Department of Psychology, University of California Los Angeles, 502 Portola Plaza, Los Angeles, CA, 90095, USA.
Department of Psychiatry, Columbia University/New York State Psychiatric Institute, New York, NY, USA.
Child Psychiatry Hum Dev. 2020 Dec;51(6):934-942. doi: 10.1007/s10578-020-00971-0.
Previous research suggests that rural Latinx youth are more likely to experience traumatic events and are at higher risk for developing subsequent psychopathology compared to non-Latinx white youth. The aim of this study is to understand how family processes and values affect risk for internalizing and externalizing symptoms among rural Latinx youth (N = 648, m = 15.7 (SD = 1.2)) who are exposed to trauma. Multiple mediation analyses were performed to understand if family variables such as familism and family conflict explain the relationship between trauma exposure and psychopathology. Results suggest that familism partially mediates the relationship between trauma exposure and internalizing and externalizing symptoms, whereas family conflict partially mediates the relationship between trauma exposure and externalizing symptoms. These findings show that family variables are differentially impacted by trauma and have a separate and unique impact on mental health outcomes among rural Latinx youth. Specifically, our findings suggest that familial support or closeness may constitute a nonspecific protective factor for psychopathology among Latinx youth, whereas family conflict creates a stressful home environment that may deter adolescent trauma recovery and lead specifically to externalizing symptoms.
先前的研究表明，与非拉丁裔白人青年相比，农村拉丁裔青年更有可能经历创伤事件，并且随后出现精神病理学的风险更高。本研究旨在了解家庭过程和价值观如何影响遭受创伤的农村拉丁裔青年（N=648，m=15.7（SD=1.2））内化和外化症状的风险。进行了多项中介分析，以了解诸如家庭主义和家庭冲突等家庭变量是否可以解释创伤暴露与精神病理学之间的关系。结果表明，家庭主义部分中介了创伤暴露与内化和外化症状之间的关系，而家庭冲突部分中介了创伤暴露与外化症状之间的关系。这些发现表明，家庭变量受到创伤的影响不同，并且对农村拉丁裔青年的心理健康结果有独特的影响。具体而言，我们的研究结果表明，家庭支持或亲密可能是拉丁裔青年精神病理学的一种非特异性保护因素，而家庭冲突则会营造出一个充满压力的家庭环境，这可能会阻碍青少年创伤恢复，并特别导致外化症状。
