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Posttraumatic Stress as a Mediator of the Relationship Between Trauma and Mental Health Problems Among Juvenile Delinquents

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Abstract

This study investigated the interrelationships among trauma exposure, PTSD, and mental health problems in a sample of 289 adolescents (199 male, 90 female) detained in a juvenile correctional facility. Mean differences were found in that females scored higher than males on measures of interpersonal trauma exposure and symptoms of both simple and complex PTSD. Females also endorsed more mental health problems in the areas of depression/anxiety, somatic complaints, and suicidal ideation. For all youth, trauma exposure, PTSD, and mental health problems were correlated. Results of structural equation modeling were consistent with the hypothesis that PTSD mediates the relationship between interpersonal trauma and mental health problems for all youth, although the results were stronger for females.

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References

  • Abram, K. M., Teplin, L. A., Charles, D. R., Longworth, S. L., McClelland, G. M., & Dulcan, M. K. (2004). Posttraumatic stress disorder and trauma in youth in juvenile detention. Archives of General Psychiatry, 61, 403–410. doi:10.1001/archpsyc.61.4.403.

    Article  PubMed  Google Scholar 

  • Achenbach, T. M. (2000). Assessment of psychopathology. In A. J. Sameroff, M. Lewis & S. M. Miller (Eds.), Handbook of developmental psychopathology (pp. 41–56). New York: Kluwer.

    Google Scholar 

  • Acoca, L. (1999). Investing in girls: A 21st century strategy. Juvenile Justice, 6, 3–13.

    Google Scholar 

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text revision). Washington, DC: Author.

  • Anda, R. F., Felitti, V. F., Walker, J., Whitfield, C. L., Bremner, J. D., Perry, B. D., et al. (2006). The enduring effects of abuse and related adverse experiences in childhood: A convergence of evidence from neurobiology and epidemiology. European Archives of Psychiatry and Clinical Neuroscience, 256, 174–186. doi:10.1007/s00406-005-0624-4.

    Article  PubMed  Google Scholar 

  • Arnzen Moeddel, M., & Kerig, P. K. (2008, March). Gender, trauma, and symptoms of simple and complex PTSD among adjudicated youths. Paper presented at the Society for Research in Adolescence, Chicago.

  • Atkins, D. L., Pumariega, A. J., Rogers, K., Montgomery, L., Nybro, C., Jeffers, G. et al. (1999). Mental health and incarcerated youth. I: Prevalence and nature of psychopathology. Journal of Child and Family Studies, 8, 193–204.

    Article  Google Scholar 

  • Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182. doi:10.1037/0022-3514.51.6.1173.

    Article  PubMed  Google Scholar 

  • Bentler, P. M. (1990). Comparative fit indexes in structural models. Psychological Bulletin, 107(2), 238–246.

    Article  PubMed  Google Scholar 

  • Bentler, P. M., & Bonnet, D. G. (1980). Significance tests and goodness-of-fit in the analysis of covariance structure. Psychological Bulletin, 88(3), 588–606.

    Article  Google Scholar 

  • Briere, J., & Spinazzola, J. (2005). Phenomenology and psychological assessment of complex posttraumatic states. Journal of Traumatic Stress, 18, 401–412. doi:10.1002/jts.20048.

    Article  PubMed  Google Scholar 

  • Browne, M. W., & Cudeck, R. (1992). Alternative ways of assessing model fit. Sociological Methods & Research, 21, 230–258.

    Article  Google Scholar 

  • Cauce, A. M., Stewart, A., Whitbeck, L. B., Paradise, M., & Hoyt, D. R. (2005). Girls on their own: Homelessness in female adolescents. In D. J. Bell, S. L. Foster & E. J. Mash (Eds.), Handbook of behavioral and emotional problems in girls (pp. 439–462). New York: Kluwer.

    Chapter  Google Scholar 

  • Cauffman, E., Feldman, S., Waterman, J., & Steiner, H. (1998). Posttraumatic stress disorder among female juvenile offenders. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 11–23. doi:10.1097/00004583-199811000-00022.

    Article  Google Scholar 

  • Chamberlain, P., & Moore, K. J. (2002). Chaos and trauma in the lives of adolescent females with antisocial behavior and delinquency. In R. Greenwald (Ed.), Trauma and juvenile delinquency (pp. 79–108). Binghamtom, NY: Hawthorn.

