多受害者概况和青少年心理健康症状的变化:以个人为中心的方法
Rachel E Siciliano1, Marta Korom1,2, Zack Adams3
1Department of Psychiatry & Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
Child maltreatment
|April 17, 2025
概括
童年多重受害者,经历多次创伤事件,有不同的模式. 识别这些个人资料是有效的青少年心理健康服务和干预的关键.
科学领域:
- 儿童心理学 儿童心理学
- 创伤研究 创伤研究
- 临床精神病学 临床精神病学
背景情况:
- 多受害者,暴露于多个潜在的创伤性事件 (PTE),在年轻人中很普遍.
- 了解同时发生的PTE对于开发有针对性的临床干预至关重要.
- PTE对儿童和青少年的心理健康有重大影响.
研究的目的:
- 在多样化的青年样本中识别多重受害的不同模式 (类别).
- 根据人口因素,受害者类型和精神病理学来描述这些类别.
- 检查已识别的多重受害者概况的功能意义.
主要方法:
- 隐性类分析 (LCA) 用于识别DSM-5PTSD标准A事件的类别.
- 该样本包括来自社区环境的7至16岁的326名青年.
- 分析了与种族相关的课堂,同行和约会受害,以及PTSD,焦虑和抑郁症的症状.
主要成果:
- 出现了三种不同的多受害者类别:低创伤,人际和社区暴力 (IPV/CV) 和情绪虐待,忽视和家庭关系中的人际暴力 (EA/N/IPVFam).
- 在各个类别中观察到人口统计学,PTE总量,第一次接触时的年龄,与种族有关的事件和精神病理症状的显著差异.
- 这些差异凸显了所识别的多重受害者形状的功能意义.
结论:
- 该研究确定了青少年多重受害的特定形状,表明创伤暴露不是随机的.
- 识别这些独特的PTE概况对于以人为中心的方法来理解和治疗儿童和青少年的创伤相关问题至关重要.
- 通过考虑这些已识别的多受害者模式,可以更好地设计定制的临床服务.
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