Self-injury in incarcerated juvenile females: contributions of mental health and traumatic experiences.
Self-injury in incarcerated juvenile females: contributions of mental health and traumatic experiences.
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被监禁青少年女性的自伤：心理健康和创伤经历的贡献。
DOI：
10.1002/jts.20699
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发表时间：
2011
影响因子：
3.3
通讯作者：
G. Wasserman
中科院分区：
文献类型：
--
作者：
Larkin McReynolds;G. Wasserman
尽管有证据支持虐待儿童和自伤之间的联系，但对于与性虐待的特定联系存在分歧，因为创伤暴露的类型往往同时发生。为了有效地检查这些关联，我们考虑了一个被监禁的青少年女性样本，其中创伤暴露和自我伤害的发生率预计会升高。青少年女性（N = 220）报告的自我伤害行为的发声指数，以及精神疾病的自我伤害行为的历史。一般来说，一组共同的特征与切割和自伤有关。这两种情况更可能发生在那些年轻时就开始犯罪活动的人，以及那些目前符合重度抑郁症标准的人，或者以前有自杀企图的人。根据这些特征进行调整后，自我伤害的报告在那些披露先前创伤暴露的人中大约翻了一番，这些创伤暴露是性的，OR = 2.66，95%CI [1.38，5.15]，或非性的，OR = 2.18，95%CI [1.17，4.04]。暴露于早期创伤事件，如虐待儿童，可能会导致一系列不良经历，包括犯罪活动，情绪障碍和自我伤害。研究结果有助于工作证明解离的重要性，作为受害的后果，并作为一个关键特征的自我伤害行为。
Despite evidence supporting a connection between child maltreatment and self-injury, there is disagreement regarding a particular connection to sexual abuse because types of trauma exposure often co-occur. To examine these associations efficiently, we considered a sample of incarcerated juvenile females, where rates of both trauma exposure and self-injury would be expected to be elevated. Adolescent females (N = 220) reported on history of self-injurious behavior on the Voiced Index of Self-injurious Actions, as well as psychiatric disorder. A common set of features was associated with cutting and with self-injury in general. Both were more likely in those initiating delinquent activities when younger and in those currently meeting criteria for major depressive disorder, or with a previous suicide attempt. Adjusting for those features, report of self-injury was approximately doubled among those disclosing prior traumatic exposure that was sexual, OR = 2.66, 95% CI [1.38, 5.15], or nonsexual, OR = 2.18, 95% CI [1.17, 4.04]. Exposure to early traumatic events, such as child maltreatment, likely contributes to a set of adverse experiences, including delinquent activity, mood disorder, and self-injury. Findings contribute to work demonstrating the importance of dissociation both as a consequence of victimization and as a key feature underlying self-injurious behavior.
影响因子：
3.3
作者：
van der Kolk, BA;Roth, S;Spinazzola, J
通讯作者：
Spinazzola, J