Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 100
Filtrar
1.
Artigo em Inglês | MEDLINE | ID: mdl-38144516

RESUMO

Although evidence-based assessment is considered an essential component of evidence-based practice, few adolescents have access to evidence-based assessment. Despite experiencing high rates of mental health disorders, incarcerated justice-involved adolescents are rarely able to access evidence-based psychiatric care. In this article, we discuss the components of an evidence-based assessment protocol designed and piloted with incarcerated adolescents involved in Rhode Island's juvenile justice system. In particular, we describe the components of our evidence-based protocol, ways in which evidence-based assessment may need to be modified when working with this population, and discuss policy and clinical implications relevant to increasing access to evidence-based assessment among incarcerated adolescents.

2.
Child Youth Serv Rev ; 1502023 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-37745625

RESUMO

Recently, scholars have placed increasing effort on better understanding the unique needs of youth involved in both the child welfare and juvenile justice systems. This study drew from the Developmental Cascade of Multisystem Involvement Framework to examine group differences in trauma exposure, posttraumatic stress symptoms, and offending among youth solely involved in the juvenile justice system and youth with varying degrees of dual-system involvement, including crossover youth (i.e., youth with a history of maltreatment and offending regardless of system involvement), dual-contact youth (i.e., youth who had a history of a substantiated CW maltreatment petition prior to their involvement in the current study), and dually-involved youth (i.e., youth under the care and custody of the state's child welfare system at the time of study participation). Four-hundred adolescents (25% girls, Mage = 15.97) who were recruited from a detention center and completed self-report measures assessing trauma exposure, posttraumatic stress, and offending. Juvenile justice and child welfare records also were collected. Results indicated that, compared to youth solely involved in the juvenile justice system, crossover youth reported significantly more exposure to traumatic events, more severe posttraumatic stress symptoms, and more self-reported offending. In contrast, results indicated few differences between dual-contact youth and youth solely involved in the juvenile justice system; these groups only differed in age and in recidivism charges. There also were few differences between dually-involved youth and youth solely involved in the juvenile justice system; these groups only differed in age and exposure to non-Criterion A traumatic events. The current results suggest that categorizing youth as crossover youth based on their own self-reported history of child maltreatment exposure resulted in more observed differences between dual-system youth and youth solely involved in juvenile justice. The present results have valuable implications for how we operationalize youth's system involvement and highlight the importance of examining child maltreatment as a point of prevention and intervention efforts for these youth.

3.
BMC Psychiatry ; 23(1): 320, 2023 05 05.
Artigo em Inglês | MEDLINE | ID: mdl-37147604

RESUMO

BACKGROUND: Juvenile legal involved youth (JLIY) experience disproportionately high rates of suicidal and self-injurious thoughts and behaviors (SSITB). Many JLIY lack access to evidence-based treatment specifically designed to treat SSITB, thereby increasing the overall risk of suicide. The overwhelming majority of JLIY are not placed in secure facilities and almost all incarcerated youth are eventually released to the community. Consequently, SSITB are a major concern of JLIY residing in the community and it is critical that this population has access to evidence-based treatment for SSITB. Unfortunately, most community mental health providers who treat JLIY have not been trained in evidence-based interventions that are specifically designed to SSITB, which often leads to youth experiencing prolonged periods of SSITB. Training community mental health providers who serve JLIY in the detection and treatment of SSITB shows promise for decreasing the overall suicide risk for JLIY. METHODS: The current proposal aims to reduce SSITB among JLIY, and thus reduce mental health disparities in this vulnerable and underserved youth population, by increasing access to evidence-based treatment strategies specifically designed to treat SSITB behaviors. We will implement an agency-wide training among at least 9 distinct community mental health agencies that serve JLIY referred to treatment by a statewide court system in the Northeast. Agencies will be trained in an adapted version of the COping, Problem Solving, Enhancing life, Safety, and Parenting (COPES+) intervention. Training will be implemented via a cluster-randomized stepped wedge trial that proceeds through multiple phases. DISCUSSION: This research engages multiple systems (i.e., juvenile legal and mental health systems) serving JLIY and has the potential to directly inform treatment practices in juvenile legal and mental health systems. The current protocol has significant public health implications as the primary goals are to reduce SSITB among adolescents involved in the juvenile legal system. By implementing a training protocol with community-based providers to help them learn an evidence-based intervention, this proposal aims to reduce mental health disparities in a marginalized and underserved population. TRIAL REGISTRATION: osf.io/sq9zt.


