Journal
CHILD PSYCHIATRY & HUMAN DEVELOPMENT
Volume 54, Issue 4, Pages 961-972Publisher
SPRINGER
DOI: 10.1007/s10578-021-01296-2
Keywords
Resilience; Risk; Childhood adversity; Psychopathology
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Childhood adversity exposes youth to multiple negative outcomes. This study examines how a combination of risk and resilience factors impact mental health outcomes in relation to socioeconomic status (SES) and traumatic stressful events (TSEs). The findings highlight the importance of social support as a unique predictor for psychosis spectrum diagnoses and global functioning, and emotional dysregulation as an important predictor for mood disorders. The study underscores the significance of understanding the impact of childhood adversity on maladaptive outcomes within a resilience framework.
Childhood adversity places youth at risk for multiple negative outcomes. The current study aimed to understand how a constellation of risk and resilience factors influenced mental health outcomes as a function of adversities: socioeconomic status (SES) and traumatic stressful events (TSEs). Specifically, we examined outcomes related to psychosis and mood disorders, as well as global clinical functioning. The current study is a longitudinal follow up of 140 participants from the Philadelphia Neurodevelopmental Cohort (PNC) assessed for adversities at Time 1 (Mean age: 14.11 years) and risk, resilience, and clinical outcomes at Time 2 (mean age: 21.54 years). In the context of TSE, a limited set of predictors emerged as important; a more diverse set of moderators emerged in the context of SES. Across adversities, social support was a unique predictor of psychosis spectrum diagnoses and global functioning; emotion dysregulation was an important predictor for mood diagnoses. The current findings underscore the importance of understanding effects of childhood adversity on maladaptive outcomes within a resilience framework.
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