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Abstract

Distinguishing profiles of trauma exposure among low-income adolescent females with depressive symptoms is important for understanding comorbidity, family relationships, and treatment. Specifically, child maltreatment is essential to examine in comparison to other traumas. Participants included 170 adolescent females (65.3% Black; 21.2% White; 13.5% other race; 14.1% Latina/x) with depressive symptoms and their primary caregiver from low-income families. Latent class analysis (LCA) identified three trauma classes. Probabilities of endorsing different subtypes of maltreatment (physical abuse, physical neglect, emotional abuse, emotional neglect, and sexual abuse), number of subtypes of maltreatment, and non-maltreatment traumas (accident, experiencing or witnessing physical assault, death or injury of loved one, medical trauma) varied among groups. Higher levels of family dysfunction and traumatic stress symptoms were reported in both classes with maltreatment exposure as compared to the class with only non-maltreatment trauma exposure. Findings have implications for family-focused interventions for maltreated adolescent females with depressive symptoms from low-income contexts.

Keywords

trauma maltreatment family relationships traumatic stress depression

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References

Achenbach

T. M

. (1991). Manual for the youth self-report and 1991 profile. Department of Psychiatry, University of Vermont.

Adams

Z. W.

Moreland

Cohen

J. R.

Lee

R. C.

Hanson

R. F.

Danielson

C. K.

Self-Brown

Briggs

E. C.

(2017). Polyvictimization: Latent profiles and mental health outcomes in a clinical sample of adolescents. Psychology of Violence, 6(1), 145–155. https://doi.org/10.1037/a0039713.

Akaike

(1987). Factor analysis and AIC. Psychometrika, 52(3), 317–332. https://doi.org/10.1007/BF02294359

Alto

Handley

Rogosch

Cicchetti

Toth

S. L.

(2018). Maternal relationship quality and peer social acceptance as mediators between child maltreatment and adolescent depressive symptoms: Gender differences. Journal of Adolescence, 63, 19–28. https://doi.org/10.1016/j.adolescence.2017.12.004

Baldwin

J. R.

Reuben

Newbury

J. B.

Danese

(2019). Agreement between prospective and retrospective measures of childhood maltreatment: A systematic review and meta-analysis. JAMA Psychiatry, 76(6), 584–593. https://doi.org/10.1001/jamapsychiatry.2019.0097

Ballard

E. D.

Van Eck

Musci

R. J.

Hart

S. R.

Storr

C. L.

Breslau

Wilcox

H. C.

(2015). Latent classes of childhood trauma exposure predict the development of behavioral health outcomes in adolescence and young adulthood. Psychological Medicine, 45(15), 3305–3316. https://doi.org/10.1017/S0033291715001300

Barnett

Manly

J. T.

Cicchetti

(1993). Defining child maltreatment: The interface between policy and research. In Cicchetti

Toth

S. L.

(Eds.), Child abuse, child development, and social policy (Vol. 2, 7–73). Ablex Publishing Corporation.

Bergman

L. R.

von Eye

Magnusson

(2006). Person-oriented research strategies in developmental psychopathology. In Cicchetti

Cohen

D. J.

(Eds.), Developmental psychopathology, Vol. 2, 2nd ed., 850–888). John Wiley & Sons.

Bernstein

D. P.

Stein

J. A.

Newcomb

M. D.

Walker

Pogge

Ahluvalia

Stokes

Handelsman

Medrano

Desmond

Zule

(2003). Development and validation of a brief screening version of the childhood trauma questionnaire. Child Abuse & Neglect, 27(2), 169–190.

10.

Cicchetti

(1984). The emergence of developmental psychopathology. Child Development, 55(1), 1–7. http://dx.doi.org/10.2307/1129830.

11.

Cicchetti

Toth

S. L.

(1997). Transactional ecological systems in developmental psychopathology. In Luthar

S. S.

Burak

J. B.

Cicchetti

Weisz

J. R.

(Eds.), Developmental psychopathology: Perspectives on adjustment, risk, and disorder (pp. 317–349). Cambridge University Press.

12.

DePrince

A. P.

Freyd

J. J.

(2004). Forgetting trauma stimuli. Psychological Science, 15(7), 488–492.

13.

