Child maltreatment is associated with internalizing and externalizing problems in adolescents, as well as psychiatric hospitalizations, which represent severe mental health difficulties and substantial burden on individuals and the health care system. These negative outcomes are especially prevalent in youth in foster care. Not all youth exposed to maltreatment, however, demonstrate poor mental health outcomes. Additional factors, such as maltreatment chronicity and coping style, may help explain why some (but not all) youth develop major psychiatric problems. The purpose of the present study was to examine how maltreatment chronicity and coping style were associated with internalizing, externalizing, and psychiatric hospitalizations, and whether coping style moderated the relation between maltreatment chronicity and mental health in a sample of foster adolescents. Participants were 283 adolescents ages 12–19 residing in foster care. Youth reported on maltreatment, coping, and mental health; caregivers reported on mental health. Psychiatric hospitalizations were obtained from medical records. Youth who experienced more maltreatment had higher caregiver- and self-reported internalizing, and more psychiatric hospitalizations. Youth who approached problems directly had lower caregiver-reported internalizing and externalizing, while youth who dealt with stressors alone had higher self-reported internalizing and externalizing, and more psychiatric hospitalizations. Youth who avoided facing their problems had less psychiatric hospitalizations. Further, a significant interaction revealed that youth with more maltreatment who avoided problems had less psychiatric hospitalizations, suggesting that avoiding problems may be more protective for youth with the most chronic abuse and neglect. Findings highlight the importance of examining both maltreatment and coping.

中文翻译：

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内化、外化问题和精神病住院：对寄养中青少年虐待的长期性和应对方式的检查

虐待儿童与青少年的内化和外化问题以及精神病住院有关，这代表了严重的心理健康困难和个人和医疗保健系统的沉重负担。这些负面结果在寄养青年中尤为普遍。然而，并非所有遭受虐待的青年都表现出不良的心理健康结果。其他因素，例如长期虐待和应对方式，可能有助于解释为什么一些（但不是全部）青年会出现严重的精神问题。本研究的目的是研究长期虐待和应对方式与内化、外化和精神病住院的关系，以及应对方式是否在寄养青少年样本中调节了长期虐待与心理健康之间的关系。参与者是 283 名 12-19 岁的寄养青少年。青年报告了虐待、应对和心理健康；护理人员报告了心理健康状况。精神病住院是从医疗记录中获得的。遭受更多虐待的青年有更高的照顾者和自我报告的内化，以及更多的精神病住院治疗。直接处理问题的青少年的照顾者报告的内化和外化程度较低，而单独处理压力源的青少年自我报告的内化和外化程度较高，以及更多的精神病住院治疗。避免面对问题的青年较少接受精神病院治疗。更远，一项重要的互动表明，避免问题的遭受更多虐待的青年住院精神病的次数较少，这表明避免问题可能对遭受最长期虐待和忽视的青年更有保护作用。调查结果强调了检查虐待和应对的重要性。