Assessing stress-related treatment needs among girls at risk for poor functional outcomes: The impact of cumulative adversity, criterion traumas, and non-criterion events
| Autor: | Lansing, Amy E, Plante, Wendy Y, Beck, Audrey N |
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| Rok vydání: | 2017 |
| Předmět: |
Male
Physical Injury - Accidents and Adverse Effects Adolescent Clinical Sciences Life Change Events Interviews as Topic High-risk youth Cognition Risk Factors Cumulative adversity Clinical Research 2.3 Psychological Behavioral and Social Science Genetics Humans Psychology Adverse childhood experiences Adaptation Aetiology Qualitative Research Violence Research Pediatric Health Services Needs and Demand Psychopathology Human Genome Delinquent girls Brain Disorders Clinical Psychology Mental Health Good Health and Well Being Functional impairment Wounds and Injuries Psychological Female Mental health Loss social and economic factors Self-Injurious Behavior |
| Popis: | Despite growing recognition that cumulative adversity (total stressor exposure, including complex trauma), increases the risk for psychopathology and impacts development, assessment strategies lag behind: Adversity-related mental health needs (symptoms, functional impairment, maladaptive coping) are typically assessed in response to only one qualifying Criterion-A traumatic event. This is especially problematic for youth at-risk for health and academic disparities who experience cumulative adversity, including non-qualifying events (separation from caregivers) which may produce more impairing symptomatology. Data from 118 delinquent girls demonstrate: (1) an average of 14 adverse Criterion-A and non-Criterion event exposures; (2) serious maladaptive coping strategies (self-injury) directly in response to cumulative adversity; (3) more cumulative adversity-related than worst-event related symptomatology and functional impairment; and (4) comparable symptomatology, but greater functional impairment, in response to non-Criterion events. These data support the evaluation of mental health needs in response to cumulative adversity for optimal identification and tailoring of services in high-risk populations to reduce disparities. |
| Databáze: | OpenAIRE |
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