Correia-Santos Patricia, Sousa Bárbara, Ford Julian D, Maia Ângela Costa, Pinto Ricardo J
Department of Social and Behavioural Sciences, University of Maia.
Department of Psychiatry, University of Connecticut Health Center.
Psychol Trauma. 2024 Sep 12. doi: 10.1037/tra0001797.
Youth who have been exposed to potentially traumatic events are at risk of developing chronic and severe adjustment problems. However, some youth exposed to potentially traumatic events exhibit better-than-expected adaptation. Person-centered analyses, based on multiple criteria for adaptive behavior and adversity, are well-suited to empirically identifying different patterns of adaptation among high-risk youth.
Data from 381 youth from three at-risk subgroups in Portugal were collected using self-reported measures of trauma history, trauma-related symptomatology, coping skills, and perceived social support. Distinct classes of adaptation after traumatic experiences were examined with latent class analysis.
Four classes were identified: (a) class (13.6%), (b) class (36.8%), (c) class (11.4%), and (d) class (38.2%). Trauma-related psychopathology class and class were characterized by high levels of maladjustment. Similarly to the class, the - psychopathology class reported a significantly higher likelihood of trauma-related psychopathology and higher levels of problem-solving skills. The class and class also reported lower levels of maladjustment, and the class reported higher levels of coping skills and lower levels of externalizing problems than any other class.
Clinicians treating children's internalizing mental health or externalizing behavior problems should assess trauma history and trauma-related psychopathology, as well as protective resources that may enhance resilience such as skills for problem solving and social support seeking. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
经历过潜在创伤性事件的青少年有发展为慢性和严重适应问题的风险。然而，一些经历过潜在创伤性事件的青少年表现出比预期更好的适应能力。基于适应行为和逆境的多个标准进行的以人为中心的分析，非常适合从实证角度识别高危青少年中不同的适应模式。
使用自我报告的创伤史、创伤相关症状、应对技能和感知社会支持的测量方法，收集了来自葡萄牙三个高危亚组的381名青少年的数据。通过潜在类别分析研究创伤经历后的不同适应类别。
确定了四类：（a）类（13.6%），（b）类（36.8%），（c）类（11.4%），和（d）类（38.2%）。创伤相关精神病理学类和类的特征是适应不良程度高。与类类似，-精神病理学类报告创伤相关精神病理学的可能性显著更高，且解决问题技能水平更高。类和类也报告了较低水平的适应不良，类报告的应对技能水平高于其他任何类，外化问题水平低于其他任何类。
治疗儿童内化心理健康问题或外化行为问题的临床医生应评估创伤史和创伤相关精神病理学，以及可能增强复原力的保护资源，如解决问题的技能和寻求社会支持的能力。（PsycInfo数据库记录（c）2024美国心理学会，保留所有权利）
