创伤后的恢复能力:高危青少年的适应能力。

IF 2.7 2区 心理学 Q2 PSYCHIATRY Psychological trauma : theory, research, practice and policy Pub Date : 2024-09-12 DOI:10.1037/tra0001797
Patricia Correia-Santos,Bárbara Sousa,Julian D Ford,Ângela Costa Maia,Ricardo J Pinto
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引用次数: 0

摘要

目的经历过潜在创伤事件的青少年有可能出现长期和严重的适应问题。然而,有些经历过潜在创伤事件的青少年会表现出比预期更好的适应能力。以人为本的分析方法基于适应行为和逆境的多重标准,非常适合从经验上识别高危青少年的不同适应模式。方法:通过对创伤史、创伤相关症状、应对技能和感知的社会支持进行自我报告,收集了来自葡萄牙三个高危亚群的 381 名青少年的数据。通过潜类分析研究了创伤经历后的不同适应类型:(结果确定了四个等级:(a)创伤相关精神病理学等级(13.6%),(b)适应复原力等级(36.8%),(c)低资源等级(11.4%)和(d)高资源等级(38.2%)。与创伤有关的精神病理学类和低资源类的特点是适应不良程度高。与低资源班类似,创伤相关精神病理学班也报告了明显较高的创伤相关精神病理学可能性和较高的解决问题技能水平。结论:临床医生在治疗儿童的内化心理健康或外化行为问题时,应评估创伤史和与创伤相关的精神病理学,以及可增强复原力的保护性资源,如解决问题和寻求社会支持的技能。(PsycInfo Database Record (c) 2024 APA, 版权所有)。
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Resilience in the aftermath of trauma: Classes of adjustment in at-risk youth.
OBJECTIVE Youth who have been exposed to potentially traumatic events are at risk of developing chronic and severe adjustment problems. However, some youth exposed to potentially traumatic events exhibit better-than-expected adaptation. Person-centered analyses, based on multiple criteria for adaptive behavior and adversity, are well-suited to empirically identifying different patterns of adaptation among high-risk youth. METHOD Data from 381 youth from three at-risk subgroups in Portugal were collected using self-reported measures of trauma history, trauma-related symptomatology, coping skills, and perceived social support. Distinct classes of adaptation after traumatic experiences were examined with latent class analysis. RESULTS Four classes were identified: (a) trauma-related psychopathology class (13.6%), (b) adaptive resilience class (36.8%), (c) low resources class (11.4%), and (d) high resources class (38.2%). Trauma-related psychopathology class and low resources class were characterized by high levels of maladjustment. Similarly to the low resources class, the trauma-related psychopathology class reported a significantly higher likelihood of trauma-related psychopathology and higher levels of problem-solving skills. The adaptive resilience class and high resources class also reported lower levels of maladjustment, and the high resources class reported higher levels of coping skills and lower levels of externalizing problems than any other class. CONCLUSION Clinicians treating children's internalizing mental health or externalizing behavior problems should assess trauma history and trauma-related psychopathology, as well as protective resources that may enhance resilience such as skills for problem solving and social support seeking. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
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来源期刊
CiteScore
11.20
自引率
3.20%
发文量
427
期刊介绍: Psychological Trauma: Theory, Research, Practice, and Policy publishes empirical research on the psychological effects of trauma. The journal is intended to be a forum for an interdisciplinary discussion on trauma, blending science, theory, practice, and policy. The journal publishes empirical research on a wide range of trauma-related topics, including: -Psychological treatments and effects -Promotion of education about effects of and treatment for trauma -Assessment and diagnosis of trauma -Pathophysiology of trauma reactions -Health services (delivery of services to trauma populations) -Epidemiological studies and risk factor studies -Neuroimaging studies -Trauma and cultural competence
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