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A 15-year outcome study of children and young people in care attending a tertiary level specialist mental health service
IF 3.4 2区 心理学 Q1 FAMILY STUDIES Pub Date : 2025-02-06 DOI: 10.1016/j.chiabu.2025.107297
Kathryn Eadie , Syeda Farah Zahir , Jo-Anne Chapman , Warren Bergh , Tania Withington

Background

Children and young people (C/YP) exposed to abuse and neglect can experience complex mental health problems. Examining interventions and outcomes for C/YP in care receiving mental health treatment could help optimise service delivery to this population.

Objective

The aim of the study was to investigate functioning and mental health outcomes of C/YP in care attending a tertiary level specialist mental health service in Queensland, Australia. In addition, outcomes were explored with Aboriginal and/or Torres Strait Islander status, length of stay (LOS) and age as potential contributing factors.

Participants and setting

This 15-year retrospective cohort study consisted of a sample of 1561C/YP with pre- and post-treatment data attending the mental health service.

Methods

The Children's Global Assessment Scale (CGAS) and the Health of the Nations Outcome Scale for Children and Adolescents (HoNOSCA) were used to examine C/YP's functioning and mental health outcomes. Generalised linear mixed model, linear mixed model and McNemar's test were conducted.

Results

Overall, C/YP improved in mental health concerns and functioning on all domains post-intervention (p < 0.001). Non-Aboriginal and/or Torres Strait Islander C/YP had a greater improvement post-intervention in disruptive/aggressive behaviour, scholastic/language skills, and poor school attendance compared to Aboriginal and/or Torres Strait Islander C/YP (p < 0.05). A reduced length of stay resulted in a greater improvement post-intervention in overall functioning, overactivity/attentional difficulties, peer relationships and poor school attendance (p < 0.05). Younger children had a greater improvement post-intervention in overall functioning, scholastic/language skills, emotional symptoms, peer relationships, self-care/independence and poor school attendance compared to older children (p < 0.05).

Conclusions

Findings from this study demonstrate that the tertiary level specialist mental health service is an effective treatment program for C/YP in care who have experienced severe and complex trauma. There were some differences in outcomes based on Aboriginal and/or Torres Strait Islander status, LOS and age that need to be considered to enhance service delivery for all C/YP. Implications and further research were explored.
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引用次数: 0
Caries experience in suspected physical child abuse: A comparative analysis with register-based controls
IF 3.4 2区 心理学 Q1 FAMILY STUDIES Pub Date : 2025-02-05 DOI: 10.1016/j.chiabu.2024.107240
Daniella Justesen , Carl Johan Wingren , Asta Teilum , Niels Dyrgaard Jensen , Liselott Slot , Seija Ylijoki-Sørensen , Jytte Banner , Nuno Vibe Hermann

Background

Child Abuse and Neglect (CAN) is a severe threat to children's health and well-being worldwide. Since oral and dental health are indicators of general health, dentists and dental hygienists are in a favorable position to identify potential cases of CAN.

Objective

This study aims to investigate the caries experience in primary and permanent dentition in children where physical abuse was suspected compared to controls.

Participant and setting

All cases were police-reported cases of suspected physical abuse, examined from 2020 to 2023 at the Child Advocacy Centre (CAC) in Copenhagen. Control groups were established using annual reports from the Danish Health Authority of children examined in pediatric dental clinics from 2020 to 2023.

Methods

The children underwent a comprehensive and systematic forensic medical and dental examination. The control group was matched by age and geography. The main outcome was caries experience, defined as decayed, extracted, or filled primary teeth (def-t) and decayed, missing, or filled permanent teeth (DMF-T). Logistics regression analyses were used to predict the caries experience in cases compared to controls.

Results

Overall, significantly higher caries experience was found in primary dentition among cases (Chi-square, p < 0.05). Stratified by age, higher caries experience was found in the primary dentition in the 5-year-old (OR: 2.5-3.0; 95% CI 1.1-7.2) and in the permanent dentition of the 11-year-old (OR: 2.9-3.9; 95% CI 1.4-13.9) across all study years.

