Abstract
The objective of the present study was to analyse patterns of emotional, physical and sexual maltreatment in detained male juvenile offenders using latent class analysis (LCA). The association of maltreatment related LCA profiles with psychopathology and criminal behaviors was also studied. LCA based on the items of the Child Trauma Questionnaire (CTQ) assessing childhood emotional, physical, and sexual abuse was performed in a sample of 260 male adolescent offenders (mean age = 16.5 years, SD = 1.29 years). Chi square tests and general linear models were performed to assess the associations of CTQ profiles with categorical interview-based psychiatric disorders, dimensional Youth Self-Report problem scales, and officially registered offenses. LCA suggested a three class solution: (1) a no/mild trauma (NM; 76 %) (2) emotional and physical trauma (EP; 18 %) and (3) emotional, physical, and sexual trauma (EPS; 8 %). The classes EP and EPS were related to a variety of psychiatric disorders and self-reported mental health problems. Furthermore, EPS showed higher presence of a subsequent re-incarceration compared to NM. A majority of sexually abused juveniles also experienced emotional and physical abuse reflecting gravely disturbed family systems. Multiple abuse in childhood was associated with a broad variety of disorders including externalizing disorders and repeated criminal offending. Such findings indicate that trauma assessment is also relevant in externalizing youth. A comprehensive treatment approach for detained boys with multiple abuse experiences is required targeting both mental health needs and the reduction of criminal behaviors.
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References
Abram, K. M., Teplin, L. A., Charles, D. R., Longworth, S. L., McClelland, G. M., & Dulcan, M. K. (2004). Posttraumatic stress disorder and trauma in youth in juvenile detention. Archives of General Psychiatry, 61, 403–410. doi:10.1001/archpsyc.61.4.403.
Achenbach, T. M. (1991). Manual for the youth self report and 1991 profile. Burlington, VT: Department of Psychiatry, University of Vermont.
Adams, Z. W., McCart, M. R., Zajac, K., Danielson, C. K., Sawyer, G. K., Saunders, B. E., & Kilpatrick, D. G. (2013). Psychiatric problems and trauma exposure in nondetained delinquent and nondelinquent adolescents. Journal of Clinical Child and Adolescent Psychology, 42, 323–331. doi:10.1080/15374416.2012.749786.
Armour, C., Elklit, A., & Christofferson, M. N. (2014). A latent class analysis of childhood maltreatment: Identifying abuse typologies. Journal of Loss and Trauma, 19, 23–39. doi:10.1080/15325024.2012.734205.
Bader, K., Hänny, C., Schäfer, V., Neuckel, A., & Kuhl, C. (2009). Childhood Trauma Questionnaire: Psychometric properties of a German version. Zeitschrift für Klinische Psychologie und Psychotherapie, 38, 223–230. doi:10.1026/1616-3443.38.4.223.
Becker, S. P., & Kerig, P. K. (2011). Posttraumatic stress symptoms are associated with the frequency and severity of delinquency among detained boys. Journal of Clinical Child and Adolescent Psychology, 40, 765–771. doi:10.1080/15374416.2011.597091.
Becker, S. P., Kerig, P. K., Lim, J.-Y., & Ezechukwu, R. N. (2012). Predictors of recidivism among delinquent youth: Interrelations among ethnicity, gender, age, mental health problems and posttraumatic stress. Journal of Child & Adolescent Trauma, 5, 145–160. doi:10.1080/19361521.2012.671798.
Benjamini, Y., & Hochberg, Y. (1995). Controlling the false discovery rate: A practical and powerful approach to multiple testing. Journal of the Royal Statistical Society: Series B, 57, 289–300.
Bernstein, D. P., & Fink, L. (1998). Childhood trauma questionnaire: A retrospective self-report manual. San Antonio, TX: The Psychological Corporation.
Bernstein, D. P., Ahluvalia, T., Pogge, D., & Handelsman, L. (1997). Validity of the childhood trauma questionnaire in an adolescent psychiatric population. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 340–348. doi:10.1097/00004583-199703000-00012.
Berzenski, S. R., & Yates, T. M. (2011). Classes and consequences of multiple maltreatment: A person-centered analysis. Child Maltreatment, 16, 250–261. doi:10.1177/1077559511428353.
Borum, R., Bartel, P., & Forth, A. (2003). Manual for the structured assessment of violence risk in youth, version 1.1. Tampa FL: University of South Florida.
