دانلود مقاله ISI انگلیسی شماره 36759
عنوان فارسی مقاله

مورد آزار واقع شدن در طی دوران کودکی و مسیر آینده نگر برای خودآزاری در اواخر نوجوانی

کد مقاله سال انتشار مقاله انگلیسی ترجمه فارسی تعداد کلمات
36759 2013 13 صفحه PDF سفارش دهید محاسبه نشده
خرید مقاله
پس از پرداخت، فوراً می توانید مقاله را دانلود فرمایید.
عنوان انگلیسی
Being Bullied During Childhood and the Prospective Pathways to Self-Harm in Late Adolescence
منبع

Publisher : Elsevier - Science Direct (الزویر - ساینس دایرکت)

Journal : Journal of the American Academy of Child & Adolescent Psychiatry, Volume 52, Issue 6, June 2013, Pages 608–618.e2

کلمات کلیدی
مطالعه طولی آون از والدین و کودکان - قلدری - افسردگی - خودآزاری - قربانی
پیش نمایش مقاله
پیش نمایش مقاله مورد آزار واقع شدن در طی دوران کودکی و مسیر آینده نگر برای خودآزاری در اواخر نوجوانی

چکیده انگلیسی

Objective To assess whether being bullied between 7 and 10 years of age is directly associated with self-harm in late adolescence when controlling for previous exposure to an adverse family environment (domestic violence, maladaptive parenting); concurrent internalizing and externalizing behavior; and subsequent psychopathology (borderline personality disorder and depression symptoms). Method A total of 4,810 children and adolescents in the Avon Longitudinal Study of Parents and Children (ALSPAC) cohort were assessed to ascertain bullying exposure (between 7 and 10 years of age) and self-harm at 16 to 17 years. Results A total of 16.5% of 16- to 17-year-olds reported self-harm in the previous year. Being bullied was associated with an increased risk of self-harm directly, and indirectly via depression symptoms in early adolescence. The association between an adverse family environment (exposure to maladaptive parenting and domestic violence) and self-harm was partially mediated by being bullied. Conclusions Being bullied during childhood increases the risk of self-harm in late adolescence via several distinct pathways, for example, by increasing the risk of depression and by exacerbating the effects of exposure to an adverse family environment; as well as in the absence of these risk exposures. Health practitioners evaluating self-harm should be aware that being bullied is an important potential risk factor.

مقدمه انگلیسی

Self-harm is a widespread problem, with a self-reported prevalence of 14% to 17% among adolescents and young adults in the United States.1 and 2 It results in a large number of presentations to hospitals, leading to high economic cost.3 Typical self-harm behaviors include cutting, burning, or swallowing pills.4 and 5 Self-harm may be used to relieve tension or to communicate stress, and, in the most extreme cases, may represent acts with suicidal intent.6 Delineating the developmental antecedents of self-harm and highlighting at-risk groups is important, as single episodes often lead to a repetition of such behavior,7 and self-harm is a key predictor of completed suicide.8

نتیجه گیری انگلیسی

Results Prevalence of Being Bullied and Self-Harm A total of 905 participants (18.8%; male, 180; female, 725) reported self-harm at any point in the past,4 and 792 (16.5%; male, 162; female, 630) reported harming themselves in the previous year. Of these 792 individuals, 306 (38.6%) harmed themselves once, 286 (36.1%) 2 to 5 times; 80 (10.1%) 6 to 10 times, and 120 (15.2%) more than 10 times. Although 579 adolescents (74.7%; male, 118; female, 461) self-harmed without an intention to die, 213 (26.9%; male, 44; female, 169) wanted to die. Cutting (n = 489; 61.8%) was the most commonly reported method of self-harm (details in Kidger et al. 4). According to child report, 38% of children were bullied at 8 years and 22.9% at 10 years. According to mother report, 16% of children were bullied at 7 years, 20.5% at 8 years, and 21.5% at 9 years. According to teacher report, 8.7% of children were bullied at 7 years and 12.3% at 10 years. The relative prevalence according to informant is congruent with previous findings, suggesting that some instances of being bullied may go unnoticed by teachers. 22 Among the 792 children who self-harmed, 514 (66%) were victims of bullying, according to child, mother, or teacher report. This yielded a Population-Attributable Fraction (PAF) of 19.9% (95% confidence interval = 12.3%–26.8%), indicating that if bullying could have been eliminated while other exposures remained constant, 20% of self-harm cases could potentially have been prevented.

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