Complex trauma (CT) is the experience, or witness, of prolonged abuse or neglect that negatively affects children’s emotional and psychological health. Youth in residential care experience higher incidences of complex trauma than youth in community-based care, with notable gender differences and presentation of psychological symptoms. This study examined the effects of trauma-informed residential care and the relation between CT and gender. A sample (n = 206) from an evaluation of a youth psychiatric residential facility in the Midwest that transitioned from a traditional care model to a trauma-informed care model was used. A hierarchical regression was used to model the main effects of model of care, gender, CT, length of stay, and crisis response on treatment outcomes; and the moderating effects of gender and CT. The results support the high prevalence of CT in residential care populations. The final model explained 30.2% of the variance with a statistically significant interaction between gender and length of stay in treatment, indicating that longer lengths of stay in treatment are associated with less change in functional impairment for girls than boys. Youth gender and prior trauma are important factors to consider when monitoring experiences and treatment outcomes in youth residential care.

中文翻译：

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青年性别和复杂创伤对治疗性住院治疗中治疗条件和结果之间关系的影响

复杂创伤 (CT) 是长期虐待或忽视对儿童情绪和心理健康产生负面影响的经历或见证。住宿护理中的青年比社区护理中的青年经历的复杂创伤发生率更高，具有显着的性别差异和心理症状的表现。本研究检验了创伤知情的住院护理的效果以及 CT 与性别之间的关系。使用了从传统护理模式转变为创伤知情护理模式的中西部青年精神病院评估样本 (n = 206)。使用分层回归来模拟护理模型、性别、CT、住院时间和危机应对对治疗结果的主要影响；以及性别和CT的调节作用。该结果支持了住宅护理人群中 CT 的高患病率。最终模型解释了 30.2% 的方差，性别与治疗停留时间之间存在统计学上显着的交互作用，表明治疗停留时间越长，女孩的功能障碍变化小于男孩。青年性别和先前的创伤是在监测青年住宿护理中的经验和治疗结果时需要考虑的重要因素。