The prospective impact of adverse childhood experiences on justice-involved youth's psychiatric symptoms and substance use.
The prospective impact of adverse childhood experiences on justice-involved youth's psychiatric symptoms and substance use.
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DOI：
10.1037/ccp0000655
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发表时间：
2021-06
影响因子：
5.9
通讯作者：
Tolou-Shams M
中科院分区：
文献类型：
--
作者：
Folk JB;Ramos LMC;Bath EP;Rosen B;Marshall BDL;Kemp K;Brown L;Conrad S;Tolou-Shams M
参与正义的青少年报告童年不良经历（ACE;虐待、忽视、家庭功能障碍）的发生率很高，并且行为健康需求升高的风险很高（即，物质使用，精神症状）。对青少年广泛样本的研究表明，ACE可预测行为健康结果，但大多数关于ACE对参与司法的青少年的影响的研究都集中在累犯上。目前的研究通过检查ACE与精神症状、物质使用和物质相关问题（即，使用的后果）。首次参与司法的青少年（n=271; 54.3%男性; M年龄=14.5岁; 43.5%拉丁裔;非拉丁裔：34.2%白色，8.6%黑人，7.1%其他，6.7%多种族）和他们的照顾者在青少年的第一次法庭接触和4个月和12个月的随访中进行了评估。青少年和照顾者通过一系列工具在基线和4个月时报告了青少年接触ACE的情况（例如，儿童创伤问卷简表;创伤性生活事件量表）。主要结果包括青少年酒精和大麻的使用（青少年风险行为评估），使用的后果（简短的年轻成人酒精后果问卷;简短的Maritime后果量表）和精神症状（儿童行为评估系统;国家压力事件调查PTSD简短量表）。在第一次司法接触之前，青年平均接触3次ACE（M=3）。接触更多的ACE，特别是滥用，预测物质使用和精神疾病的结果。大麻使用和内化症状出现了性别差异。创伤响应少年司法改革的影响进行了讨论，包括筛选ACE及其后遗症在第一次法庭接触，并考虑男性规范的作用。
Justice-involved youth report high rates of adverse childhood experiences (ACEs; abuse, neglect, household dysfunction) and are at high-risk for elevated behavioral health needs (i.e., substance use, psychiatric symptoms). Research with broad samples of adolescents shows ACEs predict behavioral health outcomes, yet most research on the impact of ACEs among justice-involved youth focuses on recidivism. The current study addresses this gap by examining the prospective association between ACEs and psychiatric symptoms, substance use, and substance-related problems (i.e., consequences of use) among first-time justice-involved youth. First-time justice-involved youth (n=271; 54.3% male; M age=14.5 years; 43.5% Latinx; non-Latinx: 34.2% White, 8.6% Black, 7.1% Other, 6.7% Multiracial) and their caregivers were assessed at youth’s first court contact and 4- and 12-month follow-ups. Youth and caregivers reported youth’s exposure to ACEs through a series of instruments at baseline and 4-months (e.g., Childhood Trauma Questionnaire Short-Form; Traumatic Life Events Inventory). Primary outcomes included youth alcohol and cannabis use (Adolescent Risk Behavior Assessment), consequences of use (Brief Young Adult Alcohol Consequences Questionnaire; Brief Marijuana Consequences Scale), and psychiatric symptoms (Behavior Assessment System for Children; National Stressful Events Survey PTSD Short Scale). Youth were exposed to 3 ACEs, on average, prior to first justice contact (M=3). Exposure to more ACEs, particularly abuse, predicted substance use and psychiatric outcomes. Gender differences emerged for cannabis use and internalizing symptoms. Implications for trauma-responsive juvenile justice reform are discussed, including screening for ACEs and their sequelae at first court contact and considering the role of masculine norms.
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DOI：
10.1037/amp0000769
发表时间：
2021-03
期刊：
The American psychologist
影响因子：
--
作者：
Folk JB;Kemp K;Yurasek A;Barr-Walker J;Tolou-Shams M
通讯作者：
Tolou-Shams M
影响因子：
4.8
作者：
Cecil, Charlotte A. M.;Viding, Essi;McCrory, Eamon J.
通讯作者：
McCrory, Eamon J.
影响因子：
4.9
作者：
Baglivio, Michael T.;Wolff, Kevin T.;Epps, Nathan
通讯作者：
Epps, Nathan
影响因子：
4.8
作者：
Bernstein, DP;Stein, JA;Zule, W
通讯作者：
Zule, W
影响因子：
8
作者：
Dube, SR;Felitti, VJ;Anda, RF
通讯作者：
Anda, RF