Do Ethnic Identity, Familial, and Community Contexts Impact the Association Between Adverse Childhood Experiences and Psychopathology Among Latinx Adolescents?

IF 9.2 1区 医学 Q1 PEDIATRICS
Antonio R Garcia, Sheila Barnhart, Daniel Jacobson López, Nicole R Karcher
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引用次数: 0

Abstract

Objective: Few studies have explored the interplay of how individual identity, parental, familial, and contextual factors impact associations between Latinx adolescent adversities and psychopathology. This study aimed to examine whether these factors mediate the relationship between adversities and psychopathology in Latinx youth.

Method: Latinx youth (n = 2,411) data from the Adolescent Brain Cognitive Development (ABCD) Study were used to examine path models with adverse childhood experiences (ACEs) as the predictor and either youth- or caregiver-rated internalizing/externalizing scores over 4 timepoints as the outcome (ages 9-13 years). Models examined 3 potential mediators: (1) ethnic identity, (2) familial context (comprising parental monitoring, family conflict, and caregiver acceptance), and (3) community cohesion. Models were conducted separately for internalizing and externalizing symptoms.

Results: Greater adversity was associated with greater youth- and caregiver-rated internalizing/externalizing psychopathology over time. Greater adversity was associated with lower family functioning and lower ethnic identity, and greater family functioning was associated with lower psychopathology. Family functioning mediated associations between adversity and psychopathology over time (youth-reported internalizing: 95% CI = 0.012-0.019; youth-reported externalizing: 95% CI = 0.020-0.028). In contrast, there was not strong evidence for ethnic identity and community cohesion mediating associations between adversities and psychopathology over time.

Conclusion: Unlike previous studies, ethnic identity did not influence the relationship between ACEs and psychopathology over time. Additional research is needed to identify whether possible tensions rise as Latinx youth acculturate into US culture and achieve optimal levels of ethnic identity formation. Providers need to assess specific Latinx parental and familial contexts that may interfere with youth identity formation.

种族身份、家庭和社区背景是否会影响拉美裔青少年的不良生活事件与心理病理学之间的关联?
研究目的很少有研究探讨个人身份、父母、家庭和环境因素如何影响拉美裔青少年逆境与心理病理学之间的关系。本研究旨在探讨这些因素是否对拉美裔青少年的逆境与心理病理学之间的关系起到中介作用:拉美裔青少年(n=2,411)的数据来自青少年大脑认知发展(ABCD)研究,研究采用ACE作为预测因子,青少年或照顾者在四个时间点上的内化/外化评分作为结果(年龄范围:9-13岁)的路径模型。模型研究了 3 个潜在的中介因素:1)种族认同;2)家庭环境(包括父母的监督、家庭冲突和照顾者的接纳);3)社区凝聚力。模型分别针对内化症状和外化症状:随着时间的推移,逆境越大,青少年和照顾者评定的内化/外化精神病理学越严重。较大的逆境与较低的家庭功能和较低的种族认同有关,而较大的家庭功能与较低的精神病理学有关。随着时间的推移,家庭功能对逆境和心理病理学之间的关联起着中介作用(青少年报告的内化:95% CI= 0.012 - 0.019;青少年报告的外化:0.020 - 0.028)。与此相反,并没有强有力的证据表明种族认同和社区凝聚力可以调节逆境与心理病理学之间的关系:与以往的研究不同,种族认同并不影响逆境与心理病理学之间的长期关系。还需要进行更多的研究,以了解在拉美裔青少年融入美国文化并达到最佳的种族认同形成水平时,是否可能出现紧张关系。医疗服务提供者需要评估可能会干扰青少年身份形成的特定拉丁裔父母和家庭环境。
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来源期刊
CiteScore
21.00
自引率
1.50%
发文量
1383
审稿时长
53 days
期刊介绍: The Journal of the American Academy of Child & Adolescent Psychiatry (JAACAP) is dedicated to advancing the field of child and adolescent psychiatry through the publication of original research and papers of theoretical, scientific, and clinical significance. Our primary focus is on the mental health of children, adolescents, and families. We welcome unpublished manuscripts that explore various perspectives, ranging from genetic, epidemiological, neurobiological, and psychopathological research, to cognitive, behavioral, psychodynamic, and other psychotherapeutic investigations. We also encourage submissions that delve into parent-child, interpersonal, and family research, as well as clinical and empirical studies conducted in inpatient, outpatient, consultation-liaison, and school-based settings. In addition to publishing research, we aim to promote the well-being of children and families by featuring scholarly papers on topics such as health policy, legislation, advocacy, culture, society, and service provision in relation to mental health. At JAACAP, we strive to foster collaboration and dialogue among researchers, clinicians, and policy-makers in order to enhance our understanding and approach to child and adolescent mental health.
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