Posttraumatic Stress Symptoms among Assault-injured Youth: Parallel Process Models Addressing Comorbidity

Kamryn S. Morris; Sarah Lindstrom Johnson; Joel A. Fein; Tina L. Cheng

doi:10.1177/0044118X211032698

Posttraumatic Stress Symptoms among Assault-injured Youth: Parallel Process Models Addressing Comorbidity

Kamryn S. Morris, Sarah Lindstrom Johnson, Joel A. Fein, Tina L. Cheng

Social and Family Dynamics, T. Denny Sanford School of (SSFD)

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

Community violence and its physical health consequences are well known among youth living in urban settings. However, less is known about the cumulative effect of contextual and demographic risk factors on posttraumatic stress symptoms (PTSS) among vulnerable youth. Longitudinal data (baseline, 9-month, 21-month) were analyzed to investigate trajectories of PTSS, internalizing, and externalizing symptoms among 188 youth (M_age 12.87, 60.6% male) treated for an assault injury in an emergency department. Youth exhibited decreased mental health problems over time. Higher levels of internalizing symptoms related to decreased PTSS over time, while higher levels of PTSS predicted increased externalizing symptoms over time, thus underscoring the importance of understanding comorbidity. Gender and stressful life events were significantly associated with initial levels of symptoms and trajectories. These findings suggest the importance of understanding PTSS in the context of environments and personal factors to support appropriate treatment.

Original language	English (US)
Pages (from-to)	3-28
Number of pages	26
Journal	Youth and Society
Volume	55
Issue number	1
DOIs	https://doi.org/10.1177/0044118X211032698
State	Published - Jan 2023

Keywords

African-American
mental health
race/ethnicity
urban context
violent behavior

ASJC Scopus subject areas

Social Sciences (miscellaneous)
Sociology and Political Science
General Social Sciences

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10.1177/0044118X211032698

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abstract = "Community violence and its physical health consequences are well known among youth living in urban settings. However, less is known about the cumulative effect of contextual and demographic risk factors on posttraumatic stress symptoms (PTSS) among vulnerable youth. Longitudinal data (baseline, 9-month, 21-month) were analyzed to investigate trajectories of PTSS, internalizing, and externalizing symptoms among 188 youth (Mage 12.87, 60.6% male) treated for an assault injury in an emergency department. Youth exhibited decreased mental health problems over time. Higher levels of internalizing symptoms related to decreased PTSS over time, while higher levels of PTSS predicted increased externalizing symptoms over time, thus underscoring the importance of understanding comorbidity. Gender and stressful life events were significantly associated with initial levels of symptoms and trajectories. These findings suggest the importance of understanding PTSS in the context of environments and personal factors to support appropriate treatment.",

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AU - Cheng, Tina L.

N1 - Funding Information: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This research was supported by the National Institute on Minority Health and Health Disparities (grant P20MD000198). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. Publisher Copyright: © The Author(s) 2021.

PY - 2023/1

Y1 - 2023/1

N2 - Community violence and its physical health consequences are well known among youth living in urban settings. However, less is known about the cumulative effect of contextual and demographic risk factors on posttraumatic stress symptoms (PTSS) among vulnerable youth. Longitudinal data (baseline, 9-month, 21-month) were analyzed to investigate trajectories of PTSS, internalizing, and externalizing symptoms among 188 youth (Mage 12.87, 60.6% male) treated for an assault injury in an emergency department. Youth exhibited decreased mental health problems over time. Higher levels of internalizing symptoms related to decreased PTSS over time, while higher levels of PTSS predicted increased externalizing symptoms over time, thus underscoring the importance of understanding comorbidity. Gender and stressful life events were significantly associated with initial levels of symptoms and trajectories. These findings suggest the importance of understanding PTSS in the context of environments and personal factors to support appropriate treatment.

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Posttraumatic Stress Symptoms among Assault-injured Youth: Parallel Process Models Addressing Comorbidity

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