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童年不良经历对黑人儿童和青少年内化与外化行为的影响。

The Effects of Adverse Childhood Experiences on Internalizing and Externalizing Behaviors among Black Children and Youth.

作者信息

Hicks Megan R, Kernsmith Poco, Smith-Darden Joanne

机构信息

School of Social Work, Wayne State University, 5447 Woodward Ave, Detroit, MI 48202 USA.

出版信息

J Child Adolesc Trauma. 2020 Jul 2;14(1):115-122. doi: 10.1007/s40653-020-00316-y. eCollection 2021 Mar.

Abstract

There is limited research on the short-term effects of ACEs on Black children and youth. Black children and youth are disproportionately exposed to abuse, neglect, and other victimizations (Drake et al. 2009; Wade et al. (3), 283-316, 2014). Investigating ACEs will provide a broader understanding of childhood trauma on developmental processes. The current study investigates how ACES impacts psychological distress, substance use, and delinquency among Black children and youth. Hypotheses were tested using a subsample of longitudinal data from 265 participants who were recruited from six school districts in Southeast Michigan. ACEs at T1 significantly predicted depressive symptoms at T2 (β = .19,  < .05), which in turn predicted substance use (β = .20,  < .05), and delinquency (β = .19, p < .05). Psychological distress also mediated the associations between ACEs and substance use, and delinquency. To engage youth in prevention/interventions and practice, it is important to understand the contexts in which they develop i.e. having knowledge on the specific type of victimization instances that Black youth may experience more than their peers as well as the social factors. Therefore, taking a trauma-informed approach that will acknowledge the adverse childhood experiences that youth went through and to understand how these experiences shape their development through adolescence may be efficacious.

摘要

关于不良童年经历(ACEs)对黑人儿童和青少年的短期影响的研究有限。黑人儿童和青少年遭受虐待、忽视和其他伤害的比例过高(德雷克等人,2009年;韦德等人,《(3)》,第283 - 316页,2014年)。对不良童年经历的调查将有助于更全面地了解童年创伤对发育过程的影响。本研究调查了不良童年经历如何影响黑人儿童和青少年的心理困扰、物质使用和犯罪行为。我们使用从密歇根州东南部六个学区招募的265名参与者的纵向数据子样本对假设进行了检验。T1时的不良童年经历显著预测了T2时的抑郁症状(β = 0.19,p < 0.05),而抑郁症状又反过来预测了物质使用(β = 0.20,p < 0.05)和犯罪行为(β = 0.19,p < 0.05)。心理困扰也介导了不良童年经历与物质使用和犯罪行为之间的关联。为了让青少年参与预防/干预和实践,了解他们成长的背景非常重要,即要了解黑人青少年可能比同龄人更多经历的特定类型的受害情况以及社会因素。因此,采用一种考虑创伤的方法,承认青少年所经历的不良童年经历,并了解这些经历如何在整个青春期塑造他们的发展,可能会有效果。

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