TY  - JOUR
PY  - 2021//
TI  - Patterns of childhood adversity and their associations with internalizing and externalizing problems among at-risk boys and girls
JO  - Child abuse and neglect
A1  - Haahr-Pedersen, Ida
A1  - Hyland, Philip
A1  - Hansen, Maj
A1  - Perera, Camila
A1  - Spitz, Pernille
A1  - Bramsen, Rikke Holm
A1  - Vallières, Frédérique
SP  - e105272
EP  - e105272
VL  - 121
IS  - 
N2  - 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>
LA  - en
SN  - 0145-2134
UR  - http://dx.doi.org/10.1016/j.chiabu.2021.105272
ID  - ref1
ER  -