Department of Psychology, Florida International University, University Park Campus, Miami, FL 33199, USA.
Arch Sex Behav. 2011 Apr;40(2):301-9. doi: 10.1007/s10508-010-9699-8. Epub 2010 Dec 17.
The purpose of the current study was to describe the use of a brief maltreatment assessment instrument to classify adolescents receiving alcohol or other drug (AOD) treatment services based on the extensiveness and severity of prior maltreatment. This goal is significant because maltreatment reduces the effectiveness of AOD treatment and is associated significantly with co-occurring patterns of psychiatric symptoms and sexual risk behaviors. Structured interviews were administered to 300 adolescent treatment clients (202 males, 98 females; M = 16.22 years; SD = 1.13 years) to assess childhood maltreatment experiences, past year psychiatric symptoms, and sexual risk behaviors during the past 180 days. Cluster analysis classified adolescents into unique groups via self-reported sexual abuse, physical punishment, and parental neglect/negative home environment. Significant between-cluster differences in psychiatric symptoms and sexual risk behaviors were documented using MANOVA and chi-square analyses. More severe maltreatment profiles were associated with higher scores for psychiatric symptoms and unprotected intercourse. Significant heterogeneity and distinct types within this treatment sample of adolescents supports the adaptation of selected prevention efforts to promote HIV/STI risk reduction.
本研究的目的是描述使用一种简短的虐待评估工具，根据先前虐待的广泛程度和严重程度，对接受酒精或其他药物 (AOD) 治疗服务的青少年进行分类。这一目标意义重大，因为虐待会降低 AOD 治疗的效果，并与共发的精神症状和性风险行为模式显著相关。对 300 名青少年治疗患者（202 名男性，98 名女性；M=16.22 岁；SD=1.13 岁）进行了结构化访谈，以评估童年期虐待经历、过去一年的精神症状以及过去 180 天的性风险行为。通过自我报告的性虐待、身体惩罚和父母忽视/消极的家庭环境，聚类分析将青少年分为独特的群体。使用 MANOVA 和卡方分析记录了精神病症状和性风险行为方面的显著组间差异。更严重的虐待模式与更高的精神症状和无保护性行为评分相关。在这个青少年治疗样本中存在显著的异质性和不同类型，支持针对特定预防措施的调整，以促进 HIV/性传播感染的风险降低。
