儿童青少年霸凌与精神病理症状的交叉滞后网络分析  

The cross-lagged panel network analysis of bullying and psychopathological symptoms among adolescents

作　　者：马千淑 谢敏[1] 邓伟利 罗宇鹏[1] 王强[1] MA Qianshu;XIE Min;DENG Weili;LUO Yupeng;WANG Qiang(West China Hospital,Chengdu 610041,China)

机构地区：[1]四川大学华西医院心理卫生中心,成都610041

出　　处：《中国神经精神疾病杂志》2025年第2期82-88,共7页Chinese Journal of Nervous and Mental Diseases

基　　金：四川大学华西医院博士后研发基金(编号:2023HXBH084);四川省科技计划项目(编号:2022YFS0183)。

摘　　要：目的探究霸凌的实施和受害与儿童青少年精神病理症状的双向动态关联。方法使用美国青少年大脑认知发展(Adolescent Brain Cognitive Development,ABCD)研究公共数据集。以8413名儿童青少年为研究对象,通过同伴经历问卷和简明问题监测问卷分别收集霸凌的实施和受害情况以及评估儿童青少年精神病理症状的3个维度(注意力、外化和内化),采用交叉滞后网络分析霸凌和儿童青少年精神病理症状之间的双向动态关联。结果霸凌的实施到外化问题是显著的交叉滞后边缘(OR=2.36),冲动既是预期外影响(out-expected influence,OEI)最强的节点(OEI=5.21),又是桥预期影响(bridge-expected influence,BEI)最强的节点(BEI=4.35),预期内影响(inexpected influence,IEI)最强的节点是暴力威胁(IEI=5.61)。结论霸凌和儿童青少年病理症状之间相互影响。霸凌实施会加重后续的外化问题,冲动是最容易影响霸凌实施和外化、内化问题的精神病理症状,同样也是连接两者的桥接症状。Objective To explore the bi-directional dynamic associations of bullying perpetration and victimisation with psychopathological symptoms in children and adolescents.Methods The Adolescent Brain Cognitive Development(ABCD)public dataset was used.Three dimensions of bullying perpetration and victimisation and child-adolescent psychopathological symptoms:attention,externalisation and internalisation were collected from 8413 child-adolescents using the peer experiences questionnaire(EPQ)and the brief problem monitoring(BPM)questionnaire,respectively.Bidirectional dynamic associations between bullying and child-adolescent psychopathological symptoms were analysed using cross-lagged networks.Results Bullying implementation to externalising problems was a significant cross-lagged edge(OR=2.36);impulsivity was both the strongest node of out-expected influence(OEI=5.21)and bridge-expected influence(BEI=4.35),and the strongest node of in-expected influence(IEI)was threat of violence(IEI=5.61).Conclusion There is an interaction between bullying and child-adolescent pathology symptoms.Bullying perpetration exacerbates subsequent externalising problems,and impulsivity is the most likely psychopathological symptom to influence both bullying perpetration and externalising internalising problems and it is also the bridging symptom connecting the two.

关 键 词：霸凌 精神病理症状 网络分析 儿童青少年 交叉滞后分析 内化问题 外化问题 

分 类 号：R749[医药卫生—神经病学与精神病学]