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立陶宛青少年虐待模式及其对心理社会功能的影响:潜在类别分析方法。

Patterns of abuse and effects on psychosocial functioning in Lithuanian adolescents: A latent class analysis approach.

机构信息

Center for Psychotraumatology, Institute of Psychology, Vilnius University, Vilnius, Lithuania.

Norwegian Center for Violence and Traumatic Stress Studies, Oslo, Norway.

出版信息

Child Abuse Negl. 2020 Oct;108:104684. doi: 10.1016/j.chiabu.2020.104684. Epub 2020 Aug 24.

DOI:10.1016/j.chiabu.2020.104684
PMID:32854055
Abstract

BACKGROUND

There is considerable evidence that child abuse and neglect has a significant impact on social relationships and mental health across the lifespan.

OBJECTIVE

We aimed to estimate the prevalence of child abuse in Lithuanian adolescents, to identify patterns of abuse experiences using a latent class analysis approach, and to assess psychosocial functioning associated with these patterns of abuse.

PARTICIPANTS AND SETTING

The study was based on a sample of 1299 adolescents from the Lithuanian general population aged 12-16 (M = 14.24, SD = 1.26) years.

METHODS

Lifetime abuse exposure measures included neglect, emotional abuse, physical abuse, online sexual violence, sexual abuse from adult, and sexual abuse from peers. Psychosocial functioning was measured with the Strength and Difficulties Questionnaire (SDQ). Patterns of abuse were identified by a two-step latent class analysis (LCA).

RESULTS

Around two-thirds of adolescents (71 %) reported at least one type of abuse over their lifetime. The results of the LCA indicated that for each type of abuse two different groups of adolescents can be distinguished in terms of the severity of abuse, and four classes 'less-severe', 'peer sexual', 'adult sexual', and 'severe abuse' were identified. Psychosocial functioning varied significantly between the four classes with higher psychosocial functioning problems associated with high severity and sexual abuse.

CONCLUSIONS

The study revealed a high child abuse prevalence in Lithuania. The results show that the psychosocial functioning of adolescents is associated with severity and types of abuse experiences.

摘要

背景

有大量证据表明,虐待和忽视儿童对整个生命周期中的社会关系和心理健康都有重大影响。

目的

我们旨在估计立陶宛青少年遭受虐待的普遍程度,使用潜在类别分析方法确定虐待经历的模式,并评估与这些虐待模式相关的心理社会功能。

参与者和设置

该研究基于立陶宛普通人群中 12-16 岁(M = 14.24,SD = 1.26)的 1299 名青少年样本。

方法

终生虐待暴露测量包括忽视、情感虐待、身体虐待、网络性暴力、来自成人的性虐待和来自同龄人的性虐待。心理社会功能采用困难问题量表(SDQ)进行测量。通过两步潜在类别分析(LCA)确定虐待模式。

结果

大约三分之二的青少年(71%)报告在一生中至少经历过一种类型的虐待。LCA 的结果表明,对于每种类型的虐待,可以根据虐待的严重程度区分出两类不同的青少年,并且可以识别出四个类别“轻度”、“同伴性”、“成人性”和“严重虐待”。四个类别之间的心理社会功能存在显著差异,严重程度和性虐待与更高的心理社会功能问题相关。

结论

研究显示立陶宛儿童虐待的高流行率。结果表明,青少年的心理社会功能与虐待经历的严重程度和类型有关。

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