受欺负、欺负容忍及认知情绪调节策略对儿童青少年焦虑抑郁的影响

doi:10.11852/zgetbjzz2023-1046

摘要/Abstract

摘要： 目的分析受欺负、欺负容忍与儿童青少年焦虑抑郁的关系及认知情绪调节策略对欺负容忍影响焦虑抑郁的调节效应,为进行干预提供依据。方法 2019年1月—2020年7月,采用儿童欺负问卷、中小学生欺负容忍问卷、认知情绪调节问卷中文版和28项一般健康问卷对1 768名儿童青少年学生进行测查。结果儿童青少年学生受欺负现象较为普遍,受言语欺负、关系欺负和身体欺负的比例分别为57.64%(1 019/1 768)、36.60%(647/1 768)和22.40%(396/1 768)。不同性别(t=2.00)、学段(F=101.38)和学习成绩(F=27.91)儿童青少年焦虑抑郁得分差异具有统计学意义(P<0.05)。受欺负、欺负容忍正向预测效应焦虑抑郁(β=0.14、0.13, P<0.01)。积极策略、消极策略对欺负容忍与焦虑抑郁关系具有调节作用(β=-0.10、0.08,P<0.01)。简单斜率分析结果表明,高积极策略水平上欺负容忍对焦虑抑郁无预测效应(P>0.05),而低积极策略水平上欺负容忍正向预测焦虑抑郁(β=0.28, P<0.01);高消极策略水平上欺负容忍正向预测焦虑抑郁(β=0.25, P<0.01),而低消极策略水平上欺负容忍对焦虑抑郁则无预测效应(P>0.05)。结论受欺负、欺负容忍正向预测儿童青少年焦虑抑郁,高积极策略和低消极策略能有效抑制欺负容忍对焦虑抑郁的风险而低积极策略和高消极策略则会放大欺负容忍对焦虑抑郁的风险。

关键词: 青少年, 受欺负, 欺负容忍, 认知情绪调节策略, 焦虑, 抑郁

Abstract: Objective To explore the relationship of victimization, bullying tolerance and anxiety/depression in adolescents, and to examine the moderating effect of cognitive emotion regulation strategies on the relationship between bullying tolerance and anxiety/depression,in order to provide basis for intervention. Methods From January 2019 to July 2020, 1 768 adolescents were selected into this survey, and completed Bully/Victim Questionnaire, Primary and Secondary School Bullying Tolerance Questionnaire, Cognitive Emotion Regulation Questionnaire and the 28 General Health questionnaires. Results Adolescents' victimization was relatively common and serious, the proportion of verbal bullying, relational bullying, and physical bullying was 57.64% (1 019/1 768), 36.60% (647/1 768), and 22.40% (396/1 768), respectirely. The scores of anxiety and depression of adolescents with different gender (t=2.00), school stage (F=101.38) and academic performance (F=27.91) were statistically significant (P<0.05).Victimization and bullying tolerance had predictive effect on adolescents' anxiety/depression (β=0.14, 0.13, P<0.01).Positive strategies, negative strategies had significant moderating effects on the relationship between bullying tolerance and anxiety/depression(β=-0.10、0.08, P<0.01).The simple slope analysis showed that at high positive strategy level, bullying tolerance had no significant predictive effect on anxiety/depression (P>0.05), while at a low positive strategy level, bullying tolerance had significant predictive effect on anxiety/depression (β=0.28, P<0.01).At a high negative strategy level, bullying tolerance had a significant predictive effect on anxiety/depression (β=0.25, P<0.01), while at a low negative strategy level, bullying tolerance had no significant predictive effect on anxiety/depression (P>0.05). Conclusions Victimization and bullying tolerance positively predict adolescent anxiety/depression.High levels of positive and low levels of negative strategies effectively inhibit the risk of anxiety/depression, while low levels of positive and high levels of negative strategies amplify the risk of anxiety/depression.

Key words: adolescents, victimization, bullying tolerance, cognitive emotion adjustment strategy, anxiety, depression

中图分类号:

R179

赵科, 尹绍清, 刘虹. 受欺负、欺负容忍及认知情绪调节策略对儿童青少年焦虑抑郁的影响[J]. 中国儿童保健杂志, 2024, 32(3): 268-272.

ZHAO Ke, YIN Shaoqing, LIU Hong. Effects of victimization, bullying tolerance on anxiety/depression in adolescentsand moderating role of cognitive emotion regulation strategies[J]. Chinese Journal of Child Health Care, 2024, 32(3): 268-272.