Carr, C. P., Martins, C. M., Stingel, A. M., Lemgruber, V. B., & Juruena, M. F. (2013). The role of early life stress in adult psychiatric disorders: A systematic review according to childhood trauma subtypes. Journal of Nervous and Mental Disease, 201, 1007–1020. doi:10.1097/NMD.0000000000000049.
Clark, S., & Muthén, B. (2009). Relating latent class analysis results to variables not included in the analysis. Retrieved from http://www.statmodel.com/download/relatinglca.pdf.
Colins, O., Vermeiren, R., Schuyten, G., & Broekaert, E. (2009). Psychiatric disorders in property, violent and versatile offending in detained male adolescents. American Journal of Orthopsychiatry, 79, 31–38. doi:10.1037/a0015337.
Cottle, C. C., Lee, R. J., & Heilbrunn, K. (2001). The prediction of criminal recidivism in juveniles. Criminal Justice and Behavior, 28, 367–394. doi:10.1177/0093854801028003005.
Dembo, R., Dertke, M., Borders, S., Washburn, M., & Schmeidler, J. (1988). The relationship between physical and sexual abuse and tobacco, alcohol, and illicit drug use among youths in a juvenile detention center. The International Journal of the Addictions, 23, 351–378. doi:10.3109/10826088809039203.
Development Core Team, R. (2011). R: A language and environment for statistical computing. R Foundation for Statistical Computing. Vienna, Austria: R Foundation for Statistical Computing.
Edwards, V. J., Holden, G. W., Felitti, V. J., & Anda, R. F. (2003). Relationship between multiple forms of childhood maltreatment and adult mental health in community respondents: Results from the adverse childhood experiences study. The American Journal of Psychiatry, 160, 1453–1460. doi:10.1176/appi.ajp.160.8.1453.
Elklit, A., Karstoft, K. I., Armour, C., Feddern, D., & Christoffersen, M. (2013). Predicting criminality from child maltreatment typologies and posttraumatic stress symptoms. European Journal of Psychotraumatology, 4, retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3636417/ doi: 10.3402/ejpt.v4i0.19825.
Fazel, S., Doll, H., & Langström, N. (2008). Mental disorders among adolescents in juvenile detention and correctional facilities: A systematic review and metaregression analyses of 25 surveys. Journal of the American Academy of Child and Adolescent Psychiatry, 47, 1010–1019. doi:10.1097/CHI.ObO13e31817eecf3.
Ford, T., Goodman, R., & Meltzer, H. (2003). The British Child and Adolescent Mental Health Survey 1999: the prevalence of DSM-IV disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 1203–1211. doi:10.1097/00004583-200310000-00011.
Ford, J. D., Chapman, J., Hawke, J., & Albert, D. (2007). Trauma among youth in the juvenile justice system: Critical issues and new directions. Delmar, NY: National Center for Mental Health and Juvenile Justice.
Ford, J. D., Elhai, J. D., Connor, D. F., & Frueh, B. C. (2010). Poly-victimization and risk of posttraumatic, depressive, and substance use disorders and involvement in delinquency in a national sample of adolescents. Journal of Adolescent Health, 46, 545–552. doi:10.1016/j.jadohealth.2009.11.212.
Ford, J. D., Chapman, J., Connor, D. F., & Cruise, K. R. (2012). Complex trauma and aggression in secure juvenile justice settings. Criminal Justice and Behavior, 39, 694–724. doi:10.1177/0093854812436957.
Ford, J. D., Grasso, D. J., Hawke, J., & Chapman, J. F. (2013). Poly-victimization among juvenile justice-involved youths. Child Abuse & Neglect, 37, 788–800. doi:10.1016/j.chiabu.2013.01.005.
Forsman, M., & Langstrom, N. (2012). Child maltreatment and adult violent offending: Population-based twin study addressing the ‘cycle of violence’ hypothesis. Psychological Medicine, 42, 1977–1983. doi:10.1017/S0033291711003060.
Hanson, R. F., Borntrager, C., Self-Brown, S., Kilpatrick, D. G., Saunders, B. E., Resnick, H. S., & Amstadter, A. (2008). Relations among gender, violence exposure, and mental health: The national survey of adolescents. American Journal of Orthopsychiatry, 78, 313–321. doi:10.1037/a0014056.