Conclusions

Certain age groups of suspected physically abused children exhibit significantly higher caries experience than matched controls.
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引用次数: 0
Onset, frequency, and temporal ordering of chronic adverse childhood experiences in adolescents adjudicated for sexual offences
IF 3.4 2区 心理学 Q1 FAMILY STUDIES Pub Date : 2025-02-05 DOI: 10.1016/j.chiabu.2025.107256
Danielle Arlanda Harris , Lisa Thomsen , James Ogilvie , David John Harris , John Rynne

Background

Extant literature compellingly demonstrates the prevalence and importance of Adverse Childhood Experiences (ACEs) in youth adjudicated for the perpetration of sexual offences. Most of this research is limited to a count derived from a checklist of 10 dichotomous (never/ever) variables.

Objective

Given the preponderance of evidence supporting the presence of adversity, it is necessary to now extend our understanding to the investigation of the onset, frequency, and temporal ordering of adverse experiences to examine potential implications for life outcomes and points of intervention.

Participants and setting

This paper focuses on the experiences of 20 Australian adolescents who were adjudicated for sexual offences and had experienced severely adverse childhoods characterised by abuse, neglect, maltreatment, dysfunctional households, caregiver inconsistency, and residential instability.

Method

An ACE Matrix was created for each participant and the onset, frequency, and duration of each ACE was plotted to facilitate visualisation of their experience of abuse and maltreatment over time.

Results

Our results revealed frequent changes in accommodation and primary caregiver and a striking concentration of abuse and neglect before the participants had started primary school.

Conclusions

Early detection of ACEs, appropriate and timely intervention, as well as identification and prevention of unintended collateral consequences of justice system involvement for adolescents is discussed.
{"title":"Onset, frequency, and temporal ordering of chronic adverse childhood experiences in adolescents adjudicated for sexual offences","authors":"Danielle Arlanda Harris ,&nbsp;Lisa Thomsen ,&nbsp;James Ogilvie ,&nbsp;David John Harris ,&nbsp;John Rynne","doi":"10.1016/j.chiabu.2025.107256","DOIUrl":"10.1016/j.chiabu.2025.107256","url":null,"abstract":"<div><h3>Background</h3><div>Extant literature compellingly demonstrates the prevalence and importance of Adverse Childhood Experiences (ACEs) in youth adjudicated for the perpetration of sexual offences. Most of this research is limited to a count derived from a checklist of 10 dichotomous (never/ever) variables.</div></div><div><h3>Objective</h3><div>Given the preponderance of evidence supporting the presence of adversity, it is necessary to now extend our understanding to the investigation of the onset, frequency, and temporal ordering of adverse experiences to examine potential implications for life outcomes and points of intervention.</div></div><div><h3>Participants and setting</h3><div>This paper focuses on the experiences of 20 Australian adolescents who were adjudicated for sexual offences and had experienced severely adverse childhoods characterised by abuse, neglect, maltreatment, dysfunctional households, caregiver inconsistency, and residential instability.</div></div><div><h3>Method</h3><div>An ACE Matrix was created for each participant and the onset, frequency, and duration of each ACE was plotted to facilitate visualisation of their experience of abuse and maltreatment over time.</div></div><div><h3>Results</h3><div>Our results revealed frequent changes in accommodation and primary caregiver and a striking concentration of abuse and neglect before the participants had started primary school.</div></div><div><h3>Conclusions</h3><div>Early detection of ACEs, appropriate and timely intervention, as well as identification and prevention of unintended collateral consequences of justice system involvement for adolescents is discussed.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"161 ","pages":"Article 107256"},"PeriodicalIF":3.4,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143103750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Divergent school bullying experiences and mental health: The mediating role of self-stigma among Chinese LGB adolescents and young adults
IF 3.4 2区 心理学 Q1 FAMILY STUDIES Pub Date : 2025-02-05 DOI: 10.1016/j.chiabu.2025.107306
Changhui Song , Zheng Zhang , Kaigong Wei , Hui Xie

Background

Bullying significantly impacts the mental health of lesbian, gay, and bisexual (LGB) adolescents and young adults (AYAs), yet research on the specific effects of different types of bullying and the role of self-stigma is limited in China.

Objectives

This study investigated the relationships between school bullying victimization and mental health among LGB AYAs, focusing on the mediating role of self-stigma across cognition, affect, and behavior domains.

Participants and setting

Online survey data were collected from 621 self-identified cisgender LGB AYAs in China (M[age] = 19.58; SD = 3.19) using convenience and snowball sampling through personal referrals and online private groups.

