Wareham Jennifer, Dembo Richard, Schmeidler James, Wolff Jessica, Simon Naida
Criminology and Criminal Justice Department, Wayne State University, Detroit, MI, USA.
Criminology Department, University of South Florida, 4202 E. Fowler Ave, SOC 107, Tampa, FL, 33620, USA.
J Behav Health Serv Res. 2022 Oct;49(4):456-469. doi: 10.1007/s11414-022-09804-5. Epub 2022 Jun 2.
Childhood sexual assault (CSA) victimization and depression are global public health concerns that disproportionately affect youths involved in the juvenile justice system. Little research has examined the influence of CSA on the stability of depressive symptoms among repeat juvenile offenders. The present study tested a gendered model of the association between lifetime CSA victimization and depression for three time points: baseline juvenile assessment entry; second reentry; and third reentry. Further, covariate analyses were conducted to explore the impact of socio-demographics on CSA victimization and depression. Results indicate that CSA victimization was associated directly with baseline depression and indirectly with depression at second reentry for both male and female justice-involved youths. For white, male youth, there were significantly higher rates of depression over time, than other males. However, age, African American or Hispanic race/ethnicity, living situation, and urbanity were not significantly associated with CSA victimization at baseline or depression over time. These findings underscore the need for juvenile justice services that address exposure to childhood trauma and mental illness more effectively.
儿童性侵犯（CSA）受害经历和抑郁症是全球性的公共卫生问题，对涉及少年司法系统的青少年影响尤甚。很少有研究探讨CSA对屡犯少年罪犯抑郁症状稳定性的影响。本研究在三个时间点测试了终身CSA受害经历与抑郁症之间关联的性别模型：少年评估基线入组；第二次重新入组；以及第三次重新入组。此外，进行了协变量分析，以探讨社会人口统计学对CSA受害经历和抑郁症的影响。结果表明，对于涉及司法系统的男性和女性青少年，CSA受害经历与基线抑郁直接相关，与第二次重新入组时的抑郁间接相关。对于白人男性青少年，随着时间的推移，抑郁症发病率显著高于其他男性。然而，年龄、非裔美国人或西班牙裔种族/族裔、生活状况和城市化程度与基线时的CSA受害经历或随时间变化的抑郁症并无显著关联。这些发现强调了需要提供更有效的少年司法服务，以解决童年创伤暴露和精神疾病问题。
