@article{ref1,
title="Internalizing, externalizing problems and psychiatric hospitalizations: examination  of maltreatment chronicity and coping style in adolescents in foster care",
journal="Journal of child and adolescent trauma",
year="2020",
author="Huffhines, Lindsay and Jackson, Yo and Stone, Katie J.",
volume="13",
number="4",
pages="429-441",
abstract="Child maltreatment is associated with internalizing and externalizing problems in  adolescents, as well as psychiatric hospitalizations, which represent severe mental  health difficulties and substantial burden on individuals and the health care  system. These negative outcomes are especially prevalent in youth in foster care. Not all youth exposed to maltreatment, however, demonstrate poor mental health  outcomes. Additional factors, such as maltreatment chronicity and coping style, may  help explain why some (but not all) youth develop major psychiatric problems. The  purpose of the present study was to examine how maltreatment chronicity and coping  style were associated with internalizing, externalizing, and psychiatric  hospitalizations, and whether coping style moderated the relation between  maltreatment chronicity and mental health in a sample of foster adolescents. Participants were 283 adolescents ages 12-19 residing in foster care. Youth reported  on maltreatment, coping, and mental health; caregivers reported on mental health. Psychiatric hospitalizations were obtained from medical records. Youth who  experienced more maltreatment had higher caregiver- and self-reported internalizing,  and more psychiatric hospitalizations. Youth who approached problems directly had  lower caregiver-reported internalizing and externalizing, while youth who dealt with  stressors alone had higher self-reported internalizing and externalizing, and more  psychiatric hospitalizations. Youth who avoided facing their problems had less  psychiatric hospitalizations. Further, a significant interaction revealed that youth  with more maltreatment who avoided problems had less psychiatric hospitalizations,  suggesting that avoiding problems may be more protective for youth with the most  chronic abuse and neglect. <br><br>FINDINGS highlight the importance of examining both  maltreatment and coping.<p /> <p>Language: en</p>",
language="en",
issn="1936-1521",
doi="10.1007/s40653-020-00305-1",
url="http://dx.doi.org/10.1007/s40653-020-00305-1"
}