    Google Scholar 

  • Chesney-Lind, M., & Belknap, J. (2004). Trends in delinquent girls' aggression and violent behavior: A review of the evidence. In M. Putallaz & K. L. Bierman (Eds.), Aggression, antisocial behavior, and violence among girls (pp. 203–220). New York: Guilford.

  • Cohen, J. A., Mannarino, A. P., & Deblinger, E. (2006). Treating trauma and traumatic grief in children and adolescents. New York: Guilford.

    Google Scholar 

  • Cohen, J. A., Parmelee, D. X., Irwin, L., Weisz, J. R., Howard, P., Purcell, P. et al. (1990). Characteristics of children and adolescents in a psychiatric hospital and a corrections facility. Journal of the American Academy of Child and Adolescent Psychiatry, 29, 909–913.

    Article  PubMed  Google Scholar 

  • Cook, A., Spinazzola, J., Ford, J., Lanktree, C., Blaustein, M., Cloitre, M., et al. (2005). Complex trauma in children and adolescents. Psychiatric Annals, 35, 390–398.

    Google Scholar 

  • Courtois, C. (2004). Complex trauma, complex reactions: Assessment and treatment. Psychotherapy: Theory, Research, & Practice, 41, 412–425.

    Article  Google Scholar 

  • Dembo, R., Schmeidler, J., Sue, S. C., Borden, P., & Manning, D. (1995). Gender differences in service needs among youth entering a juvenile assessment center: A replication study. Journal of Correctional Health Care, 2, 217.

    Article  Google Scholar 

  • DiFilippo, J. M., Esposito, C., Overholser, J., & Spirito, A. (2003). High risk populations. In A. Spirito & J. C. Overholser (Eds.), Evaluating and treating adolescent suicide attempters: From research to practice (pp. 229–261). New York: Academic Press.

    Chapter  Google Scholar 

  • Dodge, K. A., Pettit, G. S., Bates, J. E., & Valente, E. (1995). Social information-processing patterns partially mediate the effect of early physical abuse on later conduct problems. Journal of Abnormal Psychology, 104, 632–643.

    Article  PubMed  Google Scholar 

  • Dube, S. R., Miller, J. W., Brown, D. W., Giles, W. H., Felitti, V. J., Dong, M. et al. (2006). Adverse childhood experiences and the association with ever using alcohol and initiating alcohol use during adolescence. Journal of Adolescent Health, 38, 1–10.

    Article  Google Scholar 

  • Famularo, R., Kinscherff, R., Fenton, T., & Bolduc, S. M. (1990). Child maltreatment histories among runaway and delinquent children. Clinical Pediatrics, 29, 713–718. doi:10.1177/000992289002901207.

    Article  PubMed  Google Scholar 

  • Feiring, C., Miller-Johnson, S., & Cleland, C. M. (2007). Potential pathways from stigmatization and internalizing symptoms to delinquency in sexually abused youth. Child Maltreatment, 12, 220–232.

    Article  PubMed  Google Scholar 

  • Fergusson, D. M. & Lynskey, M. T. (2006). The childhoods of multiple problem adolescents: A 15-year longitudinal study. Journal of Child Psychology and Psychiatry, 35, 1123–1140.

    Article  Google Scholar 

  • Fletcher, K. (2003). Childhood posttraumatic stress disorder. In E. J. Mash & R. A. Barkley (Eds.), Child psychopathology (pp. 330–371). New York: Guilford.

    Google Scholar 

  • Ford, J. D. (2002). Traumatic victimization in childhood and persistent problems with oppositional-defiance. In R. Greenwald (Ed.), Trauma and juvenile delinquency (pp. 25–58). Binghamton, NY: Haworth Press.

    Google Scholar 

  • Ford, J. D., Chapman, J., Mack, M., & Pearson, G. (2006). Pathways from traumatic child victimization to delinquency: Implications for juvenile and permanency court proceedings and decisions. Juvenile & Family Court Journal, 57(1), 13–26.

    Article  Google Scholar 

  • Freyd, J. J. (1997). Betrayal trauma: The logic of forgetting childhood abuse. New York: Harvard University Press.

    Google Scholar 

  • Giaconia, R., Reinherz, H., Silverman, A., Bilge, P., Frost, A., & Cohen, E. (1995). Traumas and posttraumatic stress disorder in a community population of older adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 1369–1380. doi:10.1097/00004583-199510000-00023.

    Article  PubMed  Google Scholar 

  • Greenwald, R. (2000). A trauma-focused individual therapy approach for adolescents with conduct disorder. International Journal of Offender Therapy, 44, 146–163. doi:10.1177/0306624X00442002.

