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The interrelationships between trauma and internalizing symptom trajectories among adolescents in foster care
Affiliation:1. University of Texas at Austin, Steve Hicks School of Social Work, Texas Institute for Child & Family Wellbeing, 1823 Red River St Ste 1.206, Austin, TX, 78701, United States;2. University of Texas at Austin, Department of Human Development and Family Sciences, 108 E Dean Keeton St., Austin, TX, 78712, United States;1. State Key Laboratory of Ocean Engineering, Shanghai Jiao Tong University, Shanghai 200240, PR China;2. Shanghai Key Laboratory for Digital Maintenance of Buildings and Infrastructure, School of Naval Architecture, Ocean and Civil Engineering, Shanghai Jiao Tong University, Shanghai 200240, PR China;3. School of Civil Engineering, University of Birmingham, Birmingham B15 2TT, UK;4. Built Environment, Faculty of Arts, Design & Architecture, University of New South Wales, Sydney 2052, Australia;1. The Pennsylvania State University, CEDAR Building, University Park, PA 16802, United States;2. Tennessee Technological University, 1 William L Jones Dr, Cookeville, TN 38505, United States;3. New York Institute of Technology, 16 W 61st Street, Room 711, New York, NY 10023, United States
Abstract:This study examined the interrelationships between changes in trauma and internalizing symptoms among adolescents in foster care. Using three waves of data from the National Survey of Child and Adolescent Well-Being, growth-curve analyses were conducted with a sample of 155 adolescents aged 11–15 in out-of-home care. Findings indicated that the initial level of post-traumatic stress symptoms was significantly associated with the initial level of internalizing symptoms at Wave I and decreases in post-traumatic stress symptoms were significantly associated with decreases in internalizing symptoms from Wave I to Wave IV. Viewing trauma and internalizing symptoms as interrelated affords increased understanding of ways in which adolescents who have experienced high levels of stress express their needs. As such, it may be clinically beneficial to conduct an evaluation of trauma symptoms for adolescents in foster care, regardless of whether there has been a documented history of a traumatic event. Doing so may provide a more comprehensive view into the underlying influences of adolescent behaviors and help capture a broader clinical picture necessary for effective intervention.
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