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

Oshri, Assaf; Tubman, Jonathan G.; Jaccard, James

doi:10.1007/s10461-011-9890-5

Cited by 20 publications

(17 citation statements)

References 90 publications

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“…Accordingly, victims of sexual abuse become more vulnerable to future involvement in relationships that may increase their risk of re-victimization. Extant literature shows a significant association between early sexual abuse and participation in health risk behaviors including substance use, risky sex (37–38) and sexual re-victimization in adolescence (34). However, data linking sexual abuse to risky sexual activity among sexual minority youth is less conclusive.…”

Section: Discussionmentioning

confidence: 99%

Developmental Trajectories of Substance Use Among Sexual Minority Girls: Associations With Sexual Victimization and Sexual Health Risk

Oshri

Handley

Sutton

et al. 2014

Journal of Adolescent Health

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Purpose Our aim was to examine mechanisms underlying the development of sexual health risk behaviors in sexual minority girls (SMGs) and the relation of these mechanisms and sexual risk behaviors to sexual victimization. Methods Data were drawn from the Project on Human Development in Chicago Neighborhoods cohorts aged 15 and 18 (N = 391; 54 SMGs). Results SMGs reported more sexual victimization and steeper positive trajectories of substance misuse over time than heterosexual girls. Growth in alcohol use during adolescence mediated the link between SMG status and past year number of partners, whereas growth in marijuana use mediated the link between SMG status and self-reported sexually transmitted diseases (STDs). Adding unwanted sexual experiences (UWSE) to the models resulted in reduction of significance in the direct or indirect effects from SMG status on the outcomes. UWSE emerged as a robust predictor, directly and indirectly related to past year number of partners via growth in alcohol use. UWSE also directly predicted STD history. Conclusions The increased risk of SMGs for alcohol and marijuana during adolescence, higher rates of sexual partners, and STD diagnosis may also be linked to their significant risk for sexual victimization. Findings highlight the importance of preventive interventions targeting victimization of SMGs.

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Section: Discussionmentioning

confidence: 99%

Developmental Trajectories of Substance Use Among Sexual Minority Girls: Associations With Sexual Victimization and Sexual Health Risk

Oshri

Handley

Sutton

et al. 2014

Journal of Adolescent Health

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“…Child maltreatment is a potent risk factor for the development of substance use problems in adolescence (Clark, Thatcher, & Martin, 2010; Oshri, Tubman, & Jaccard, in press; Shin, Hong, & Hazen, 2010; Tubman, Oshri, Taylor, & Morris, 2011). Cannabis abuse by adolescents and young adults has been linked with externalizing problems and adverse rearing environments (Fergusson, Boden, & Horwood, 2008; Hayatbakhsh et al, 2009).…”

Section: Child Maltreatment and Cannabis Abusementioning

confidence: 99%

Developmental pathways to adolescent cannabis abuse and dependence: Child maltreatment, emerging personality, and internalizing versus externalizing psychopathology.

Oshri¹,

Rogosch²,

Burnette³

et al. 2011

Psychology of Addictive Behaviors

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129

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Child maltreatment is strongly associated with adolescent psychopathology and substance abuse and dependence (Clark, Thatcher, & Martin, 2010; Ellis & Wolfe, 2009). However, developmental processes unfolding from childhood into adolescence that delineate this trajectory are not well understood. The current study uses path analysis in a structural equation modeling framework to examine multiple mediator models, including ego control, ego resiliency, and internalizing and externalizing symptoms to investigate this developmental process. Participants were 415 children, assessed across three waves of data, (i.e., at ages 7 to 9, 10 to 12, and 13 to 15). The sample included maltreated (n = 259) and nonmaltreated (n = 156) children; groups were comparable in sociodemographic characteristics. Findings support an ecological-transactional model by revealing a developmental sequence in which severity of early childhood maltreatment potentiates less adaptive childhood personality functioning, followed by externalizing problems in preadolescence, and ultimately adolescent cannabis abuse and dependence symptoms. A developmental pathway from child maltreatment to adolescent cannabis abuse and dependence symptoms via personality and preadolescent internalizing problems was not supported. Understanding developmental pathways by which maltreatment experiences increase risk for substance abuse and dependence symptoms in youth has far-reaching implications for the treatment and prevention of substance use disorders.

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“…Among populations of foster care, maltreated, and/or runaway youth, those who experience (most often sexual) abuse (Ahrens, Katon, McCarty, Richardson, & Courtney, 2012), abuse substances (Clatts, Goldsamt, Yi, & Gwadz, 2005; Hudson & Nandy, 2012), or engage in delinquent activity (Mason et al, 2010; Tolou-Shams, Brown, Gordon, & Fernandez, 2007) are often shown to be more likely to engage in sexual risk behaviors. Similarly, among youth treated for substance abuse, child maltreatment has also been a consistent predictive factor of sexual risk behavior (Oshri, Tubman, & Jaccard, 2011; Tubman, Oshri, Taylor, & Morris, 2011). While it is clear that behavioral problems can overlap, the subset of youth who may be particularly prone to sexual risk behavior is less clear.…”

Section: Introductionmentioning

confidence: 99%

Sexually Transmitted Infections in a Sample of At-Risk Youth: Roles of Mental Health and Trauma Histories

Gerassi

Jonson‐Reid

Drake

2015

Journ Child Adol Trauma

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Little is known about whether there are specific subpopulations of youth with known problem behaviors that are more likely to engage in sexual risk behaviors. This study’s sample (n=4,117) was drawn from a larger longitudinal administrative data, consisting of young adults with child abuse and/or poverty histories and records of some form of high-risk behavior or mental health diagnosis during adolescence. A cluster-controlled, logistic regression resulted in eleven statistically significant relationships. Youth treated for a mental health disorder and experienced multiple forms of abuse were more likely to be treated for Sexually Transmitted Infections (STIs). Youth who were delinquent,, treated for substance abuse and had substance use related offenses were less likely to be treated for STIs. Youth treated for STIs were more likely to be identified through mental health systems or child protective services system than through known delinquent behaviors. Health care providers treating youth for STIs should explore the possible role of mental health and trauma histories.

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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

Cited by 20 publications

References 90 publications

Developmental Trajectories of Substance Use Among Sexual Minority Girls: Associations With Sexual Victimization and Sexual Health Risk

Developmental Trajectories of Substance Use Among Sexual Minority Girls: Associations With Sexual Victimization and Sexual Health Risk

Developmental pathways to adolescent cannabis abuse and dependence: Child maltreatment, emerging personality, and internalizing versus externalizing psychopathology.

Sexually Transmitted Infections in a Sample of At-Risk Youth: Roles of Mental Health and Trauma Histories

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