Investigating the Relationship between Trauma Symptoms and Placement Instability
Investigating the Relationship between Trauma Symptoms and Placement Instability
复制标题
DOI：
10.1016/j.chiabu.2020.104660
复制
发表时间：
2020-10-01
影响因子：
4.8
通讯作者：
Brook, Jody
中科院分区：
文献类型：
--
作者：
Clark, Shelby L.;Palmer, Ashley N.;Brook, Jody
背景：寄养安置的稳定性对儿童的永久和幸福有着重要的影响。虽然大多数年轻人在寄养期间有足够的安置稳定性，但相当多的少数人在寄养期间经历了多次搬家。对安置不稳定相关因素的研究已经证明了外化行为与安置不稳定之间的关系。同样，有证据表明，较高程度的创伤与外化行为的增加有关。然而，很少有研究检查创伤症状和放置不稳定之间的关系。目的：本研究的目的是探讨具有临床显著创伤症状的儿童是否有较高的放置不稳定的几率。参与者和环境：作为联邦政府资助的创伤III资助项目总结性评估的一部分收集的管理数据被使用。样本包括1668名5岁及以上的儿童，他们在中西部一个州接受了30个月的寄养，并在进入寄养后的120天内完成了自我报告的创伤筛查。方法：采用分层逻辑回归方法，检验创伤症状评分对体位不稳定性的影响，超越人口统计学特征和病例特征。结果：控制了人口统计学和病例特征的最终分析模型结果显示，具有临床显著创伤症状（即评分>= 19）的儿童经历安置不稳定的几率高出46% （OR = 1.46, 95% ci [1.16, 1.82], p = .001）。研究结果支持在寄养青少年中筛查和治疗创伤症状的必要性。
Background: Placement stability while in foster care has important implications for children's permanency and well-being. Though a majority of youth have adequate placement stability while in foster care, a substantial minority experience multiple moves during their time in care. Research on correlates of placement instability has demonstrated a relationship between externalizing behaviors and placement instability. Likewise, evidence suggests higher levels of trauma are associated with increased externalizing behaviors. However, few studies have examined the relationship between trauma symptoms and placement instability.Objective: The purpose of this study was to investigate whether children with clinically significant trauma symptoms had higher odds of placement instability.Participants and setting: Administrative data collected as a part of a summative evaluation for a federally-funded trauma III grant project were used. The sample included 1,668 children ages 5 and older who entered foster care during a 30-month period in a Midwestern state and completed a self-reported trauma screen within 120 days of entering care.Methods: Hierarchical logistic regression was conducted to examine the contributions of trauma symptoms scores to placement instability, above and beyond demographic characteristics and case characteristics.Results: Results from the final analytic model, which controlled for demographic and case characteristics, showed that children with clinically significant trauma symptoms (i.e., scores >= 19) had 46% higher odds of experiencing placement instability (OR = 1.46, 95% CIs [1.16, 1.82], p = .001). Findings support the need to screen for and treat trauma symptomology among youth in foster care.