Skip to main content
Top
Gepubliceerd in: Research on Child and Adolescent Psychopathology 12/2023

19-11-2022

Patterns of Trauma Among Youth Seeking Mental Health Services at a Community-Based Clinic: A Latent Class Analysis Approach

Auteurs: Phuc T. Nguyen, Danna Basson, David Perry

Gepubliceerd in: Research on Child and Adolescent Psychopathology | Uitgave 12/2023

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

We examine the association between trauma patterns, gender identity, ethnicity, foster care involvement, and mental health needs in a sample of low-income youth. Our community sample included 2,175 clients aged 6 or older (Mage = 11.9), has a closely-even gender ratio (55% female and 45% male and others) and is ethnically diverse (37% Black, 31% Multiracial, 14% Latinx, 9% White, 10% Others). 61% of youth in this sample have involvement with the foster care system. Latent class analysis was used to identify trauma patterns, explore predictors of latent class membership, and estimate the cumulative mental health needs for each trauma class. Results revealed four trauma patterns (Low Trauma, Caregiving Disruption, Community Violence, and Multiple Trauma). Girls were more likely than boys to be in the high-trauma groups. Compared to Black youth, Latinx youth were more likely to be in the Multiple Trauma class, whereas White youth were less likely to be in the high trauma classes. Youth with past or current involvement with the foster care system were more likely than those without to be in the high-trauma classes. Mental health needs for youth in Low Trauma and Caregiving Disruption were comparable, but were highest for those in Community Violence. Contrary to expectation, the Multiple Trauma group did not have the highest-level mental health needs. Interventions for low-income youth can benefit from knowing which trauma patterns are associated with various levels of mental health needs. Newer models of care focusing on building healthy communities may be the way forward.
Bijlagen
Alleen toegankelijk voor geautoriseerde gebruikers
Literatuur
go back to reference Celeux, G., & Soromenho, G. (1996). An entropy criterion for assessing the number of clusters in a mixture model. Journal of Classification, 13(2), 195–212.CrossRef Celeux, G., & Soromenho, G. (1996). An entropy criterion for assessing the number of clusters in a mixture model. Journal of Classification, 13(2), 195–212.CrossRef
go back to reference Cicchetti, D., & Lynch, M. (1993). Toward an ecological/transactional model of community violence and child maltreatment: consequences for children’s development. Psychiatry, 56(1), 96–118.CrossRefPubMed Cicchetti, D., & Lynch, M. (1993). Toward an ecological/transactional model of community violence and child maltreatment: consequences for children’s development. Psychiatry, 56(1), 96–118.CrossRefPubMed
go back to reference Clark, S. L. (2010). Mixture modeling with behavioral data. Dissertation Abstracts International Section A: Humanities and Social Sciences, 71(4-A), 1183. Clark, S. L. (2010). Mixture modeling with behavioral data. Dissertation Abstracts International Section A: Humanities and Social Sciences, 71(4-A), 1183.
go back to reference Collins, L. M., & Lanza, S. T. (2010). Latent class and latent tran- sition analysis: with applications in the social, behavioral, and health sciences. New York: Wiley. Collins, L. M., & Lanza, S. T. (2010). Latent class and latent tran- sition analysis: with applications in the social, behavioral, and health sciences. New York: Wiley.
go back to reference Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., & Marks, J. S. (2019). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: the adverse childhood experiences (ACE) study. American Journal of Preventive Medicine, 56(6), 774–786.CrossRefPubMed Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., & Marks, J. S. (2019). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: the adverse childhood experiences (ACE) study. American Journal of Preventive Medicine, 56(6), 774–786.CrossRefPubMed
