The American journal of orthopsychiatry最新文献_第6页

Black adolescents' anticipatory stress responses to multilevel racism: The role of racial identity. 黑人青少年对多层次种族主义的预期应激反应:种族认同的作用。

IF 3.3

The American journal of orthopsychiatry Pub Date : 2021-01-01 Epub Date: 2021-04-22 DOI: 10.1037/ort0000547

Elan C Hope, Marissa Brinkman, Lori S Hoggard, McKenzie N Stokes, Vanessa Hatton, Vanessa V Volpe, Erin Elliot

{"title":"Black adolescents' anticipatory stress responses to multilevel racism: The role of racial identity.","authors":"Elan C Hope, Marissa Brinkman, Lori S Hoggard, McKenzie N Stokes, Vanessa Hatton, Vanessa V Volpe, Erin Elliot","doi":"10.1037/ort0000547","DOIUrl":"https://doi.org/10.1037/ort0000547","url":null,"abstract":"Black adolescents face the stressful experience of racism in their everyday lives, which has negative implications for their health and well-being. In the current study, we explored experiences of individual, institutional, and cultural racism in relation to anticipatory racism-related stress responses (e.g., prolonged negative thinking, arousal in expectation of future racism) among Black adolescents (N = 442). We also examined whether three dimensions of racial identity, centrality, private regard, and public regard, moderate those relationships. We found that more experiences of racism at each level were related to greater anticipatory racism-related stress responses, measured as more cognitive activation of racial stressors, appraisal of coping strategies, and anticipation of future racism. We also found that some relationships between experiences of racism and anticipatory stress varied by regard. The positive relation between individual racism and perseverative cognition was stronger for those with low public regard. Similarly, the positive association between cultural racism and psychological anticipation was stronger for those with low public regard. The positive association between institutional racism and physiological anticipation of future racism was stronger for those with higher private regard. These findings contribute to the growing literature on the pervasiveness of racism in the lives of Black youth and the utility of racial identity to reduce harm from racism. (PsycInfo Database Record (c) 2021 APA, all rights reserved).","PeriodicalId":409666,"journal":{"name":"The American journal of orthopsychiatry","volume":" ","pages":"487-498"},"PeriodicalIF":3.3,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39275854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 21

Conceptualizing healing through the African American experience of historical trauma. 概念化治疗通过非裔美国人的历史创伤经历。

IF 3.3

The American journal of orthopsychiatry Pub Date : 2021-01-01 Epub Date: 2021-08-05 DOI: 10.1037/ort0000578

Zuleka R Henderson, Tricia N Stephens, Anna Ortega-Williams, Quenette L Walton

{"title":"Conceptualizing healing through the African American experience of historical trauma.","authors":"Zuleka R Henderson, Tricia N Stephens, Anna Ortega-Williams, Quenette L Walton","doi":"10.1037/ort0000578","DOIUrl":"https://doi.org/10.1037/ort0000578","url":null,"abstract":"For the African American healing journey, it is essential for cultural strengths that preceded and followed the original injury of enslavement, and consequent racially based trauma, to be recognized and elevated. Historical trauma has offered an important framework for understanding how the structural determinants of health are related to mass group-level subjugation for Indigenous people across generations, with a growing focus on protective factors. Here, we expand the application of the historical trauma framework to African Americans, with a focus on intergenerational healing. This exploratory study examined historical evidence of healing among enslaved people of African ancestry on Southern plantations. Two themes associated with how healing practices and strategies were used by healers and seekers of healing-figuring out what to do and fighting back/resisting-were developed using a thematic analysis of a historical text. A conceptual model is introduced illustrating the intergenerational transmission of healing and well-being across generations of African Americans. Implications for policy, practice, and research are explored. (PsycInfo Database Record (c) 2021 APA, all rights reserved).","PeriodicalId":409666,"journal":{"name":"The American journal of orthopsychiatry","volume":" ","pages":"763-775"},"PeriodicalIF":3.3,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39277924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 12

Investigating the effects of the Moms' Empowerment Program on 8-year traumatic stress symptom trajectories in women with histories of IPV. 调查母亲赋权计划对有IPV病史的妇女8年创伤应激症状轨迹的影响。

IF 3.3

The American journal of orthopsychiatry Pub Date : 2021-01-01 Epub Date: 2021-08-12 DOI: 10.1037/ort0000577