Hermenauab, K., Hecker, T., Schaal, S., Maedl, A., & Elbert, T. (2013). Addressing post-traumatic stress and aggression by means of narrative exposure: A randomized controlled trial with ex-combatants in the Eastern DRC. Journal of Aggression, Maltreatment & Trauma, 22, 916–934. doi:10.1080/10926771.2013.824057.
Higgins, D. J., & McCabe, M. P. (2001). Multiple forms of child abuse and neglect: Adult retrospective reports. Aggression and Violent Behaviour, 6, 547–578. doi:10.1016/S1359-1789(00)00030-6.
Huemer, J., Karnik, N. S., Voelkl-Kernstock, S., Granditsch, E., Dervic, K., Friedrich, M. H., & Steiner, H. (2009). Mental health issues in unaccompanied refugee minors. Child and Adolescent Psychiatry and Mental Health, 3, 13. doi:10.1186/1753-2000-3-13.
King, D. C., Abram, K. M., Romero, E. G., Washburn, J. J., Welty, L. J., & Teplin, L. A. (2011). Childhood maltreatment and psychiatric disorders among detained youths. Psychiatric Services, 62, 1430–1438. doi:10.1176/appi.ps.004412010.
Krischer, M. K., & Sevecke, K. (2008). Early traumatization and psychopathy in female and male juvenile offenders. International Journal of Law and Psychiatry, 31, 253–262. doi:10.1016/j.ijlp.2008.04.008.
Linzer, D. A., & Jeffrey, L. (2011). poLCA: An R package for polytomous variable latent class analysis. Journal of Statistical Software, 42, 1–29.
MacMillan, H. L., Tanaka, M., Duku, E., Vaillancourt, T., & Boyle, M. H. (2013). Child physical and sexual abuse in a community sample of young adults: Results from the Ontario Child Health Study. Child Abuse & Neglect, 37, 14–21. doi:10.1016/j.chiabu.2012.06.005.
Maxfield, M. G., & Widom, C. S. (1996). The cycle of violence. Revisited 6 years later. Archives of Pediatrics and Adolescent Medicine, 150, 390–395. doi:10.1001/archpedi.1996.02170290056009.
McCart, M. R., Smith, D. W., Saunders, B. E., Kilpatrick, D. G., Resnick, H., & Ruggiero, K. J. (2007). Do urban adolescents become desensitized to community violence? Data from a national survey. American Journal of Orthopsychiatry, 77, 434–442. doi:10.1037/0002-9432.77.3.434.
Merikangas, K. R., He, J. P., Burstein, M., Swanson, S. A., Avenevoli, S., Cui, L., Benjet, C., Georgiades, K., & Swendsen, J. (2010). Lifetime prevalence of mental disorders in U.S. adolescents: Results from the National Comorbidity Survey Replication–Adolescent Supplement (NCS-A). Journal of the American Academy of Child and Adolescent Psychiatry, 49, 980–989. doi:10.1016/j.jaac.2010.05.017.
Moore, E., Gaskin, C., & Indig, D. (2013). Childhood maltreatment and post-traumatic stress disorder among incarcerated young offenders. Child Abuse & Neglect, 37, 861–870. doi:10.1016/j.chiabu.2013.07.012.
Mullen, P. E., Martin, J. L., Anderson, J. C., Romans, S. E., & Herbison, G. P. (1996). The long-term impact of the physical, emotional, and sexual abuse of children: A community study. Child Abuse & Neglect, 20, 7–21. doi:10.1016/0145-2134(95)00112-3.
Nooner, K. B., Litrownik, A. J., Thompson, R., Margolis, B., English, D. J., Knight, E. D., & Roesch, S. (2010). Youth self-report of physical and sexual abuse: A latent class analysis. Child Abuse & Neglect, 34, 146–154. doi:10.1016/j.chiabu.2008.10.007.
Nylund, K. L., Asparouhov, T., & Muthén, B. (2007). Deciding on the number of classes in latent class analysis and growth mixture modeling: A Monte Carlo simulation study. Structural Equation Modeling, 14, 535–569.
Pavlov, K. A., Chistiakov, D. A., & Chekhonin, V. P. (2012). Genetic determinants of aggression and impulsivity in humans. Journal of Applied Genetics, 53, 61–82. doi:10.1007/s13353-011-0069-6.
Pears, K. C., Kim, H. K., & Fisher, P. A. (2008). Psychosocial and cognitive functioning of children with specific profiles of maltreatment. Child Abuse & Neglect, 32, 958–971. doi:10.1016/j.chiabu.2007.12.009.
