Association between different types of peer victimization and psychotic-like experiences among junior high school students

初中学生不同类型同伴欺凌行为与精神病性体验的关联

Authors：Zhang Tingting, Li Yonghan, Su Puyu

Source：Chinese Journal of School Health

DOI: 10.16835/i.cnki.1000-9817.2025197

Abstract

Objective: To explore the association between peer victimization and psych like experiences among junioror high school students, providing a scientific basis for preventing adolescent PLEs.

Methods: In January 2024, a method of combining convenient sampling with cluster sampling was used to survey 2,760 students from two ordinary junior high schools in southern Anhui Province, Susong County, Anqing City. The Community Assessment of Psychic Experiences (CAPE) and the Adolescent Peer Bullying Scale were employed to assess PLEs. Peer Bullying Scale were employed to assess PLEs with different symptoms and peer victimization, verbal, physical, relational, and cyberbullying. Multivariate logistic regression models analyzed the associations of different types of peer victimization and PLEs with different symptoms.

Results: The prevalence of PLEs was 17.5% with delusional (15.4%) and hallucinatory (7.4%) symptoms being most common. Peer victimization was reported by 51.3% of students,(49.6% victims 19.5% perpetrators), with verbal victimization being most frequent (42.4% Victims 15.5% Perpetrators) and cyberbullying least frequent (6.0% Victims, 1.9% perpetrators). Compared to students without bullying, students exposed to bullying showed significantly higher rates of delusional

(χ² = 29.09–127.22), hallucinatory (χ² = 27.23–72.29), and overall PLEs (χ² = 34. 32–127.25) (all P < 0.01). After adjustingfor relevant confounding factors, the multiple logistic regression model revealed verbal victimization increased risks of delusions (OR = 1.59, 95%CI = 1.22–2.09), hallucinations (OR = 1.94, 95%CI = 1.33–2.84) and overall PLEs (OR = 1.62, 95%CI =1.26–2.09);relational victimization was associated with delusions (OR = 1.83, 95% CI = 1.40–2.39) and PLEs (OR = 1.65, 95%CI = 1.28–2.13); physical victimization correlated with hallucinations (OR = 1.64, 95% CI = 1.12–2.40) and PLEs (OR = 1.41, 95% CI = 1.06–1.87)(all P < 0.05). Conclusion: Specific types of peer victimization are differentially associated with PLEs with relational victimization demonstrating the strongest association.

Keywords: Violence, Mental health, Regression analysis, Students

摘要：

目的：探讨初中学生同伴欺凌行为与精神病性体验（PLEs）的关联，为有效防控青少年PLEs提供科学依据。

方法：2024年1月，利用方便抽样与整群抽样相结合的方法从皖南地区（安庆市宿松县）选取2所普通初级中学2 760名学生进行调查，采用社区精神病性评估问卷（CAPE）和中学生同伴欺凌问卷调查初中生不同症状PLEs以及同伴欺凌中言语欺凌、躯体欺凌、关系欺凌和网络欺凌行为的发生情况。采用多因素Logistic回归模型探讨初中生不同类型同伴欺凌行为与不同症状PLEs的关联。

结果：初中生PLEs检出率为17.5%，妄想体验和幻觉体验检出率分别为15.4%和7.4%。同伴欺凌行为总体报告率为51.3%，遭受欺凌和欺凌他人报告率分别为49.6%和19.5%，其中遭受言语欺凌和言语欺凌他人报告率均最高（42.4%，15.5%），遭受网络欺凌和网络欺凌他人报告率均最低（6.0%，1.9%）。相比没有经历欺凌行为的学生，经历过欺凌行为的初中生妄想体验、幻觉体验和PLEs检出率均较高（χ²值分别为29.09～127.22，27.23～72.29，34.32～127.25，P值均<0.01）。多因素Logistic回归模型显示，调整相关混杂因素后，初中生遭受言语欺凌与妄想体验（OR=1.59，95%CI=1.22～2.09）、幻觉体验（OR=1.94，95%CI=1.33～2.84）和PLEs（OR=1.62，95%CI=1.26～2.09）风险均正向相关，遭受关系欺凌与妄想体验（OR=1.83，95%CI=1.40～2.39）、PLEs(OR=1.65，95%CI=1.28～2.13）风险均正向相关，遭受躯体欺凌与幻觉体验（OR=1.64，95%CI=1.12～2.40）、PLEs（OR=1.41，95%CI=1.06～1.87）风险增加均相关（P值均<0.05）。

结论：初中生不同类型遭受欺凌行为与不同症状PLEs之间存在关联，其中遭受关系欺凌与PLEs的关联性较强。

关键词：暴力；精神卫生；回归分析；学生