Methods

The Bullying and Cyberbullying Scale-Adolescents (BCS-A) assessed school bullying experiences. The Self-Stigma Scale-Short Form (SSS-S) and the Depression Anxiety and Stress Scale-21 short version (DASS-21) measured stigma, depression, anxiety, and stress. Mediation analysis was conducted.

Results

Both physical and verbal bullying were directly associated with depression, anxiety, and stress. Relational bullying was significantly associated with stress but not depression and anxiety. Cyberbullying did not show direct or indirect associations with these mental health outcomes. Indirect paths indicated that both physical and relational bullying affected mental health through self-stigmatizing behaviors, with cognitive and affective domains showing no mediation effect.

Conclusions

Differentiating self-stigma domains reveals their unique mediating roles between bullying victimization and adverse mental health among LGB AYAs in China. Findings highlight the need to improve school policies/regulations and foster inclusive environments to mitigate these adverse effects. Understanding shared risks across various types of bullying can also guide effective prevention and intervention strategies.
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引用次数: 0
A network approach to understanding bullying victimization and its co-occurrence with depressive symptoms among Chinese students in different developmental periods
IF 3.4 2区 心理学 Q1 FAMILY STUDIES Pub Date : 2025-02-04 DOI: 10.1016/j.chiabu.2025.107295
Yukai Zhou , Libin Zhang , Yang Yang , Yun Wang , Yunyun Zhang

Background

Bullying victimization and its co-occurrence with depressive symptoms have previously been explored. However, the pattern of bullying victimization development and the detailed associations between victimization and depressive symptoms remain unknown.

Objective

This study aimed to explore bullying victimization and its comorbidity with depressive symptoms across different developmental periods via network analysis.

Participants and setting

Data from the National Children's Study of China (NCSC) were analysed, including a nationally representative sample (N = 23,917, 46.6 % girls, grades 4 to 9) covering 31 provinces in China.

Methods

Network analysis was applied to identify core nodes and edges of bullying victimization as well as bridge nodes and bridge edges connecting the victimization community and the depressive symptom community across late childhood, early adolescence, and middle adolescence. The network of bullying victimization and the bridge network of victimization and depressive symptoms in these three periods were compared.

Results

The results revealed the following developmental inconsistencies: 1) “being spoken ill of”, “being hit, kicked, pushed, or shoved”, and “being threatened or intimidated” were the core nodes of victimization in late childhood, early adolescence, and middle adolescence, respectively, and 2) “being hit, kicked, pushed, or shoved” was more likely to co-occur with “being spoken ill of” in late childhood and early adolescence than in middle adolescence. The analysis also revealed the following consistencies: 1) the consistent bridge nodes were “being spoken ill of” for bullying victimization and “lack of friendship” for depressive symptoms, and 2) the consistent bridge edges were the connections between “being spoken ill of”/”being excluded” and “loneliness”/”lack of friendship”.