Assuntos
Comportamento Autodestrutivo , Suicídio , Humanos , Adolescente , Ideação Suicida , Área Carente de Assistência Médica
4.
Bioinspir Biomim ; 18(2)2023 01 11.
Artigo em Inglês | MEDLINE | ID: mdl-36595244

RESUMO

Ultrafast movements propelled by springs and released by latches are thought limited to energetic adjustments prior to movement, and seemingly cannot adjust once movement begins. Even so, across the tree of life, ultrafast organisms navigate dynamic environments and generate a range of movements, suggesting unrecognized capabilities for control. We develop a framework of control pathways leveraging the non-linear dynamics of spring-propelled, latch-released systems. We analytically model spring dynamics and develop reduced-parameter models of latch dynamics to quantify how they can be tuned internally or through changing external environments. Using Lagrangian mechanics, we test feedforward and feedback control implementation via spring and latch dynamics. We establish through empirically-informed modeling that ultrafast movement can be controllably varied during latch release and spring propulsion. A deeper understanding of the interconnection between multiple control pathways, and the tunability of each control pathway, in ultrafast biomechanical systems presented here has the potential to expand the capabilities of synthetic ultra-fast systems and provides a new framework to understand the behaviors of fast organisms subject to perturbations and environmental non-idealities.


Assuntos
Movimento , Dinâmica não Linear , Fenômenos Biomecânicos
5.
J Dev Behav Pediatr ; 43(8): e505-e514, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35943380

RESUMO

OBJECTIVE: This study examined the feasibility, acceptability, and preliminary outcomes of internet-based Talking About Risk and Adolescent Choices (iTRAC), a tablet intervention designed to promote emotion regulation (ER) skills among middle schoolers as a strategy for reducing risk behaviors. METHODS: Adolescents (12-14 years) were recruited from 3 urban US schools for advisory groups (n = 15), acceptability testing (n = 11), and pilot testing (n = 85). Youth advisory boards and expert panels tailored content, resulting in an animated intervention of instructional videos, games, and activities designed to teach ER strategies to young adolescents. Eighty-five adolescents were randomized to the 4-module digital iTRAC intervention or a wait-list control group. Adolescents and 1 parent completed baseline and 3-month follow-up questionnaires examining ER attitudes and behaviors; adolescents also completed behavioral tasks related to distress tolerance. RESULTS: Among those randomized to iTRAC, 88% completed all modules. Moderate effect sizes ( d ≥ 0.36) were found from baseline to follow-up on adolescents' beliefs in the controllability of emotions, awareness of emotions, self-efficacy for managing emotions, perceived access to ER strategies, and use of ER strategies. Parent measures of adolescent regulation showed mixed results. CONCLUSION: A digital intervention to enhance ER skills for youth in early adolescence was feasible and demonstrated promising indicators of impact on emotional competence. Increasing adolescents' awareness of and access to ER strategies could reduce decisions driven by transient emotions, which in turn may reduce engagement in risk behaviors and resultant negative health outcomes. This brief tablet-based intervention has the potential to be self-administered and used to increase emotional competency.


Assuntos
Comportamento do Adolescente , Regulação Emocional , Adolescente , Comportamento do Adolescente/psicologia , Emoções , Humanos , Projetos Piloto , Assunção de Riscos
6.
Clin Child Fam Psychol Rev ; 25(2): 283-299, 2022 06.
Artigo em Inglês | MEDLINE | ID: mdl-34518924

RESUMO

Previous research has provided robust evidence demonstrating that a notable proportion of youth become involved in both the child welfare (CW) system and the juvenile justice (JJ) system, a population often referred to as crossover youth. Prior work has identified a number of risk factors associated with crossing over between these systems. However, there are limitations to the extant literature, key among which is a lack of systematic attention to the influence of trauma exposure and posttraumatic sequelae on the crossover trajectory. In contrast, viewing this research through a trauma-informed lens promises to enhance our ability to integrate findings across studies and to derive theoretically derived hypotheses about underlying mechanisms which will better inform future research and the development of effective prevention and intervention efforts. Accordingly, the purpose of this article is to present a trauma-informed research agenda that would strengthen future research in the field. After providing a brief critique of the existing studies that has documented known risk factors associated with the crossover population, we outline ways in which future research could apply relevant theoretical trauma-informed approaches, including developmental traumatology, to further advance our knowledge of risk factors and mechanisms associated with the crossover trajectory. We conclude by discussing policy and system-wide implications related to the proposed research agenda.