go back to reference Finkelhor, D., Turner, H., Hamby, S., & Ormrod, R. (2011). Polyvictimization: children’s exposure to multiple types of violence, crime, and abuse. Free Inquiry in Creative Sociology, 39(1), 24–34. Finkelhor, D., Turner, H., Hamby, S., & Ormrod, R. (2011). Polyvictimization: children’s exposure to multiple types of violence, crime, and abuse. Free Inquiry in Creative Sociology, 39(1), 24–34.
go back to reference Finkelhor, D., Turner, H. A., Shattuck, A., & Hamby, S. L. (2015). Violence, crime, and abuse exposure in a national sample of children and youth: an update. JAMA pediatrics, 167(7), 614–621.CrossRef Finkelhor, D., Turner, H. A., Shattuck, A., & Hamby, S. L. (2015). Violence, crime, and abuse exposure in a national sample of children and youth: an update. JAMA pediatrics, 167(7), 614–621.CrossRef
go back to reference Fowler, P. J., Tompsett, C. J., Braciszewski, J. M., Jacques-Tiura, A. J., & Baltes, B. B. (2009). Community violence: a meta-analysis on the effect of exposure and mental health outcomes of children and adolescents. Development and Psychopathology, 21(1), 227–259.CrossRefPubMed Fowler, P. J., Tompsett, C. J., Braciszewski, J. M., Jacques-Tiura, A. J., & Baltes, B. B. (2009). Community violence: a meta-analysis on the effect of exposure and mental health outcomes of children and adolescents. Development and Psychopathology, 21(1), 227–259.CrossRefPubMed
go back to reference Green, J. G., McLaughlin, K. A., Berglund, P., Gruber, M. J., Sampson, N. A., Zaslavsky, A. M., & Kessler, R. C. (2010). Childhood adversities and adult psychopathology in the National Comorbidity Survey replication (NCS-R) I: Associations with first onset of DSM-IV disorders. Archives of General Psychiatry, 62, 113–123. doi:https://doi.org/10.1001/archgenpsychiatry.2009.186.CrossRef Green, J. G., McLaughlin, K. A., Berglund, P., Gruber, M. J., Sampson, N. A., Zaslavsky, A. M., & Kessler, R. C. (2010). Childhood adversities and adult psychopathology in the National Comorbidity Survey replication (NCS-R) I: Associations with first onset of DSM-IV disorders. Archives of General Psychiatry, 62, 113–123. doi:https://​doi.​org/​10.​1001/​archgenpsychiatr​y.​2009.​186.CrossRef
go back to reference Hanson, R. F., Borntrager, C., Self-Brown, S., Kilpatrick, D. G., Saunders, B. E., Resnick, H. S., & Amstadter, A. (2008). Relations among gender, violence exposure, and mental health: the national survey of adolescents. American Journal of Orthopsychiatry, 78(3), 313–321. doi:https://doi.org/10.1037/a0014056.CrossRefPubMed Hanson, R. F., Borntrager, C., Self-Brown, S., Kilpatrick, D. G., Saunders, B. E., Resnick, H. S., & Amstadter, A. (2008). Relations among gender, violence exposure, and mental health: the national survey of adolescents. American Journal of Orthopsychiatry, 78(3), 313–321. doi:https://​doi.​org/​10.​1037/​a0014056.CrossRefPubMed
go back to reference Huang, L., Dziak, J. J., Bray, B. C., & Wagner, A. T. (2017). LCA_Distal_BCH Stata function users’ guide (Version 1.1). University Park, PA: The Methodology Center, Penn State. Retrieved from http://methodology.psu.edu Huang, L., Dziak, J. J., Bray, B. C., & Wagner, A. T. (2017). LCA_Distal_BCH Stata function users’ guide (Version 1.1). University Park, PA: The Methodology Center, Penn State. Retrieved from http://​methodology.​psu.​edu
go back to reference Huang, L., Dziak, J. J., Wagner, A. T., & Lanza, S. T. (2016). LCA bootstrap Stata function users’ guide (Version 1.0). University Park: The Methodology Center, Penn State. Retrieved from http://methodology.psu.edu Huang, L., Dziak, J. J., Wagner, A. T., & Lanza, S. T. (2016). LCA bootstrap Stata function users’ guide (Version 1.0). University Park: The Methodology Center, Penn State. Retrieved from http://​methodology.​psu.​edu
go back to reference Kisiel, C., Fehrenbach, T., Small, L., & Lyons, J. S. (2009). Assessment of Complex Trauma exposure, responses and service needs among children and adolescents in Child Welfare. Journal of Child and Adolescent Trauma, 2, 143–160.CrossRef Kisiel, C., Fehrenbach, T., Small, L., & Lyons, J. S. (2009). Assessment of Complex Trauma exposure, responses and service needs among children and adolescents in Child Welfare. Journal of Child and Adolescent Trauma, 2, 143–160.CrossRef