    Article  Google Scholar 

  • Greenwald, R. (2002). Trauma and juvenile delinquency. Binghamton, NY: Haworth Press.

    Google Scholar 

  • Grisso, T., & Barnum, R. (2003). Massachusetts youth screening instrument version 2: User’s manual and technical report. Sarasota, FL: Professional Resource Press.

    Google Scholar 

  • Grisso, T., Vincent, G., & Seagrave, D. (2005). Mental health screening and assessment in juvenile justice. New York: Guilford.

    Google Scholar 

  • Grisso, T., & Quinlan, J. C. (2003). Massachusetts Youth Screening Instrument – Version 2. In T. Grisso, G. Vincent, & D. Seagrave (Eds.), Mental health screening and assessment in juvenile justice (pp. 99–111). New York, NY: Guilford.

  • Hennessy, K. D., Ford, J. D., Mahoney, K., Ko, S. J., & Siegfried, C. B. (2004). Trauma among girls in the juvenile justice system. National child traumatic stress Juvenile justice working group. Retrieved online 7/15/08 from http://www.nctsnet.org/nctsn_assets/pdfs/edu_materials/trauma_among_girls_in_jjsys.pdf.

  • Herman, J. L. (1992). Sequelae of prolonged and repeated trauma: Evidence for a complex posttraumatic syndrome. In J. R. T. Davidson & E. G. Foa (Eds.), Posttraumatic stress disorder: DSM-IV and beyond (pp. 213–228). Washington, DC: American Psychiatric Press.

    Google Scholar 

  • Herrera, V. M., & McCloskey, L. A. (2003). Sexual abuse, family violence, and female delinquency. Violence and Victims, 18, 319–334. doi:10.1891/vivi.2003.18.3.319.

    Article  PubMed  Google Scholar 

  • Holmbeck, G. N., Friedman, D., Abad, M., & Jandasek, B. (2006). Development and psychopathology in adolescence. In D. A. Wolfe & E. J. Mash (Eds.), Behavioral and emotional disorders in adolescents (pp. 21–55). New York: Guilford.

    Google Scholar 

  • Horowitz, K., Weine, S., & Jekel, J. (1995). PTSD symptoms in urban adolescent girls: Compounded community trauma. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 1353–1361. doi:10.1097/00004583-199510000-00021.

    Article  PubMed  Google Scholar 

  • Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55.

    Article  Google Scholar 

  • Jaycox, L. H., & Repetti, R. L. (1993). Conflict in families and the psychological adjustment of preadolescent children. Journal of Family Psychology, 7, 344–355. doi:10.1037/0893-3200.7.3.344.

    Article  Google Scholar 

  • Johnson, R. J., Ross, M. W., & Taylor, W. C. (2006). Prevalence of childhood sexual abuse among incarcerated males in county jails. Child Abuse & Neglect, 30, 75–86. doi:10.1016/j.chiabu.2005.08.013.

    Article  Google Scholar 

  • Kerig, P. K., & Wenar, C. (2006). Developmental psychopathology: From infancy through adolescence. New York: McGraw-Hill.

    Google Scholar 

  • Kerig, P. K., Fedorowicz, A. E., Brown, C. A., & Warren, M. (2000). Assessment and intervention for PTSD in children exposed to violence. Journal of Aggression, Maltreatment & Trauma, 3, 161–184. doi:10.1300/J146v03n01_11.

    Article  Google Scholar 

  • Lansford, J. E., Malone, P. S., Stevens, K. I., Dodge, K. A., Bates, J. E., & Pettit, G. S. (2006). Developmental trajectories of externalizing and internalizing behaviors: Factors underlying resilience in physically abused children. Development and Psychopathology, 18, 35–56. doi:10.1017/S0954579406060032.

    Article  PubMed  Google Scholar 

  • Lederman, C. S., & Brown, E. N. (2000). Entangled in the shadows: Girls in the juvenile justice system. Buffalo Law Review, 48, 909–925.

    Google Scholar 

  • Lederman, C. S., Dakof, G. A., Larrea, M. A., & Li, H. (2004). Characteristics of adolescent families in juvenile detention. International Journal of Law and Psychiatry, 27, 321–337. doi:10.1016/j.ijlp.2004.03.009.

