Violent experiences and neighbourhoods during adolescence: understanding and mitigating the association with mental health at the transition to adulthood in a longitudinal cohort study.

Violent experiences and neighbourhoods during adolescence: understanding and mitigating the association with mental health at the transition to adulthood in a longitudinal cohort study.
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DOI:
10.1007/s00127-022-02343-6
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发表时间:
2022-12
影响因子:
4.4
通讯作者:
Fisher, Helen L.
Fisher, Helen L.
中科院分区:
医学2区
文献类型:
--
作者:
Latham, Rachel M.;Arseneault, Louise;Alexandrescu, Bianca;Baldoza, Saffron;Carter, Alysha;Moffitt, Terrie E.;Newbury, Joanne B.;Fisher, Helen L.

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暴力发生在多个生态层面,可能损害心理健康。然而,对青少年遭受暴力经历的研究往往忽视了暴力的社区背景,反之亦然。我们研究了严重的身体暴力的个人经历和生活在青少年时期邻里关系紊乱程度高的地区如何与成年过渡期的心理健康相联合收割机,以及哪些因素减轻了这一点。数据来自环境风险纵向双胞胎研究,这是一项由2232对英国双胞胎组成的全国代表性出生队列。通过18岁时的采访评估了参与者在青春期遭受严重身体暴力的经历和过去一年的精神疾病症状。当参与者年龄在13-14岁时,居民报告了邻里混乱。母亲的温暖,兄弟姐妹的温暖,智商和家庭的社会经济地位的潜在保护因素进行了评估,在儿童时期,并在18岁时感知社会支持。在青春期遭受严重身体暴力的个人经历与18岁精神障碍的几率升高相关,无论是否接触过邻里障碍。暴露于两者的累积效应对于内化和思维障碍是明显的,但对于外化障碍不是。对于仅暴露于严重身体暴力的青少年,较高水平的感知社会支持(包括来自家人和朋友的支持)与较低的精神障碍几率相关。对于那些也生活在邻里关系混乱高发地区的人来说,只有家庭支持才能减轻他们的风险。增加支持或提高青少年对现有支持网络的认识,可能会有效地促进他们在暴力暴露后的心理健康。在线版本包含补充材料,可通过10.1007/s 00127 -022-02343-6获得。
Violence occurs at multiple ecological levels and can harm mental health. However, studies of adolescents’ experience of violence have often ignored the community context of violence, and vice versa. We examined how personal experience of severe physical violence and living in areas with high levels of neighbourhood disorder during adolescence combine to associate with mental health at the transition to adulthood and which factors mitigate this. Data were from the Environmental Risk Longitudinal Twin Study, a nationally representative birth cohort of 2232 British twins. Participants’ experience of severe physical violence during adolescence and past-year symptoms of psychiatric disorder were assessed via interviews at age 18. Neighbourhood disorder was reported by residents when participants were aged 13–14. Potential protective factors of maternal warmth, sibling warmth, IQ, and family socio-economic status were assessed during childhood, and perceived social support at age 18. Personal experience of severe physical violence during adolescence was associated with elevated odds of age-18 psychiatric disorder regardless of neighbourhood disorder exposure. Cumulative effects of exposure to both were evident for internalising and thought disorder, but not externalising disorder. For adolescents exposed to severe physical violence only, higher levels of perceived social support (including from family and friends) were associated with lower odds of psychiatric disorder. For those who also lived in areas with high neighbourhood disorder, only family support mitigated their risk. Increasing support or boosting adolescents’ perceptions of their existing support network may be effective in promoting their mental health following violence exposure. The online version contains supplementary material available at 10.1007/s00127-022-02343-6.
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