儿童福利参与青少年不良童年经历与心理健康的关系

IF 2 Q2 FAMILY STUDIES
Journal of Child & Adolescent Trauma Pub Date : 2025-03-31 eCollection Date: 2025-09-01 DOI:10.1007/s40653-025-00703-3
Lindsey M Weiler, Ana Mireya Díaz-Howard, Sarah J Racz, Haoran Zhou, Yunqi He, Gilly McIntyre, Heather N Taussig
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引用次数: 0

摘要

美国青少年的心理健康问题日益严重。许多研究将不良童年经历(ace)与这些日益增长的担忧联系起来。在这一迅速发展的领域中,研究呼吁将与环境和发展相关的不良经历,如歧视和欺凌,以及传统的不良经历,如虐待,纳入其中。目前的研究评估了在儿童福利参与的青少年中,一系列扩大的不良经历与心理健康功能之间的关系。参与者包括245名不同种族/民族的青少年(12-15岁,60.5%为女性)及其父母/照顾者。使用了ace和青少年功能(如内化行为、分离症状、社会问题)的多信息来源测量。在现有文献的基础上,选择21个候选ACE纳入扩展ACE索引。14个ace与至少一个心理健康变量呈正相关,包括:身体虐待、性虐待、身体忽视、目睹家庭暴力、目睹社区暴力、终止父母权利、照顾者转换次数、学校更换次数、同伴情感欺凌、同伴身体欺凌、网络欺凌、歧视导致的身体暴力、情感/关系约会暴力和性/身体约会暴力。所得指数与所有结果变量呈正相关。亚组分析检查了不同社会人口群体中ace与心理健康功能之间的关系,发现了相对可比的影响。这些结果强调需要考虑青少年和人口/环境特定的ace。研究结果还表明,一些不良经历——尽管可能在其他方面仍有影响——对参与儿童福利的青少年的心理健康功能的影响可能较小。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Association between Adverse Childhood Experiences (ACEs) and the Mental Health of Adolescents with Child Welfare Involvement.

Mental health problems are increasing among U.S. adolescents. Numerous studies have linked adverse childhood experiences (ACEs) to these growing concerns. Studies in this rapidly expanding field are calling for the inclusion of contextually and developmentally relevant ACEs, such as discrimination and bullying, alongside conventional ACEs, such as maltreatment. The current study assesses the association between an expanded set of ACEs and mental health functioning among adolescents with child welfare involvement. Participants included 245 racially/ethnically diverse youth (ages 12-15; 60.5% female) and their parents/caregivers. Multi-informant measures of ACEs and adolescent functioning (e.g., internalizing behaviors, dissociative symptoms, social problems) were used. Based on extant literature, 21 candidate ACEs were selected for possible inclusion in an expanded ACE index. Fourteen ACEs were positively associated with at least one mental health variable and included in the index: physical abuse, sexual abuse, physical neglect, witnessing domestic violence, witnessing community violence, termination of parental rights, number of caregiver transitions, number of school changes, peer emotional bullying, peer physical bullying, cyberbullying, physical violence due to discrimination, emotional/relational dating violence, and sexual/physical dating violence. The resulting index was positively associated with all outcome variables. Subgroup analyses examined the association between ACEs and mental health functioning within different sociodemographic groups, finding relatively comparable effects. These results underscore the need to consider ACEs specific to adolescence and population/context. Findings also suggest that some ACEs - although likely still impactful in other ways-may be less influential for adolescent mental health functioning among youth with child welfare involvement.

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来源期刊
CiteScore
3.00
自引率
6.70%
发文量
71
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.
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