Assuntos
Delinquência Juvenil , Adolescente , Criança , Proteção da Criança , Humanos , Fatores de Risco
7.
Child Youth Serv Rev ; 1382022 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38223234

RESUMO

Youths in the child welfare system experience high rates of placement changes and school transfers; therefore, prior research focused on variables that may be linked with such disruptions. Indeed, researchers have established that mental health symptoms (e.g., PTSD symptoms) are linked with placement disruptions. However, an important aspect of mental health for youth in the child welfare system has largely been ignored: sexual concerns (e.g., distress, preoccupation). Thus, the present study evaluated whether higher levels of sexual preoccupation and distress among a sample of child welfare-involved youths (N = 124) in a northeastern state predicted placement changes and school transfers above and beyond variables previously linked with these disruptions. Our hypotheses were partially supported such that higher levels of sexual distress were linked with increased odds of experiencing a placement change (OE = 2.60; p <.01). Counter to our hypotheses, higher levels of sexual preoccupation were linked with lower odds of experiencing both placement changes (OE = -2.98; p <.01) and school transfers (OR = 0.18; p < .05). Furthermore, sexual preoccupation and sexual distress were not linked with increased rates of placement changes. The current findings have implications for the assessment of sexual concerns and the prevention of placement changes among youth in the child welfare system.

8.
J Psychopathol Behav Assess ; 43(1): 119-130, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-34149159

RESUMO

The revised criteria for posttraumatic stress disorder (PTSD) in the fifth edition of the Diagnostic and Statistical Manual necessitated the development of new screening tools for youth, one of the most widely used of which is the UCLA Posttraumatic Stress Disorder Reaction Index for DSM-5 (RI-5). Thus far, the few studies that have investigated the RI-5's factor structure have supported a four-factor model. However, to date this research has been limited to youth with histories of exposure to single-event traumatic stressors, a significant limitation as evidence suggests many trauma-exposed youth report exposure to multiple types of traumatic stressors, or polyvictimization. It is imperative to determine the generalizability of previous factor models to specific populations which they are purported to represent. We investigated whether the RI-5's four-factor model replicated in a sample of 455 polyvictimized justice-involved adolescents. Initial confirmatory factor analysis demonstrated that the four-factor model did not converge. Therefore, we utilized Bayesian Structural Equations Modeling (BSEM) to determine why the previously proposed factor structure did not converge. The BSEM model suggested that the global factor structure was acceptable and did not require addition or subtraction of any factor or cross-factor loadings. However, small and moderate residual covariances resulted in model misspecification, suggesting there may be additional associations not captured by the current DSM-5 model for polyvictimized youth. Future work should continue examining the RI-5's factor structure in order to better understand whether the current results are unique and how measurements assessing DSM-5 PTSD symptom criteria perform in diverse trauma-exposed youth populations.

9.
J Trauma Dissociation ; 22(5): 487-501, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33427114

RESUMO

Previous research has established that trauma exposure and subsequent posttraumatic stress symptoms confer risk for adolescent offending and involvement in the juvenile justice system. However, recent research and theory have called attention to the contributions of specific posttraumatic reactions, including posttraumatic dissociation (PD) and reckless or self-destructive behavior (RSDB), to offending behavior among adolescents. Therefore, this study investigated direct and indirect associations among trauma exposure, PD, RSDB, and offending in a sample of justice-involved adolescents. Participants were 301 adolescents (Mage = 16.03, SD = 1.24; 21% girls) recruited from a detention center in the Mountain West. The sample was racially and ethnic diverse, with 63% identifying as a racial or ethnic minority. Youth completed self-report measures of trauma exposure, PD, RSDB, and offending. As hypothesized, results of multiple mediation analysis demonstrated a significant indirect effect linking trauma exposure and offending through PD and RSDB. Results testing an alternative multiple mediation model were non-significant. These findings suggest that PD and RSDB may serve as key links accounting for the association between trauma exposure and offending behavior and reinforce the value of incorporating trauma-informed practices within juvenile justice systems.


