Racial/Ethnic Differences in the Impact of Adverse Childhood Experiences on Posttraumatic Stress Disorder in a Nationall
- PDF / 935,460 Bytes
- 9 Pages / 595.276 x 790.866 pts Page_size
- 71 Downloads / 158 Views
Racial/Ethnic Differences in the Impact of Adverse Childhood Experiences on Posttraumatic Stress Disorder in a Nationally Representative Sample of Adolescents Jennifer Elkins1 · Harold E. Briggs1 · Keva M. Miller2 · Irang Kim3 · Roberto Orellana2 · Orion Mowbray1
© Springer Science+Business Media, LLC, part of Springer Nature 2018
Abstract Adverse childhood experiences (ACE) are associated with increased risk for psychopathology over the life course. However, few studies have examined the differential impact of ACE and posttraumatic stress disorder (PTSD) for racially and ethnically diverse adolescent populations. The findings from the few studies that examine differential effects are contradictory. This study uses data from the National Comorbidity Survey-Adolescent Supplement (NCS-A), a nationally representative adolescent sample (N = 10,123) to examine the impact of race/ethnicity on the association between ACE and PTSD among youth in a nationally representative sample in the United States. A multivariate logistic regression model was used to examine the main effects of ACE and race/ethnicity on PTSD, as well as the moderating role of race/ethnicity adjusting for socio-demographic variables. Findings suggest that race/ethnicity moderates the association between ACE and PTSD. Higher ACE score increased probability of lifetime PTSD for White non-Hispanic, Black, and Hispanic adolescents with White non-Hispanic adolescents presenting with a much higher probability of lifetime PTSD compared to their Hispanic and Black peers. Implications for future research and practice are discussed, specifically trauma informed strategies and culturally inclusive/specific practices that address the structural, interpersonal, and intrapersonal influences adolescent outcomes. Keywords Adverse childhood experiences · Posttraumatic stress disorder · Adolescents · Race/ethnicity Adolescence is critical transitional period in which changes in biological, psychological, physical, and social development are significant. Exposures to risk and protective influences can deeply influence lifetime trajectories. Towards this end, there is increasing consensus that adverse childhood experiences (ACE)—which includes indicators of household dysfunction and child maltreatment—are associated with increased risk for psychopathology over the life course. As scholars examine adolescent developmental processes that causally explain antecedent links between adverse and traumatic exposures and mental and behavioral health * Jennifer Elkins [email protected] 1
School of Social Work, University of Georgia, 279 Williams St., Athens, GA 30602, USA
2
School of Social Work, Portland State University, P.O. Box 751 Mailcode: SSW, Portland, OR 97207, USA
3
School of Social Work, University of Maryland, 525 W. Redwood St., Baltimore, MD 21201, USA
outcomes, many experts contend that the onset, development, and maintenance of acute and long-term mental health and well-being are associated with exposures to contextual risks (Price, Khubchandani, McK
Data Loading...