go back to reference Lansford, J. E., Dodge, K. A., Pettit, G. S., Bates, J. E., Crozier, J., & Kaplow, J. (2002). A 12-year prospective study of the long-term effects of early child physical maltreatment on psychological, behavioral, and academic problems in adolescence. Archives of Pediatrics and Adolescent Medicine, 156(8), 824–830.CrossRefPubMed Lansford, J. E., Dodge, K. A., Pettit, G. S., Bates, J. E., Crozier, J., & Kaplow, J. (2002). A 12-year prospective study of the long-term effects of early child physical maltreatment on psychological, behavioral, and academic problems in adolescence. Archives of Pediatrics and Adolescent Medicine, 156(8), 824–830.CrossRefPubMed
go back to reference Lanza, S. T., Dziak, J. J., Huang, L., Wagner, A. T., & Collins, L. M. (2015). LCA Stata plugin users’ guide (Version 1.2) University Park: The Methodology Center, Penn State. Retrieved from methodology.psu.edu. Lanza, S. T., Dziak, J. J., Huang, L., Wagner, A. T., & Collins, L. M. (2015). LCA Stata plugin users’ guide (Version 1.2) University Park: The Methodology Center, Penn State. Retrieved from methodology.​psu.​edu.
go back to reference Layne, C. M., Briggs, E. C., & Courtois, C. A. (2014). Introduction to the special section: using the Trauma History Profile to unpack risk factor caravans and their consequences. Psychological Trauma: Theory Research Practice and Policy, 6, S1–S8. https://doi.org/10.1037/a0037768.CrossRef Layne, C. M., Briggs, E. C., & Courtois, C. A. (2014). Introduction to the special section: using the Trauma History Profile to unpack risk factor caravans and their consequences. Psychological Trauma: Theory Research Practice and Policy, 6, S1–S8. https://​doi.​org/​10.​1037/​a0037768.CrossRef
go back to reference Leon, S. C., Ragsdale, B., Miller, S. A., & Spacarelli, S. (2008). Trauma resilience among youth in substitute care demonstrating sexual behavior problems. Child Abuse & Neglect, 32, 67–81.CrossRef Leon, S. C., Ragsdale, B., Miller, S. A., & Spacarelli, S. (2008). Trauma resilience among youth in substitute care demonstrating sexual behavior problems. Child Abuse & Neglect, 32, 67–81.CrossRef
go back to reference López, C. M., Andrews, A. R., Chisolm, A. M., de Arellano, M. A., Saunders, B., & Kilpatrick, D. G. (2017). Racial/ethnic differences in trauma exposure and mental health disorders in adolescents. Cultural Diversity and Ethnic Minority Psychology, 23(3), 382–387. https://doi.org/10.1037/cdp0000126.CrossRefPubMed López, C. M., Andrews, A. R., Chisolm, A. M., de Arellano, M. A., Saunders, B., & Kilpatrick, D. G. (2017). Racial/ethnic differences in trauma exposure and mental health disorders in adolescents. Cultural Diversity and Ethnic Minority Psychology, 23(3), 382–387. https://​doi.​org/​10.​1037/​cdp0000126.CrossRefPubMed
go back to reference Lyons, J. S. (2009). Communimetrics: a theory of measurement for human service enterprises. New York: Springer.CrossRef Lyons, J. S. (2009). Communimetrics: a theory of measurement for human service enterprises. New York: Springer.CrossRef
go back to reference McLaughlin, K. A., & Sheridan, M. A. (2016). Beyond cumulative risk: a dimensional approach to childhood adversity. Current Directions in Psychological Science, 25(4), 239–245.CrossRefPubMedPubMedCentral McLaughlin, K. A., & Sheridan, M. A. (2016). Beyond cumulative risk: a dimensional approach to childhood adversity. Current Directions in Psychological Science, 25(4), 239–245.CrossRefPubMedPubMedCentral
go back to reference Merikangas, K. R., He, J. P., Burstein, M., Swanson, S. A., Avenevoli, S., Cui, L., … Swendsen, J. (2010). Lifetime prevalence of mental disorders in U.S. adolescents: Results from the national comorbidity survey replication-adolescent supplement (NCS-A). Journal of the American Academy of Child and Adolescent Psychiatry, 49(10), 980–989. https://doi.org/10.1016/j.jaac.2010.05.017 Merikangas, K. R., He, J. P., Burstein, M., Swanson, S. A., Avenevoli, S., Cui, L., … Swendsen, J. (2010). Lifetime prevalence of mental disorders in U.S. adolescents: Results from the national comorbidity survey replication-adolescent supplement (NCS-A). Journal of the American Academy of Child and Adolescent Psychiatry, 49(10), 980–989. https://​doi.​org/​10.​1016/​j.​jaac.​2010.​05.​017
