Race and Gender Differences in Exposure to Trauma and Adversity and Psychopathology Among Adolescents in Mental Health Treatment.

IF 2 Q2 FAMILY STUDIES

Journal of Child & Adolescent Trauma Pub Date : 2025-04-21 eCollection Date: 2025-09-01 DOI:10.1007/s40653-025-00699-w

Hilary B Hodgdon, Kayla Lord, Lia Martin, Skyler McComas, Mia DeMarco

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引用次数: 0

Abstract

Examine differences in historical risk factors and psychopathology among adolescents in mental health (MH) treatment across race and gender groups. Logistic Regression and ANCOVA were utilized to examine group differences and race by gender interactions in exposure to trauma and psychopathology among 1769 adolescents ages 12-17 years (M age = 15.26 years, 42.7% male, 54.5% White, 19.7% Multiracial, 13.1% Black, 9.6% Hispanic/Latinx, 2.1% Asian) in MH treatment. Black and Multiracial youth were more likely to have an arrest (OR = 3.66 and 2.09, p <.001) and adjudication (OR = 2.36 and 2.35, p <.001) history than White youth. White youth were more likely to have a history of suicidal ideation (OR = 0.41, p <.001) and self-injurious behavior (OR = 0.33, p <.001) than Black youth. Black youth had greater trauma exposure (p =.001), but lower internalizing (p <.001) and depression (p =.032) than White youth. Multiracial youth had higher internalizing than Black youth (p <.001), but lower than White youth (p =.024). Significant race by gender interactions showed female youth-of-color had greater trauma exposure and externalizing than White or Asian female youth. Findings suggest different potential pathways for MH treatment referral for adolescents by race and gender. White youth were more likely to display "individual" level risk (i.e. SIB, suicidality, depression) while youth-of-color were more likely to report "contextual" risk (i.e. system contact, trauma). Female youth-of-color had particularly complex trauma and clinical profiles at treatment entry.

Supplementary information: The online version contains supplementary material available at 10.1007/s40653-025-00699-w.

查看原文本刊更多论文

青少年心理健康治疗中创伤和逆境暴露与精神病理的种族和性别差异。

检查不同种族和性别群体在青少年心理健康（MH）治疗中的历史风险因素和精神病理学差异。采用Logistic回归和ANCOVA分析了1769名12-17岁青少年（M年龄为15.26岁，42.7%为男性，54.5%为白人，19.7%为多种族，13.1%为黑人，9.6%为西班牙裔/拉丁裔，2.1%为亚洲人）在MH治疗中的创伤暴露和精神病理方面的群体差异和种族性别相互作用。黑人和多种族青年更有可能被逮捕（OR = 3.66和2.09,p p p p =.001），但内化（p p =.032）低于白人青年。多种族青年的内化程度高于黑人青年（p p = 0.024）。显著的种族性别互动表明，有色人种女性青年比白人或亚洲女性青年有更大的创伤暴露和外化。研究结果表明，不同种族和性别的青少年MH治疗转诊的潜在途径不同。白人青年更有可能表现出“个人”层面的风险（即SIB、自杀、抑郁），而有色人种青年更有可能报告“情境”风险（即系统接触、创伤）。有色人种的女性青年在接受治疗时有特别复杂的创伤和临床表现。补充信息：在线版本包含补充资料，提供地址：10.1007/s40653-025-00699-w。

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来源期刊

Journal of Child & Adolescent Trauma Multiple-

CiteScore

3.00

自引率

6.70%

发文量

期刊介绍： Underpinned by a biopsychosocial approach, the Journal of Child & Adolescent Trauma presents original research and prevention and treatment strategies for understanding and dealing with symptoms and disorders related to the psychological effects of trauma experienced by children and adolescents during childhood and where the impact of these experiences continues into adulthood. The journal also examines intervention models directed toward the individual, family, and community, new theoretical models and approaches, and public policy proposals and innovations. In addition, the journal promotes rigorous investigation and debate on the human capacity for agency, resilience and longer-term healing in the face of child and adolescent trauma. With a multidisciplinary approach that draws input from the psychological, medical, social work, sociological, public health, legal and education fields, the journal features research, intervention approaches and evidence-based programs, theoretical articles, specific review articles, brief reports and case studies, and commentaries on current and/or controversial topics. The journal also encourages submissions from less heard voices, for example in terms of geography, minority status or service user perspectives. Among the topics examined in the Journal of Child & Adolescent Trauma: The effects of childhood maltreatment Loss, natural disasters, and political conflict Exposure to or victimization from family or community violence Racial, ethnic, gender, sexual orientation or class discrimination Physical injury, diseases, and painful or debilitating medical treatments The impact of poverty, social deprivation and inequality Barriers and facilitators on pathways to recovery The Journal of Child & Adolescent Trauma is an important resource for practitioners, policymakers, researchers, and academics whose work is centered on children exposed to traumatic events and adults exposed to traumatic events as children.