Polyvictimization, Emotion Dysregulation, Symptoms of Posttraumatic Stress Disorder, and Behavioral Health Problems among Justice-Involved Youth: a Latent Class Analysis
Polyvictimization, Emotion Dysregulation, Symptoms of Posttraumatic Stress Disorder, and Behavioral Health Problems among Justice-Involved Youth: a Latent Class Analysis
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DOI：
10.1007/s10802-018-0431-9
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发表时间：
2019-02-01
影响因子：
3.6
通讯作者：
Kerig, Patricia K.
中科院分区：
文献类型：
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作者：
Charak, Ruby;Ford, Julian D.;Kerig, Patricia K.
在涉及少年司法的90%有过创伤性受害经历的青少年中，有一个亚组可能由于有多种类型的人际和非人际创伤的历史而处于最高风险，称为多重受害者。潜在类别分析（LCA）已经在几项青少年和成年人的研究中确定了多重受害亚组，但只有一项关于涉及正义的青少年的创伤性受害研究（Ford et al. 2013）。目前的调查复制并扩展了该研究的发现，使用LCA来评估更广泛的与受害和非受害相关的逆境和情绪失调，DSM-5创伤后应激障碍（PTSD）的症状群，以及行为健康问题，如物质使用，愤怒，抑郁，躯体抱怨和自杀念头。在青少年被拘留者样本中，确定了三种潜在类别：混合逆境（MA, n=327）、暴力环境（VE, n=337）和多重受害（PV, n=145）。与MA青年相比，PV青年更有可能报告暴露于各种形式的逆境，与MA和VE青年相比，暴露于虐待和家庭暴力，以及更高水平的情绪失调、PTSD、抑郁/焦虑症状、躯体疾病和自杀。VE青年（与MA青年相比）更有可能报告遭受暴力和非人际创伤，并且在某些形式的情绪失调、创伤后应激障碍症状、愤怒和物质使用方面更高。调查结果表明，大多数参与司法的青年都经历过严重的逆境，几乎五分之一的人被认定为多重受害者，他们经历过多重逆境，包括照顾者受损，并在情绪失调和创伤后应激障碍、内化和外化症状方面表现出最严重的问题。
Among the 90% of adolescents involved in juvenile justice who have experienced traumatic victimization, a sub-group may be at highest risk due to histories of multiple types of interpersonal and non-interpersonal trauma, termed polyvictims. Latent class analyses (LCA) have identified polyvictimized subgroups in several studies of adolescents and adults, but only one study of traumatic victimization has been conducted with justice-involved youth (Ford et al. 2013). The current investigation replicates and extends that study's findings using LCA to assess a wider range of victimization- and nonvictimization-related adversities and emotion dysregulation, DSM-5 symptom clusters of posttraumatic stress disorder (PTSD), and behavioral health problems, such as substance use, anger, depression, somatic complaints, and suicide ideation. In a sample of juvenile detainees three latent classes were identified: mixed adversity (MA; n=327), violent environment (VE; n=337), and polyvictimization (PV; n=145). In contrast to MA youth, PV youth were more likely to report exposure to all forms of adversity, and in contrast to both MA and VE youth, exposure to maltreatment and family violence, and higher levels of emotion dysregulation, PTSD, and depression/anxiety symptoms, somatic complaints, and suicidality. VE youth (vs. MA youth) were more likely to report exposure to violence and non-interpersonal traumas, and were higher on some forms of emotion dysregulation, PTSD symptoms, anger and substance use. Findings suggest that most justice-involved youth have experienced substantial adversity, with almost one in five identified as a polyvictim having experienced multiple adversities, including impaired caregivers, and evidencing the most severe problems in emotion dysregulation and PTSD, internalizing, and externalizing symptoms.