@article{ref1,
title="Patterns of childhood adversity and their associations with internalizing and externalizing problems among at-risk boys and girls",
journal="Child abuse and neglect",
year="2021",
author="Haahr-Pedersen, Ida and Hyland, Philip and Hansen, Maj and Perera, Camila and Spitz, Pernille and Bramsen, Rikke Holm and Vallières, Frédérique",
volume="121",
number="",
pages="e105272-e105272",
abstract="BACKGROUND: Different types of childhood adversity often cluster and overlap, underlining the importance of studying likely patterns of adversity co-occurrences and their impact on child functioning. Further sex-specific investigations of adversity co-occurrences and their associations with child mental health are warranted. <br><br>OBJECTIVE: To investigate if different sex-specific patterns of childhood adversity exist among at risk-children living in Denmark and to explore if divergent constellations of adversity are differentially associated with externalizing and internalizing problems. PARTICIPANTS AND SETTING: Participants (N = 2198) were a sample of children ages 1-17 who have been in contact with the Danish child protection system due to suspected child abuse. The study included existing data collected as a part of child case procedures. <br><br>METHOD: Latent class analysis was used to identify patterns of adversity co-occurrences among girls and boys, respectively. Inter-class differences on age and child mental health were assessed using ANOVAs. <br><br>RESULTS: Greater variation and complexity in adversity exposure was found among girls (5 classes) compared to boys (3 classes). The female classes differed on age (p < .001, η2 = 0.06), internalizing (p < .001, η2 = 0.05), and externalizing problems (p = .002, η2 = 0.02). The male classes differed on internalizing (p < .001, η2 = 0.02) and externalizing problems (p < .001, η2 = 0.04). Overall, classes characterized by multiple adversities displayed higher scores of mental health problems compared to less exposed classes. <br><br>CONCLUSIONS: Exposure to multiple adversities is common among at-risk children. Information on different sex-specific patterns of adversity co-occurrences can guide intervention planning for affected children.<p /> <p>Language: en</p>",
language="en",
issn="0145-2134",
doi="10.1016/j.chiabu.2021.105272",
url="http://dx.doi.org/10.1016/j.chiabu.2021.105272"
}