A person-centered approach to examining trauma has uncovered typologies of polytraumatization that are differentially associated with psychopathology. However, previous research is limited by narrow conceptualizations of trauma, limited distal outcomes, and underrepresentation of racially marginalized groups. To address these gaps, we used latent profile analysis to uncover distinct polytraumatization typologies and examine four symptom-based (posttraumatic stress disorder, depression, aggression, and substance abuse) and two behavior-based (self-harm, jail counts) outcomes in a sample of adults with low socioeconomic resources (N = 7,426, 94% African American). The models were indicated by 19 traumatic experiences (e.g., accident, sexual assault, witnessing/experiencing violence). The best fitting model uncovered five classes: minimal trauma, physical abuse, violence exposure, sexual abuse, and polytrauma. Classes characterized by significant and varied trauma were higher on both internalizing and externalizing psychopathology, whereas those characterized by specific types of trauma were higher on only one type of psychopathology. Implications for the assessment and treatment of trauma-related disorders are discussed.

以人为中心的创伤检查方法揭示了与精神病理学不同的多重创伤类型。然而，先前的研究受到创伤概念狭隘、远端结果有限和种族边缘化群体代表性不足的限制。为了解决这些差距，我们使用潜在特征分析来揭示不同的多重创伤类型，并检查四种基于症状（创伤后应激障碍、抑郁、攻击性和药物滥用）和两种基于行为（自残、入狱数）的结果。社会经济资源低的成年人样本（N= 7,426，94% 非裔美国人）。这些模型由 19 种创伤经历（例如，事故、性侵犯、目击/经历暴力）表示。最佳拟合模型揭示了五个类别：最小创伤、身体虐待、暴力暴露、性虐待和多发伤。以显着和多变的创伤为特征的类别在内化和外化的精神病理学上均较高，而以特定类型的创伤为特征的类别仅在一种精神病理学上较高。讨论了创伤相关疾病的评估和治疗的意义。