Children's Exposure to Violence Across Contexts in Relation to Posttraumatic Stress Symptoms

Overview

Journal Psychol Violence

Date 2021 Mar 26

PMID 33767868

Citations 1

Authors

Catherine Rice Dusing

Maryse Richards

Nadia Ochoa

Cynthia Onyeka

Affiliations

Soon will be listed here.

Abstract

Objective: Children in low-income, urban neighborhoods are at high risk of exposure to violence (ETV) across settings and subsequent posttraumatic stress symptoms (PTSS). Little research has examined how multiple forms of ETV co-occur and relate to variations in children's posttraumatic responses. Furthermore, previous research primarily uses variable-centered methods, which can obscure person-level differences. The current study used person-centered methods to derive commonly occurring patterns of ETV by examining frequency of witnessing and victimization across family, school, and community contexts. The current study related profiles of ETV to demographic variables and PTSS, with the goal of obtaining nuanced representations of urban children's experiences of, risk factors for, and responses to violence.

Method: Patterns of ETV were examined in a sample of 239 African American 7 grade youth using latent profile analysis. Profiles were related to demographic variables and PTSS using logistic regression.

Results: Results showed three profiles: Low ( = 130, 54.4%), Moderate ( = 87; 36.4%), and High ( = 22; 9.2%) Exposure groups. The High Exposure group showed the highest levels of PTSS. The Moderate group showed the lowest levels of all PTSS, except dissociation. In contrast, the Low Exposure group showed significantly higher numbing and hypervigilance than the Moderate Exposure group.

Conclusions: Results support a dose-response model of ETV and PTSS, but implicate situational factors (e.g., setting) as important in understanding posttraumatic responses. The systematic variation in ETV and subsequent differences in PTSS expression illustrate the need for individualized trauma-informed intervention and thorough screenings in low-income, urban neighborhoods.

Citing Articles

Is Delinquency Associated With Subsequent Victimization by Community Violence in Adolescents? A Test of the Risky Behavior Model in a Primarily African American Sample.

Bountress K, Aggen S, Kliewer W Psychol Violence. 2021; 11(3):234-243.

PMID: 34306799 PMC: 8300596. DOI: 10.1037/vio0000364.

References

Richters J, Martinez P . The NIMH community violence project: I. Children as victims of and witnesses to violence. Psychiatry. 1993; 56(1):7-21. DOI: 10.1080/00332747.1993.11024617. View

Sullivan T, Fehon D, Andres-Hyman R, Lipschitz D, Grilo C . Differential relationships of childhood abuse and neglect subtypes to PTSD symptom clusters among adolescent inpatients. J Trauma Stress. 2006; 19(2):229-39. DOI: 10.1002/jts.20092. View

Stein D, Koenen K, Friedman M, Hill E, McLaughlin K, Petukhova M . Dissociation in posttraumatic stress disorder: evidence from the world mental health surveys. Biol Psychiatry. 2012; 73(4):302-12. PMC: 3589990. DOI: 10.1016/j.biopsych.2012.08.022. View

May C, Wisco B . Defining trauma: How level of exposure and proximity affect risk for posttraumatic stress disorder. Psychol Trauma. 2015; 8(2):233-40. DOI: 10.1037/tra0000077. View

Cronholm P, Forke C, Wade R, Bair-Merritt M, Davis M, Harkins-Schwarz M . Adverse Childhood Experiences: Expanding the Concept of Adversity. Am J Prev Med. 2015; 49(3):354-61. DOI: 10.1016/j.amepre.2015.02.001. View

Graham-Bermann S, Perkins S . Effects of early exposure and lifetime exposure to intimate partner violence (IPV) on child adjustment. Violence Vict. 2010; 25(4):427-39. DOI: 10.1891/0886-6708.25.4.427. View

Dziak J, Lanza S, Tan X . Effect Size, Statistical Power and Sample Size Requirements for the Bootstrap Likelihood Ratio Test in Latent Class Analysis. Struct Equ Modeling. 2014; 21(4):534-552. PMC: 4196274. DOI: 10.1080/10705511.2014.919819. View

Goldner J, Peters T, Richards M, Pearce S . Exposure to community violence and protective and risky contexts among low income urban African American adolescents: a prospective study. J Youth Adolesc. 2010; 40(2):174-86. DOI: 10.1007/s10964-010-9527-4. View

Finkelhor D, Ormrod R, Turner H . Poly-victimization: a neglected component in child victimization. Child Abuse Negl. 2007; 31(1):7-26. DOI: 10.1016/j.chiabu.2006.06.008. View

10.

Netland M . Assessment of exposure to political violence and other potentially traumatizing events. A critical review. J Trauma Stress. 2001; 14(2):311-26. DOI: 10.1023/A:1011164901867. View

11.

Copeland-Linder N, Lambert S, Ialongo N . Community violence, protective factors, and adolescent mental health: a profile analysis. J Clin Child Adolesc Psychol. 2010; 39(2):176-86. PMC: 3584688. DOI: 10.1080/15374410903532601. View

12.

Gaylord-Harden N, Dickson D, Pierre C . Profiles of Community Violence Exposure Among African American Youth: An Examination of Desensitization to Violence Using Latent Class Analysis. J Interpers Violence. 2015; 31(11):2077-101. DOI: 10.1177/0886260515572474. View

13.

Martin C, Van Ryzin M, Dishion T . Profiles of childhood trauma: Betrayal, frequency, and psychological distress in late adolescence. Psychol Trauma. 2016; 8(2):206-213. PMC: 4767667. DOI: 10.1037/tra0000095. View

14.

Russell P, Nurius P, Herting J, Walsh E, Thompson E . Violent Victimization and Perpetration: Joint and Distinctive Implications for Adolescent Development. Vict Offender. 2011; 5(4):329-353. PMC: 3031129. DOI: 10.1080/15564886.2010.509655. View

15.

Finkelhor D, Turner H, Shattuck A, Hamby S . Violence, crime, and abuse exposure in a national sample of children and youth: an update. JAMA Pediatr. 2013; 167(7):614-21. DOI: 10.1001/jamapediatrics.2013.42. View

16.

Turner S, Beidel D . Emotional impact of children's exposure to community violence: a preliminary study. J Am Acad Child Adolesc Psychiatry. 1995; 34(10):1362-8. DOI: 10.1097/00004583-199510000-00022. View

17.

Mrug S, Windle M . Prospective effects of violence exposure across multiple contexts on early adolescents' internalizing and externalizing problems. J Child Psychol Psychiatry. 2010; 51(8):953-61. PMC: 3857691. DOI: 10.1111/j.1469-7610.2010.02222.x. View

18.

Fowler P, Tompsett C, Braciszewski J, Jacques-Tiura A, Baltes B . Community violence: a meta-analysis on the effect of exposure and mental health outcomes of children and adolescents. Dev Psychopathol. 2009; 21(1):227-59. DOI: 10.1017/S0954579409000145. View

19.

Bal A, Jensen B . Post-traumatic stress disorder symptom clusters in Turkish child and adolescent trauma survivors. Eur Child Adolesc Psychiatry. 2007; 16(7):449-57. DOI: 10.1007/s00787-007-0618-z. View

20.

Mullerova J, Hansen M, Contractor A, Elhai J, Armour C . Dissociative features in posttraumatic stress disorder: A latent profile analysis. Psychol Trauma. 2016; 8(5):601-608. DOI: 10.1037/tra0000148. View