4.5 Article

Developmental timing of polyvictimization: Continuity, change, and association with adverse outcomes in adolescence

Journal

CHILD ABUSE & NEGLECT
Volume 87, Issue -, Pages 40-50

Publisher

PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/j.chiabu.2018.07.022

Keywords

Trauma; Polyvictimization; Posttraumatic stress; Psychopathology; Traumatic stressors

Funding

  1. Center for Mental Health Services (CMHS) [2U79SM054284, 1U79SM080044-01]
  2. Substance Abuse and Mental Health Services Administration (SAMHSA)
  3. U.S. Department of Health and Human Services (HHS)
  4. National Institute of Mental Health of the National Institutes of Health (NIH) [K23MH104697]

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Children who experience polyvictimization (i.e., exposure to multiple and varied traumatic stressors) are at heightened risk for psychopathology. While polyvictims generally have worse outcomes than those with fewer types of traumatic experiences, not all polyvictims experience significant, or similar, impairment suggesting that polyvictims are a heterogeneous group. This variation in outcomes among polyvictimized children, may be due to differences in how poly victimization is operationalized and measured. The current study examines a clinically-referred sample of adolescents (N = 3754) aged 13-18 (M = 15.3, SD = 1.4) to examine whether poly victimization in early developmental age periods predict polyvictimization in later periods and whether there are differences in severity of adolescent psychopathology based on variations in timing of polyvictimization in childhood and adolescence. Results from latent class analysis (LCA) reveal the greater the number of developmental periods in which adolescents were classified as polyvictims, the greater the severity of PTSD, externalizing problems, and internalizing problems. In addition, there was variation in the relation between developmental timing of polyvictimization and different types of adolescent psychopathology.

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