Maria M Galano, Sara F Stein, Andrew C Grogan-Kaylor, Hannah M Clark, Sandra A Graham-Bermann

{"title":"Investigating the effects of the Moms' Empowerment Program on 8-year traumatic stress symptom trajectories in women with histories of IPV.","authors":"Maria M Galano, Sara F Stein, Andrew C Grogan-Kaylor, Hannah M Clark, Sandra A Graham-Bermann","doi":"10.1037/ort0000577","DOIUrl":"https://doi.org/10.1037/ort0000577","url":null,"abstract":"Objective: Intimate partner violence (IPV) is a pressing issue, affecting nearly one-third of women in the U.S. over their lifetimes, and has been linked with a number of deleterious outcomes, including the development of posttraumatic stress disorder (PTSD). Although IPV is often chronic, few studies have prospectively examined trajectories of PTSD symptoms (PTSS) in this population. The goal of the present study was to assess the effects of the Moms' Empowerment Program-an IPV-specific intervention; as well as trauma exposure, domestic violence (DV) shelter use, and depression symptoms on PTSS trajectories in women with histories of IPV.Method: Data were drawn from a sample of 118 women who participated in a randomized controlled trial (RCT) of an intervention specifically designed for women and children experiencing IPV. Sixty-seven women from the original sample completed an assessment 8 years following the conclusion of the intervention.Results: On average, women's PTSS decreased over time. Intervention group assignment did not affect these trajectories; however, women who attended more sessions had significantly fewer PTSS at the 8-year follow-up. Greater IPV exposure, higher depression symptoms, and shelter use were all associated with higher PTSS over time, with some variation across PTSS subdomains.Conclusions: These results provide preliminary evidence that brief intervention may have long-term effects. They also demonstrate how addressing ongoing IPV and concurrent symptoms of depression is likely an essential component of treating PTSS in this population. Finally, these results underscore the need for more research on relations between formal DV services and mental health. (PsycInfo Database Record (c) 2021 APA, all rights reserved).","PeriodicalId":409666,"journal":{"name":"The American journal of orthopsychiatry","volume":" ","pages":"776-788"},"PeriodicalIF":3.3,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39304659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Can organizational efforts lead to less secondary traumatic stress? A longitudinal investigation of change. 组织性的努力能减少继发性创伤压力吗?变化的纵向调查

IF 3.3

The American journal of orthopsychiatry Pub Date : 2021-01-01 Epub Date: 2021-04-29 DOI: 10.1037/ort0000546

Ginny Sprang, Feitong Lei, Heather Bush

{"title":"Can organizational efforts lead to less secondary traumatic stress? A longitudinal investigation of change.","authors":"Ginny Sprang, Feitong Lei, Heather Bush","doi":"10.1037/ort0000546","DOIUrl":"https://doi.org/10.1037/ort0000546","url":null,"abstract":"Objectives: Current best practice approaches suggest that to address secondary traumatic stress (STS) a two-pronged perspective that considers individual and organizational factors over time is warranted. However, research documenting the impact of organizational efforts on individual experience with STS is lacking. In this study, it was hypothesized that as an organization becomes more STS informed, there would be decreases in reported levels of STS and burnout (BO) in individuals over time; and these changes would be associated with higher levels of implementation activity and increased use of interventions to improve physical and psychological safety. Methods: This study uses data from 2,345 responses, representing 7 groups involved in an organizational change process aimed at creating STS informed organizations in a department of health and human services. The Secondary Traumatic Stress Informed Organizational Assessment (STSI-OA), the Secondary Traumatic Stress Scale (STSS), and the Professional Quality of Life-5 BO subscales measured variables of interest. Using a longitudinal design, baseline, post, and follow-up data were collected. Results: One-way ANOVAs revealed significant improvements in STSI-OA, STSS, and BO scores across time (p-value < .05). Linear mixed models reveal that significant declines in STSS scores were associated with improved STSI-OA scores (p = <.001), after adjusting for age, gender, time, and level of implementation activity. Implications: These results support the hypothesis that organizational efforts can improve an individual's perceived level of distress, and that focused attention to the issue of secondary trauma in an organization can improve organizational and individual outcomes using a data-driven change approach. (PsycInfo Database Record (c) 2021 APA, all rights reserved).","PeriodicalId":409666,"journal":{"name":"The American journal of orthopsychiatry","volume":" ","pages":"443-453"},"PeriodicalIF":3.3,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38841400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 10