Conclusions

The findings highlighted the stable critical connection between relational victimization and loneliness/the absence of friendships across the three developmental stages, which might be the basis for the co-occurrence of bullying victimization and depressive symptoms. Joint efforts should focus on identifying and addressing bullying (especially relational bullying) to reduce the risk of depressive symptoms for victims.
{"title":"A network approach to understanding bullying victimization and its co-occurrence with depressive symptoms among Chinese students in different developmental periods","authors":"Yukai Zhou ,&nbsp;Libin Zhang ,&nbsp;Yang Yang ,&nbsp;Yun Wang ,&nbsp;Yunyun Zhang","doi":"10.1016/j.chiabu.2025.107295","DOIUrl":"10.1016/j.chiabu.2025.107295","url":null,"abstract":"<div><h3>Background</h3><div>Bullying victimization and its co-occurrence with depressive symptoms have previously been explored. However, the pattern of bullying victimization development and the detailed associations between victimization and depressive symptoms remain unknown.</div></div><div><h3>Objective</h3><div>This study aimed to explore bullying victimization and its comorbidity with depressive symptoms across different developmental periods via network analysis.</div></div><div><h3>Participants and setting</h3><div>Data from the National Children's Study of China (NCSC) were analysed, including a nationally representative sample (<em>N</em> = 23,917, 46.6 % girls, grades 4 to 9) covering 31 provinces in China.</div></div><div><h3>Methods</h3><div>Network analysis was applied to identify core nodes and edges of bullying victimization as well as bridge nodes and bridge edges connecting the victimization community and the depressive symptom community across late childhood, early adolescence, and middle adolescence. The network of bullying victimization and the bridge network of victimization and depressive symptoms in these three periods were compared.</div></div><div><h3>Results</h3><div>The results revealed the following developmental inconsistencies: 1) “being spoken ill of”, “being hit, kicked, pushed, or shoved”, and “being threatened or intimidated” were the core nodes of victimization in late childhood, early adolescence, and middle adolescence, respectively, and 2) “being hit, kicked, pushed, or shoved” was more likely to co-occur with “being spoken ill of” in late childhood and early adolescence than in middle adolescence. The analysis also revealed the following consistencies: 1) the consistent bridge nodes were “being spoken ill of” for bullying victimization and “lack of friendship” for depressive symptoms, and 2) the consistent bridge edges were the connections between “being spoken ill of”/”being excluded” and “loneliness”/”lack of friendship”.</div></div><div><h3>Conclusions</h3><div>The findings highlighted the stable critical connection between relational victimization and loneliness/the absence of friendships across the three developmental stages, which might be the basis for the co-occurrence of bullying victimization and depressive symptoms. Joint efforts should focus on identifying and addressing bullying (especially relational bullying) to reduce the risk of depressive symptoms for victims.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"161 ","pages":"Article 107295"},"PeriodicalIF":3.4,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143103836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Interpersonal relationship patterns of left-behind adolescents with family and school systems members and their associations with mental health: A latent profile analysis
IF 3.4 2区 心理学 Q1 FAMILY STUDIES Pub Date : 2025-02-04 DOI: 10.1016/j.chiabu.2025.107303
Youling Bai , Yuhan Yang , Yanling Liu

Background

The absence of parents owing to relocation from rural to urban areas has a detrimental effect on the mental health of adolescents in China. Previous studies have examined interpersonal relationships (IRs) and psychological health using a variable-centered approach based on group differences. Few studies have employed person-centered approaches to identify specific patterns of IRs in a large sample of Chinese left-behind adolescents (LBA), and little is known about the association between these profiles and psychological health.

Objective

To identify interpersonal relationship patterns of LBA with family and school systems members using latent profile analysis (LPA) and to examine their association with psychological health.

Participants and setting

The sample included 4724 LBA aged 11–18 years recruited from Chongqing City and Sichuan Province, China (Mage = 15.41, SD = 1.63 years, 46.2 % female).

Methods

Interpersonal relationships of LBA were conceptualized as father–child, mother–child, teacher–student, and student–student relationships.

Results

LPA identified four profiles: low school–low family relationships (6.4 %, profile 1), high school–medium family relationships (21.4 %, profile 2), medium school–medium family relationships (56.2 %, profile 3), and high school–high family relationships (15.9 %, profile 4). These four profiles significantly differed in the four IRs. Multivariate analysis of covariance (MANCOVA) revealed that positive (i.e., life satisfaction, self-esteem, social adaption, and psychological suzhi) and negative mental health indicators (i.e., anxiety, depression, aggressive behavior, Internet addiction, and school bullying) varied across the four profiles. The psychological health of LBA differed according to their IRs. Profile 4 exhibited higher levels of positive psychological health and lower levels of negative psychological health compared to all other types of LBA. Importantly, profile 2 had fewer negative mental health than profile 1 and profile 3.

