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首页> 外文期刊>Psychological trauma: theory, research, practice and policy >Trauma in Hispanic Youth With Psychiatric Symptoms: Investigating Gender and Family Effects
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Trauma in Hispanic Youth With Psychiatric Symptoms: Investigating Gender and Family Effects

机译：西班牙裔青年的创伤，精神症状：调查性别和家庭影响

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Objective: Hispanic youth in the general community experience traumatic events and display symptoms of psychological distress more frequently than do Caucasian youth. However, little is known about how traumatic experiences in this ethnic minority population relate to psychopathology in clinical samples and whether these outcomes vary by gender and are impacted by family functioning. We hypothesized that traumatic stress reactions, including posttraumatic stress disorder (PTSD) and internalizing and externalizing symptoms, would vary by gender and by family functioning in a clinical sample of Hispanic youth. Method: The current study utilized baseline data from a randomized clinical trial (RCT) involving 200 Hispanic adolescents (122 boys and 78 girls) referred to treatment for experiencing clinical symptoms of 1 or more behavioral disorders and conflictual family relations. The rate of traumatic events, differences in outcomes depending on trauma exposure, and the effects gender, family functioning, and trauma on psychopathology and PTSD symptoms were examined. Results: Analyses revealed that 61% of Hispanic youth in this clinical sample experienced at least 1 traumatic event. Although only 12% of the sample reported PTSD scores in the clinical range, girls reported higher PTSD scores than did boys. Poor family cohesion was particularly detrimental to girls compared with boys and related to internalizing and PTSD symptoms. High family conflict predicted PTSD symptoms in boys but not in girls. Conclusions: These findings have clinical implications for working with Hispanic populations, suggesting that culturally sensitive interventions should incorporate family-based interventions for individuals who experience trauma to strengthen family bonds and decrease family conflict.
机译：目的：普通社区中的西班牙裔青年经历创伤事件，并更频繁地显示心理困扰的症状而不是白种人青年。但是，关于这种少数民族人群的创伤经验如何与临床样本中的精神病理学相关，以及这些结果是否因性别而变化，并且受到家庭运作的影响。我们假设具有创伤性应激反应（包括创伤性应激障碍（所述PTSD）和内化和外化症状，将因性别和家族在西班牙裔青年时期的临床样本中运作而变化。方法：目前的研究利用来自随机临床试验（RCT）的基线数据，涉及200个西班牙裔青少年（122名男孩和78名女孩），提到经历了一个或多个行为障碍和冲突家庭关系的临床症状。研究了创伤事件，取决于创伤暴露的差异，以及对心理病理学和应激病症状的影响，性别性别，家庭功能和创伤。结果：分析显示，在该临床样本中61％的西班牙裔青年时期经历了至少1个创伤事件。虽然只有12％的样本报告在临床范围内的PTSD评分，但女孩们报告了比男孩更高的可行科目表。与男孩相比，贫困家庭凝聚力对女孩尤其有害，与内部化和应激障碍症状有关。高级家庭冲突预测男孩症状，但没有女孩。结论：这些发现具有与西班牙裔人民合作的临床意义，这表明文化敏感的干预措施应纳入基于家庭的干预措施，了解创伤以加强家庭债券和减少家庭冲突的个人的干预措施。

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