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首页> 外文期刊>Journal of the American Academy of Child and Adolescent Psychiatry >Mechanisms linking violence exposure to health risk behavior in adolescence: motivation to cope and sensation seeking.
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Mechanisms linking violence exposure to health risk behavior in adolescence: motivation to cope and sensation seeking.

机译：将暴力暴露与青少年健康风险行为相关联的机制：应对和寻求感觉的动机。

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OBJECTIVE: This study examined two potential mechanisms linking violence exposure and health risk behavior among adolescents in psychiatric care: sensation seeking and coping with stress through escape behavior. METHOD: Male (59%) and female adolescents (N = 251), ages 12 to 19 years, from diverse ethnic backgrounds (61% African American, 19% white, 12% Latino, 8% biracial or other ethnicity) completed a computer-administered survey assessing study variables from 1999-2004. Overall clinic consent rate was 41%. Age and gender were included in all analyses. RESULTS: Consistent with the literature on nonpsychiatric samples, violence exposure was associated with both increased substance use and sexual risk taking. Violence exposure was not associated with motivation to engage in risk behavior as a means of escape, although motivation to cope through escape was associated with a greater likelihood of substance use. Sensation seeking was related to substance use and sexual risk taking among all adolescents and with violence exposure primarily within male adolescents. CONCLUSIONS: Clinical interventions should promote adaptive coping strategies that emphasize maintaining healthy behavior, effective problem solving skills, and stress management techniques.
机译：目的：本研究探讨了在精神病治疗中将暴力暴露与青少年健康风险行为联系起来的两种潜在机制：感觉寻求和通过逃避行为应对压力。方法：来自不同种族背景（61％的非洲裔美国人，19％的白人，12％的拉丁裔，8％的混血儿或其他种族）的年龄在12至19岁之间的男性（59％）和女性青少年（N = 251）管理的调查评估了1999-2004年的研究变量。总体临床同意率为41％。年龄和性别均包括在所有分析中。结果：与关于非精神病学样本的文献一致，暴力暴露与毒品使用增加和性风险承担有关。暴露于暴力行为与逃避危险的动机无关，尽管通过逃避应对的动机与滥用毒品的可能性更大。寻求感觉与所有青少年之间的药物使用和性风险承担有关，并且主要与男性青少年内的暴力接触有关。结论：临床干预应促进适应性应对策略，该策略强调保持健康的行为，有效的问题解决能力和压力管理技术。

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