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Transitions into and out of post-traumatic stress among children involved in the child welfare system
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11 2020
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Source: Child Youth Serv Rev. 118
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Alternative Title:Child Youth Serv Rev
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Description:Purpose.
To describe the transition patterns into and out of post-traumatic stress (PTS) for youth and identify social supports preceding these transitions.
Methods.
We used inhomogeneous, continuous-time, 1Markov Chain models to model transitions in and out of PTS using data from Waves 1, 3, 4, and 5 of the National Survey of Child and Adolescent Wellbeing (NSCAW I)—a longitudinal study of children who first had contact with the child welfare system between 1999 and 2000. Our analytic sample contained 915 individuals aged 11–17 years. We analyzed data in 2020.
Results.
Youth with stronger peer relationships were less likely to transition into PTS (HR: 0.82; 95% CI [0.70–0.96]), and these individuals were also more likely to transition out of PTS (HR: 1.21; 95% CI [1.04, 1.42]). Youth with adult support were less likely to transition into PTS at any given time interval (HR: 0.37; 95% CI [0.17–0.78]), but adult support was not associated with the transition out of PTS.
Conclusions.
Strengthening peer relationships may help at-risk children both avoid PTS altogether and recover from PTS after its onset. Promoting adult support, however, may only be most effective when attempting to prevent PTS-onset.
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Pubmed ID:32921859
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Pubmed Central ID:PMC7485932
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Volume:118
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