Family risk factors and prevalence of dissociative symptoms among homeless and runaway youth.
Family risk factors and prevalence of dissociative symptoms among homeless and runaway youth.
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DOI：
10.1016/j.chiabu.2003.11.019
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发表时间：
2004-03
影响因子：
4.8
通讯作者：
Kimberly A. Tyler;A. M. Cauce;L. Whitbeck
中科院分区：
文献类型：
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作者：
Kimberly A. Tyler;A. M. Cauce;L. Whitbeck
目的探讨流浪和离家出走青少年分离性症状的家庭危险因素。方法采用系统抽样方法对西雅图市区328名无家可归和离家出走的青少年进行访谈。青年服务机构的外联工作人员在街头和收容所采访了无家可归的年轻人。结果目前的研究显示，这些年轻人普遍存在解离症状。多变量分析显示，性虐待、身体虐待和家庭精神健康问题均与分离症状呈正相关。在这些模型中没有发现性别差异。结论分离性行为在这些青少年中普遍存在，可能引起严重的心理健康问题。一些年轻人经历了许多压力源，由于资源和支持都很少，许多人可能会采用诸如分离行为等适应不良策略来处理这种情况，这反过来可能对他们的心理健康有害。除非为青少年提供计划和干预，否则他们在家里经历的虐待循环很可能会在街头继续下去。
ObjectiveTo examine family risk factors associated with dissociative symptoms among homeless and runaway youth.MethodThree hundred and twenty-eight homeless and runaway youth were interviewed using a systematic sampling strategy in metropolitan Seattle. Homeless young people were interviewed on the streets and in shelters by outreach workers in youth service agencies.ResultsThe current study revealed widespread prevalence of dissociative symptoms among these young people. Multivariate analyses revealed that sexual abuse, physical abuse, and family mental health problems were all positively associated with dissociative symptoms. No gender differences were found for any of the models.ConclusionsDissociative behavior is widespread among these youth and may pose a serious mental health concern. Some young people experience numerous stressors, and with few resources and little support available, many may invoke maladaptive strategies such as dissociative behavior to handle such situations, which may in turn be detrimental to their mental health. Unless youth are provided with programs and intervention, the cycle of abuse that they have experienced at home is likely to continue on the street.