Ruchkin Vladislav, Henrich Christopher C, Jones Stephanie M, Vermeiren Robert, Schwab-Stone Mary
Yale Child Study Center, Yale University School of Medicine, 230 South Frontage Road, New Haven, CT 06520-7900, USA.
J Abnorm Child Psychol. 2007 Aug;35(4):578-93. doi: 10.1007/s10802-007-9114-7. Epub 2007 Feb 27.
Understanding the mechanisms underlying the development of violence exposure sequelae is essential to providing effective treatments for traumatized youth. This longitudinal study examined the mediating role of posttraumatic stress in the relationship between violence exposure and psychopathology, and compared the mediated models by gender. Urban adolescents (n=1,358) were surveyed using the Social and Health Assessment. The proposed relationships were examined using Structural Equation Modeling. Posttraumatic stress fully mediated the relationships between victimization and depression and anxiety in girls, and partially so in boys. In addition, posttraumatic stress partially mediated the relationships between violence exposure and commission of violence in boys. Current findings support the longitudinal effects of violence exposure on adolescent mental health. Posttraumatic stress represents a unique mechanism for the development of psychopathology in girls and is also related to negative outcomes in boys. These findings have direct implications for prevention and rehabilitation efforts among violence exposed youth.
了解暴力暴露后遗症发展的潜在机制对于为受创伤的青少年提供有效治疗至关重要。这项纵向研究考察了创伤后应激在暴力暴露与精神病理学关系中的中介作用，并按性别比较了中介模型。使用社会与健康评估对城市青少年（n = 1358）进行了调查。使用结构方程模型检验了所提出的关系。创伤后应激在女孩中完全中介了受害经历与抑郁和焦虑之间的关系，在男孩中则部分中介了这种关系。此外，创伤后应激在男孩中部分中介了暴力暴露与暴力行为之间的关系。当前研究结果支持暴力暴露对青少年心理健康的纵向影响。创伤后应激是女孩精神病理学发展的一种独特机制，也与男孩的负面结果有关。这些发现对暴力暴露青少年的预防和康复工作具有直接影响。