Antipsychotic treatment for youth in foster care: Perspectives on improving youths' experiences in providing informed consent. 青少年在寄养中的抗精神病治疗:在提供知情同意方面改善青少年经验的观点。

IF 3.3

The American journal of orthopsychiatry Pub Date : 2021-01-01 DOI: 10.1037/ort0000532

Cassandra Simmel, Cadence F Bowden, Sheree Neese-Todd, Justeen Hyde, Stephen Crystal

{"title":"Antipsychotic treatment for youth in foster care: Perspectives on improving youths' experiences in providing informed consent.","authors":"Cassandra Simmel, Cadence F Bowden, Sheree Neese-Todd, Justeen Hyde, Stephen Crystal","doi":"10.1037/ort0000532","DOIUrl":"https://doi.org/10.1037/ort0000532","url":null,"abstract":"The disproportionate prescribing of high-risk antipsychotic medication for youth in foster care is a significant social problem across the U.S. This qualitative study examined stakeholder perceptions of prescribing, being prescribed, or overseeing prescriptions for youth in foster care. Interviews and focus groups were conducted with clinicians, child welfare caseworkers, foster caregivers, and foster care alumni. The overall aim was to systematically explore their understanding of and experiences with the Informed Consent to treatment and shared decision-making processes related to prescribing and monitoring of antipsychotic medications for youth in foster care. Participants were recruited from around the country; data collection using structured interview or focus group guides occurred via telephone and web-based formats. This study is rooted in the lived experiences of stakeholders in addressing recent federal legislative mandates and guidelines for the oversight and co-ordination of mental health service delivery to youth in foster care. Numerous themes emerged that provide context in employing a team-based approach for youth engaged with multiple child-serving systems. Eight themes emerged that illustrate the necessary components of successfully implementing Informed Consent and shared decision-making as well as the barriers and concerns germane to this process. The findings address the nuanced complexity of and tensions with the trade-offs inherent in delivering mental health care to youth involved in foster care. (PsycInfo Database Record (c) 2021 APA, all rights reserved).","PeriodicalId":409666,"journal":{"name":"The American journal of orthopsychiatry","volume":" ","pages":"258-270"},"PeriodicalIF":3.3,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8404191/pdf/nihms-1729505.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38977910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Loneliness, mental health, and social health indicators in LGBTQIA+ Australians. LGBTQIA+澳大利亚人的孤独、心理健康和社会健康指标

IF 3.3

The American journal of orthopsychiatry Pub Date : 2021-01-01 Epub Date: 2020-12-14 DOI: 10.1037/ort0000531

Robert Eres, Natasha Postolovski, Monica Thielking, Michelle H Lim

{"title":"Loneliness, mental health, and social health indicators in LGBTQIA+ Australians.","authors":"Robert Eres, Natasha Postolovski, Monica Thielking, Michelle H Lim","doi":"10.1037/ort0000531","DOIUrl":"https://doi.org/10.1037/ort0000531","url":null,"abstract":"Loneliness is a growing public health concern that is associated with poor mental health (e.g., social anxiety, depression) and increased physical health problems (e.g., cardiovascular disease, sleep disturbances). Socially vulnerable groups such as the elderly, migrants, and asylum seekers are more susceptible to the effects of loneliness. We examined loneliness severity in lesbian, gay, bisexual, transgender, queer, intersex, asexual, and other sexual orientation and gender identity diverse (LGBTQIA+) communities. The relationships between loneliness, mental health, social support, belongingness, and quality of life in a sample of LGBTQIA+ (n = 238) and non-LGBTQIA+ (n = 270) adults aged 18-73 years (N = 508) were examined. Overall, LGBTQIA+ adults experienced higher levels of loneliness, depression, and social anxiety than the non-LGBTQIA+ comparison group. LGBTQIA+ adults also reported lower perceived social support and were at higher risk of social isolation than the non-LGBTQIA+ group. Thus, LGBTQIA+ adults may be at greater risk of loneliness and social isolation than has previously been recognized. (PsycInfo Database Record (c) 2021 APA, all rights reserved).","PeriodicalId":409666,"journal":{"name":"The American journal of orthopsychiatry","volume":" ","pages":"358-366"},"PeriodicalIF":3.3,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38706930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 29