Assuntos
Delinquência Juvenil , Comportamento Autodestrutivo , Transtornos de Estresse Pós-Traumáticos , Adolescente , Etnicidade , Feminino , Humanos , Masculino , Grupos Minoritários
10.
J Interpers Violence ; 36(17-18): 7940-7961, 2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-31068053

RESUMO

Engagement in intimate partner violence (IPV) is related to a host of negative outcomes for youth, including posttraumatic stress symptoms (PTSS). Moreover, research indicates that the perpetration of violence may constitute a traumatic experience, termed perpetration trauma (PT), which, in turn, is related to elevated levels of PTSS. Little research to date, however, has illuminated the underlying processes that may link IPV perpetration, PT, and PTSS. One potential contributor to this association is rumination on negative emotions. In particular, for youth who report PT and rumination, engaging in IPV may be associated with elevations in PTSS. To investigate this hypothesis, data were gathered from a sample of 235 justice-involved youth (184 boys, 51 girls) who completed self-report measures of IPV perpetration and victimization, PT, sadness and anger rumination, and PTSS. Results of moderated mediational analyses indicated that IPV perpetration was related to PTSS through sadness rumination, and that these effects were stronger when youth endorsed PT. In turn, IPV perpetration was related to PTSS through anger rumination only when youth did not endorse PT. In addition, tests of alternative models indicated that these results were specific to IPV perpetration, given that IPV victimization was not related to PTSS through anger or sadness rumination when youth endorsed PT. These results suggest that the combination of rumination on sadness and endorsement of PT may put youth who perpetrate IPV at the greatest risk of PTSS. Therefore, interventions seeking to interrupt the cycle of IPV perpetration may benefit from targeting perpetrators' sadness rumination, PT, and PTSS.


Assuntos
Vítimas de Crime , Violência por Parceiro Íntimo , Transtornos de Estresse Pós-Traumáticos , Adolescente , Feminino , Humanos , Masculino , Homens , Fatores de Risco , Transtornos de Estresse Pós-Traumáticos/epidemiologia , Violência
11.
Child Abuse Negl ; 111: 104774, 2021 01.
Artigo em Inglês | MEDLINE | ID: mdl-33158582

RESUMO

BACKGROUND: Previous research has demonstrated that youth involved in the juvenile justice system endorse diverse patterns of victimization. However, previous research investigating victimization profiles among youth involved in the juvenile justice system has primarily consisted of boys. OBJECTIVE: This study investigated victimization profiles and correlates of victimization exposure, including posttraumatic stress symptoms and risk behaviors, in a sample of girls involved in the juvenile justice system. PARTICIPANTS AND SETTING: Participants were 245 girls involved in the juvenile justice system (Mage = 15.57, SD = 1.13) participating in a dating violence prevention program. The sample was racially diverse, and 48 % self-identified as Hispanic/Latina. METHOD: Prior to participating in the intervention, participants completed self-report measures of adversity and victimization exposure, posttraumatic stress symptoms, and risk behaviors. RESULTS: Results of latent class analysis identified three distinct victimization profiles. The first class (n = 106) was characterized by low levels of victimization. The second class (n = 98) experienced predominantly emotional victimization (i.e., emotional dominant). The third class (n = 41) was characterized by exposure to polyvictimization (i.e., polyvictimization predominant). Girls categorized into the polyvictimization dominant class evidenced the greatest levels of posttraumatic stress symptoms, substance use, suicidal behaviors, and sexual risk behaviors. CONCLUSIONS: Girls involved in the juvenile justice system report distinct patterns of victimization, which are differentially associated with posttraumatic stress symptoms and risk behaviors. The present study underscores the importance of implementing trauma-informed assessment and intervention practices within juvenile justice systems.