参考文献

[1] 沈彦,郑娇,史战明,等.重庆市儿童青少年焦虑抑郁发生情况调查[J].国际精神病学杂志,2021,48(6):991-993.
Shen Y, Zheng J, Shi ZM, et al.Investigation of anxiety and depression in children and adolescents in Chongqing[J].Journal of International Psychiatry, 2021,48(6):991-993.(in Chinese)
[2] 杨晨,李胜巧,杨丽,等.昆明市某普通高中毕业班学生抑郁障碍调查与影响因素分析[J].心理月刊, 2021,16(11):11-12.
Yang C, Li SQ, Yang L, et al.Investigation and influencing factors of depressive disorder among senior high school students in Kunming City[J].Psychologies Magazine, 2021,16(11):11-12.(in Chinese)
[3] 刘福荣,宋晓琴,尚小平,等.中学生抑郁症状检出率的 meta 分析[J].中国心理卫生杂志, 2020, 34(2):123-128.
Liu FR, Song XQ, Shang XP, et al.Meta-analysis of depressive symptom detection rate in middle school students[J].Chinese Journal of Mental Health, 2020, 34(2):123-128.(in Chinese)
[4] Rao WW, Xu DD, Gao XL, et al.Prevalence of depressive symptoms in children and adolescents in China: A meta-analysis of observational studies[J].Psychiatry Res, 2019,272:790-796.
[5] 谢小敏,冯蓓,李亚莉,等.青少年抑郁症状的相关家庭因素研究[J].中国儿童保健杂志,2022,30(4):446-449.
Xie XM, Feng B, Li YL, et al.Family factors related to depressive symptoms in adolescents[J].Chin J Child Health Care, 2022,30(4):446-449.(in Chinese)
[6] 吴正慧,赵占锋,谭咏梅,等.小学生校园欺凌及其与问题行为和生活满意度的关系[J].中国心理卫生杂志, 2023, 37(3):213-218.
Wu ZH, Zhao ZF, Tan YM, et al.Relationships among school bullying, problem behavior and life satisfaction in primary school students[J].Chinese Journal of Mental Health, 2023, 37(3):213-218.(in Chinese)
[7] 王京京,侯皓,裴一霏,等.网络成瘾和睡眠时长在青少年受校园欺凌与抑郁间的链式中介作用[J].现代预防医学, 2022,49(4):636-639.
Wang JJ, Hou H, Pei YF, et al.The link mediating effect of internet addiction and sleep duration on school bullying and depression in adolescents[J].Modern Preventive Medicine, 2022, 49(4):636-639.(in Chinese)
[8] 田卓旸,吴柯,张恒榛,等.河南省中学生校园欺凌参与对烟酒使用的影响[J].现代预防医学2023,50(4):644-648.
Tian ZY, Wu K, Zhang HZ, et al.Effects of school bullying on tobacco and alcohol use among middle school students, Henan[J].Modern Preventive Medicine, 2023, 50(4):644-648.(in Chinese)
[9] 黎亚军.儿童青少年欺负/受欺负行为的发生模式研究[J].中国临床心理学杂志,2021,29(3):489-495.
Li YJ.The co-occurring patterns of bullying/victimization behaviors in adolescents[J].Chinese Journal of Clinical Psychology, 2021,29(3):489-495.(in Chinese)
[10] 大竹阳一郎,罗学荣,汪贝妮.网络欺负与初中生非临床抑郁体验[J].中国临床心理学杂志,2018,26(6):1115-1118.
Yoichiro O, Luo XR, Wang BN.Non-clinical depressive experiences and cyberbullying victimization among middle school students[J].Chinese Journal of Clinical Psychology, 2018,26(6):1115-1118.(in Chinese)
[11] 郑允佳,麦嘉怡,刁绍华,等.小学生归因风格与受欺负应对方式的关系[J].中国健康心理学杂志,2020,28(7):1052-1056.
Zheng YJ, Mai JY, Diao SH, et al.Relationship between attributional style and coping strategy with victimization among pupil[J].Chinese Journal of Health Psychology, 2020,28(7):1052-1056.(in Chinese)
[12] 康晟.云南边疆寄宿制中小学生的欺负行为与心理健康:欺负容忍的中介作用研究[D].昆明:云南师范大学,2018.
Kang S.Bullying behavior and mental health of boarding primary and middle school students in Yunnan frontier: an intermediary study of bullying tolerance[D].Kunming: Yunnan Normal University, 2018.(in Chinese)
[13] 依赛男,张珊珊.有留守经历大学生儿童期虐待与焦虑抑郁的关系——认知情绪调节的中介作用[J].中国健康教育,2018, 34(10):920-923.