Establishing a path to unity: Recommendations for the Biden/Harris administration. 建立团结之路:对拜登/哈里斯政府的建议。

IF 3.3

The American journal of orthopsychiatry Pub Date : 2021-01-01 DOI: 10.1037/ort0000563

Gita Jaffe, Jill D McLeigh, Ryan P Kilmer, Deborah Klein Walker, William R Beardslee, Cori Tergesen, Cynthia Taylor Handrup

{"title":"Establishing a path to unity: Recommendations for the Biden/Harris administration.","authors":"Gita Jaffe, Jill D McLeigh, Ryan P Kilmer, Deborah Klein Walker, William R Beardslee, Cori Tergesen, Cynthia Taylor Handrup","doi":"10.1037/ort0000563","DOIUrl":"https://doi.org/10.1037/ort0000563","url":null,"abstract":"The Biden/Harris Administration faces many challenges, from systems and policies that do not work for or benefit all Americans to stark social and political divisions. Multiple courses of action will be necessary, and there must be commitment and investment for the \"long haul.\" When considering the nation's challenges, overarching themes emerge that must be addressed. For instance, recommendations for justice reform cannot be followed without significant focus on race and equity. This focus will also be needed in considering solutions to affordable housing shortages, economic crises, and social and economic immobility concerns. In a similar vein, if the interests and rights of our nation's children are not recognized now, the social consequences will impact every aspect of their livelihoods-and those of future generations. The recommendations put forward by the Global Alliance are bold and will take time to fully implement. The implementation of these recommendations will challenge our systems and our policymakers to acknowledge our past and reenvision the future-and they will help address the multifaceted behavioral health and well-being needs of our nation, its communities, and its people. (PsycInfo Database Record (c) 2021 APA, all rights reserved).","PeriodicalId":409666,"journal":{"name":"The American journal of orthopsychiatry","volume":" ","pages":"303-309"},"PeriodicalIF":3.3,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39240430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The community transformation map: A maturity tool for planning change in community health improvement for equity and well-being. 社区转型地图:一个成熟的工具，用于规划社区健康改善方面的变革，以促进公平和福祉。

IF 3.3

The American journal of orthopsychiatry Pub Date : 2021-01-01 DOI: 10.1037/ort0000526

Ariel M Domlyn, Jonathan Scaccia, Niñon Lewis, Shemekka Ebony Coleman, Gareth Parry, Somava Saha, Abraham Wandersman, Rohit Ramaswamy

{"title":"The community transformation map: A maturity tool for planning change in community health improvement for equity and well-being.","authors":"Ariel M Domlyn, Jonathan Scaccia, Niñon Lewis, Shemekka Ebony Coleman, Gareth Parry, Somava Saha, Abraham Wandersman, Rohit Ramaswamy","doi":"10.1037/ort0000526","DOIUrl":"https://doi.org/10.1037/ort0000526","url":null,"abstract":"Transforming communities to be healthier and more equitable prosents a systemic challenge best addressed by those with native knowledge of the system. Community coalitions are a promising structure for tackling local health inequities, if they approach the change process with multiple local stakeholders and with systemic change in mind. Maturity models offer a framework for system assessment by defining sequential stages toward ideal development. Providing coalitions with a structure for self-assessing community change, the Community Transformation Map (CTM) is a maturity model that operationalizes concepts hypothesized to foster systemic change. This 40-item tool encourages self-assessment, dialogue, and reconciliation of community transformation priorities via an appreciative inquiry process. The CTM was created and applied with 18 community coalitions participating in the 100 Million Healthier Lives initiative. It was iteratively drafted with representatives from across the initiative. These coalitions self-administered the CTM four times over 24 months. Coalitions used the CTM to reconcile perspectives, identify priorities, and create transformation action plans. After the fourth administration, ten semistructured interviews were conducted with coalition members. Thematic analysis revealed good contextual validity. Coalitions saw value in the CTM's productive dialogue and the shared understanding it created, but reported perceived burden in conducting repeated administration. The CTM's value is in structuring community members' reflection on complex, systemic problems. The CTM is rooted in international improvement and change principles and continues to be adapted for other change initiatives. (PsycInfo Database Record (c) 2021 APA, all rights reserved).","PeriodicalId":409666,"journal":{"name":"The American journal of orthopsychiatry","volume":" ","pages":"322-331"},"PeriodicalIF":3.3,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39240830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Disability, health, and quality of life among homeless women: A follow-up study. 无家可归妇女的残疾、健康和生活质量:一项后续研究。

