Effects of multiple maltreatment experiences among psychiatrically hospitalized youth
Effects of multiple maltreatment experiences among psychiatrically hospitalized youth
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DOI：
10.1016/j.chiabu.2008.02.003
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发表时间：
2008-06-01
影响因子：
4.8
通讯作者：
Terranova, Andrew M.
中科院分区：
文献类型：
--
作者：
Boxer, Paul;Terranova, Andrew M.
目的：本研究以一家安全的精神病住院机构为研究对象，通过对住院评估中常规收集的信息进行编码，研究了不同形式的虐待对青少年情绪和行为问题的影响程度。（平均年龄= 13.9岁; 53%为男性; 54.6%为少数民族）。数据来自摄入叙述，标准化的精神病理学评定量表，和精神病诊断ratings.Results：调查结果提供了一些支持的层次分类多虐待经验与性虐待确定为虐待最可靠的具体形式与不良调整。支持也获得了一个累积的分类方法，作为不同类型的虐待经验的数量正相关升高psychopathology ratings.Conclusions：即使在这种高风险，非典型的样本，虐待的经验占变化水平的精神病理学。这些结果有影响，分类多重虐待和加强临床护理的非典型青年谁被maltreated.Practice的影响：临床医生在青年精神病人群中工作，应实施虐待特定的心理治疗方法，虐待青年，即使是在治疗环境中的预防性治疗。(C)2008爱思唯尔有限公司保留所有权利。
Objective: Relying on indicators coded from information collected routinely during intake assessments at a secure inpatient psychiatric facility, this study examined the extent to which different forms of maltreatment accounted for variations in youths' emotional and behavioral problems.Methods: Clinical information was reviewed fora large (N=401) and diverse sample (mean age= 13.9 years; 53% male; 54.6% racial/ethnic minority) of youth admitted to a publicly funded psychiatric hospital. Data were drawn from intake narratives, standardized psychopathology rating scales, and psychiatric diagnostic ratings.Results: Findings provide some support for a hierarchical classification Of Multiple maltreatment experiences with sexual abuse identified as the specific form of maltreatment most reliably associated with poor adjustment. Support also was obtained for a cumulative classification approach, as the number of different types of maltreatment experiences was linked positively to elevated psychopathology ratings.Conclusions: Even in this high-risk, atypical sample, maltreatment experiences account for variation in levels of psychopathology. These results have implications for classifying multiple maltreatment and enhancing clinical care for atypical youth who have been maltreated.Practice implications: Clinicians working in youth psychiatric populations should implement maltreatment-specific psychotherapy approaches for maltreated youth, even as adjunctive treatments in a therapeutic milieu. (C) 2008 Elsevier Ltd. All rights reserved.