Childhood adversity places youth at risk for multiple negative outcomes. The current study aimed to understand how a constellation of risk and resilience factors influenced mental health outcomes as a function of adversities: socioeconomic status (SES) and traumatic stressful events (TSEs). Specifically, we examined outcomes related to psychosis and mood disorders, as well as global clinical functioning. The current study is a longitudinal follow up of 140 participants from the Philadelphia Neurodevelopmental Cohort (PNC) assessed for adversities at Time 1 (Mean age: 14.11 years) and risk, resilience, and clinical outcomes at Time 2 (mean age: 21.54 years). In the context of TSE, a limited set of predictors emerged as important; a more diverse set of moderators emerged in the context of SES. Across adversities, social support was a unique predictor of psychosis spectrum diagnoses and global functioning; emotion dysregulation was an important predictor for mood diagnoses. The current findings underscore the importance of understanding effects of childhood adversity on maladaptive outcomes within a resilience framework.

童年逆境使青少年面临多种负面后果的风险。当前的研究旨在了解一系列风险和复原力因素如何影响心理健康结果，作为逆境的函数：社会经济地位（SES）和创伤性压力事件（TSE）。具体来说，我们检查了与精神病和情绪障碍相关的结果，以及整体临床功能。当前的研究是对来自费城神经发育队列 (PNC) 的 140 名参与者进行的纵向随访，评估了第 1 时间的逆境（平均年龄：14.11 岁）和第 2 时间的风险、复原力和临床结果（平均年龄：21.54 岁） 。在 TSE 的背景下，一组有限的预测因素变得非常重要；在 SES 的背景下出现了一组更加多样化的主持人。跨越逆境，社会支持是精神病谱系诊断和整体功能的独特预测因素；情绪失调是情绪诊断的重要预测因素。目前的研究结果强调了在复原力框架内了解童年逆境对适应不良结果的影响的重要性。