Conclusions

These findings elucidate the heterogeneous typologies of IRs in LBA and underscore the crucial role of school and family relationships in promoting the mental health of LBA. Therefore, strengthening both school and family IRs may reduce the prevalence of negative psychological health among LBA.
{"title":"Interpersonal relationship patterns of left-behind adolescents with family and school systems members and their associations with mental health: A latent profile analysis","authors":"Youling Bai ,&nbsp;Yuhan Yang ,&nbsp;Yanling Liu","doi":"10.1016/j.chiabu.2025.107303","DOIUrl":"10.1016/j.chiabu.2025.107303","url":null,"abstract":"<div><h3>Background</h3><div>The absence of parents owing to relocation from rural to urban areas has a detrimental effect on the mental health of adolescents in China. Previous studies have examined interpersonal relationships (IRs) and psychological health using a variable-centered approach based on group differences. Few studies have employed person-centered approaches to identify specific patterns of IRs in a large sample of Chinese left-behind adolescents (LBA), and little is known about the association between these profiles and psychological health.</div></div><div><h3>Objective</h3><div>To identify interpersonal relationship patterns of LBA with family and school systems members using latent profile analysis (LPA) and to examine their association with psychological health.</div></div><div><h3>Participants and setting</h3><div>The sample included 4724 LBA aged 11–18 years recruited from Chongqing City and Sichuan Province, China (<em>M</em><sub>age</sub> = 15.41, <em>SD</em> = 1.63 years, 46.2 % female).</div></div><div><h3>Methods</h3><div>Interpersonal relationships of LBA were conceptualized as father–child, mother–child, teacher–student, and student–student relationships.</div></div><div><h3>Results</h3><div>LPA identified four profiles: low school–low family relationships (6.4 %, profile 1), high school–medium family relationships (21.4 %, profile 2), medium school–medium family relationships (56.2 %, profile 3), and high school–high family relationships (15.9 %, profile 4). These four profiles significantly differed in the four IRs. Multivariate analysis of covariance (MANCOVA) revealed that positive (i.e., life satisfaction, self-esteem, social adaption, and psychological <em>suzhi</em>) and negative mental health indicators (i.e., anxiety, depression, aggressive behavior, Internet addiction, and school bullying) varied across the four profiles. The psychological health of LBA differed according to their IRs. Profile 4 exhibited higher levels of positive psychological health and lower levels of negative psychological health compared to all other types of LBA. Importantly, profile 2 had fewer negative mental health than profile 1 and profile 3.</div></div><div><h3>Conclusions</h3><div>These findings elucidate the heterogeneous typologies of IRs in LBA and underscore the crucial role of school and family relationships in promoting the mental health of LBA. Therefore, strengthening both school and family IRs may reduce the prevalence of negative psychological health among LBA.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"161 ","pages":"Article 107303"},"PeriodicalIF":3.4,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143172251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Longitudinal associations between childhood adversity and alcohol use behaviours in early adulthood: Examining the mediating roles of parental and peer relationships
IF 3.4 2区 心理学 Q1 FAMILY STUDIES Pub Date : 2025-02-04 DOI: 10.1016/j.chiabu.2025.107302
Deirdre Mongan , Seán R. Millar , Margaret M. Brennan , Anne Doyle , Brian Galvin , Noel McCarthy

Background

Research has demonstrated positive associations between adverse childhood experiences (ACEs) and alcohol use behaviours in young adults. However, many of these are based on cross-sectional data. The pathway between ACEs and alcohol misuse among emerging adults is not fully understood and there is a lack of data on how parental and peer relationships may mediate this relationship.

Objective

To examine ACE exposure relationships with alcohol use behaviours and determine if associations between ACEs and harmful alcohol use are mediated by parent and peer relationships and school engagement.

Participants and setting

Participants (n = 4729) were a cohort of children recruited to the Growing Up in Ireland study, a nationally representative longitudinal sample of children.

Methods

Linear and logistic regression analyses examined individual and cumulative ACE exposure relationships with alcohol use behaviours at age 20 years. Mediation analyses assessed whether parental and peer relationships and school engagement mediate ACE history associations with harmful alcohol use.

Results

Exposure to ACEs in childhood was associated with higher Alcohol Use Disorders Identification Test (AUDIT) scores and alcohol dependence at age 20. Young adults who experienced 3+ ACEs had a three-fold (OR = 3.33, 95 % CI: 2.00, 5.55) increased odds of alcohol dependence when compared to participants who experienced no ACEs. Mediation analyses suggested that parent and peer relationships partially mediate associations between ACEs and harmful alcohol use behaviours.

