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Community violence exposure and severe posttraumatic stress in suburban American youth: risk and protective factors
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Child and Adolescent Psychiatry. (Vladislav Ruchkin)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Child and Adolescent Psychiatry. (Frank Lindblad)
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2015 (English)In: Social Psychiatry and Psychiatric Epidemiology, ISSN 0933-7954, E-ISSN 1433-9285, Vol. 50, no 4, 539-547 p.Article in journal (Refereed) Published
Abstract [en]

PURPOSE: The psychological effects of community violence exposure among inner-city youth are severe, yet little is known about its prevalence and moderators among suburban middle-class youth. This study aimed to assess the prevalence of community violence exposure among suburban American youth, to examine associated posttraumatic stress and to evaluate factors related to severe vs. less severe posttraumatic stress, such as co-existing internalizing and externalizing problems, as well as the effects of teacher support, parental warmth and support, perceived neighborhood safety and conventional involvement in this context.

METHOD: Data were collected from 780 suburban, predominantly Caucasian middle-class high-school adolescents in the Northeastern US during the Social and Health Assessment (SAHA) study.

RESULTS: A substantial number of suburban youth were exposed to community violence and 24 % of those victimized by community violence developed severe posttraumatic stress. Depressive symptoms were strongly associated with higher levels and perceived teacher support with lower levels of posttraumatic stress.

CONCLUSION: Similar to urban youth, youth living in suburban areas in North American settings may be affected by community violence. A substantial proportion of these youth reports severe posttraumatic stress and high levels of comorbid depressive symptoms. Teacher support may have a protective effect against severe posttraumatic stress and thus needs to be further assessed as a potential factor that can be used to mitigate the detrimental effects of violence exposure.

Place, publisher, year, edition, pages
2015. Vol. 50, no 4, 539-547 p.
National Category
Psychiatry
Identifiers
URN: urn:nbn:se:uu:diva-245575DOI: 10.1007/s00127-014-0965-2ISI: 000351436700005PubMedID: 25301519OAI: oai:DiVA.org:uu-245575DiVA: diva2:791210
Available from: 2015-02-27 Created: 2015-02-27 Last updated: 2017-12-04Bibliographically approved

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Lindblad, FrankRuchkin, Vladislav

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