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患有品行障碍的儿童和青少年以及健康对照人群中的社区暴力暴露与品行问题

Community Violence Exposure and Conduct Problems in Children and Adolescents with Conduct Disorder and Healthy Controls.

作者信息

Kersten Linda, Vriends Noortje, Steppan Martin, Raschle Nora M, Praetzlich Martin, Oldenhof Helena, Vermeiren Robert, Jansen Lucres, Ackermann Katharina, Bernhard Anka, Martinelli Anne, Gonzalez-Madruga Karen, Puzzo Ignazio, Wells Amy, Rogers Jack C, Clanton Roberta, Baker Rosalind H, Grisley Liam, Baumann Sarah, Gundlach Malou, Kohls Gregor, Gonzalez-Torres Miguel A, Sesma-Pardo Eva, Dochnal Roberta, Lazaratou Helen, Kalogerakis Zacharias, Bigorra Gualba Aitana, Smaragdi Areti, Siklósi Réka, Dikeos Dimitris, Hervás Amaia, Fernández-Rivas Aranzazu, De Brito Stephane A, Konrad Kerstin, Herpertz-Dahlmann Beate, Fairchild Graeme, Freitag Christine M, Popma Arne, Kieser Meinhard, Stadler Christina

机构信息

Department of Child and Adolescent Psychiatry, Psychiatric University Hospital, University of Basel, Basel, Switzerland.

Department of Child and Adolescent Psychiatry, VU University Medical Center, Amsterdam, Netherlands.

出版信息

Front Behav Neurosci. 2017 Nov 6;11:219. doi: 10.3389/fnbeh.2017.00219. eCollection 2017.

Abstract

Exposure to community violence through witnessing or being directly victimized has been associated with conduct problems in a range of studies. However, the relationship between community violence exposure (CVE) and conduct problems has never been studied separately in healthy individuals and individuals with conduct disorder (CD). Therefore, it is not clear whether the association between CVE and conduct problems is due to confounding factors, because those with high conduct problems also tend to live in more violent neighborhoods, i.e., an ecological fallacy. Hence, the aim of the present study was: (1) to investigate whether the association between recent CVE and current conduct problems holds true for healthy controls as well as adolescents with a diagnosis of CD; (2) to examine whether the association is stable in both groups when including effects of aggression subtypes (proactive/reactive aggression), age, gender, site and socioeconomic status (SES); and (3) to test whether proactive or reactive aggression mediate the link between CVE and conduct problems. Data from 1178 children and adolescents (62% female; 44% CD) aged between 9 years and 18 years from seven European countries were analyzed. Conduct problems were assessed using the Kiddie-Schedule of Affective Disorders and Schizophrenia diagnostic interview. Information about CVE and aggression subtypes was obtained using self-report questionnaires (Social and Health Assessment and Reactive-Proactive aggression Questionnaire (RPQ), respectively). The association between witnessing community violence and conduct problems was significant in both groups (adolescents with CD and healthy controls). The association was also stable after examining the mediating effects of aggression subtypes while including moderating effects of age, gender and SES and controlling for effects of site in both groups. There were no clear differences between the groups in the strength of the association between witnessing violence and conduct problems. However, we found evidence for a ceiling effect, i.e., individuals with very high levels of conduct problems could not show a further increase if exposed to CVE and vice versa. Results indicate that there was no evidence for an ecological fallacy being the primary cause of the association, i.e., CVE must be considered a valid risk factor in the etiology of CD.

摘要

在一系列研究中,通过目睹或直接成为受害者而接触社区暴力与行为问题有关。然而,社区暴力暴露(CVE)与行为问题之间的关系从未在健康个体和患有品行障碍(CD)的个体中分别进行研究。因此,尚不清楚CVE与行为问题之间的关联是否归因于混杂因素,因为行为问题严重的人也往往生活在暴力事件更多的社区,即存在生态谬误。因此,本研究的目的是:(1)调查近期CVE与当前行为问题之间的关联对于健康对照组以及被诊断为CD的青少年是否成立;(2)在纳入攻击亚型(主动/反应性攻击)、年龄、性别、地点和社会经济地位(SES)的影响后,检查两组中这种关联是否稳定;(3)测试主动攻击或反应性攻击是否介导了CVE与行为问题之间的联系。分析了来自七个欧洲国家的1178名9至18岁儿童和青少年(62%为女性;44%患有CD)的数据。使用儿童情感障碍和精神分裂症诊断访谈量表评估行为问题。分别使用自我报告问卷(社会与健康评估问卷和反应性-主动性攻击问卷(RPQ))获取有关CVE和攻击亚型的信息。目睹社区暴力与行为问题之间的关联在两组(患有CD的青少年和健康对照组)中均显著。在检查攻击亚型的中介作用、纳入年龄、性别和SES的调节作用并控制两组中地点的影响后,这种关联也很稳定。两组在目睹暴力与行为问题之间关联的强度上没有明显差异。然而,我们发现了天花板效应的证据,即行为问题水平非常高的个体如果接触CVE则不会进一步增加,反之亦然。结果表明,没有证据表明生态谬误是这种关联的主要原因,即CVE必须被视为CD病因学中的一个有效风险因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b65f/5681536/4c9c48660ac9/fnbeh-11-00219-g0001.jpg

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本文引用的文献

1
Community Violence Exposure and Adolescent Delinquency: Examining a Spectrum of Promotive Factors.
Youth Soc. 2016 Jan;48(1):33-57. doi: 10.1177/0044118x13475827. Epub 2013 Feb 6.
2
Association of trauma, Posttraumatic Stress Disorder and Conduct Disorder: A systematic review and meta-analysis.
Neurosci Biobehav Rev. 2018 Aug;91:153-169. doi: 10.1016/j.neubiorev.2016.12.019. Epub 2016 Dec 23.
3
Examining the Pathologic Adaptation Model of Community Violence Exposure in Male Adolescents of Color.
J Clin Child Adolesc Psychol. 2017 Jan-Feb;46(1):125-135. doi: 10.1080/15374416.2016.1204925. Epub 2016 Sep 21.
4
Global Prevalence of Past-year Violence Against Children: A Systematic Review and Minimum Estimates.
Pediatrics. 2016 Mar;137(3):e20154079. doi: 10.1542/peds.2015-4079. Epub 2016 Jan 25.
5
Bias in Cross-Sectional Analyses of Longitudinal Mediation: Partial and Complete Mediation Under an Autoregressive Model.
Multivariate Behav Res. 2011 Sep 30;46(5):816-41. doi: 10.1080/00273171.2011.606716.
8
Emotional Desensitization to Violence Contributes to Adolescents' Violent Behavior.
J Abnorm Child Psychol. 2016 Jan;44(1):75-86. doi: 10.1007/s10802-015-9986-x.
10
Double disadvantage: the influence of childhood maltreatment and community violence exposure on adolescent mental health.
J Child Psychol Psychiatry. 2014 Jul;55(7):839-48. doi: 10.1111/jcpp.12213. Epub 2014 Feb 24.

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