Assuntos
Experiências Adversas da Infância , Vítimas de Crime/psicologia , Vítimas de Crime/estatística & dados numéricos , Adolescente , Experiências Adversas da Infância/psicologia , Experiências Adversas da Infância/estatística & dados numéricos , Bullying/psicologia , Maus-Tratos Infantis/psicologia , Estabelecimentos Correcionais , Emoções , Feminino , Humanos , Violência por Parceiro Íntimo/prevenção & controle , Violência por Parceiro Íntimo/estatística & dados numéricos , Delinquência Juvenil , Análise de Classes Latentes , New England , Assunção de Riscos , Comportamento Sexual , Transtornos de Estresse Pós-Traumáticos/psicologia , Transtornos Relacionados ao Uso de Substâncias , Ideação Suicida
12.
J Youth Adolesc ; 48(10): 1952-1966, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31485985

RESUMO

Risky behavior is common among traumatized youth and is associated with juvenile offending. This study examined predictors of posttraumatic risky behavior, the unique contribution of posttraumatic risky behavior in predicting offending, and tested whether a distinct class of youth was characterized by high levels of posttraumatic risky behavior. Participants were 400 adolescents (25% girls) between the ages of 12 and 19 years old (M = 15.97, SD = 1.25) who were involved in the Utah juvenile justice system. Approximately 54% of the sample identified as an ethnic minority. Youth completed self-report measures of trauma exposure, posttraumatic risky behavior, posttraumatic stress symptom severity, and offending. Formal legal records of offending were also collected. The results indicated that female sex was significantly related to posttraumatic risky behavior, though age was not significantly associated with posttraumatic risky behavior. Age and ethnicity were associated with both self-reported and formal offending, and male sex was associated with formal offending. Posttraumatic risky behavior was not related to formal offending, but was related to self-reported offending in some of the tested models. Latent class analysis identified 92 youth characterized by high levels of posttraumatic risky behavior; these youth also evidenced the highest rates of trauma exposure, posttraumatic stress symptom severity, and self-reported offending. There were no ethnic, age, or sex differences between youth in the high and low posttraumatic risky behavior groups. These results add to the extant literature documenting the associations among exposure to trauma, posttraumatic stress, and juvenile offending.


Assuntos
Criminosos/psicologia , Delinquência Juvenil/psicologia , Grupos Minoritários/psicologia , Transtornos de Estresse Pós-Traumáticos/psicologia , Adolescente , Etnicidade/psicologia , Feminino , Humanos , Masculino , Fatores de Risco , Assunção de Riscos , Utah
13.
Psychol Trauma ; 11(7): 743-750, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31045410

RESUMO

OBJECTIVE: Previous research has established associations among childhood trauma exposure, posttraumatic stress symptoms (PTSSs), and adolescent nonsuicidal self-injury (NSSI). In fact, numerous studies have suggested that PTSSs may serve as a mechanism linking trauma exposure and NSSI. However, studies to date have not utilized newer models of PTSSs that differentiate between symptoms of overmodulation and undermodulation. This study investigated associations among interpersonal and noninterpersonal trauma exposure, posttraumatic overmodulation and undermodulation, and NSSI in a sample of justice-involved youth. METHOD: Participants were 566 youth (2 transgender youth, 142 girls, and 422 boys). On average, youth were 16 years old (SD = 1.27), and approximately half self-identified as an ethnic minority. Participants completed measures of lifetime trauma exposure and NSSI, and past-month PTSSs. RESULTS: Structural equation modeling demonstrated that interpersonal trauma exposure was associated with symptoms of overmodulation (95% confidence interval [CI] [.180, .340]) and undermodulation (95% CI [.179, .338]) as well as NSSI (95% CI [.156, .572]). Additionally, symptoms of overmodulation were differentially associated with NSSI (95% CI [.158, .720]), and there was a significant indirect effect between interpersonal trauma exposure and NSSI via overmodulation (95% CI [.015, .095]). CONCLUSIONS: This study highlights the utility of conceptualizing posttraumatic stress disorder as a disorder of emotion regulation characterized by symptoms of overmodulation and undermodulation, and has clinical implications for mental health professionals who interact with youth in the justice system. (PsycINFO Database Record (c) 2019 APA, all rights reserved).


