目的:这项研究的目的是确定网络欺凌和饮食失调症状之间的关联在全国样本的10-14岁的早期青少年。
方法:我们分析了青少年大脑认知发展(ABCD)研究的横断面数据(第2年,2018-2020年,N=10,258/11,875,女性49%,46%非白人)。使用多阶段概率抽样收集数据。改良的Poisson回归分析根据情感障碍和精神分裂症的Kiddie时间表(KSADS-5)检查了网络欺凌与自我报告的进食障碍症状之间的关联。
结果:网络欺凌与体重增加的担忧相关(患病率比[PR]2.41,95%置信区间[CI]1.48-3.91),自我价值与体重挂钩(PR2.08,95%CI1.33-3.26),防止体重增加的不适当代偿行为(PR1.95,95%CI1.57-2.42),暴饮暴食(PR1.95,95%CI1.59-2.39),和暴饮暴食的困扰(PR2.64,95%CI1.94-3.59),在调整潜在混杂因素的模型中。网络欺凌行为与体重增加的担忧相关(PR3.52,95%CI1.19-10.37),自我价值与体重挂钩(PR5.59,95%CI2.56-12.20),暴饮暴食(PR2.36,95%CI1.44-3.87),和暴饮暴食的困扰(PR2.84,95%CI1.47-5.49)。
结论:青少年早期网络欺凌的受害与进食障碍症状相关。临床医生可能会考虑评估青少年早期的网络欺凌和饮食失调症状,并提供预期的指导。
■饮食障碍通常在青春期发作,并且在所有精神疾病中死亡率最高。此外,网络欺凌在青少年中的患病率增加,并显著影响心理健康。在一项针对早期青少年的全国性研究中,我们发现,网络欺凌的受害和渗透与饮食失调症状有关。可能需要对青少年早期的网络欺凌和饮食失调症状进行筛查并提供预期指导。
OBJECTIVE: The objective of this study was to determine the association between cyberbullying and eating disorder symptoms in a national sample of 10-14-year-old early adolescents.
METHODS: We analyzed cross-sectional data from the Adolescent Brain Cognitive Development (ABCD) Study (Year 2, 2018-2020, N = 10,258/11,875, 49% female, 46% non-White). Data were collected using multi-stage probability sampling. Modified Poisson regression analyses examined the association between cyberbullying and self-reported eating disorder symptoms based on the Kiddie Schedule for Affective Disorders and Schizophrenia (KSADS-5).
RESULTS: Cyberbullying victimization was associated with worry about weight gain (prevalence ratio [PR] 2.41, 95% confidence interval [CI] 1.48-3.91), self-worth tied to weight (PR 2.08, 95% CI 1.33-3.26), inappropriate compensatory behavior to prevent weight gain (PR 1.95, 95% CI 1.57-2.42), binge eating (PR 1.95, 95% CI 1.59-2.39), and distress with binge eating (PR 2.64, 95% CI 1.94-3.59), in models adjusting for potential confounders. Cyberbullying perpetration was associated with worry about weight gain (PR 3.52, 95% CI 1.19-10.37), self-worth tied to weight (PR 5.59, 95% CI 2.56-12.20), binge eating (PR 2.36, 95% CI 1.44-3.87), and distress with binge eating (PR 2.84, 95% CI 1.47-5.49).
CONCLUSIONS: Cyberbullying victimization and perpetration in early adolescence are associated with eating disorder symptoms. Clinicians may consider assessing for cyberbullying and eating disorder symptoms in early adolescence and provide anticipatory guidance.
UNASSIGNED: Eating disorders often onset in adolescence and have among the highest mortality rates of any psychiatric disorder. In addition, cyberbullying has increased in prevalence among adolescents and significantly impacts mental health. In a national study of early adolescents, we found that cyberbullying victimization and perpetration are associated with eating disorder symptoms. Screening for and providing anticipatory guidance on cyberbullying and eating disorder symptoms in early adolescents may be warranted.