Severity of Victimization and Co-Occurring Mental Health Disorders Among Substance Using Adolescents.
Severity of Victimization and Co-Occurring Mental Health Disorders Among Substance Using Adolescents.
复制标题
DOI：
10.1007/s10566-011-9151-9
复制
发表时间：
2012-02
影响因子：
1.8
通讯作者：
Sabri, Bushra
中科院分区：
文献类型：
--
作者：
Sabri, Bushra
关键词：
共生的精神健康障碍在吸毒的青少年中很普遍。受害的严重程度可能是解释有物质滥用问题的青少年共同出现心理健康问题的重要因素。本研究的目的是评估严重受害经历是否是受害物质使用青少年中仅内在性、仅外在性以及内化和外化障碍共存的共同危险因素。这项横断面研究的数据来自一项多点研究项目。11-18岁的青少年在全美106个物质滥用和精神卫生服务管理局(SAMHSA)物质滥用治疗中心(CSAT)资助的受赠点参加了一项全面的药物滥用筛查计划。持续时间较长/频发受害、一种以上受害类型和近期受害与内化和外化障碍共发生有关。然而，受信任的人的受害只与内在化障碍有关。研究结果表明，严重受害经历的某些指标是内在化、外在化以及内化和外化共现问题的共同危险因素，从而为共同发病的共同因素模型提供了支持。这些发现表明，药物滥用治疗的从业者必须彻底评估出现共同心理健康问题的青少年中的严重受害经历。治疗规划和干预措施可侧重于帮助青少年有效应对其受害经历并满足其MH需求。
Co-occurring mental health disorders are widespread among substance using adolescents. Severity of victimization may be an important factor in explaining co-occurrence of mental health problems among adolescents with substance misuse problems. The purpose of this study was to evaluate whether severe victimization experiences were shared risk factors for internalizing only, externalizing only, and co-occurring internalizing and externalizing disorders among victimized substance-using adolescents. Data for this cross-sectional study were obtained from a multisite research project. Adolescents, ages 11–18, participated in a comprehensive screening program for substance abuse at 106 Substance Abuse and Mental Health Services Administration (SAMHSA) Center for Substance Abuse Treatment (CSAT)-funded grantee sites throughout the United States. Longer duration/frequent victimization, more than one type of victimization, and recent victimization were related to co-occurring internalizing and externalizing disorders. Victimization by a trusted person, however, was only related to internalizing disorders. The findings show that some indicators of severe victimization experiences are shared risk factors for internalizing, for externalizing, and for co-occurring internalizing and externalizing problems, thus providing support for the common factors model of co-morbidity. These findings suggest that practitioners in substance abuse treatment must thoroughly assess for severe victimization experiences among adolescents presenting with co-occurring mental health issues. Treatment planning and interventions may focus on helping adolescents cope effectively with their victimization experiences and addressing their MH needs.
登录
查看更多内容
影响因子：
2.7
作者：
Beitchman, JH;Adlaf, EM;Wilson, B
通讯作者：
Wilson, B
影响因子：
2.1
作者：
DUBOWITZ, H;BLACK, M;ZURAVIN, S
通讯作者：
ZURAVIN, S
影响因子：
4.8
作者：
BONEYMCCOY, S;FINKELHOR, D
通讯作者：
FINKELHOR, D
青春期压力与应对--对青春期心理病理学的影响
影响因子：
3.8
作者：
COMPAS, BE;OROSAN, PG;GRANT, KE
通讯作者：
GRANT, KE
影响因子：
3.9
作者：
Chan, Ya-Fen;Dennis, Michael L.;Funk, Rodney R.
通讯作者：
Funk, Rodney R.