Assuntos
Regulação Emocional/fisiologia , Delinquência Juvenil/estatística & dados numéricos , Trauma Psicológico/epidemiologia , Comportamento Autodestrutivo/epidemiologia , Transtornos de Estresse Pós-Traumáticos/epidemiologia , Adolescente , Feminino , Humanos , Masculino , Trauma Psicológico/fisiopatologia , Transtornos de Estresse Pós-Traumáticos/fisiopatologia , Estados Unidos/epidemiologia
14.
Integr Comp Biol ; 59(1): 182-192, 2019 07 01.
Artigo em Inglês | MEDLINE | ID: mdl-31004492

RESUMO

In this study we developed an analytical relationship between adhesive digit orientation and adhesive force capacity to describe the tendencies of climbing organisms that use adhesion for climbing to align their toes in the direction of loading, maximizing adhesive force capacity. We fabricated a multi-component adhesive device with multiple contact surfaces, or digits, to act as a model system mimicking the angular motion of a foot and found the synthetic experiments agree with the developed analytical relationship. In turn, we find that observations of gekkonid lizards climbing on vertical substrates correlate well with our analytical relationship; a reduction in toe spacing is seen on the forelimbs when the animals are facing up. Interestingly, the toes on the hindlimbs tend to have an increase in spacing, possibly a mechanism for stabilization rather than load-bearing.


Assuntos
Lagartos/fisiologia , Locomoção , Dedos do Pé/fisiologia , Adesividade , Animais , Fenômenos Biomecânicos , Lagartos/anatomia & histologia , Dedos do Pé/anatomia & histologia
15.
Acta Biomater ; 86: 117-124, 2019 03 01.
Artigo em Inglês | MEDLINE | ID: mdl-30641290

RESUMO

Whales, dolphins, and porpoises have unusual vaginal folds of unknown function(s) that are hypothesized to play an important role in sexual selection. The potential function of vaginal folds was assessed by testing the mechanical properties of common bottlenose dolphin (Tursiops truncatus) reproductive tract tissues in 6 different regions and across age classes in post-mortem specimens. We assessed the regional (local) and overall effective elastic modulus of tissues using indentation and tensile tests, respectively. We explore the non-linear mechanical response of biological tissues, which are not often quantified. Indentation tests demonstrated that sexual maturity state, tissue region, force history, and force magnitude values significantly affected the measured effective elastic modulus. Tissue was stiffest in the vaginal fold region and overall stiffer in sexually immature compared to mature animals, likely reflecting biomechanical adaptations associated with copulation and parturition. Tensile tests showed that only tissue region significantly affected the effective modulus. Our data support the hypothesis that vaginal folds function as mechanical barriers to the penis and may provide females with mechanisms to reduce copulatory forces on other reproductive tissue. STATEMENT OF SIGNIFICANCE: Cetaceans have unusual folds of vaginal wall tissue that appear to evolve under sexual selection mechanisms and present physical barriers to the penis during copulation. We explore the biomaterial properties of vaginal fold tissue, how it varies from other reproductive tract tissues, and ontogenetic patterns. We demonstrate that vaginal folds can withstand higher mechanical forces and respond in a manner conducive to dissipating copulatory forces to other reproductive tissues. This study yields exciting insights on how female genital tissue may function during copulation, and is the first to do so in any vertebrate species. Additionally, we provide an example for testing biological tissues, non-linear properties, and materials with uneven surface structure and uneven thickness.


Assuntos
Golfinhos/fisiologia , Genitália Feminina/fisiologia , Animais , Fenômenos Biomecânicos , Golfinhos/anatomia & histologia , Módulo de Elasticidade , Feminino , Genitália Feminina/anatomia & histologia , Resistência à Tração
16.
J Abnorm Child Psychol ; 47(2): 287-298, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-29654539

