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对未来目睹经历的初始目睹:城市非裔美国青少年慢性社区暴力、创伤后应激障碍和犯罪行为的中介分析

Initial Witnessing on Future Witnessing: A Mediation Analysis of Chronic Community Violence, Post-Traumatic Stress, and Delinquency in Urban, African American Youth.

作者信息

Wilkins Kaleigh, Richards Maryse

机构信息

Department of Psychology, Loyola University, Chicago, IL, USA

Department of Psychology, Loyola University, Chicago, IL, USA.

出版信息

Violence Vict. 2024 Oct 7. doi: 10.1891/VV-2022-0067.

DOI:10.1891/VV-2022-0067
PMID:39375003
Abstract

Witnessing community violence can predict negative mental health outcomes for youth such as post-traumatic stress symptoms and delinquent behavior. Such outcomes differ by gender. Variables that predict witnessing community violence in youth are less understood. This study aims to explore potential pathways between initial witnessing and continued witnessing for early adolescents. The relationship between witnessing as a predictor and witnessing as an outcome is hypothesized to be mediated by both post-traumatic stress and delinquency and moderated by gender. A sample of 153 African American, sixth-grade students (= 11.65, 59% female) in high crime, high poverty areas completed self-report surveys at baseline, 12 and 24 months. Moderated serial mediation was used to assess longitudinal associations. For the full model, delinquency at Time 3 was associated with a positive change in witnessing at Time 3. Gender moderated several paths. For girls, witnessing at Time 1 was predictive of high post-traumatic stress (aggregate) at Time 2 and high delinquency at Time 3. For girls, witnessing at Time 1 also was predictive of higher l and higher subscale symptoms than other symptoms at Time 2. Analyses also indicated that at Time 2 significantly predicted witnessing at Time 3 for girls only. Lastly, delinquency at Time 3 was associated with a positive change in witnessing at Time 3. For boys, no analyses indicated witnessing at Time 1 as a significant predictor. Results contribute to our understanding of the trajectory of witnessing community violence and the roles both post-traumatic stress subscales and delinquency play in that trajectory, especially among girls.

摘要

目睹社区暴力可预测青少年出现负面心理健康结果,如创伤后应激症状和犯罪行为。此类结果存在性别差异。预测青少年目睹社区暴力的变量尚鲜为人知。本研究旨在探索青少年早期初次目睹与持续目睹之间的潜在路径。作为预测因素的目睹与作为结果的目睹之间的关系,假定由创伤后应激和犯罪行为介导,并受性别调节。在高犯罪率、高贫困地区选取了153名非裔美国六年级学生(平均年龄 = 11.65岁,59%为女生),他们在基线、12个月和24个月时完成了自我报告调查。采用调节序列中介分析来评估纵向关联。对于完整模型,第3阶段的犯罪行为与第3阶段目睹情况的正向变化相关。性别调节了多条路径。对于女孩,第1阶段的目睹情况可预测第2阶段的高创伤后应激(综合)水平以及第3阶段的高犯罪率。对于女孩,第1阶段的目睹情况还可预测第2阶段的某些症状比其他症状更高的水平。分析还表明,仅对于女孩,第2阶段的某种情况显著预测了第3阶段的目睹情况。最后,第3阶段的犯罪行为与第3阶段目睹情况的正向变化相关。对于男孩,没有分析表明第1阶段的目睹情况是显著预测因素。研究结果有助于我们理解目睹社区暴力的轨迹,以及创伤后应激分量表和犯罪行为在该轨迹中所起的作用,尤其是在女孩中。

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