Journal of Child & Adolescent Trauma最新文献

Researchers have explored the direct association between self-esteem and depression as well as the factors that mediate it. The parallel mediating roles of life satisfaction and anxiety symptoms in the aforementioned direct link are, however, poorly understood, particularly in the Vietnamese context. This study investigated whether life satisfaction and anxiety symptoms mediate the association between self-esteem and depression symptoms among late adolescents in Vietnam. Using a cross-sectional survey, Vietnamese late adolescents (N = 408, 83.6% female; M_age = 19.95 years) completed questionnaires related to anxiety symptoms, depressive symptoms, life satisfaction, and self-esteem. The results indicated that in the parallel mediation model, both direct and indirect effects were significant (β = -0.080, p < 0.05, and β = -0.391, p < 0.01). The association between self-esteem and depression symptoms was mediated by life satisfaction and anxiety symptoms. These findings suggest that to reduce the adverse impact of self-esteem on depression symptoms, effective measures should prioritize reducing anxiety symptoms and increasing life satisfaction among late adolescents.

This study examined differences between young women who are survivors of sexual violence and young women who are survivors of other traumas in terms of posttraumatic growth (PTG) and possible PTG predictors: personal factors (shame and self-blame) and social factors (social support and social reactions to the traumatic event). Additionally, the study explored the possible association between these factors and PTG among the two groups. The sample comprised 285 female trauma survivors, aged 18–30, of whom 128 were sexual violence survivors. Lower PTG was found among sexual violence survivors, while shame, self-blame, and receiving negative reactions were higher among this group than the other group. Among both groups, higher levels of PTG were associated with low levels of shame and high levels of positive reactions, but only in those who experienced sexual violence was PTG associated with high levels of self-blame. Implications for research and practice are discussed.

The primary aim of this study was to investigate the experiences of Dutch children whose parents joined the SS or NSB (a political party that collaborated with Nazi Germany) during World War II, linked to their childhood, adulthood or both. As a secondary aim, it explored the recommendations of these –now elderly- children of NSB and SS members for the (re)integration of minor returnees from the caliphate, who also grew up in a war situation with radicalized parents and have to deal with considerable prejudice and different norms and values upon their (re)integration into Dutch society. The first three research questions are related to the primary aim of this study and focus on 1) the participants' experiences throughout childhood and adulthood, 2) the implications of these experiences for their well-being throughout childhood and adulthood, and 3) their coping responses in response to these experiences throughout childhood and adulthood. The fourth research question is related to the secondary aim of this study and concerns 4) participants' recommendations for the succesful (re)integration of current minor returnees. Semi-structured interviews were conducted with 17 Dutch -now elderly- children of NSB or SS members during World War II. Interview questions were based on recurring topics in the literature, a codebook was generated, and the verbatim transcribed interviews were scored using Atlas.ti 8. Frequently reported codes are described and discussed in relation to each other. Participants reported social exclusion, being separated from their parents, and family secrecy as frequent experiences, which had severe implications for their identity development, self-esteem, and family relationships. Their coping responses included reappraisal, active (e.g., searching information) and avoidant (e.g., merel socially desirable) coping behaviour. Participants’ main recommendations for minor returnees from the caliphate included transparency within families about the past, a focus on social (re)integration, and respecting minor returnees’ loyalty to their parents. The participants' childhood experiences had serious effects on their well-being, starting in childhood and often lasting well into adulthood. Many participants sought professional support throughout their lives, but eventually found recognition only after sharing their experiences in a self-help group for Dutch children of NSB and SS members. We conclude that the insights gained from participants’experiences and their recommendations for the (re)integration of minor returnees are valuable, especially since there is still little research available on the development and experiences of minor returnees.

Background

Youth mental health is an important global healthcare topic and early interventions that are timely and evidence-based to support young people can increase quality of life and lower deaths by suicide. Research exploring young people’s mental health experiences and how they manage can further understanding into help-seeking processes.

Objective

This study aimed to explore young people’s experiences of living with and managing mental health problems and how this impacts professional help-seeking.

Methods

Eighteen young people were recruited, aged 16–25 years, with experiences of help-seeking to services for mental health problems (N = 18). Data were analysed using Constructivist Grounded Theory methods (Charmaz, Constructing grounded theory, 2014).

Findings

The findings were presented across three sub-categories: (1) “Early experiences”; (2) “Conceptualising mental health” and (3) “Managing mental health”. Findings expand understanding on the resource pressures that young people experience whilst managing persistent mental distress emanating from early experiences of trauma, life stressors, and developmental tasks. Findings also report lived experiences of pain, loneliness and stigma, and how individual conceptualisations of mental health are informed. The preference for self-reliance can be rooted in developmental needs or learned behaviours and how this impacts self-management and help seeking is discussed.