Conclusions

Children who have experienced ACEs are at higher risk of harmful alcohol use. In supporting these children, identified mediators may help guide selection of prevention interventions.
{"title":"Longitudinal associations between childhood adversity and alcohol use behaviours in early adulthood: Examining the mediating roles of parental and peer relationships","authors":"Deirdre Mongan ,&nbsp;Seán R. Millar ,&nbsp;Margaret M. Brennan ,&nbsp;Anne Doyle ,&nbsp;Brian Galvin ,&nbsp;Noel McCarthy","doi":"10.1016/j.chiabu.2025.107302","DOIUrl":"10.1016/j.chiabu.2025.107302","url":null,"abstract":"<div><h3>Background</h3><div>Research has demonstrated positive associations between adverse childhood experiences (ACEs) and alcohol use behaviours in young adults. However, many of these are based on cross-sectional data. The pathway between ACEs and alcohol misuse among emerging adults is not fully understood and there is a lack of data on how parental and peer relationships may mediate this relationship.</div></div><div><h3>Objective</h3><div>To examine ACE exposure relationships with alcohol use behaviours and determine if associations between ACEs and harmful alcohol use are mediated by parent and peer relationships and school engagement.</div></div><div><h3>Participants and setting</h3><div>Participants (<em>n</em> = 4729) were a cohort of children recruited to the Growing Up in Ireland study, a nationally representative longitudinal sample of children.</div></div><div><h3>Methods</h3><div>Linear and logistic regression analyses examined individual and cumulative ACE exposure relationships with alcohol use behaviours at age 20 years. Mediation analyses assessed whether parental and peer relationships and school engagement mediate ACE history associations with harmful alcohol use.</div></div><div><h3>Results</h3><div>Exposure to ACEs in childhood was associated with higher Alcohol Use Disorders Identification Test (AUDIT) scores and alcohol dependence at age 20. Young adults who experienced 3+ ACEs had a three-fold (OR = 3.33, 95 % CI: 2.00, 5.55) increased odds of alcohol dependence when compared to participants who experienced no ACEs. Mediation analyses suggested that parent and peer relationships partially mediate associations between ACEs and harmful alcohol use behaviours.</div></div><div><h3>Conclusions</h3><div>Children who have experienced ACEs are at higher risk of harmful alcohol use. In supporting these children, identified mediators may help guide selection of prevention interventions.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"161 ","pages":"Article 107302"},"PeriodicalIF":3.4,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143103835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring gender expression: Experiences of transgender youth in out-of-home care 探索性别表达:跨性别青少年在家庭外照料中的经历。
IF 3.4 2区 心理学 Q1 FAMILY STUDIES Pub Date : 2025-02-01 DOI: 10.1016/j.chiabu.2024.107167
Nofar Mazursky

Background

Gender expression is crucial for transgender youth's self-identity, serving to navigate reactions and foster safety, empowerment, belonging, and social acknowledgment.

Objective

The present study aims to explore the experiences of gender expressions among transgender youth who aged out of out-of-home care in Israel.

Methods

The study employed a constructivist grounded theory approach. Twenty-two in-depth semi-structured interviews were conducted with transgender youth aged 16–32 (Mage = 22.2).

Results

The findings highlight four main spaces in which transgender youth describe their experiences: 1) The out-of-home care space, in which youth inquire about their identity; 2) The public space, which exemplifies the reactions of society; 3) The sex work space, which presents different motivations to engage in sex work; and 4) The intrapersonal space, which includes self-harm experiences and feelings of regret.

