Background

Exposure to maltreatment has a detrimental impact on both physical and mental health. However, research on the relationship between polyvictimization and care planning needs is scarce.

Objectives

This study investigated the associations between interpersonal polyvictimization and care planning needs for children and youth, controlling for sex and age differences.

Participants and settings

The sample included 18,701 children and youth (M_age = 12.33, SD_age = 3.53) between 4 and 18 years. Participants were recruited from over 58 mental health agencies, facilities, and schools in Ontario, Canada between November 2012 and February 2020.

Methods

Multivariate binary logistic regression was used to investigate polyvictimization, sex and age groups, as predictors on care planning outcomes. Significant interaction effects were further examined using simple effects analyses.

Results

Children and youth experiencing polyvictimization, compared to those who did not, were more likely to report attachment difficulties, lack of informal support, interpersonal conflict, substance use and harm to self or others. In addition, the relationship between polyvictimization and attachment and interpersonal conflict care planning was moderated by sex.

Conclusions

Findings emphasize the importance of focusing on interpersonal polyvictimization and sex differences when developing treatment plans for a variety of care planning needs. Mental health practitioners could utilize the study findings to guide their clinical practices and ensure effective services are provided to those seeking mental health care.

中文翻译：

---

人际多重伤害：解决受创伤儿童和青少年的护理计划需求

背景

遭受虐待会对身心健康产生不利影响。然而，关于多重受害与护理计划需求之间关系的研究很少。

目标

本研究调查了人际多重受害与儿童和青少年的护理计划需求之间的关联，控制了性别和年龄差异。

参与者和设置

样本包括 18,701 名4 至 18 岁的儿童和青年（M_年龄= 12.33，SD_年龄= 3.53）。参与者是从 2012 年 11 月至 2020 年 2 月期间从加拿大安大略省的 58 多个心理健康机构、设施和学校招募的。

方法

多变量二元逻辑回归被用于调查多重受害、性别和年龄组，作为护理计划结果的预测因子。使用简单的效应分析进一步检查了显着的相互作用效应。

结果

与那些没有受到多重伤害的儿童和青年相比，经历多重受害的儿童和青年更有可能报告依恋困难、缺乏非正式支持、人际冲突、药物滥用以及对自己或他人的伤害。此外，多重受害和依恋与人际冲突护理计划之间的关系受性别调节。

结论

研究结果强调了在为各种护理计划需求制定治疗计划时关注人际多重受害和性别差异的重要性。心理健康从业者可以利用研究结果来指导他们的临床实践，并确保为寻求心理健康护理的人提供有效的服务。