RESUMO

Among the 90% of adolescents involved in juvenile justice who have experienced traumatic victimization, a sub-group may be at highest risk due to histories of multiple types of interpersonal and non-interpersonal trauma, termed polyvictims. Latent class analyses (LCA) have identified polyvictimized subgroups in several studies of adolescents and adults, but only one study of traumatic victimization has been conducted with justice-involved youth (Ford et al. 2013). The current investigation replicates and extends that study's findings using LCA to assess a wider range of victimization- and nonvictimization-related adversities and emotion dysregulation, DSM-5 symptom clusters of posttraumatic stress disorder (PTSD), and behavioral health problems, such as substance use, anger, depression, somatic complaints, and suicide ideation. In a sample of juvenile detainees three latent classes were identified: mixed adversity (MA; n = 327), violent environment (VE; n = 337), and polyvictimization (PV; n = 145). In contrast to MA youth, PV youth were more likely to report exposure to all forms of adversity, and in contrast to both MA and VE youth, exposure to maltreatment and family violence, and higher levels of emotion dysregulation, PTSD, and depression/anxiety symptoms, somatic complaints, and suicidality. VE youth (vs. MA youth) were more likely to report exposure to violence and non-interpersonal traumas, and were higher on some forms of emotion dysregulation, PTSD symptoms, anger and substance use. Findings suggest that most justice-involved youth have experienced substantial adversity, with almost one in five identified as a polyvictim having experienced multiple adversities, including impaired caregivers, and evidencing the most severe problems in emotion dysregulation and PTSD, internalizing, and externalizing symptoms.


Assuntos
Experiências Adversas da Infância , Sintomas Comportamentais/fisiopatologia , Vítimas de Crime , Regulação Emocional/fisiologia , Delinquência Juvenil , Trauma Psicológico/fisiopatologia , Transtornos de Estresse Pós-Traumáticos/fisiopatologia , Adolescente , Adulto , Sintomas Afetivos/fisiopatologia , Criança , Feminino , Humanos , Masculino , Comportamento Problema , Ideação Suicida , Adulto Jovem
17.
J Trauma Dissociation ; 19(3): 325-346, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29547076

RESUMO

Polyvictimization (PV) has been shown to be associated with psychosocial and behavioral impairment in community and high risk populations, including youth involved in juvenile justice. However, the mechanisms accounting for these adverse outcomes have not been empirically delineated. Symptoms of posttraumatic stress disorder (PTSD) and dissociation are documented sequelae of PV and are associated with a wide range of behavioral/emotional problems. This study used a cross-sectional research design and bootstrapped multiple mediation analyses with self-report measures completed by a large sample of justice-involved youth (N = 809, ages 12-19 years old, 27% female, 46.5% youth of color) to test the hypothesis that PTSD and dissociation symptoms mediate the relationship between PV and problems with anger, depression/anxiety, alcohol/drug use, and somatic complaints after controlling for the effects of exposure to violence and adversities related to juvenile justice involvement. As hypothesized, PTSD symptoms mediated the relationship of PV with all outcomes except alcohol/drug use problems (which had an unmediated direct association with PV). Partially supporting study hypotheses, dissociation symptoms mediated the relationship between PV and internalizing problems (i.e., depression anxiety; suicide ideation). Implications are discussed for prospective research demarcating the mechanisms linking PV and adverse outcomes in juvenile justice and other high risk populations.


Assuntos
Maus-Tratos Infantis/psicologia , Vítimas de Crime/psicologia , Transtornos Dissociativos/psicologia , Delinquência Juvenil/psicologia , Transtornos Mentais/psicologia , Transtornos de Estresse Pós-Traumáticos/psicologia , Adolescente , Criança , Estudos Transversais , Feminino , Humanos , Masculino , Escalas de Graduação Psiquiátrica , Estados Unidos , Utah , Adulto Jovem
18.
J Trauma Dissociation ; 19(3): 347-361, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29547077

RESUMO

The increasing prevalence of girls in the juvenile justice system suggests the importance of examining whether models of adolescent offending are differentiated by gender. Polyvictimization has emerged as a robust predictor of youth justice involvement, especially for girls, and research exploring mechanisms underlying the link between polyvictimization and offending suggests further gender differences in that callous-unemotional (CU) traits have been implicated in samples of boys whereas borderline personality (BP) traits have been implicated amongst girls. However, a limitation of these studies is that most have included all-male or all-female samples, thus not allowing for comparisons across gender. Further, few studies have used a trauma-informed lens to investigate posttraumatic symptoms, particularly dissociation and emotional numbing, that might account for these associations. To address this gap, this study investigated associations among polyvictimization, dissociation, numbing, CU, BP, and offending in a sample of 782 youth (579 boys and 203 girls) recruited from a detention center. As hypothesized, for both genders, polyvictimization was related to BP through the indirect effect of dissociation and to CU through the indirect effect of emotional numbing. Further, for both genders, path models indicated indirect effects on the association between polyvictimization and offending through dissociation and BP. These results suggest the value of using a trauma-informed approach to understanding youth justice involvement and continuing to fine-tune models of gender differences in traumatized girls' and boys' offending.