    Article  PubMed  Google Scholar 

  • Leve, L. D., & Chamberlain, P. (2005). Girls in the juvenile justice system: Risk factors and clinical implications. In D. Pepler, K. Madsen, C. D. Webster, & K. S. Levene (Eds.), The development and treatment of girlhood aggression (pp. 191–215). Mahwah: Lawrence Erlbaum Publishers Inc.

  • Lewis, D., Yeager, C., Cobham-Portorreal, C., Klein, N., Showalter, C., & Anthony, A. (1991). A follow-up of female delinquents: Maternal contributions to the perpetuation of deviance. Journal of the American Academy of Child and Adolescent Psychiatry, 30, 197–201. doi:10.1097/00004583-199103000-00006.

    Article  PubMed  Google Scholar 

  • MacCallum, R. C., Browne, M. W., & Sugawara, H. M. (1996). Power analysis and determination of sample size for covariance structure modeling. Psychological Methods, 1, 130–149. doi:10.1037/1082-989X.1.2.130.

    Article  Google Scholar 

  • McCabe, K. M., Lansing, A. E., Garland, A., & Hough, R. (2002). Gender differences in psychopathology, functional impairment, and familial risk factors among adjudicated delinquents. Journal of the American Academy of Child and Adolescent Psychiatry, 47, 860–868. doi:10.1097/00004583-200207000-00020.

    Article  Google Scholar 

  • Muthén, L. K., & Muthén, B. O. (2007). Mplus statistical software. Los Angeles, CA: Muthén & Muthén.

  • Nader, K. (2008). Understanding and assessing trauma in children and adolescents. New York: Routledge.

    Google Scholar 

  • Nader, K., Newman, E., Weathers, F. W., Kaloupek, D. G., Kriegler, J. A., Blake, D. D., et al. (1998). Clinician administered PTSD scale for children and adolescents for DSM-IV (CAPS-CA). White River Junction, VT: National Center for PTSD.

    Google Scholar 

  • Newman, E. (2002). Assessment of PTSD and trauma exposure in adolescents. In R. Greenwald (Ed.), Trauma and juvenile delinquency (pp. 59–77). Binghamton, New York: Haworth.

    Google Scholar 

  • Pynoos, R., Rodriguez, N., Steinberg, A., & Stuber, M. (1998). UCLA PTSD index for DSM-IV (revision 1). Los Angeles: University of California at Los Angeles.

    Google Scholar 

  • Rodriguez, N., Steinberg, A., & Pynoos, R. S. (1999). UCLA PTSD Index for DSM-IV (Revision 1) Instrument information: Child version, parent version, adolescent version. Los Angeles: UCLA Trauma Psychiatry Service.

  • Ryan, J. P., & Testa, M. F. (2005). Child maltreatment and juvenile delinquency: Investigating the role of placement and placement instability. Children and Youth Services Review, 27, 227–249. doi:10.1016/j.childyouth.2004.05.007.

    Article  Google Scholar 

  • Saunders, B. E., Berliner, L., & Hanson, R. F. (Eds.). (2004). Child physical and sexual abuse: Guidelines for treatment (Rev. report). Charleston, SC: National Crime Victims Research and Treatment Center. Retrieved 15 July 2008, from http://academicdepartments.musc.edu/ncvc/resources_prof/OVC_guidelines04-26-04.pdf.

  • Steinberg, A. M., Brymer, M. J., Decker, K. B., & Pynoos, R. S. (2004). The University of California at Los Angeles posttraumatic stress disorder reaction index. Current Psychiatry Reports, 6, 96–100. doi:10.1007/s11920-004-0048-2.

    Article  PubMed  Google Scholar 

  • Steiner, H., Garcia, I. G., & Matthews, Z. (1997). Posttraumatic stress disorder in incarcerated juvenile delinquents. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 357–365. doi:10.1097/00004583-199703000-00014.

    Article  PubMed  Google Scholar 

  • Terr, L. C. (1991). Childhood traumas: An outline and overview. The American Journal of Psychiatry, 148, 10–20.

    PubMed  Google Scholar 

  • Teplin, L. A., Abram, K. M., McClelland, G. M., Dulcan, M. K., & Mericle, A. A. (2002). Psychiatric disorders in youth in juvenile detention. Archives of General Psychiatry, 59, 1133–1143.

    Article  PubMed  Google Scholar 

  • Teplin, L. A., Abram, K. M., McClelland, G. M., Mericle, A. A., Dulcan, M. K., & Washburn, J. J. (2006, April). Psychiatric disorders of youth in detention. Juvenile Justice Bulletin. Retrieved online 5/22/08 from http://www.ncjrs.gov/pdffiles1/ojjdp/210331.pdf.

