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Children's Exposure to Violence Across Contexts in Relation to Posttraumatic Stress Symptoms

机译:儿童与创伤后压力症状有关的环境中暴力暴露

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Objective: Children in low-income, urban neighborhoods are at high risk of exposure to violence (ETV) across settings and subsequent posttraumatic stress symptoms (PTSS). Little research has examined how multiple forms of ETV co-occur and relate to variations in children's posttraumatic responses. Furthermore, previous research primarily uses variable-centered methods, which can obscure person-level differences. The current study used person-centered methods to derive commonly occurring patterns of ETV by examining frequency of witnessing and victimization across family, school, and community contexts. The current study related profiles of ETV to demographic variables and PTSS, with the goal of obtaining nuanced representations of urban children's experiences of, risk factors for, and responses to violence. Method: Patterns of ETV were examined in a sample of 239 African American 7th grade youth using latent profile analysis. Profiles were related to demographic variables and PTSS using logistic regression. Results: Results showed three profiles: Low (N = 130, 54.4%), Moderate (N = 87; 36.4%), and High (N = 22; 9.2%) Exposure groups. The High Exposure group showed the highest levels of PTSS. The Moderate group showed the lowest levels of all PTSS, except dissociation. In contrast, the Low Exposure group showed significantly higher numbing and hypervigilance than the Moderate Exposure group. Conclusions: Results support a dose-response model of ETV and PTSS, but implicate situational factors (e.g., setting) as important in understanding posttraumatic responses. The systematic variation in ETV and subsequent differences in PTSS expression illustrate the need for individualized trauma-informed intervention and thorough screenings in low-income, urban neighborhoods.
机译:目的:低收入的儿童城市社区面临着暴露于暴力(ETV)的高风险(ETV),随后发生创伤后压力症状(PTSS)。很少的研究研究了多种形式的ETV共发生以及与儿童创伤后反应的变化有关。此外,以前的研究主要使用以可变为中心的方法,这些方法可能会掩盖人级差异。当前的研究使用以人为本的方法来通过检查家庭,学校和社区环境的见证和受害频率来得出ETV的普遍发生模式。当前的研究将ETV与人口统计学变量和PTSS相关,目的是获得城市儿童对暴力的危险因素,风险因素和反应的细微象征。方法:使用潜在概况分析,在239名非裔美国人7年级青年样本中检查了ETV的模式。配置文件与使用逻辑回归有关的人口统计学变量和PTSS有关。结果:结果显示了三个轮廓:低(n = 130,54.4%),中度(n = 87; 36.4%)和高(n = 22; 9.2%)的暴露组。高暴露组显示出最高水平的PTS。除解离外,中等组显示出所有PTS的最低水平。相比之下,低暴露组的麻木和过度维护比中度暴露组明显更高。结论:结果支持ETV和PTSS的剂量反应模型,但暗示情境因素(例如设置)对于理解创伤后反应同样重要。 ETV的系统变化和随后的PTSS表达差异表明了在低收入城市社区中对个性化创伤的干预和彻底筛查的必要性。

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