Yi SN, Zhang SS.The relationship between childhood abuse and anxiety/depression of university students with left-behind experience: Mediating effect of cognitive emotion regulation[J].Chinese Journal of Health Education, 2018, 34(10):920-923.(in Chinese)
[14] 刘小娟, 陈冲, 杨思, 等.认知情绪调节在青少年生活事件和焦虑、绝望之间的调节作用[J].中国健康心理学杂志,2010,18(8):987-988.
Liu XJ, Chen C, Yang S, et al.Cognitive emotion regulation as moderator among adolescents' life events,anxiety and hopelessness[J].Chinese Journal of Health Psychology, 2010, 18(8):987-988.(in Chinese)
[15] 张文新, 武建芬.Olweus儿童欺负问卷中文版的修订[J].心理发展与教育,1999(2):7-11.
Zhang WX, Wu JF.Revision of the Chinese version of Olweus Child Bullying Questionnaire[J].Psychological Development and Education, 1999(2):7-11.(in Chinese)
[16] 朱熊兆,罗伏生,姚树桥,等.认知情绪调节问卷中文版(CERQ-C)的信效度研究[J].中国临床心理学杂志,2007,15(2):121-131.
Zhu XZ, Luo FS, Yao SJ, et al.Reliability and validity of the Cognitive Emotion Regulation Questionnaire-Chinese Version[J].Chinese Journal of Clinical Psychology, 2007, 15(2):121-131.(in Chinese)
[17] 陈翠,张红静,江虹,等.一般健康问卷(GHQ-28)应用于大学生心理健康研究的信效度检验[J].山东大学学报(医学版),2010, 48(3):159-162.
Chen C, Zhang HJ, Wang H, et al.Assessing the general mental health of college students: Psychometric properties of GHQ-28[J].Journal of Shandong University (Health Sciences), 2010, 48(3):159-162.(in Chinese)
[18] 刘小群,杨孟思,彭畅,等.湖南省校园欺凌现况及不同角色间影响因素分析[J].中国公共卫生, 2020,36(6):870-874.
Liu XQ, Yang MS, Peng C, et al.Prevalence and influencing factors of bullying: Bullies, victims, and bully victims among high school students in Hunan province[J].Chin J Public Health, 2020, 36(6):870-874.(in Chinese)
[19] 徐涛,周县委,张天成,等.中国中学生抑郁症状危险因素的Meta分析[J].现代预防医学,2022,49(5):814-818,844.
Xu T, Zhou XW, Zhang TC, et al.Risk factors of depressive symptom among Chinese middle school students: A meta-analysis[J].Modern Preventive Medicine, 2022, 49(5):814-818,844.(in Chinese)
[20] 吴凝,周婷,黄峥.青少年生活目标感与抑郁症状及年级的关系[J].中国学校卫生,2023,44(5):682-685,690.
Wu N, Zhou T, Huang Z.Relationship between adolescents' sense of life purpose and depression the moderating role of grade[J].Chin J Sch Health, 2023, 44(5):682-685,690.(in Chinese)
[21] Barlow MA, Wrosch C, McGrath JJ.Goal adjustment capacities and quality of life: A meta-analytic review[J].J Pers, 2020,88(2):307-323.
[22] 刘文,张靖宇,于增艳,等.焦虑、抑郁与消极认知情绪调节策略关系的元分析[J].中国临床心理学杂志,2018,26(5):938-943.
Liu W, Zhang JY, Yu ZY, et al.A meta-analysis of the relationship between anxiety/depression and negative cognitive emotion strategies[J].Chinese Journal of Clinical Psychology, 2018, 26(5):938-943.(in Chinese)
[23] 邱小艳,刘小群.初中生受欺负与抑郁的关系:性别的调节作用[J].湖南科技学院学报,2018,39(10):125-127.
Qiu XY, Liu XQ.The relationship between bullying and depression in middle school students: the moderating effect of gender[J].Journal of Hunan University of Science and Engineering, 2018, 39(10):125-127.(in Chinese)
[24] 任萍,魏一,孟晓哲,等.受欺负对抑郁情绪的影响:悲伤、愤怒反刍的中介作用及性别差异[J].心理发展与教育,2021,37(6):873-881.
Ren P, Wei Y, Meng XZ, et al.The effect of victimization on depressive symptoms: The mediating roles of sadness rumination, anger rumination and gender differences[J].Psychological Development and Education, 2021,37(6):873-881.(in Chinese)