IF 3.3

The American journal of orthopsychiatry Pub Date : 2021-01-01 Epub Date: 2021-06-03 DOI: 10.1037/ort0000559

Ana I Guillén, Sonia Panadero, José Juan Vázquez

{"title":"Disability, health, and quality of life among homeless women: A follow-up study.","authors":"Ana I Guillén, Sonia Panadero, José Juan Vázquez","doi":"10.1037/ort0000559","DOIUrl":"https://doi.org/10.1037/ort0000559","url":null,"abstract":"The objectives of this study were: (a) to assess the prevalence of disability among homeless women; (b) to compare homeless women with and without a disability in key variables (e.g., sociodemographic, homelessness history, physical and mental health, etc.); (c) to examine paths between disability, perceived discrimination, mental health, and quality of life. The methodology was a longitudinal study of homeless women in Madrid, who were followed for a 12-month period. There were 136 interviewees at baseline and 85 interviewees at follow-up. Prevalence of self-reported disability was 36.6% at baseline and 58.8% at follow-up. Approximately, in three out of four cases, disability existed prior to becoming homeless. Participants with a disability had been homeless for a longer time at baseline compared to participants without a disability. Moreover, they presented worse mental health, worse overall health status, and lower health-related quality of life at follow-up. Mediation analyses showed that disability at baseline had direct effects on health-related quality of life, but also indirect effects mediated by perceived discrimination and mental health. This study shows the prominent prevalence rates of disability among homeless women in comparison with the general population, and the links to discrimination and negative health outcomes. These findings have significant implications for planning community services for homeless women. (PsycInfo Database Record (c) 2021 APA, all rights reserved).","PeriodicalId":409666,"journal":{"name":"The American journal of orthopsychiatry","volume":" ","pages":"569-577"},"PeriodicalIF":3.3,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38976964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 9

Symptom patterns of sexually abused teenage girls seeking services. 寻求服务的受性虐待少女的症状模式。

IF 3.3

The American journal of orthopsychiatry Pub Date : 2021-01-01 Epub Date: 2021-04-29 DOI: 10.1037/ort0000548

Martine Hébert, Alison Paradis, Andréanne Fortin

{"title":"Symptom patterns of sexually abused teenage girls seeking services.","authors":"Martine Hébert, Alison Paradis, Andréanne Fortin","doi":"10.1037/ort0000548","DOIUrl":"https://doi.org/10.1037/ort0000548","url":null,"abstract":"Child sexual abuse (CSA) is associated with a host of negative repercussions. Yet, scholarly reports highlight the diversity of symptom presentation in survivors of CSA. Relying on the complex posttraumatic stress disorder (C-PTSD) framework, this study aimed to identify symptom profiles in teenage girls seeking services following disclosure of CSA. Participants included 207 teenage girls aged 12-18. They completed questionnaires on PTSD symptoms (i.e., reexperiencing, avoidance, and hyperarousal) and domains of impairments of the C-PTSD (i.e., interpersonal difficulties, biology, affect and behavioral regulation, dissociation, cognition, and self-concept). A latent profile analysis identified three profiles: PTSD, Complex PTSD, and Resilient. Results support the validity of the C-PTSD model with a subgroup reporting classic PTSD symptoms as well as alterations in several domains of functioning. Our second aim was to explore potential correlates of the resulting symptom profiles. Both personal and family factors were found to distinguish profiles, with teens in the Resilient group reporting fewer associations with delinquent peers, less use of avoidance coping strategies, and more maternal support than the two other profiles. Furthermore, CSA severity did not differ between the Complex PTSD and the Resilient profiles. The current findings argue in favor of a more individualized approach to treatment taking into consideration differences in presentation of symptoms among profile teenage survivors of CSA. (PsycInfo Database Record (c) 2021 APA, all rights reserved).","PeriodicalId":409666,"journal":{"name":"The American journal of orthopsychiatry","volume":" ","pages":"464-476"},"PeriodicalIF":3.3,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38853775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1