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Latent profile analysis (LPA) was used to classify 394 adolescents undergoing substance use treatment, based on past year psychiatric symptoms. Relations between profile membership and (a) self-reported childhood maltreatment experiences and (b) current sexual risk behavior were examined. LPA generated three psychiatric symptom profiles: Low-, High- Alcohol-, and High- Internalizing Symptoms profiles. Analyses identified significant associations between profile membership and childhood sexual abuse and emotional neglect ratings, as well as co-occurring sex with substance use and unprotected intercourse. Profiles with elevated psychiatric symptom scores (e.g., internalizing problems, alcohol abuse and dependence symptoms) and more severe maltreatment histories reported higher scores for behavioral risk factors for HIV/STI exposure. Heterogeneity in psychiatric symptom patterns among youth receiving substance use treatment services, and prior histories of childhood maltreatment, have significant implications for the design and delivery of HIV/STI prevention programs to this population.

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Psychiatric Symptom Typology in a Sample of Youth Receiving Substance Abuse Treatment Services: Associations with Self-Reported Child Maltreatment and Sexual Risk Behaviors

Oshri

Tubman

Jaccard

2011

AIDS Behav

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Abuse Experiences in a Community Sample of Young Adults: Relations with Psychiatric Disorders, Sexual Risk Behaviors, and Sexually Transmitted Diseases

Tubman

Montgomery

Gil

et al. 2004

American J of Comm Psychol

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This study documents significant associations among lifetime abuse experiences, psychiatric diagnoses, and sexual risk behaviors in a multiethnic community sample of young men and women (N = 1803) in South Florida. Self-report data were collected via structured interviews as part of a longitudinal follow-up of a larger school-based study. Participants were grouped according to extent of lifetime abuse experiences. Cumulative lifetime abuse experiences were associated with increased risk for a broad range of individual lifetime psychiatric disorders, as well as cumulative lifetime psychiatric disorders. Both cumulative abuse experiences and cumulative psychiatric disorders were independently associated with (a) higher levels of sexual risk behaviors and (b) higher risk for lifetime sexually transmitted diseases (STDs). Implications for selective prevention of sexual risk behaviors and STDs among young adults with histories of abuse and psychiatric disorders are discussed.

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Where Is the Syndrome? Examining Co-Occurrence Among Multiple Problem Behaviors in Adolescence.

Willoughby¹,

Chalmers²,

Busseri³

2004

Journal of Consulting and Clinical Psychology

130

112

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The authors examined co-occurrence among a wide range of adolescent problem behaviors: alcohol, smoking, marijuana, hard drugs, sexual activity, major and minor delinquency, direct and indirect aggression, and gambling. Using a large self-report survey of high school students, confirmatory factor analysis was used to test the problem syndrome model proposed by problem behavior theory. A 3-factor model provided better overall fit than did a single problem syndrome factor model. Contingency table analyses were used to examine the co-occurrence of problem behaviors at different levels of involvement within individuals, as well as relative risk ratios. Analyses offered modest support for a limited problem syndrome encompassing the report of high-risk involvement with alcohol, minor delinquency, direct aggression, and, to a lesser extent, marijuana. For each problem behavior, the majority of adolescents did not report high-risk involvement, and only a minority reported any involvement with multiple behaviors.

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Cited by 9 publications

References 53 publications

Psychiatric Symptom Typology in a Sample of Youth Receiving Substance Abuse Treatment Services: Associations with Self-Reported Child Maltreatment and Sexual Risk Behaviors

Psychiatric Symptom Typology in a Sample of Youth Receiving Substance Abuse Treatment Services: Associations with Self-Reported Child Maltreatment and Sexual Risk Behaviors

Abuse Experiences in a Community Sample of Young Adults: Relations with Psychiatric Disorders, Sexual Risk Behaviors, and Sexually Transmitted Diseases

Where Is the Syndrome? Examining Co-Occurrence Among Multiple Problem Behaviors in Adolescence.

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