Department of Clinical Neuroscience, Division of Psychology, Karolinska Institute, 27106Stockholm, Sweden.
Department of Preventive Intervention for Psychiatric Disorders, National Institute of Mental Health, National Center of Neurology and Psychiatry, Kodaira, Tokyo, Japan.
J Interpers Violence. 2023 Feb;38(3-4):3191-3214. doi: 10.1177/08862605221104525. Epub 2022 May 25.
To examine the impact of posttraumatic stress on the choice of responses to and attribution of intentionality in peer provocation in adolescent boys and girls. A sample of 2678 adolescents from Northern Russia, aged 13-17 years (59.3% female; 95.7% ethnic Russian) completed self-reports on posttraumatic stress and rated hypothetical peer provocation scenarios that teenagers can encounter in their daily lives. Adolescents with clinically significant levels of posttraumatic stress symptoms (=184 (6.8%)) reported a different pattern of reactions to peer provocation as compared to all other adolescents. Boys and girls with high levels of posttraumatic symptoms reported that they would be less likely to discuss conflict situations and more likely to react with physical aggression. Compared to their male counterparts, girls with high levels of posttraumatic stress symptoms were more likely to endorse hostile intentions, avoid provocations, and were less likely to endorse verbally aggressive responses. In provocation scenarios that involved physical aggression, girls with high levels of posttraumatic stress symptoms were less likely to endorse verbal aggressive responses and more likely to endorse physically aggressive responses than girls without clinically significant levels of posttraumatic symptoms. Girls with high levels of posttraumatic stress symptoms were also more likely to avoid socially aggressive situations than non-traumatized girls, whereas boys had an opposite pattern. High levels of posttraumatic stress symptoms may play a significant role in the endorsement of aggressive reactions in conflicts with peers and patterns of reactions may be gender-specific. A history of posttraumatic stress should be carefully evaluated in children and adolescents seeking treatment for aggressive behavior.
探讨创伤后应激对青少年男孩和女孩在同伴挑衅中对意图的反应和归因选择的影响。研究对象为来自俄罗斯北部的 2678 名 13-17 岁青少年（59.3%为女性；95.7%为俄罗斯族），他们完成了创伤后应激的自我报告，并对青少年在日常生活中可能遇到的假设性同伴挑衅情景进行了评分。与所有其他青少年相比，具有临床显著创伤后应激症状水平的青少年（=184（6.8%））对同伴挑衅的反应模式不同。高水平创伤后应激症状的男孩和女孩报告说，他们不太可能讨论冲突情况，更有可能以身体攻击做出反应。与男性相比，具有高水平创伤后应激症状的女孩更有可能表示敌对意图、避免挑衅，并且不太可能表示言语攻击反应。在涉及身体攻击的挑衅情景中，与没有临床显著创伤后症状的女孩相比，具有高水平创伤后应激症状的女孩更不可能表示言语攻击反应，而更有可能表示身体攻击反应。具有高水平创伤后应激症状的女孩也比未受过创伤的女孩更有可能避免社交攻击情况，而男孩则相反。高水平的创伤后应激症状可能在与同伴发生冲突时对攻击反应的认可中起重要作用，并且反应模式可能具有性别特异性。对于寻求攻击性行为治疗的儿童和青少年，应仔细评估创伤后应激的历史。
