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多 victimization 与应对方式:与青少年外化症状的关系。

Poly-Victimization and Coping Profiles: Relationship With Externalizing Symptoms in Adolescents.

机构信息

Universidad Santo Tomas, Viña del Mar, Chile.

Universitat de Barcelona, Spain.

出版信息

J Interpers Violence. 2021 Feb;36(3-4):1865-1882. doi: 10.1177/0886260517744184. Epub 2017 Nov 30.

Abstract

Externalizing symptoms correspond to a set of behavioral problems related to aggressiveness and the violation of norms. These disorders are common during adolescence, especially in poly-victimized populations. However, not much is known about the mechanism underlying the relationship between poly-victimization and symptoms or about the factors that could play a protective role in this relationship. It is necessary to understand the factors that influence the development of these disorders to prevent them. The aim of this study was to evaluate the relationships among coping strategies, poly-victimization, and externalizing symptoms. The participants were 144 adolescent outpatients ( = 14.31, = 1.48) attending child and adolescent mental health services. The participants responded to three scales that examined their coping strategies, poly-victimization levels, and externalizing symptoms. The results showed that both poly-victimization and nonproductive coping were directly associated with externalizing symptomatology. In contrast, coping in reference to others and productive coping had inverse relationships with externalizing symptoms. Finally, the results of a cluster analysis revealed three groups of adolescents with different coping strategy profiles. The group with the least externalizing symptomatology was the "active-balanced" group (high use of coping in reference to others and productive coping combined with moderate use of nonproductive coping). The group with the greatest symptomatology was the "lonely" group (high use of productive and nonproductive coping but low use of coping in reference to others). The results suggest that poly-victimization and style of coping has an impact on the development of externalizing problems. These results may be useful for designing programs to prevent or treat externalizing disorders in adolescents.

摘要

外化症状与一系列与攻击性和违反规范有关的行为问题相对应。这些障碍在青少年中很常见,尤其是在多受创伤的人群中。然而,对于多受创伤与症状之间的关系的潜在机制,以及可能在这种关系中发挥保护作用的因素,我们知之甚少。了解影响这些障碍发展的因素对于预防这些障碍是必要的。本研究旨在评估应对策略、多受创伤和外化症状之间的关系。参与者为 144 名接受儿童和青少年心理健康服务的青少年门诊患者( = 14.31, = 1.48)。参与者回答了三个量表,分别考察了他们的应对策略、多受创伤水平和外化症状。结果表明,多受创伤和非生产性应对都与外化症状直接相关。相比之下,参照他人的应对和生产性应对与外化症状呈负相关。最后,聚类分析的结果显示了具有不同应对策略特征的三组青少年。具有最少外化症状的组是“积极平衡”组(高度使用参照他人的应对和生产性应对,同时适度使用非生产性应对)。症状最严重的组是“孤独”组(高度使用生产性和非生产性应对,但很少使用参照他人的应对)。研究结果表明,多受创伤和应对方式对外化问题的发展有影响。这些结果可能有助于设计预防或治疗青少年外化障碍的方案。

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