Differences in late adolescent psychopathology among youth with histories of co-occurring abuse and neglect experiences.
Differences in late adolescent psychopathology among youth with histories of co-occurring abuse and neglect experiences.
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DOI：
10.1016/j.chiabu.2021.105189
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发表时间：
2021-10
影响因子：
4.8
通讯作者：
Fishbein, Diana
中科院分区：
文献类型：
--
作者：
Villodas, Miguel T.;Morelli, Nicholas M.;Hong, Kajung;Duong, Jacqueline;Evans, Meghan C.;Elson, Damian;Rose, Emma;Picci, Giorgia;Fishbein, Diana
关于儿童虐待和忽视 (CAN) 经历对青春期晚期精神病理学影响的了解一直受到限制，因为未能考虑 CAN 类型的频繁共存以及特定组合的潜在独特影响。通过以人为中心的分析，我们旨在识别未观察到的青少年群体，他们在 16 岁之前具有相似的一生 CAN 经历模式，并且在两年后各组之间的精神病理学症状计数存在差异。参与者为 919 名青少年和看护者二人组（56% 为女性；56% 为黑人，7% 为拉丁裔/非裔，13% 为混血/其他）。收集了前瞻性、多信息数据，包括儿童保护服务记录以及看护者和青少年报告，青少年在 18 岁时完成了诊断访谈。潜在类别分析根据身体忽视、监督忽视以及身体、性和心理虐待的模式将青少年分为四个不同的组：“低风险”(37%)、“忽视”(19%)、“虐待”(11%) 和“多类型 CAN” (33%)。多型 CAN 类别比低风险类别具有更多的严重抑郁、广泛性焦虑和尼古丁使用症状，并且比低风险和忽视类别具有更多的创伤后应激、反社会人格和非法物质使用症状。虐待类别比低风险类别有更多的广泛性焦虑和注意力缺陷/多动症状，并且比低风险和忽视类别有更多的严重抑郁、反社会人格和非法药物使用症状。忽视类别没有升高的精神病理学症状。研究结果强调了终生经历模式与精神病理学之间关联的重要差异。研究人员应该探索受不同 CAN 体验模式影响的精神病理学的潜在机制。
Knowledge about the impacts of child abuse and neglect (CAN) experiences on late adolescent psychopathology has been limited by a failure to consider the frequent co-occurrence of CAN types and potential unique impacts of specific combinations. Using person-centered analyses, we aimed to identify unobserved groups of youth with similar patterns of lifetime CAN experiences before age 16 and differences in psychopathology symptom counts between groups two years later. Participants were 919 adolescent-caregiver dyads (56% female; 56% Black, 7% Latina/o, 13% mixed/other). Prospective, multi-informant data, including child protective services records and caregiver and youth reports were collected, and youth completed a diagnostic interview at age 18. Latent Class Analyses classified adolescents into four distinct groups based on patterns of physical neglect, supervisory neglect, and physical, sexual, and psychological abuse: “Low-Risk” (37%), “Neglect” (19%), “Abuse” (11%), and “Multi-type CAN” (33%). The Multi-type CAN class had significantly more major depressive, generalized anxiety, and nicotine use symptoms than the Low-Risk class, and more post-traumatic stress, antisocial personality, and illicit substance use symptoms, than Low-Risk and Neglect classes. The Abuse class had significantly more generalized anxiety and attention deficit/hyperactivity symptoms than the Low-Risk class, and more major depressive, antisocial personality, and illicit substance use symptoms, than Low-Risk and Neglect classes. The Neglect class did not have elevated psychopathology symptoms. Findings highlight important differences in the associations between lifetime CAN experience patterns and psychopathology. Researchers should explore mechanisms underlying psychopathology that are impacted by different CAN experience patterns.
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影响因子：
2.6
作者：
Heleniak, Charlotte;McLaughlin, Katie A.;Ormel, Johan;Riese, Harriette
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影响因子：
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作者：
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