Conclusion

Through an enhanced understanding about how young people experience mental distress, developmental pressure points, marginalisation and stigma, mental health providers can prioritise individualised approaches to healthcare that can both respect a young person’s individual conceptualizations and positively leverage self-management strategies, which can contribute positively to young people’s development, quality of life, and healthcare outcomes.

Increasing scientific evidence suggests that youth involvement in street gangs is positively associated with multiple trauma-related symptoms. These symptoms may be explained by high exposure to violence, both as perpetrators and victims. While studies have documented the associations between gang involvement and violence exposure, as well as traumatic outcomes, it is still unknown whether perpetrated violence and/or victimization explain the traumatic outcomes of gang involvement. Notably, girls in gangs are at a higher risk of certain types of victimization, such as sexual exploitation. In the current quantitative study, data from 107 girls from a larger longitudinal study on adolescent girls placed in residential care centers in Montreal, Canada, were analyzed. Recurrences of exposure to street gangs, perpetrated violence, and sexual exploitation victimization were self-reported over a period of four and a half years, from adolescence to emerging adulthood. Trauma-related symptoms were measured in emerging adulthood. Correlational analysis indicated that all key variables were positively associated. Mediation analyses were performed to clarify the respective contributions of perpetrated violence and sexual exploitation victimization to the traumatic sequelae of involvement in a gang. The results indicated a total mediation effect of sexual exploitation victimization on the associations between gang involvement and symptoms of self-disturbance and post-traumatic stress in emerging adulthood, as well as a total mediation effect of sexual exploitation victimization and perpetrated violence on symptoms of externalization. These results corroborate the deleterious effects of violence exposure among girls involved in street gangs, both as perpetrators of violence and victims of sexual exploitation.

Adverse childhood experiences (ACEs) are negative events during childhood or adolescence, including abuse and maltreatment. ACEs are associated with negative life outcomes, and the risk of such outcomes increases when polyvictimization (i.e., multiple types of ACEs) occurs. This study identified patterns in ACEs among girls in a residential treatment program (RTP) and examined how these patterns were associated with trauma symptoms, substance use, and delinquent behavior. Data were coded from psychological assessment records for girls ages 13 to 18 who entered the RTP between 2017 and 2021 (N = 256). Adolescents identified as 43.0% White, 20.9% Biracial/Multiethnic, 16.7% Black, 12.5% Hispanic/Latina, 4.2% Native American/Indigenous Peoples, and 2.7% Middle Eastern/North African descent. Participants reported an average of 5.08 adverse experiences (SD = 2.47). Four distinct classes were identified through latent class analysis: polyvictimization (endorsing all 10 ACEs), abuse and non-support (maltreatment and lack of parental support), household dysfunction (parental separation, incarceration, substance use), and low adversity (exposure to only parental separation). The polyvictimization class and the abuse and non-support class reported higher levels of trauma symptoms compared to the low adversity class. The polyvictimization class reported higher substance use compared to the low adversity class. The household dysfunction class reported higher substance use and higher delinquent behaviors compared to the low adversity class. These findings provide a deeper understanding of adolescent girls’ experiences of ACEs and mental health and behavioral concerns when entering residential treatment, which helps to inform prevention, intervention, and policy.

Background

People living with HIV experience traumatic incidents at higher rates than the general population; and research has documented significant association between trauma exposure and the development of mental disorders. Mental health problems have a a negative impact on anti-retroviral treatment adherence. All of these psychosocial concerns play a role in potentially increasing HIV transmission to sexual partners resulting in increased incidence rates. To inform interventions that improve quality of life, and decrease risky behaviors for adolescents and youth, it is critical to understand the extent to which childhood trauma, mental health problems, and poor adherence occur and coexist in this population of adolescents living with HIV. Thus, this study examined the associations between childhood trauma, mental health problems (depression, anxiety, and substance use) and adherence to ART among HIV infected youth in Botswana.

Methods

A cross-sectional quantitative survey was conducted among youth aged 15 and 24-years old living with HIV. The Childhood Trauma Questionnaire- Short Form; Depression, Anxiety, Stress Scale (DASS-21; Car Relax Alone Forget Friends Trouble” or CRAFFT 2.1 + N were used to collect data on exposure to childhood trauma, mental health symptoms and problematic substance use respectively. Adherence was assessed objectively with viral load and subjectively with Simplified Medication Adherence Questionnaire. Data analysis was conducted using Stata version 15. Bivariate logistical regression analysis testing for associations between mental health symptoms, substance use and adherence, and childhood trauma was conducted. Multivariate logistic regression was subsequently performed controlling for variables found to be significantly associated with childhood trauma.

