创伤、家庭因素与无家可归青少年的心理健康
Trauma, Family Factors and the Mental Health of Homeless Adolescents.
作者信息
Milburn Norweeta G, Stein Judith A, Lopez Susana A, Hilberg Amanda M, Veprinsky Anna, Arnold Elizabeth Mayfield, Desmond Katherine A, Branson Katie, Lee Alex, Bath Eraka, Amani Bita, Comulada W Scott
机构信息
1Department of Psychiatry and Biobehavioral Sciences, University of California at Los Angeles, Los Angeles, CA USA.
2Department of Psychology, University of California at Los Angeles, Los Angeles, CA USA.
出版信息
J Child Adolesc Trauma. 2017 Jun 22;12(1):37-47. doi: 10.1007/s40653-017-0157-9. eCollection 2019 Mar.
Family factors, such as poor family functioning and trauma, have been associated with negative outcomes for homeless adolescents. Further study is needed to better understand how family factors and trauma jointly relate to mental health problems and externalizing behaviors among homeless adolescents. Structural equation modeling was used to examine the influence of trauma (encompassing traumatic events experienced prior to, and after, becoming homeless) and family factors (poor family functioning and family conflict) on mental health problems and externalizing behaviors (substance use, delinquent behaviors, and sexual risk) among 201 homeless adolescents, ages 12 to 17 years. Trauma, poor family functioning, and family conflict significantly predicted greater mental health problems, delinquent behaviors, high-risk sexual behaviors and substance use. Overall, the findings suggest that family factors appear to be key to understanding mental health problems and externalizing behaviors among homeless adolescents. Implications, limitations and future directions are addressed.
家庭因素，如家庭功能不良和创伤，与无家可归青少年的负面结果有关。需要进一步研究，以更好地理解家庭因素和创伤如何共同影响无家可归青少年的心理健康问题和外化行为。采用结构方程模型，研究了创伤（包括无家可归之前和之后经历的创伤事件）和家庭因素（家庭功能不良和家庭冲突）对201名年龄在12至17岁的无家可归青少年心理健康问题和外化行为（物质使用、犯罪行为和性风险）的影响。创伤、家庭功能不良和家庭冲突显著预示着更多的心理健康问题、犯罪行为、高风险性行为和物质使用。总体而言，研究结果表明，家庭因素似乎是理解无家可归青少年心理健康问题和外化行为的关键。文中还讨论了研究的意义、局限性和未来方向。
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