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在寄养照料中的受虐待青少年样本中,接触社区暴力是否能预测创伤症状?

Does community violence exposure predict trauma symptoms in a sample of maltreated youth in foster care?

作者信息

Garrido Edward F, Culhane Sara E, Raviv Tali, Taussig Heather N

机构信息

The Kempe Center for the Prevention and Treatment of Child Abuse and Neglect, University of Colorado, Denver School of Medicine, Aurora, CO 80045, USA.

出版信息

Violence Vict. 2010;25(6):755-69. doi: 10.1891/0886-6708.25.6.755.

DOI:10.1891/0886-6708.25.6.755
PMID:21287965
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3072041/
Abstract

Previous studies find that childhood exposure to family and community violence is associated with trauma symptoms. Few studies, however, have explored whether community violence exposure (CVE) predicts trauma symptoms after controlling for the effects associated with family violence exposure (FVE). In the current study, CVE and FVE were examined in a sample of 179 youth with a recent history of maltreatment. CVE was associated with trauma symptoms after controlling for FVE, but FVE was not associated with trauma symptoms after controlling for CVE. In addition, negative coping strategies (e.g., self-harm, interpersonal aggression) partially mediated the association between CVE and trauma symptoms. These findings are discussed in terms of their implications for interventions aimed at addressing the needs of children exposed to violence.

摘要

以往的研究发现,童年时期暴露于家庭和社区暴力与创伤症状有关。然而,很少有研究探讨在控制了与家庭暴力暴露(FVE)相关的影响后,社区暴力暴露(CVE)是否能预测创伤症状。在当前的研究中,对179名近期有虐待史的青少年样本进行了CVE和FVE的调查。在控制了FVE后,CVE与创伤症状有关,但在控制了CVE后,FVE与创伤症状无关。此外,消极的应对策略(如自我伤害、人际攻击)部分介导了CVE与创伤症状之间的关联。本文将根据这些发现对旨在满足遭受暴力儿童需求的干预措施的影响进行讨论。

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本文引用的文献

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Child Abuse Negl. 2009 Sep;33(9):648-60. doi: 10.1016/j.chiabu.2009.01.002. Epub 2009 Oct 4.
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Community violence: a meta-analysis on the effect of exposure and mental health outcomes of children and adolescents.社区暴力:关于儿童和青少年接触社区暴力及其心理健康结果影响的荟萃分析
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Am J Orthopsychiatry. 2008 Apr;78(2):249-58. doi: 10.1037/a0013948.
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The impact of exposure to domestic violence on children and young people: a review of the literature.家庭暴力对儿童和青少年的影响:文献综述
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