Assuntos
Apatia , Transtorno da Personalidade Borderline/psicologia , Maus-Tratos Infantis/psicologia , Vítimas de Crime/psicologia , Transtornos Dissociativos/psicologia , Delinquência Juvenil/psicologia , Transtornos de Estresse Pós-Traumáticos/psicologia , Adolescente , Criança , Feminino , Humanos , Masculino , Escalas de Graduação Psiquiátrica , Fatores Sexuais , Estados Unidos , Adulto Jovem
19.
Aggress Behav ; 44(3): 268-275, 2018 May.
Artigo em Inglês | MEDLINE | ID: mdl-29315619

RESUMO

Research has demonstrated an association between childhood trauma exposure and adolescent aggression. This association may be explained by rejection sensitivity, defined as anger, or anxiety in the anticipation of rejection, which can be a consequence of trauma exposure. Callous-unemotional (CU) traits also are associated with trauma exposure and aggressive behavior; however, research has not yet investigated the interactive roles that rejection sensitivity and CU traits play in the relation between trauma exposure and aggression. Therefore, this study sought to investigate the role of rejection sensitivity in the association between trauma exposure and aggression, and whether this indirect effect was moderated by CU traits. Participants included 380 detained youth (98 girls, 282 boys) who completed self-report measures of trauma exposure, angry, and anxious rejection sensitivity, CU traits, and aggression. Results of moderated mediation demonstrated that the relation between trauma exposure and aggression exhibited an indirect effect through angry rejection sensitivity, but only at moderate or high levels of CU traits. This pattern was not found for anxious rejection sensitivity. Results suggest that interventions aimed to decrease aggressive behavior in traumatized adolescents may benefit from considering how youth respond to rejection, as well as whether youth endorse CU traits, as this may help to limit further involvement in the juvenile justice system after release.


Assuntos
Comportamento do Adolescente/fisiologia , Agressão/fisiologia , Ansiedade/fisiopatologia , Emoções/fisiologia , Empatia/fisiologia , Delinquência Juvenil , Trauma Psicológico/fisiopatologia , Rejeição em Psicologia , Adolescente , Adulto , Ira/fisiologia , Criança , Feminino , Humanos , Masculino , Adulto Jovem
20.
Bioinformatics ; 34(6): 994-1000, 2018 03 15.
Artigo em Inglês | MEDLINE | ID: mdl-29112702

RESUMO

Motivation: Detecting novel functional modules in molecular networks is an important step in biological research. In the absence of gold standard functional modules, functional annotations are often used to verify whether detected modules/communities have biological meaning. However, as we show, the uneven distribution of functional annotations means that such evaluation methods favor communities of well-studied proteins. Results: We propose a novel framework for the evaluation of communities as functional modules. Our proposed framework, CommWalker, takes communities as inputs and evaluates them in their local network environment by performing short random walks. We test CommWalker's ability to overcome annotation bias using input communities from four community detection methods on two protein interaction networks. We find that modules accepted by CommWalker are similarly co-expressed as those accepted by current methods. Crucially, CommWalker performs well not only in well-annotated regions, but also in regions otherwise obscured by poor annotation. CommWalker community prioritization both faithfully captures well-validated communities and identifies functional modules that may correspond to more novel biology. Availability and implementation: The CommWalker algorithm is freely available at opig.stats.ox.ac.uk/resources or as a docker image on the Docker Hub at hub.docker.com/r/lueckenmd/commwalker/. Contact: deane@stats.ox.ac.uk. Supplementary information: Supplementary data are available at Bioinformatics online.


Assuntos
Biologia Computacional/métodos , Anotação de Sequência Molecular , Mapeamento de Interação de Proteínas/métodos , Software , Algoritmos , Humanos
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...