Results

Of the 119 youth, 47% of the participants reported experiencing at least one type of childhood trauma, and physical neglect was the most frequently reported. Emotional abuse, emotional neglect, physical abuse, sexual abuse and physical neglect were significantly associated with non-adherence, OR 5.83; OR 3.10; OR 5.97, and OR 2.52, respectively.

Conclusion

Our findings revealed that exposure to all domains of childhood trauma except physical abuse were significantly associated with non-adherence. Sexual abuse and emotional neglect had the highest odds of predicting non-adherence. This highlights the need for trauma focused psychosocial interventions in managing youth living with HIV.

Posttraumatic stress disorder (PTSD) is linked with self-harm and suicide, but few studies have examined these severe outcomes in relation to complex trauma. This study examined the associations between self-harm and suicide-related phenomena with ICD-11 complex PTSD (CPTSD) among treatment-seeking youths. A convenience sample of 109 adolescents with major depression (69.7% female; mean age = 15.24) were recruited from an outpatient psychiatric clinic. Participants completed measures for ICD-11 CPTSD, adverse childhood experiences (ACEs), self-harm behaviors, and past-year history of four suicide-related phenomena. Relationships between each self-harm and suicide-related variable with CPTSD were assessed at the symptom and diagnostic levels. Participants reported an average of three ACEs; 33.9% met diagnostic requirements for ICD-11 CPTSD. Past-year suicidal thought and attempt, but not self-harm, significantly associated with CPTSD status. At the symptom level, self-harm associated with CPTSD total symptom and all symptom clusters scores, with strongest associations found with symptoms of negative self-concept. CPTSD total symptom scores also associated strongly with past-year history of suicidal thought, plan, and attempt; the three core PTSD symptom clusters scores consistently and strongly linked with these suicide-related phenomena. For symptoms of complex trauma, relationship disturbances associated with having a suicide attempt, and negative self-concept associated with both having a plan and an attempt. Assessing and targeting ICD-11 CPTSD symptoms have potential to reduce self-harm and suicidality in young people experiencing mental distress, particularly for those with a trauma history and regardless of whether they meet criteria for a diagnosable trauma response.

The purpose of the current research study was to examine the relationship among Adverse Childhood Experiences (ACEs), racial discrimination, and internalizing problems (i.e., anxiety, depression) among Asian adolescents in the US. We used a subsample of Asian adolescents from the National Survey of Children's Health (NSCH) 2018–2019 (n = 1,110; age = 14.73 years; 47.8% male). Results of binary logistic regression analyses revealed most individual ACEs were not significantly associated with anxiety and depression, but ‘family mental illness’ had a strong association with the condition of depression (OR = 5.39, 95% CI [2.17, 13.40], p < .001). Racial discrimination was significantly associated with both anxiety (OR = 3.70, 95% CI [1.98, 6.89]) and depression (OR = 3.47., 95% CI [1.74, 6.91]), even after accounting for cumulative scores of other ACEs and sociodemographic covariates in the regression models. The findings demonstrate the unique role of racial discrimination in developing internalizing problems among Asian adolescents in the US. Implications for practitioners and future research are discussed.

Children growing up with alcohol-dependent parents have elevated risk for adverse childhood experiences (ACEs), but few studies have assessed the adverse effects of occasional or frequent exposure to parental intoxication episodes. This study examined whether such exposure was associated with increased risk of ACEs and negative psychological reactions (NPRs) in adolescence and young adulthood. The study relied on cross-sectional and longitudinal data from the Trøndelag Health Study in Norway and included 2,230 adolescents (ages 13–19 years) followed up 11 years later. Self-report questionnaires were used to collect information about exposure to parental intoxication, ACEs, and NPRs in adolescence and NPRs in young adulthood. Seeing parents drunk occasionally was associated with increased odds of six ACEs (odds ratios 1.42 [95% confidence interval 1.17–1.73] to 2.08 [1.44–3.01]) and increased odds of one NPR in adolescence (1.46, 1.12–1.91) compared with those who had never seen their parents intoxicated. Compared with those who had never seen parents intoxicated, seeing parents intoxicated frequently was associated with increased odds of all ACEs measured (1.80 [1.00–3.23] to 3.27 [1.92–5.56]), two NPRs in adolescence (1.60 [1.02–2.50] and 2.06 [1.30–3.27]), one NPR in adulthood (3.56, 1.83–6.94), and the perception of childhood as difficult/very difficult (2.99, 1.51–5.93). In conclusion, exposure to intoxicated parents was associated with increased risk of ACEs and NPRs during childhood, even at low frequency. Frequent exposure to parental intoxication was also associated with NPR in young adulthood.