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Poly-victimization and risk of posttraumatic, depressive, and substance use disorders and involvement in delinquency in a national sample of adolescents.
J Adolesc Health. 2010 Jun; 46(6):545-52.JA

Abstract

PURPOSE

Adolescents exposed to multiple forms of psychological trauma ("poly-victimization," Finkelhor et al. Child Abuse Negl 2007;31:7-26) may be at high risk for psychiatric and behavioral problems. This study empirically identifies trauma profiles in a national sample of adolescents to ascertain correlates of poly-victimization.

METHODS

Latent Class analyses and logistic regression analyses were used with data from the National Survey of Adolescents to identify trauma profiles and each profile's risk of posttraumatic stress disorder, major depressive disorder, substance use disorders, and delinquency involvement and deviant peer group relationships. Poly-victimization classes were also compared to classes with trauma exposure of lesser complexity.

RESULTS

Six mutually exclusive trauma profiles (latent classes) were identified. Four classes were characterized by high likelihood of poly-victimization, including abuse victims (8%), physical assault victims (9%), and community violence victims (15.5%). Poly-victimization class members, especially abuse and assault victims, were more likely than do youth traumatized by witnessing violence or exposure to disaster/accident trauma to have psychiatric diagnosis and (independent of psychiatric diagnoses or demographics) to be involved in delinquency with delinquent peers.

CONCLUSIONS

Poly-victimization is prevalent among adolescents and places youth at high risk for psychiatric impairment and for delinquency. Moreover, poly-victimized youths' risk of delinquency cannot be fully accounted for by posttraumatic stress disorder, depression, or substance use problems, suggesting that adolescent healthcare providers should consider poly-victimization as a risk for behavioral and legal problems even when PTSD, depression, or addiction symptoms are not clinically significant.

Authors+Show Affiliations

Department of Psychiatry, University of Connecticut School of Medicine, Farmington, Connecticut, USA. jford@uchc.eduNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

20472211

Citation

Ford, Julian D., et al. "Poly-victimization and Risk of Posttraumatic, Depressive, and Substance Use Disorders and Involvement in Delinquency in a National Sample of Adolescents." The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine, vol. 46, no. 6, 2010, pp. 545-52.
Ford JD, Elhai JD, Connor DF, et al. Poly-victimization and risk of posttraumatic, depressive, and substance use disorders and involvement in delinquency in a national sample of adolescents. J Adolesc Health. 2010;46(6):545-52.
Ford, J. D., Elhai, J. D., Connor, D. F., & Frueh, B. C. (2010). Poly-victimization and risk of posttraumatic, depressive, and substance use disorders and involvement in delinquency in a national sample of adolescents. The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine, 46(6), 545-52. https://doi.org/10.1016/j.jadohealth.2009.11.212
Ford JD, et al. Poly-victimization and Risk of Posttraumatic, Depressive, and Substance Use Disorders and Involvement in Delinquency in a National Sample of Adolescents. J Adolesc Health. 2010;46(6):545-52. PubMed PMID: 20472211.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Poly-victimization and risk of posttraumatic, depressive, and substance use disorders and involvement in delinquency in a national sample of adolescents. AU - Ford,Julian D, AU - Elhai,Jon D, AU - Connor,Daniel F, AU - Frueh,B Christopher, Y1 - 2010/01/29/ PY - 2009/07/21/received PY - 2009/11/18/revised PY - 2009/11/20/accepted PY - 2010/5/18/entrez PY - 2010/5/18/pubmed PY - 2010/9/14/medline SP - 545 EP - 52 JF - The Journal of adolescent health : official publication of the Society for Adolescent Medicine JO - J Adolesc Health VL - 46 IS - 6 N2 - PURPOSE: Adolescents exposed to multiple forms of psychological trauma ("poly-victimization," Finkelhor et al. Child Abuse Negl 2007;31:7-26) may be at high risk for psychiatric and behavioral problems. This study empirically identifies trauma profiles in a national sample of adolescents to ascertain correlates of poly-victimization. METHODS: Latent Class analyses and logistic regression analyses were used with data from the National Survey of Adolescents to identify trauma profiles and each profile's risk of posttraumatic stress disorder, major depressive disorder, substance use disorders, and delinquency involvement and deviant peer group relationships. Poly-victimization classes were also compared to classes with trauma exposure of lesser complexity. RESULTS: Six mutually exclusive trauma profiles (latent classes) were identified. Four classes were characterized by high likelihood of poly-victimization, including abuse victims (8%), physical assault victims (9%), and community violence victims (15.5%). Poly-victimization class members, especially abuse and assault victims, were more likely than do youth traumatized by witnessing violence or exposure to disaster/accident trauma to have psychiatric diagnosis and (independent of psychiatric diagnoses or demographics) to be involved in delinquency with delinquent peers. CONCLUSIONS: Poly-victimization is prevalent among adolescents and places youth at high risk for psychiatric impairment and for delinquency. Moreover, poly-victimized youths' risk of delinquency cannot be fully accounted for by posttraumatic stress disorder, depression, or substance use problems, suggesting that adolescent healthcare providers should consider poly-victimization as a risk for behavioral and legal problems even when PTSD, depression, or addiction symptoms are not clinically significant. SN - 1879-1972 UR - https://www.unboundmedicine.com/medline/citation/20472211/Poly_victimization_and_risk_of_posttraumatic_depressive_and_substance_use_disorders_and_involvement_in_delinquency_in_a_national_sample_of_adolescents_ DB - PRIME DP - Unbound Medicine ER -