  • Timmons-Mitchell, J., Brown, C., Schulz, C., Webster, S. E., Underwood, L. A., & Semple, W. E. (1997). Comparing the mental health needs of female and male incarcerated juvenile delinquents. Behavioral Sciences & the Law, 15, 195–202. doi:10.1002/(SICI)1099-0798(199721)15:2<195::AID-BSL269>3.0.CO;2-8.

    Article  Google Scholar 

  • Todis, B., Bullis, M., Waintrup, M., Schulz, R., & D’Ambrosio, R. (2001). Overcoming the odds: Qualitative examination of resilience among formerly incarcerated adolescents. Exceptional Children, 68, 119–139.

    Google Scholar 

  • Trickett, P. K. (2008). Multiple victimization and the development of self and emotion regulation. Journal of Aggression, Maltreatment & Trauma, 2, 171–187. doi:10.1300/J146v02n01_10.

    Article  Google Scholar 

  • van der Kolk, B. A. (2005). Developmental trauma disorder: Toward a rational diagnosis for children with complex trauma histories. Psychiatric Annals, 35, 401–408.

    Google Scholar 

  • Veysey, B. M. (2008). Mental health, substance abuse, and trauma. In R. D. Hoge, N. G. Guerra & P. Boxer (Eds.), Treating the juvenile offender (pp. 210–238). New York: Guilford.

    Google Scholar 

  • Widom, C. S., & Kuhns, J. B. (1996). Childhood victimization and subsequent risk for promiscuity, prostitution, and teenage pregnancy: A prospective study. American Journal of Public Health, 86, 1607–1612.

    Article  PubMed  Google Scholar 

  • Wolfe, D. A., & Mash, E. J. (2006). Behavioral and emotional disorders in adolescents: Overview and issues. In D. A. Wolfe & E. J. Mash (Eds.), Behavioral and emotional disorders in adolescents (pp. 3–20). New York: Guilford.

    Google Scholar 

  • Wolfe, D. A., Rawana, J. S., & Chiodo, D. (2006). Abuse and trauma. In D. A. Wolfe & E. J. Mash (Eds.), Behavioral and emotional disorders in adolescents (pp. 642–671). New York: Guilford.

    Google Scholar 

  • Wolpaw, J. M., & Ford, J. D. (2004). Assessing exposure to psychological trauma in the juvenile justice population. Retrieved 5/22/08 from http://www.nctsnet.org/nctsn_assets/pdfs/edu_materials/assessing_trauma_in_jj_population.pdf.

  • Wood, J., Foy, D. W., Goguen, C. A., Pynoos, R., & James, C. B. (2002a). Violence exposure and PTSD among delinquent girls. Journal of Aggression, Maltreatment & Trauma, 6, 109–126. doi:10.1300/J146v06n01_06.

    Article  Google Scholar 

  • Wood, J., Foy, D. W., Layne, C., Pynoos, R., & James, C. B. (2002b). An examination of the relationships between violence exposure, posttraumatic stress symptomology, and delinquent activity: An ecopathological model of delinquent behavior among incarcerated adolescents. Journal of Aggression, Maltreatment & Trauma, 6, 127–147. doi:10.1300/J146v06n01_07.

    Article  Google Scholar 

  • Wright, J., Friedrich, W., & Cinq-Mars, C. (2004). Self-destructive and delinquent behaviors of adolescent female victims of child sexual abuse: Rates and covariates in clinical and non-clinical samples. Violence and Victims, 19, 627–643. doi:10.1891/vivi.19.6.627.66343.

    Article  PubMed  Google Scholar 

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Acknowledgements

This work was funded by a grant from the Butler County Family and Children First Council. The authors wish to thank Jolynn Hurwitz, Robert Clevenger, Thomas Barnes, the youth who so bravely shared their experiences with us, and the Miami University students who assisted with the project: Julie Swanson, Raven Cuellar, Angela Volz, Emily Kamon, Kristin Briggs, and Carol Humphreys.

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Kerig, P.K., Ward, R.M., Vanderzee, K.L. et al. Posttraumatic Stress as a Mediator of the Relationship Between Trauma and Mental Health Problems Among Juvenile Delinquents. J Youth Adolescence 38, 1214–1225 (2009). https://doi.org/10.1007/s10964-008-9332-5

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