摘要
目的分析青少年遭受校园欺凌后发生创伤后应激障碍(PTSD)的影响因素,并构建列线图预测模型。方法选取2023年6月至2024年10月赣南医科大学第一附属医院收治的200例有受欺凌经历的青少年作为研究对象,根据其经校园欺凌后是否发生PTSD分为发生组(n=87)和未发生组(n=113),并对其进行描述统计、相关分析及线性分层回归分析。比较两组研究对象的一般资料,采用多因素logistic回归分析经校园欺凌后青少年出现PTSD的相关因素。采用R语言构建Nomogram预测模型;采用校准曲线和决策曲线评价模型,并分析发生PTSD的影响因素。结果受欺凌后青少年PTSD的发生率达43.5%。两组的性别、家庭住址、学段等指标比较,差异无统计学意义(P>0.05);两组的年龄、体重指数、性格、家庭支持、家庭经济困难、过去30 d被家长打骂、每日上网时间、欺凌形式的比较,差异有统计学意义(P<0.05);多因素分析结果显示,体重指数、每日上网时间、性格、家庭支持、家庭经济困难、现实欺凌形式是发生PTSD的独立影响因素(P<0.05);Nomogram模型在预测青少年经校园欺凌后发生PTSD方面表现良好,其C-index为0.917(0.879~0.955);当模型风险阈值>0.03时,可较好提供标准化净收益。结论体重指数、每日上网时间、性格、家庭支持、家庭经济困难、现实欺凌形式是经校园欺凌后青少年发生PTSD的独立影响因素,且Nomogram预测模型有较好的预测能力。
Objective To analyze the influencing factors of post-traumatic stress disorder(PTSD)in adolescents after suffering from school bullying,and to construct a nomogram prediction model.Methods A total of 200 adolescents with experiences of bullying who were admitted to First Affiliated Hospital of Gannan Medical University from June 2023 to October 2024 were selected as the research subjects.They were divided into the occurrence group(n=87)and the non-occurrence group(n=113)based on whether PTSD occurred after school bullying.And descriptive statistics,correlation analysis and linear hierarchical regression analysis were conducted on it.The general data of the two groups of research subjects were compared,and multivariate logistic regression analysis was used to analyze the related factors of PTSD in adolescents after school bullying.The Nomogram prediction model was constructed using R language.The calibration curve and decision curve were used to evaluate the model,and the influencing factors of PTSD were analyzed.Results The incidence of PTSD among adolescents after being bullied reached 43.5%.There were no statistically significant differences in indicators such as gender,home address,and educational stage between the two groups(P>0.05).There were statistically significant differences between the two groups in terms of age,body mass index,personality,family support,family economic hardship,being beaten and scolded by parents in the past 30 days,daily online time,and forms of bullying(P<0.05).The results of multivariate analysis showed that body mass index,daily online time,personality,family support,family economic hardship,and forms of real bullying were independent influencing factors for the occurrence of PTSD(P<0.05).The Nomogram model performed well in predicting PTSD in adolescents after school bullying,with a C-index of 0.917(0.879-0.955).When the risk threshold of the model was greater than 0.03,standardized net benefits can be provided relatively well.Conclusion Body mass index,daily online time,personality,family support,family economic hardship,and forms of real bullying are independent influencing factors for the occurrence of PTSD in adolescents after school bullying,and the Nomogram prediction model has a good predictive ability.
作者
黄晓江
廖娟娟
王晓娉
李红英
李林芝
HUANG Xiaojiang;LIAO Juanjuan;WANG Xiaoping;LI Hongying;LI Linzhi(Department of Psychological Medicine,First Affiliated Hospital of Gannan Medical University,Jiangxi Province,Ganzhou 341000,China;Department of Pediatric Surgery,First Affiliated Hospital of Gannan Medical University,Jiangxi Province,Ganzhou 341000,China;Department of Disease Prevention and Treatment,Ganzhou Hospital of Traditional Chinese Medicine,Jiangxi Province,Ganzhou 341000,China;College of Humanities and Social Sciences,Gannan Medical University,Jiangxi Province,Ganzhou 341000,China)
出处
《中国当代医药》
2025年第14期21-25,共5页
China Modern Medicine
基金
江西省卫生健康委科技计划项目(202410369)。
作者简介
黄晓江(1987-),男,硕士,研究方向:临床心理学。