Penn, J. V., & Thomas, C. (2005). Practice parameter for the assessment and treatment of youth in juvenile detention and correctional facilities. Journal of the American Academy of Child and Adolescent Psychiatry, 44, 1085–1098. doi:10.1097/01.chi.0000175325.14481.21.
Plattner, B., Kraemer, H. C., Williams, R. P., Bauer, S. M., Kindler, J., Feucht, M., & Steiner, H. (2007). Suicidality, psychopathology, and gender in incarcerated adolescents in Austria. Journal of Clinical Psychiatry, 68, 1593–1600. doi:10.4088/JCP.v68n1019.
Plattner, B., Steiner, H., The, S. S. L., Kraemer, H. C., Bauer, S. M., Kindler, J., & Feucht, M. (2009). Sex-specific predictors of criminal recidivism in a representative sample of incarcerated youth. Comprehensive Psychiatry, 50, 400–407. doi:10.1016/j.comppsych.2008.09.014.
Prentky, R., & Righthand, S. (2003). Juvenile Sex Offender Assessment Protocol II (J-SOAP-II) Manual. Washington DC: U.S. Department of Justice, Office of Justice Programs, Office of Juvenile Justice and Delinquency Prevention.
Rosenman, S., & Rodgers, B. (2004). Childhood adversity in an Australian population. Social Psychiatry and Psychiatric Epidemiology, 39, 695–702. doi:10.1007/s00127-004-0802-0.
Ryan, J. P., & Testa, M. F. (2005). Child maltreatment and juvenile delinquency: Investigating the role of placement and placement instability. Children and Youth Services Review, 27, 227–249. doi:10.1016/j.childyouth.2004.05.007.
Scher, C. D., Stein, M. B., Asmundson, G. J., McCreary, D. R., & Forde, D. R. (2001). The Childhood Trauma Questionnaire in a community sample: Psychometric properties and normative data. Journal of Traumatic Stress, 14, 843–857. doi:10.1023/A:1013058625719.
Seto, M. C., & Lalumiere, M. L. (2010). What is so special about male adolescent sexual offending? A review and test of explanations through meta-analysis. Psychological Bulletin, 136, 526–575. doi:10.1037/a0019700.
Sheehan, D. V., Sheehan, K. H., Shytle, D., Janavs, J., Bannon, Y., Rogers, J. E., Milo, K. M., Stock, S. L., & Wilkinson, B. (2010). Reliability and validity of the Mini International Neuropsychiatric Interview for Children and Adolescents (MINI-KID). Journal of Clinical Psychiatry, 71, 313–326. doi:10.1097/01.chi.0000175325.14481.21.
Shevlin, M., & Elklit, A. (2008). A latent class analysis of adolescent adverse life events based on a Danish national youth probability sample. Nordic Journal of Psychiatry, 62, 218–224. doi:10.1080/08039480801983992.
Spertus, K. W., Yehuda, R., Wong, C. M., Halligan, S., & Seremetis, S. V. (2003). Childhood emotional abuse and neglect as predictors of psychological and physical symptoms in women presenting to a primary care practice. Child Abuse & Neglect, 27, 1247–1258. doi:10.1016/j.chiabu.2003.05.001.
Stewart, A. J., Steiman, M., Cauce, A. M., Cochran, B. N., Whitbeck, L. B., & Hoyt, D. R. (2004). Victimization and posttraumatic stress disorder among homeless adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 43, 325–331. doi:10.1097/00004583-200403000-00015.
Turner, H. A., Finkelhor, D., & Ormrod, R. (2010). Poly-victimization in a national sample of children and youth. American Journal of Preventive Medicine, 38, 323–330. doi:10.1016/j.amepre.2009.11.012.
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The study was explained and confidentiality was assured with the exception of acute suicidal or homicidal risk. All adolescents included in the present study provided informed consent. Participants signed an assent form if they were younger than 18 years or a consent form if they were 18 years or older. The study was reviewed, approved, and supervised by the ethics committee of the Medical University of Vienna.
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Aebi, M., Linhart, S., Thun-Hohenstein, L. et al. Detained Male Adolescent Offender’s Emotional, Physical and Sexual Maltreatment Profiles and Their Associations to Psychiatric Disorders and Criminal Behaviors. J Abnorm Child Psychol 43, 999–1009 (2015). https://doi.org/10.1007/s10802-014-9961-y
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DOI: https://doi.org/10.1007/s10802-014-9961-y