Caregiver and Youth Agreement Regarding Youth\u27s Trauma Histories: Implications for Youth\u27s Functioning After Exposure to Trauma

Epidemiological research has demonstrated that youth are exposed to potentially traumatic events at high rates. Caregivers play an important role in youths’ successful recovery following exposures to potentially traumatic events. However, past research has documented poor caregiver–youth agreement regarding youths’ exposures to potentially traumatic events, indicating a potential lack of support for many youth exposed to such events. This study examined caregiver–youth discrepancies in the reports of youths’ lifetime exposures to potentially traumatic events, and the relationship between these reporting discrepancies and youths’ post-traumatic stress disorder (PTSD) symptoms, mood symptoms, and functional impairment following disclosures of sexual abuse. Participants included 114 caregiver–youth dyads participating in a family-based intervention at four Child Advocacy Centers in New York City. Standardized measures of trauma history, youth PTSD symptoms, youth mood symptoms, youth functional impairment, and caregiver PTSD symptoms were given in interview format to caregivers and youth at the time of intake into the intervention. The demographic composition of the youth sample was 86.8 % female, 13.2 % male, 32.5 % African American, 54.4 % Latino/a, 2.6 % Caucasian, 0.9 % Asian American, 8.8 % other race/ethnicity. Youth ranged in age from 7 to 16. Results demonstrated poor agreement between youth and caregivers regarding youths’ exposure to a range of potentially traumatic events and regarding youths’ PTSD symptoms, mood symptoms and functional impairment. Both caregiver–youth discrepancies regarding youths’ histories of exposures to potentially traumatic events and caregiver PTSD symptoms were significantly associated with youths’ self-reported symptoms and functional impairment. Only caregiver PTSD symptoms were related to caregivers’ reports of youths’ symptoms and functional impairment. Findings underscore the importance of family support and communication regarding exposures to potentially traumatic events and the detrimental associations of caregiver–youth disagreement about youths’ exposures to potentially traumatic events. Recommendations are provided for the assessment and treatment of families presenting in the aftermath of traumatic exposures

Linking Childhood Sexual Abuse and Early Adolescent Risk Behavior: The Intervening Role of Internalizing and Externalizing Problems

A robust literature links childhood sexual abuse (CSA) to later substance use and sexual risk behavior; yet, relatively little empirical attention has been devoted to identifying the mechanisms linking CSA to risky behavior among youth, with even less work examining such processes in boys. With the aim of addressing this gap in the literature, the current study examined the indirect effect of childhood sexual abuse (CSA; from age 2 to 12) trajectory group on risky behavior at age 14 (alcohol use & sexual intercourse) via the intervening role of caregiver-reported internalizing and externalizing problems at age 12. Analyses were conducted with a subsample of youth (n = 657 sexual intercourse; n = 667 alcohol use) from the Longitudinal Studies of Child Abuse and Neglect (LONGSCAN), a multisite prospective study of youth at risk for maltreatment. For boys and girls, there was an indirect effect from CSA to sexual intercourse through externalizing problems. The same pattern emerged for alcohol use, but only for girls. Findings did not support an indirect path through internalizing problems for either boys or girls for either outcome. Findings suggest more focal targets for prevention efforts aimed at maintaining the health and safety of maltreated boys and girls during the adolescent transition