go back to reference Mosley-Johnson, E., Garacci, E., Wagner, N., Mendez, C., Williams, J. S., & Egede, L. E. (2019). Assessing the relationship between adverse childhood experiences and life satisfaction, psychological well-being, and social well-being: United States Longitudinal Cohort 1995–2014. Quality Of Life Research, 28, 907–914. https://doi.org/10.1007/s11136-018-2054-6.CrossRefPubMed Mosley-Johnson, E., Garacci, E., Wagner, N., Mendez, C., Williams, J. S., & Egede, L. E. (2019). Assessing the relationship between adverse childhood experiences and life satisfaction, psychological well-being, and social well-being: United States Longitudinal Cohort 1995–2014. Quality Of Life Research, 28, 907–914. https://​doi.​org/​10.​1007/​s11136-018-2054-6.CrossRefPubMed
go back to reference Northrop, J. K., & Berkowitz, S. J. (2015). Stress, trauma, and the developing brain: Oxford Northrop, J. K., & Berkowitz, S. J. (2015). Stress, trauma, and the developing brain: Oxford
go back to reference Nylund, K. L., Asparouhov, T., & Muthén, B. O. (2007). Deciding on the number of classes in latent class analysis and growth mixture modeling: a Monte Carlo simulation study. Structural Equation Modeling: A Multidisciplinary Journal, 14(4), 535–569.CrossRef Nylund, K. L., Asparouhov, T., & Muthén, B. O. (2007). Deciding on the number of classes in latent class analysis and growth mixture modeling: a Monte Carlo simulation study. Structural Equation Modeling: A Multidisciplinary Journal, 14(4), 535–569.CrossRef
go back to reference Roberts, A. L., Gilman, S. E., Breslau, J., Breslau, N., & Koenen, K. C. (2011). Race/ethnic differences in exposure to traumatic events, development of post-traumatic stress disorder, and treatment-seeking for post-traumatic stress disorder in the United States. Psychological Medicine, 41(1), 71–83. https://doi.org/10.1017/S0033291710000401.CrossRefPubMed Roberts, A. L., Gilman, S. E., Breslau, J., Breslau, N., & Koenen, K. C. (2011). Race/ethnic differences in exposure to traumatic events, development of post-traumatic stress disorder, and treatment-seeking for post-traumatic stress disorder in the United States. Psychological Medicine, 41(1), 71–83. https://​doi.​org/​10.​1017/​S003329171000040​1.CrossRefPubMed
go back to reference Shonkoff, J. P., Garner, A. S., Siegel, B. S., Dobbins, M. I., Earls, M. F., McGuinn,L., … Committee on Early Childhood, Adoption, and Dependent Care. (2012). The lifelong effects of early childhood adversity and toxic stress. Pediatrics, 129(1), e232-e246. Shonkoff, J. P., Garner, A. S., Siegel, B. S., Dobbins, M. I., Earls, M. F., McGuinn,L., … Committee on Early Childhood, Adoption, and Dependent Care. (2012). The lifelong effects of early childhood adversity and toxic stress. Pediatrics, 129(1), e232-e246.
go back to reference Wade, T. J., O’Leary, D. D., Dempster, K. S., MacNeil, A. J., Molnar, D. S., McGrath, J., & Cairney, J. (2019). Adverse childhood experiences (ACEs) and cardiovascular development from childhood to early adulthood: study protocol of the Niagara Longitudinal Heart Study. British Medical Journal Open, 9(7), https://doi.org/10.1136/bmjopen-2019-030339. Wade, T. J., O’Leary, D. D., Dempster, K. S., MacNeil, A. J., Molnar, D. S., McGrath, J., & Cairney, J. (2019). Adverse childhood experiences (ACEs) and cardiovascular development from childhood to early adulthood: study protocol of the Niagara Longitudinal Heart Study. British Medical Journal Open, 9(7), https://​doi.​org/​10.​1136/​bmjopen-2019-030339.
Metagegevens
Titel
Patterns of Trauma Among Youth Seeking Mental Health Services at a Community-Based Clinic: A Latent Class Analysis Approach
Auteurs
Phuc T. Nguyen
Danna Basson
David Perry
Publicatiedatum
19-11-2022
Uitgeverij
Springer US
Gepubliceerd in
Research on Child and Adolescent Psychopathology / Uitgave 12/2023
Print ISSN: 2730-7166
Elektronisch ISSN: 2730-7174
DOI
https://doi.org/10.1007/s10802-022-00998-y

Andere artikelen Uitgave 12/2023

Research on Child and Adolescent Psychopathology 12/2023 Naar de uitgave