青少年受欺凌经历与焦虑抑郁症状关系的网络分析

熊宇翔; 潘水波; 林锦峰; 韦乔悦; 吴俊端

doi:10.16835/j.cnki.1000-9817.2025290

青少年受欺凌经历与焦虑抑郁症状关系的网络分析

doi: 10.16835/j.cnki.1000-9817.2025290

熊宇翔¹,
潘水波²,
林锦峰¹,
韦乔悦^3, ,,
吴俊端^{1, 4, ,}

1.
广西医科大学公共卫生学院，南宁 530021
2.
贵港市疾病预防控制中心(贵港市卫生监督所医疗卫生所)，南宁 530021
3.
武汉大学公共卫生学院，南宁 530021
4.
广西卫生职业技术学院临床医学院，南宁 530021

基金项目:

广西自然基金重点项目 2022GXNSFDA035077

广西哲学社会科学研究项目 23FSH027

详细信息

作者简介:
熊宇翔(1996-)，男，广西桂林人，在读硕士，主要研究方向为儿童青少年心理卫生

通讯作者:
韦乔悦，E-mail: 2023103050015@whu.edu.cn

吴俊端，E-mail: wujunduan@gxmu.edu.cn

利益冲突声明 所有作者声明无利益冲突。
中图分类号: C913.5 B844.2 R179
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出版历程
- 收稿日期: 2025-06-23
- 修回日期: 2025-06-30
- 刊出日期: 2025-10-25

Network analysis of the relationship of bullying victimization with anxiety and depressive symptoms among adolescents

XIONG Yuxiang¹,
PAN Shuibo²,
LIN Jinfeng¹,
WEI Qiaoyue^{3
, ,},
WU Junduan^{1, 4
, ,}

1.
School of Public Health, Guangxi Medical University, Nanning 530021, Guangxi Zhuang Autonomous Region, China

摘要

摘要: 目的识别青少年受欺凌经历与焦虑抑郁症状网络结构中的核心症状和桥梁症状，深入探索三者间的联系，为欺凌行为精准防治和改善青少年心理健康状况提供依据。方法 2023年10—11月，采用分层整群随机抽样方法从广西的北海、贵港、河池和来宾4座城市抽取4 759名初、高中学生，使用中文版Olweus欺负问卷(OBVQ)调查受欺凌情况，使用广泛性焦虑障碍量表(GAD-7)、9项患者健康问卷(PHQ-9)分别评估焦虑症状和抑郁症状。使用R 4.4.1软件Bootnet包(1.6版)构建网络结构分析青少年受欺凌经历与焦虑抑郁症状的联系。结果广西青少年抑郁症状、焦虑症状和受欺凌经历的报告率分别为24.67%，16.33%，16.58%。网络分析显示，预期影响最高的节点为“拿走或损坏财物”，其标准化预期影响系数(EI)为2.09；桥梁预期影响位列前2的节点为“自伤或自杀想法”和“易怒”，其标准化桥梁预期影响系数(BEI)分别为2.15，1.27；节点“拿走或损坏财物”与“打、踢、推、撞等肢体攻击”“嘲笑口音”之间的关联较为紧密(边权重分别为0.43，0.35)。结论针对青少年受欺凌经历与焦虑抑郁症状网络中预期影响和桥梁预期影响最强的症状采取预防措施，可能是减少受欺凌经历和焦虑抑郁症状对青少年负面影响的有效途径。
- 暴力 /
- 焦虑 /
- 抑郁 /
- 精神卫生 /
- 青少年
Abstract: Objective To identify the core symptoms and bridge symptoms in the network structure among adolescents bullying victimization, anxiety and depressive symptoms, and to explore the interrelationships among these three variables, so as to provide a basis for the precise prevention of bullying behaviors and the improvement of adolescents' psychological health conditions. Methods From October to November 2023, a stratified cluster random sampling method was employed to select 4 759 middle and high school students from four cities in Guangxi: Beihai, Guigang, Hechi, and Laibin. The Chinese version of the Olweus Bully/Victim Questionnaire (OBVQ) was used to assess bullying victimization among adolescents, while the Generalized Anxiety Disorder-7 (GAD-7) and the Patient Health Questionnaire-9 (PHQ-9) were utilized to assess anxiety and depressive symptoms, respectively. The Bootnet package (version 1.6) in R software (version 4.4.1) was used to construct a network structure and analyze the associations between bullying victimization, anxiety symptoms and depressive symptoms among adolescents. Results The reporting rates of depressive symptoms, anxiety symptoms, and bullying victimization among adolescents in Guangxi were 24.67%, 16.33%, and 16.58%, respectively. Network analysis revealed that the node with the highest expected influence was "property being taken or damaged", with a standardized expected influence (EI) index of 2.09. The top two nodes in terms of bridge expected influence were "thoughts of self-harm or suicide" and "irritability", with standardized bridge expected influence (BEI) indices of 2.15 and 1.27, respectively. The stronger associations were observed between the node "property being taken or damaged" and the nodes "physical attacks such as hitting, kicking, pushing, or shoving" and "ridiculed due to accent", with edge weights of 0.43 and 0.35, respectively. Conclusion Targeting preventive measures against the symptoms with the highest expected influence and bridge expected influence in the network of bullying victimization, anxiety and depressive symptoms among adolescents may be an effective approach to reduce the negative impact of bullying victimization, anxiety and depressive symptoms on adolescents.
- Violence /
- Anxiety /
- Depression /
- Mental health /
- Adolescent
注释:

1) 利益冲突声明 所有作者声明无利益冲突。

HTML全文

图 1 青少年受欺凌经历与焦虑、抑郁症状的网络结构

注：节点外环填充程度表示该节点可预测性大小；线越粗表示相关性越强；实线表示正相关，虚线表示负相关。OBVQ 1~6分别为“起难听的外号，取笑或讽刺”“不让参加某些活动”“打、踢、推、撞等肢体攻击”“散布谣言”“拿走或损坏财物”“嘲笑口音”；PHQ 1~9分别为“快感缺乏”“心情低落”“睡眠问题”“精力缺乏”“食欲改变”“自我评价低”“注意力集中困难”“动作迟缓或急躁”“自伤或自杀想法”；GAD 1~7分别为“紧张”“难以控制担忧”“过多担忧”“难以放松”“坐立不安”“易怒”“害怕”。

Figure 1. Network structure of bullying victimization, anxiety and depressive symptoms among adolescents

下载: 全尺寸图片幻灯片

图 2 青少年受欺凌经历与焦虑、抑郁症状网络节点的标准化预期影响和标准化桥梁预期影响

注： OBVQ 1~6分别为“起难听的外号，取笑或讽刺”“不让参加某些活动”“打、踢、推、撞等肢体攻击”“散布谣言”“拿走或损坏财物”“嘲笑口音”；PHQ 1~9分别为“快感缺乏”“心情低落”“睡眠问题”“精力缺乏”“食欲改变”“自我评价低”“注意力集中困难”“动作迟缓或急躁”“自伤或自杀想法”；GAD 1~7分别为“紧张”“难以控制担忧”“过多担忧”“难以放松”“坐立不安”“易怒”“害怕”。

Figure 2. Standardized expected influence and standardized bridge expected influence of nodes in the adolescents bullying victimization, anxiety and depressive symptoms network

下载: 全尺寸图片幻灯片

表 1 不同性别与学段青少年抑郁症状、焦虑症状和受欺凌经历报告率比较

Table 1. Comparison of reporting rates of depressive symptoms, anxiety symptoms and bullying victimization among adolescents by gender and school stage

性别与学段	选项	人数	统计值	抑郁症状	焦虑症状	受欺凌经历
性别	男	2 192		425(19.39)	269(12.27)	407(18.57)
	女	2 567		749(29.18)	508(19.79)	382(14.88)
			χ²值	60.97	48.91	11.62
			P值	< 0.01	< 0.01	< 0.01
学段	初中	2 848		656(23.03)	473(16.61)	552(19.38)
	高中	1 911		518(27.11)	304(15.91)	237(12.40)
			χ²值	10.21	0.41	40.29
			P值	< 0.01	0.52	< 0.01
注：()内数字为报告率/%。

下载: 导出CSV

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