Correlates of community violence exposure in hospitalized adolescents.
To examine psychological and behavioral correlates of community violence exposure in psychiatrically hospitalized adolescents, 89 inpatients were administered a battery of psychometrically well-established self-report instruments. Violence exposure was assessed using the Child's Exposure to Violence Checklist (CEVC). Half of the patients reported exposure to multiple incidents violence in their community (52%) and home (53%). Sixty-one percent were victims of physical assault, and 39% were victims of sexual assault. Patients who had witnessed community violence reported significantly more post-traumatic stress disorder (PTSD) symptoms, drug use, and violence potential than patients without a history of witnessing community violence. Patients exposed to community violence were also more likely to be the victim of childhood maltreatment, as well as a perpetrator of violence. In conclusion, traumatization via exposure to community violence may serve as one important determinant in the development of mixed internalizing and externalizing psychopathology in adolescent inpatients, thus necessitating accurate assessment and treatment planning.
Fehon
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Yale-New Haven Psychiatric Hospital, the National Center for Posttraumatic Stress Disorder, Yale University School of Medicine, New Haven, CT 06504, USA.
Grilo
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Lipschitz
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D000293:Adolescent; D000374:Aggression / Q000523:psychology; D000437:Alcoholism / Q000175:diagnosis; D002648:Child; D007174:Disruptive, Impulse Control, and Conduct Disorders / Q000175:diagnosis; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000209:etiology / Q000534:rehabilitation*; D012111:Residence Characteristics; D013313:Stress Disorders, Post-Traumatic / Q000523:psychology; D014754:Violence / Q000523:psychology*