The Relationship Between Post-Traumatic Stress Symptoms and Substance Use Among Adolescents Involved with Child Welfare: Implications for Emerging Adulthood

被引:19
作者
Goldstein, Abby L. [1 ]
Wekerle, Christine [2 ]
Tonmyr, Lil [3 ]
Thornton, Tiffany [4 ]
Waechter, Randall [2 ]
Pereira, Jessica [1 ]
Chung, Ronald [2 ]
机构
[1] Univ Toronto, OISE, Toronto, ON M5S 1V5, Canada
[2] McMaster Univ, Hamilton, ON, Canada
[3] Publ Hlth Agcy Canada, Ottawa, ON, Canada
[4] Hlth Canada, Ottawa, ON K1A 0L2, Canada
基金
加拿大健康研究院;
关键词
Substance use; PTSD; Child maltreatment; Child welfare; Adolescence; Emerging adulthood; DISORDERS IDENTIFICATION TEST; NATIONAL-SURVEY; SCREENING TOOL; MENTAL-HEALTH; SEXUAL-ABUSE; PRIMARY-CARE; TEST AUDIT; ALCOHOL; TRAUMA; DISSOCIATION;
D O I
10.1007/s11469-011-9331-8
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
The purpose of the present study was to examine the role of posttraumatic stress symptoms (PTSS) in predicting substance use and substance-related problems in a sample of older youth and emerging adults involved with child welfare. The sample was drawn from the Maltreatment and Adolescent Pathways (MAP) longitudinal study (Wekerle et al. 2009). Participants were 253 youth and emerging adults (ages 15-20; M=16.87, SD=1.04; 61.4% female and 38.6% male) who were involved with child welfare. Multiple regression analyses were conducted to examine the impact of PTSS using subscales from the Trauma Symptom Checklist for Children (TSCC; Briere 1996). Outcome variables were past year alcohol, marijuana and illicit drug use; as well as alcohol and drug problems. Controlling for gender, age, child welfare status and child maltreatment, both dissociation and anger emerged as significant predictors of substance use and related problems. The implications of these findings for older youth and emerging adults exiting the child welfare system are discussed.
引用
收藏
页码:507 / 524
页数:18
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