：[1]南昌大学公共卫生学院循证医学中心/疾病预防与公共卫生江西省重点实验室,江西南昌330006

出　　处：《现代预防医学》2024年第16期2998-3003,共6页Modern Preventive Medicine

基　　金：江西省研究生创新专项基金项目(YC2022-s220)。

摘　　要：目的探讨中学生被欺凌与非自杀性自伤的关系,以及社会支持、心理韧性在其间的可能作用,为降低校园欺凌的发生提供思路。方法2023年3月,以江西省三所中学学生为研究对象,使用自制问卷收集中学生基本信息,使用Olweus欺凌问卷中文版、青少年社会支持量表、渥太华自伤量表等问卷进行问卷调查。分析被欺凌与非自杀性自伤的关系以及社会支持、心理韧性在其间的链式中介作用。结果本次调查的中学生被欺凌报告率为18.56%,非自杀性自伤行为检出率为34.4%。被欺凌、非自杀性自伤与社会支持、心理韧性分别呈负相关(r=-0.34~-0.16,P<0.001),被欺凌和非自杀性自伤之间正相关(r=0.18,P<0.001),社会支持和心理韧性之间正相关(r=0.66,P<0.001)。中介效应分析结果显示,社会支持在被欺凌与非自杀性自伤之间的简单中介效应为0.036(95%CI:0.014~0.064),社会支持与心理韧性在二者之间的链式中介效应为0.029(95%CI:0.011~0.056)。结论中学生被欺凌经历可能增加非自杀性自伤风险,社会支持和心理韧性在其间起链式中介作用。提高中学生的社会支持和心理韧性,或许可以减少中学生与校园欺凌相关的非自杀性自伤行为。Objective e To explore the effects of social support and resilience on bullied secondary school students and non-suicidal self-injury,and analyze the association between social support and resilience,so as to provide reference for preventing school bullying.Method In March 2023,three middle schools in Jiangxi Province were used as site sites to investigate the current situation using self-made general situation questionnaire,Olweus Bully questionnaire,social support scale for adolescents,cognitive emotion regulation questionnaire(CERQ),Ottwa self-injury inventory questionnaire(OSI).To explore the role of social support and resilience in the chain mediation between bullying victimization and non-suicidal self-injury.Results The report rate of bullying victimization was 18.56%,and the detection rate of non-suicidal self-injury was 34.4%.Bullying victimization and NSSI were negatively correlated with social support and resilience(r=-0.34--0.16,P<0.001),bullying victimization was positively correlated with NSSI(r=0.18,P<0.001),and social support was positively correlated with resilience(r=0.66,P<0.001).The results of mediating effect analysis showed that the simple mediating effect of social support between bullied and non-suicidal self-injury was 0.036(95%CI:0.014-0.064),and the chain mediating effect of social support and resilience was 0.029(95%Cl:0.011-0.056).Conclusion The bullying experience of secondary school students positively increases the risk of non-suicidal self-injury,and social support and resilience play chain mediating roles in this process.Improve the social support and resilience of secondary school students to reduce the non-suicidal self-injury behavior related to school bullying.

关 键 词：被欺凌 社会支持 心理韧性 非自杀性自伤 链式中介模型 

分 类 号：R179[医药卫生—妇幼卫生保健] R395.6[医药卫生—公共卫生与预防医学]