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儿童虐待和青少年受害在预测青少年精神病理学和问题物质使用中的作用。

The role of child maltreatment and adolescent victimization in predicting adolescent psychopathology and problematic substance use.

机构信息

Institute of Child Development, University of Minnesota, 51 East River Road, Minneapolis, MN 55455, USA.

Mt. Hope Family Center, University of Rochester, 187 Edinburgh Street, Rochester, NY 14608, USA.

出版信息

Child Abuse Negl. 2023 Dec;146:106454. doi: 10.1016/j.chiabu.2023.106454. Epub 2023 Sep 21.

DOI:10.1016/j.chiabu.2023.106454
PMID:37741073
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10872623/
Abstract

BACKGROUND

Maltreated children are more likely to experience adolescent victimization, which may underlie the association between maltreatment and adolescent psychopathology and substance use.

OBJECTIVE

To determine whether number of adolescent victimization types predicts adolescent psychopathology and problematic substance use over and above number of child maltreatment subtypes; whether adolescent victimization mediates the relations between maltreatment and change in adolescent psychopathology and problematic substance use; and whether maltreatment moderates the relation between adolescent victimization and changes in these outcomes.

PARTICIPANTS AND SETTING

Participants were 545 (295 maltreated, 250 non-maltreated; 328 males, 217 females) racially and ethnically diverse (52.8 % Black, 27.5 % White, 12.8 % Bi-racial; 13.4 % Latino/a) children and families from the Rochester, New York, USA area assessed across three waves of data (Wave 1, M = 7.6 years; Wave 2, M = 13.8 years; Wave 3, M = 16.2 years).

METHODS

Maltreatment was coded at Wave 1 using Department of Human Services records. Adolescents self-reported psychopathology, problematic substance use, and victimization at Waves 2 and 3.

RESULTS

Structural equation modeling revealed that adolescent victimization predicted adolescent psychopathology (β = 0.24, p < .001) and problematic substance use (β = 0.27, p < .001) over and above child maltreatment. Adolescent victimization did not mediate the association between child maltreatment change in psychopathology and problematic substance use and child maltreatment did not moderate the association between adolescent victimization and these outcomes.

CONCLUSIONS

We discuss the importance of future research utilizing multi-wave designs to examine relations between these constructs and of assessing for more proximal victimization.

摘要

背景

受虐待的儿童更有可能遭受青少年期受侵害,这可能是虐待与青少年期精神病理学和物质使用之间关联的基础。

目的

确定青少年期受侵害类型的数量是否在儿童期虐待亚型数量之外预测青少年期精神病理学和物质使用问题;青少年期受侵害是否在虐待与青少年期精神病理学和物质使用问题变化之间的关系中起中介作用;以及虐待是否调节青少年期受侵害与这些结果变化之间的关系。

参与者和设置

来自美国纽约罗切斯特地区的 545 名参与者(295 名受虐待,250 名非受虐待;328 名男性,217 名女性)具有种族和民族多样性(52.8%黑人,27.5%白人,12.8%混血;13.4%拉丁裔/拉丁美洲人),他们的家庭在三个数据波次(波 1,M=7.6 岁;波 2,M=13.8 岁;波 3,M=16.2 岁)中接受评估。

方法

使用人类服务部记录在波 1 时对虐待进行编码。青少年在波 2 和波 3 时自我报告精神病理学、物质使用问题和受侵害情况。

结果

结构方程模型显示,青少年期受侵害在儿童期虐待之外预测青少年期精神病理学(β=0.24,p<.001)和物质使用问题(β=0.27,p<.001)。青少年期受侵害没有在儿童期虐待与精神病理学和物质使用问题变化之间的关联中起中介作用,也没有调节儿童期虐待与这些结果之间的关联。

结论

我们讨论了未来研究利用多波设计来检验这些结构之间的关系以及评估更接近的受侵害的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0721/10872623/aedb4039b6ac/nihms-1930955-f0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0721/10872623/465c5af0a878/nihms-1930955-f0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0721/10872623/5d8945b71def/nihms-1930955-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0721/10872623/cf1bc26c7ef7/nihms-1930955-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0721/10872623/d0cbd59580eb/nihms-1930955-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0721/10872623/aedb4039b6ac/nihms-1930955-f0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0721/10872623/465c5af0a878/nihms-1930955-f0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0721/10872623/5d8945b71def/nihms-1930955-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0721/10872623/cf1bc26c7ef7/nihms-1930955-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0721/10872623/d0cbd59580eb/nihms-1930955-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0721/10872623/aedb4039b6ac/nihms-1930955-f0004.jpg

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