Dvir

Ford

J. D.

Hill

Frazier

J. A.

(2014). Childhood maltreatment, emotional dysregulation, and psychiatric comorbidities. Harvard Review of Psychiatry, 22(3), 149–161. https://doi.org/10.1097/HRP.0000000000000014

14.

Evans

G. W.

(2004). The environment of childhood poverty. American Psychologist, 59(2), 77–92. https://doi.org/10.1037/0003-066X.59.2.77

15.

Finkelhor

Turner

H. A.

Shattuck

Hamby

S. L.

(2015). Prevalence of childhood exposure to violence, crime, and abuse: Results from the National survey of children’s exposure to violence. JAMA Pediatrics, 169(8), 746–754. https://doi.org/10.1001/jamapediatrics.2015.0676

16.

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. Journal of Adolescent Health, 46(6), 545–552. https://doi.org/10.1016/j.jadohealth.2009.11.212

17.

Hardt

Rutter

(2004). Validity of adult retrospective reports of adverse childhood experiences: Review of the evidence. Journal of Child Psychology and Psychiatry, 45(2), 260–273.

18.

Kazdin

A. E.

(2011). Conceptualizing the challenge of reducing interpersonal violence. Psychology of Violence, 1(3), 166–187. https://doi.org/10.1037/a0022990

19.

Kilpatrick

D. G.

Ruggiero

K. J.

Acierno

Saunders

B. E.

Resnick

H. S.

Best

C. L.

(2003). Violence and risk of PTSD, major depression, substance abuse/dependence, and comorbidity: Results from the National Survey of Adolescents. Journal of Consulting and Clinical Psychology, 71(4), 692–700. https://doi.org/10.1037/0022-006X.71.4.692

20.

Klomek

A. B.

Mufson

(2006). Interpersonal psychotherapy for depressed adolescents. Child and Adolescent Psychiatric Clinics of North America, 15(4), 959–975. http://dx.doi.org/10.1016/j.chc.2006.05.005.

21.

Mendell

N. R.

Rubin

D. B.

(2001). Testing the number of components in a normal mixture. Biometrika, 88(3), 767–778. https://doi.org/10.1093/biomet/88.3.767

22.

Luthra

Abramovitz

Greenberg

Schoor

Newcorn

Schmeidler

Levine

Nomura

Chemtob

C. M.

(2009). Relationship between type of trauma exposure and posttraumatic stress disorder among urban children and adolescents. Journal of Interpersonal Violence, 24(11), 1919–1927. http://dx.doi.org/10.1177/0886260508325494.

23.

Lynch

Cicchetti

(2002). Links between community violence and the family system: Evidence from children’s feelings of relatedness and perceptions of parent behavior. Family Process, 41(3), 519–532. https://doi.org/10.1111/j.1545-5300.2002.41314.x

24.

Mclaughlin

K. A.

Koenen

K. C.

Bromet

E. J.

Karam

E. G.

Liu

Petukhova

Ruscio

A. M.

Sampson

N. A.

Stein

D. J.

Aguilar-Gaxiola

Alonso

Borges

Demyttenaere

Dinolova

R. V.

Ferry

Florescu

de Girolamo

Gureje

Kawakami

Kessler

R. C.

(2017). Childhood adversities and post-traumatic stress disorder: Evidence for stress sensitisation in the World mental health surveys. British Journal of Psychiatry, 211(5), 280–288. https://doi.org/10.1192/bjp.bp.116.197640

25.

Mufson

Pollack Dorta

Moreau

Weissman

M. M.

(2004). Interpersonal Psychotherapy for depressed adolescents (2nd ed.). Guilford Press.

26.

Muthén

L. K.

Muthén

B. O.

(2019). Mplus user’s guide. Eighth Edition. Muthen & Muthen.

27.

Nylund-Gibson

Choi

A. Y.

(2018). Ten frequently asked questions about latent class analysis. Translational Issues in Psychological Science, 4(4), 440–461. https://doi.org/10.1037/tps0000176

28.

Peel

McLachlan

G. J.

(2000). Robust mixture modeling using the t distribution. Statistics and Computing, 10(4), 339–348. https://doi.org/10.1007/s11222-006-9005-8

29.