Conclusions

The experiences of the transgender youth regarding their gender expressions can be understood along a spectrum ranging from connection to disconnection with their bodies. Furthermore, the findings reveal an ongoing tension and internal dialogue between inner identity and external presentation, namely, the struggle between expressing their gender and conforming to social expectations. These findings point to a unique set of needs for effective interventions to assist in developing positive body image and resilience.
背景:性别表达对跨性别青年的自我认同至关重要,有助于引导反应,促进安全、赋权、归属感和社会认可。摘要目的:本研究旨在探讨以色列跨性别青少年的性别表达经历。方法:采用建构主义扎根理论研究方法。对年龄16-32岁的跨性别青年进行了22次深度半结构化访谈(Mage = 22.2)。结果:跨性别青年主要在4个空间描述自己的经历:1)家庭外关怀空间,青年在其中询问自己的身份;2)公共空间,体现了社会的反应;3)性工作空间,呈现出不同的性工作动机;4)个人空间,包括自残经历和后悔感受。结论:跨性别青年在性别表达方面的经历可以从与身体的连接到与身体的分离这一范围来理解。此外,研究结果揭示了内在身份与外在表现之间持续的紧张和内部对话,即表达性别与符合社会期望之间的斗争。这些发现指出了一套独特的需要,有效的干预措施,以帮助发展积极的身体形象和弹性。
{"title":"Exploring gender expression: Experiences of transgender youth in out-of-home care","authors":"Nofar Mazursky","doi":"10.1016/j.chiabu.2024.107167","DOIUrl":"10.1016/j.chiabu.2024.107167","url":null,"abstract":"<div><h3>Background</h3><div>Gender expression is crucial for transgender youth's self-identity, serving to navigate reactions and foster safety, empowerment, belonging, and social acknowledgment.</div></div><div><h3>Objective</h3><div>The present study aims to explore the experiences of gender expressions among transgender youth who aged out of out-of-home care in Israel.</div></div><div><h3>Methods</h3><div>The study employed a constructivist grounded theory approach. Twenty-two in-depth semi-structured interviews were conducted with transgender youth aged 16–32 (<em>M</em>age = 22.2).</div></div><div><h3>Results</h3><div>The findings highlight four main spaces in which transgender youth describe their experiences: 1) The out-of-home care space, in which youth inquire about their identity; 2) The public space, which exemplifies the reactions of society; 3) The sex work space, which presents different motivations to engage in sex work; and 4) The intrapersonal space, which includes self-harm experiences and feelings of regret.</div></div><div><h3>Conclusions</h3><div>The experiences of the transgender youth regarding their gender expressions can be understood along a spectrum ranging from connection to disconnection with their bodies. Furthermore, the findings reveal an ongoing tension and internal dialogue between inner identity and external presentation, namely, the struggle between expressing their gender and conforming to social expectations. These findings point to a unique set of needs for effective interventions to assist in developing positive body image and resilience.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"160 ","pages":"Article 107167"},"PeriodicalIF":3.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dimensional early life adversity and anxiety symptoms: A network analysis and longitudinal study 维度早期生活逆境与焦虑症状:网络分析和纵向研究。
IF 3.4 2区 心理学 Q1 FAMILY STUDIES Pub Date : 2025-02-01 DOI: 10.1016/j.chiabu.2024.107201
Zhao-ying Wang , Shi-xiong Hu , Jian Lu , Wen Shang , Tao Chen , Rui-ting Zhang

Background

Accumulating literature has found a close relation between early life adversity (ELA) and anxiety. However, previous studies did not rule out the high co-occurrence of different types of ELA when exploring the association of ELA and anxiety. In the present study, we carried out network analysis based on a cross-sectional sample and longitudinal sample to investigate the relationship between ELA and anxiety symptoms in non-clinical populations over time.

Methods

Online advertisement was carried out to recruit participants. The cross-sectional sample included 871 Chinese participants (Mage = 19.11, SDage = 1.57), and the longitudinal sample involved 440 Chinese participants (Mage = 18.93, SDage = 0.75). Three dimensions of ELA were assessed. The Threat/Harm dimension was assessed by subscales of physical abuse, emotional abuse, and sexual abuse of Childhood Trauma Questionnaire (CTQ). The Deprivation dimension of ELA was measured by subscales of physical neglect, and emotional neglect of CTQ. The Unpredictability dimension of ELA was evaluated by the Childhood Unpredictability scale. Anxiety symptoms were captured by the Generalized Anxiety Disorder-7 (GAD-7). Regularized partial correlation networks were constructed, and the expected influence (EI) as well as predictability of each node were calculated. Stability within the network was tested and the network comparison test was conducted to examine the difference between the cross-sectional network and the longitudinal network.

Results

The cross-sectional network was relatively tight, and nodes within the dimension of ELA clustered together. Childhood unpredictability and emotional abuse revealed stronger associations with anxiety symptoms than other ELAs. Emotional abuse showed the highest EI in the network. These findings were replicated in the longitudinal network. The network comparison test indicated no significant difference between the cross-sectional network and the longitudinal network.

