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一个关于儿童虐待引发的青少年同伴关系、物质使用和心理病理症状的发展级联模型。

A developmental cascade model of adolescent peer relationships, substance use, and psychopathological symptoms from child maltreatment.

作者信息

Yoon Dalhee, Yoon Miyoung, Wang Xiafei, Robinson-Perez Ada A

机构信息

Department of Social Work, Binghamton University-State University of New York, USA.

Department of Social Welfare, Pusan National University, South Korea.

出版信息

Child Abuse Negl. 2023 Mar;137:106054. doi: 10.1016/j.chiabu.2023.106054. Epub 2023 Jan 28.

DOI:10.1016/j.chiabu.2023.106054
PMID:36709732
Abstract

INTRODUCTION

Although previous studies have demonstrated high intercorrelations among deviant peer affiliation, substance use, externalizing and internalizing symptoms in adolescence, these studies have been limited because they did not examine 1) the associations over time by assuming one particular sequence; and 2) child maltreatment effects.

METHODS

This study included 617 adolescents (54.3 % girls, 55.6 % Black) at-risk of maltreatment living in the U.S and primarily low-income. Deviant peer affiliation was assessed at ages 12, 14, and 16 using 13 items from the modified version of the Youth Risk Behavior and Monitoring the Future Survey. Externalizing and internalizing symptoms were measured at ages 12, 14, and 16 using the Child Behavior Checklist. The number of substances used (ages 12, 14, 16, and 18) were created by summing the self-reported alcohol, tobacco, and marijuana use. Each type of maltreatment (birth to age 12) was assessed using the self-report.

RESULTS

Autoregressive cross-lagged structural equation modeling explained the stability effects within each domain, as well as how different maltreatment types affect diverse developmental processes. Cross-lagged results showed the socialization effects of peers on substance use, whereas the peer selection effects on externalizing symptoms. Physical abuse was only associated with externalizing symptoms, while sexual abuse was associated with both externalizing and internalizing symptoms. Additionally, emotional abuse was associated with deviant peer affiliation and substance use.

CONCLUSIONS

Identifying the underlying reciprocal processes offers a deeper understanding of peer relationships in the substance use and externalizing symptoms among at-risk of maltreatment sample.

摘要

引言

尽管先前的研究已经证明在青少年中,偏差同伴关系、物质使用、外化症状和内化症状之间存在高度的相互关联性,但这些研究存在局限性,因为它们没有考察:1)通过假设一种特定顺序来研究随时间的关联;以及2)儿童虐待的影响。

方法

本研究纳入了617名生活在美国且主要为低收入的有遭受虐待风险的青少年(54.3%为女孩,55.6%为黑人)。使用来自《青少年风险行为与未来监测调查》修订版的13个项目,在12岁、14岁和16岁时评估偏差同伴关系。使用儿童行为检查表,在12岁、14岁和16岁时测量外化症状和内化症状。通过汇总自我报告的酒精、烟草和大麻使用情况,得出12岁、14岁、16岁和18岁时使用的物质数量。每种虐待类型(出生至12岁)通过自我报告进行评估。

结果

自回归交叉滞后结构方程模型解释了每个领域内的稳定性效应,以及不同类型的虐待如何影响不同的发育过程。交叉滞后结果显示了同伴对物质使用的社会化效应,而同伴选择效应则体现在外化症状上。身体虐待仅与外化症状相关,而性虐待与外化症状和内化症状均相关。此外,情感虐待与偏差同伴关系和物质使用相关。

结论

识别潜在的相互作用过程有助于更深入地理解在有遭受虐待风险的样本中,同伴关系在物质使用和外化症状方面的情况。

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