Poole

J. C.

Dobson

K. S.

Pusch

(2018). Do adverse childhood experiences predict adult interpersonal difficulties? The role of emotion dysregulation. Child Abuse & Neglect, 80, 123–133. https://doi.org/10.1016/j.chiabu.2018.03.006

30.

Price

Higa-McMillan

Kim

Frueh

B. C.

(2013). Trauma experience in children and adolescents: An assessment of the effects of trauma type and role of interpersonal proximity. Journal of Anxiety Disorders, 27(7), 652–660. https://doi.org/10.1016/j.janxdis.2013.07.009

31.

Prinz

R. J.

Foster

Kent

R. N.

O’Leary

K. D.

(1979). Multivariate assessment of conflict in distressed and nondistressed mother-adolescent dyads. Journal of Applied Behavior Analysis, 12(4), 691–700. https://doi.org/10.1901/jaba.1979.12-691

32.

Robin

A. L.

Foster

S. L.

(1989). Negotiating parent-adolescent conflict: A behavioral-family systems approach. Guilford Press.

33.

Rosen

A. L.

Handley

E. D.

Cicchetti

Rogosch

F. A.

(2018). The impact of patterns of trauma exposure among low income children with and without histories of child maltreatment. Child Abuse & Neglect, 80, 301–311. https://doi.org/10.1016/j.chiabu.2018.04.005

34.

Saleem

F. T.

Anderson

R. E.

Williams

(2020). Addressing the “Myth” of racial trauma: Developmental and ecological considerations for youth of color. Clinical Child and Family Psychology Review, 23(1), 1–14. https://doi.org/10.1007/s10567-019-00304-1

35.

Schwarz

(1978). Estimating the dimension of a model. The Annals of Statistics, 6(2), 461–464. https://doi.org/10.1214/aos/1176344136

36.

Sedlak

Mettenburg

Basena

Peta

McPherson

Greene

(2010). Fourth national incidence study of child abuse and neglect (NIS-4). Washington, DC: US Department of Health and Human Services.

37.

Steinberg

A. M.

Brymer

M. J.

Decker

K. B.

Pynoos

R. S.

(2004). The University of California at Los Angeles Post-traumatic Stress Disorder Reaction Index. Current Psychiatry Reports, 6(2), 96–100. https://doi.org/10.1007/s11920-004-0048-2

38.

Stein

B. D.

Jaycox

L. H.

Kataoka

Rhodes

H. J.

Vestal

K. D.

(2003). Prevalence of child and adolescent exposure to community violence. Clinical Child and Family Psychology Review, 6(4), 247–264. https://doi.org/10.1023/b:ccfp.0000006292.61072.d2

39.

Toth

S. L.

Handley

E. D.

Manly

J. T.

Sturm

Adams

T. R.

Demeusy

E. M.

Cicchetti

(2020). The moderating role of child maltreatment in treatment efficacy for adolescent depression. Journal of Abnormal Child Psychology, 48(10), 1351–1365. https://doi.org/10.1007/s10802-020-00682-z

40.

Turell

S. C.

Armsworth

M. W.

(2003). A log-linear analysis of variables associated with self-mutilation behaviors of women with histories of childhood sexual abuse. Violence Against Women, 9(4), 487–512. https://doi.org/10.1177/1077801202250961

41.

Walker

E. A.

Gelfand

Katon

W. J.

Koss

M. P.

Von Korff

Bernstein

Russo

(1999). Adult health status of women with histories of childhood abuse and neglect. The American Journal of Medicine, 107(4), 332–339. https://doi.org/10.1016/S0002-9343(99)00235-1

42.

Warmingham

J. M.

Handley

E. D.

Rogosch

F. A.

Manly

J. T.

Cicchetti

(2019). Identifying maltreatment subgroups with patterns of maltreatment subtype and chronicity: A latent class analysis approach. Child Abuse & Neglect, 87, 28–39. https://doi.org/10.1016/j.chiabu.2018.08.013

43.

Weissman

M. M.

Bothwell

(1976). Assessment of social adjustment by patient self-report. Archives of General Psychiatry, 33(9), 1111–1115. https://doi.org/10.1001/archpsyc.1976.01770090101010

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The Association Between Patterns of Trauma Exposure,Family Dysfunction,and Psychopathology Among Adolescent Females With Depressive Symptoms From Low-Income Contexts

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