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Victimization and posttraumatic stress disorder among homeless adolescents.
J Am Acad Child Adolesc Psychiatry. 2004 Mar; 43(3):325-31.JA

Abstract

OBJECTIVE

To examine street victimization and posttraumatic stress symptoms among urban homeless adolescents and to test whether emotional numbing and avoidance represent distinct posttraumatic stress disorder (PTSD) symptom clusters.

METHOD

Structured, private interviews were conducted with homeless adolescents (N = 374) in the Seattle metropolitan area (95% response rate) from 1995 to 1998.

RESULTS

Eighty-three percent of street youths were physically and/or sexually victimized after leaving home. Approximately 18% of these youths met research criteria for PTSD. Results from a confirmatory factor analysis suggest that disaggregating symptoms of avoidance from symptoms of emotional numbing provides a better fit of the data than the current DSM-IV model in which these symptoms are combined in one factor.

CONCLUSIONS

Sexual and physical victimization are serious threats for homeless adolescents, and those who are victimized are at risk for PTSD. Results challenge the belief that symptoms of avoidance and numbing represent one unified cluster in this population.

Authors+Show Affiliations

University of Washington, Department of Psychology, Seattle, WA 98195, USA. stangela@u.washington.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

15076266

Citation

Stewart, Angela J., et al. "Victimization and Posttraumatic Stress Disorder Among Homeless Adolescents." Journal of the American Academy of Child and Adolescent Psychiatry, vol. 43, no. 3, 2004, pp. 325-31.
Stewart AJ, Steiman M, Cauce AM, et al. Victimization and posttraumatic stress disorder among homeless adolescents. J Am Acad Child Adolesc Psychiatry. 2004;43(3):325-31.
Stewart, A. J., Steiman, M., Cauce, A. M., Cochran, B. N., Whitbeck, L. B., & Hoyt, D. R. (2004). Victimization and posttraumatic stress disorder among homeless adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 43(3), 325-31.
Stewart AJ, et al. Victimization and Posttraumatic Stress Disorder Among Homeless Adolescents. J Am Acad Child Adolesc Psychiatry. 2004;43(3):325-31. PubMed PMID: 15076266.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Victimization and posttraumatic stress disorder among homeless adolescents. AU - Stewart,Angela J, AU - Steiman,Mandy, AU - Cauce,Ana Mari, AU - Cochran,Bryan N, AU - Whitbeck,Les B, AU - Hoyt,Dan R, PY - 2004/4/13/pubmed PY - 2004/5/1/medline PY - 2004/4/13/entrez SP - 325 EP - 31 JF - Journal of the American Academy of Child and Adolescent Psychiatry JO - J Am Acad Child Adolesc Psychiatry VL - 43 IS - 3 N2 - OBJECTIVE: To examine street victimization and posttraumatic stress symptoms among urban homeless adolescents and to test whether emotional numbing and avoidance represent distinct posttraumatic stress disorder (PTSD) symptom clusters. METHOD: Structured, private interviews were conducted with homeless adolescents (N = 374) in the Seattle metropolitan area (95% response rate) from 1995 to 1998. RESULTS: Eighty-three percent of street youths were physically and/or sexually victimized after leaving home. Approximately 18% of these youths met research criteria for PTSD. Results from a confirmatory factor analysis suggest that disaggregating symptoms of avoidance from symptoms of emotional numbing provides a better fit of the data than the current DSM-IV model in which these symptoms are combined in one factor. CONCLUSIONS: Sexual and physical victimization are serious threats for homeless adolescents, and those who are victimized are at risk for PTSD. Results challenge the belief that symptoms of avoidance and numbing represent one unified cluster in this population. SN - 0890-8567 UR - https://www.unboundmedicine.com/medline/citation/15076266/Victimization_and_posttraumatic_stress_disorder_among_homeless_adolescents_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0890-8567(09)66051-2 DB - PRIME DP - Unbound Medicine ER -