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Expanding on Threat and Deprivation: Empirical Examination of Adversity Dimensions and Psychiatric Outcomes Among Emerging Adults
Emerging Adulthood ( IF 1.830 ) Pub Date : 2022-07-14 , DOI: 10.1177/21676968221114260
David W Sosnowski 1 , Darlynn M Rojo-Wissar 1 , Emily J Smail 1 , Rashelle J Musci 1 , Holly C Wilcox 1 , Sara B Johnson 1, 2
Affiliation  

Dimensional models of adversity, whereby experiences lie along dimensions of threat and deprivation, are increasingly popular; however, their empirical validation is limited. In a sample of emerging adults (N = 1662; Mage = 20.72; 53% female; 72% Black), we conducted exploratory factor analyses using adversities derived from items probing family relationships and a validated assessment of traumatic events. Resulting factors were used to test associations with odds of lifetime diagnosis of a substance use disorder, other mental health disorders, and suicide attempt. Results supported a four-factor solution: threat (non-betrayal), emotional deprivation, sexual assault, and threat (betrayal). Threat (betrayal) summary scores were most strongly associated with increased odds of substance use and other disorders, whereas sexual assault was most strongly associated increased odds of lifetime suicide attempt. Findings provide some empirical support for categorizing adversity along dimensions of threat and deprivation. However, it also suggests the possibility of further divisions within these dimensions.



中文翻译:

扩大威胁和剥夺:对新兴成年人的逆境维度和精神病学结果的实证检验

逆境的维度模型越来越流行,其中体验位于威胁和剥夺的维度;然而,他们的经验验证是有限的。在新兴成年人样本中(N = 1662;M年龄= 20.72;53% 为女性;72% 为黑人),我们使用从探索家庭关系的项目和经过验证的创伤事件评估中得出的逆境进行了探索性因素分析。由此产生的因素被用来测试与物质使用障碍、其他精神健康障碍和自杀未遂的终生诊断几率之间的关联。结果支持四因素解决方案:威胁(非背叛)情感剥夺、性侵犯和威胁(背叛)威胁(背叛)总分与物质使用和其他疾病的几率增加最密切相关,而性侵犯与终生自杀未遂几率的增加最密切相关。调查结果为根据威胁和剥夺的维度对逆境进行分类提供了一些实证支持。然而,它也暗示了在这些维度内进一步划分的可能性。

更新日期:2022-07-18
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