Neglect, Abuse, and Adaptive Functioning: Food Security and Housing Stability as Protective Factors for Adolescents.
Neglect, Abuse, and Adaptive Functioning: Food Security and Housing Stability as Protective Factors for Adolescents.
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DOI：
10.3390/children9030390
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发表时间：
2022-03-10
期刊：
影响因子：
--
通讯作者：
Reyes JN 3rd
中科院分区：
文献类型：
--
作者：
Kobulsky JM;Yoon D;Villodas MT;Schuler BR;Wildfeuer R;Reyes JN 3rd
这项研究解决了在受虐待青少年中支持适应功能的保护因素的知识差距。样本包括1003名参与儿童虐待和忽视纵向研究的高危青少年（53%为女性，56%为黑人，82%生活在贫困中）。青少年忽视（暴露在危险的情况下，缺乏监督，不注意基本需求，允许不当行为，缺乏支持）和身体，性和情感虐待在16岁时自我报告。18岁的适应功能测量包括医疗收据（医疗、牙科和心理健康）、自我评估的整体健康、高中毕业或入学、亲社会活动、同伴关系（陪伴、冲突、满意度和亲密关系）和独立生活技能。以前的童年虐待、人口统计、早期的亲社会活动和同伴关系是控制因素。结构方程模型表明，青少年忽视和虐待与较低的适应功能有关。多群体模型显示，粮食安全对性虐待与自评健康之间以及监测不足与陪伴之间的关系具有保护作用。住房稳定缓冲了支持不足与高中毕业或入学之间的关系，以及允许不当行为与独立生活技能之间的关系。研究结果表明，需要采取以青少年为重点的预防措施，包括促进粮食安全和住房稳定，以支持受虐待青少年的适应功能。然而，值得注意的混合结果表明需要进一步的研究。
This study addresses gaps in knowledge of protective factors that support adaptive functioning among maltreated adolescents. The sample included 1003 high-risk youths participating in the Longitudinal Studies of Child Abuse and Neglect (53% female, 56% Black, and 82% living in poverty). Adolescent neglect (Exposure to Risky Situations, Lack of Monitoring, Inattention to Basic Needs, Permitting Misbehavior, Lack of Support) and physical, sexual, and emotional abuse were self-reported at age 16. Age 18 adaptive functioning measures included healthcare receipt (medical, dental, and mental health), self-rated global health, high school graduation or enrollment, prosocial activities, peer relationships (Companionship, Conflict, Satisfaction, and Intimacy), and independent living skills. Previous childhood maltreatment, demographics, and earlier prosocial activities and peer relationships were controls. Structural equation modeling showed that adolescent neglect and abuse were associated with lower adaptive functioning. Multigroup models showed protective effects for food security on the relationships between sexual abuse and self-rated health and between Inadequate Monitoring and Companionship. Housing stability buffered relationships between Inadequate Support and high school graduation or enrollment and between Permitting Misbehavior and independent living skills. Findings imply the need for adolescent-focused prevention, including the promotion of food security and housing stability to support adaptive functioning in maltreated adolescents. However, notable mixed findings show the need for additional research.
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DOI：
10.1080/10705519909540118
发表时间：
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影响因子：
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