Conclusion

Childhood unpredictability and emotional abuse were strong predictors of anxiety symptoms, and the prediction was reliable and persistent. Reduce the experience of childhood emotional abuse can serve as a target to prevent anxiety.
背景:越来越多的文献发现,早期生活逆境与焦虑有着密切的关系。然而,以往的研究在探讨ELA与焦虑的关系时,并未排除不同类型ELA的高共发性。在本研究中,我们进行了基于横断面样本和纵向样本的网络分析,以调查非临床人群中ELA与焦虑症状之间的关系。方法:采用网络广告进行招募。横断面样本包括871名中国参与者(Mage = 19.11, SDage = 1.57),纵向样本包括440名中国参与者(Mage = 18.93, SDage = 0.75)。评估ELA的三个维度。威胁/伤害维度采用儿童创伤问卷(CTQ)中身体虐待、情感虐待和性虐待的子量表进行评估。ELA的剥夺维度采用CTQ的身体忽视分量表和情绪忽视分量表测量。ELA的不可预测性维度采用童年不可预测性量表进行评估。焦虑症状由广泛性焦虑障碍-7 (GAD-7)记录。构造正则化偏相关网络,计算各节点的期望影响(EI)和可预测性。对网络内部的稳定性进行了测试,并进行了网络对比测试,以检验横截面网络与纵向网络之间的差异。结果:横截面网络较为紧密,ELA维度内的节点聚集在一起。童年时期的不可预测性和情绪虐待与焦虑症状的关联比其他ELAs更强。情感虐待者在网络中表现出最高的EI。这些发现在纵向网络中得到了重复。网络对比试验表明,横断面网络与纵向网络之间无显著差异。结论:童年不可预测性和情绪虐待是焦虑症状的强预测因子,预测可靠且持续。减少童年经历的情感虐待可以作为预防焦虑的一个目标。
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引用次数: 0
The effects of childhood maltreatment and social support on the trajectories of depressive symptoms from adolescence to young adulthood 童年虐待和社会支持对从青春期到青年期抑郁症状轨迹的影响。
IF 3.4 2区 心理学 Q1 FAMILY STUDIES Pub Date : 2025-02-01 DOI: 10.1016/j.chiabu.2024.107242
Fei Shen , Ranran Z. Mi , Hyunji Lee , Jennifer J. Chen , Ying Zhang

Background

Depression is one of the most common mental health concerns among adolescents and young adults. Childhood maltreatment is a particularly potent risk factor for the subsequent development of depressive symptoms. Meanwhile, social support has been identified as a robust protective factor against depressive symptoms. However, limited research has investigated the effects of childhood maltreatment and social support on the trajectories of depressive symptoms from adolescence to young adulthood.

Objective

The present study aimed to explore trajectories of depressive symptoms from adolescence to young adulthood as well as identify childhood maltreatment as a potential risk factor and social support as a protective factor to depressive symptoms over time.

Methods

We conducted growth curve modeling using public-use data from Add Health. Main variables (childhood maltreatment, social support, depressive symptoms from Wave I to Wave IV) and control variables (e.g., gender, race, poverty) were included in the analysis.

Results

Depressive symptoms demonstrated a quadratic pattern, with a decline from adolescence to emerging adulthood, and a slight increase in young adulthood. Childhood maltreatment was only significantly associated with the initial level of depressive symptoms but not the trajectories of depressive symptoms. Social support was not only associated with the initial level of depressive symptoms, but also the changes of depressive symptoms over time.

Conclusion

The present study provides an avenue towards untangling potential factors contributing to the heterogeneity of depressive symptoms. Identifying risk and protective factors with varying trajectories of depressive symptoms will potentially improve related treatments and interventions.
背景:抑郁症是青少年和年轻人中最常见的心理健康问题之一。儿童时期的虐待是导致随后出现抑郁症状的一个特别重要的危险因素。与此同时,社会支持已被确定为对抗抑郁症状的有力保护因素。然而,有限的研究调查了童年虐待和社会支持对从青春期到青年期抑郁症状轨迹的影响。目的:本研究旨在探索抑郁症状从青春期到青年期的发展轨迹,并确定童年虐待是抑郁症状的潜在危险因素,而社会支持是抑郁症状的保护因素。方法:我们使用Add Health的公共数据进行增长曲线建模。主要变量(童年虐待、社会支持、第一波到第四波抑郁症状)和控制变量(如性别、种族、贫困)都包括在分析中。结果:抑郁症状呈二次型模式,从青春期到初成期下降,在青年期略有增加。儿童期虐待仅与抑郁症状的初始水平显著相关,而与抑郁症状的发展轨迹无关。社会支持不仅与抑郁症状的初始水平有关,而且与抑郁症状随时间的变化有关。结论:本研究为解开导致抑郁症状异质性的潜在因素提供了一条途径。识别具有不同抑郁症状轨迹的风险和保护因素将有可能改善相关的治疗和干预措施。
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引用次数: 0
期刊
Child Abuse & Neglect
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