Woods-Jaeger Briana, Briggs Ernestine C, Vivrette Rebecca L, Lee Robert C, Suarez Liza, Belcher Harolyn M E
1Department of Behavioral Sciences and Health Education, Emory University Rollins School of Public Health, Atlanta, GA USA.
2Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, UCLA-Duke University National Center for Child Traumatic Stress, Durham, NC USA.
J Child Adolesc Trauma. 2019 Feb 28;12(4):447-456. doi: 10.1007/s40653-019-00251-7. eCollection 2019 Dec.
Trauma-exposed youth with impaired caregivers (i.e., due to substance use and/or mental health problems) may be at particular risk for negative outcomes. This study utilized data from the National Child Traumatic Stress Network Core Data Set to examine the impact of caregiver impairment on youth outcomes. Trauma-exposed youth with an impaired caregiver due to either: substance use ( = 498), mental health problems ( = 231), or both substance use and mental health problems ( = 305) were compared to youth without a reported impaired caregiver ( = 2282) to determine if impaired caregiver status is independently associated with increased likelihood of negative behavioral and mental health outcomes and service utilization after accounting for demographics and exposure to traumatic events. Youth with impaired caregivers compared to those without were more likely to display PTSD, emotional and behavioral problems, suicidality, self-injury, and substance abuse and had higher rates of service utilization ( < 0.05). Differential patterns were observed based on the type of caregiver impairment. Findings support the importance of family-centered assessment and intervention approaches for youth affected by trauma.
照料者存在功能障碍（即由于物质使用和/或心理健康问题）的受创伤青少年可能面临出现负面结果的特殊风险。本研究利用了国家儿童创伤应激网络核心数据集的数据，以检验照料者功能障碍对青少年结果的影响。将因以下任一情况而照料者存在功能障碍的受创伤青少年：物质使用（n = 498）、心理健康问题（n = 231）或物质使用与心理健康问题兼具（n = 305），与未报告照料者存在功能障碍的青少年（n = 2282）进行比较，以确定在考虑人口统计学特征和创伤事件暴露情况后，照料者功能障碍状态是否与负面行为和心理健康结果以及服务利用增加的可能性独立相关。与没有照料者功能障碍的青少年相比，有照料者功能障碍的青少年更有可能表现出创伤后应激障碍、情绪和行为问题、自杀倾向、自我伤害和物质滥用，且服务利用率更高（p < 0.05）。根据照料者功能障碍的类型观察到了不同的模式。研究结果支持了以家庭为中心的评估和干预方法对于受创伤青少年的重要性。
