Povezanost psihopatologije i rezilijentnosti sa zlostavljanjem u detinjstvu kod mladih upućenih na prvi psihijatrijski pregled

  • Milica Pejović Milovančević Faculty of Medicine, University of Belgrade, Belgrade, Serbia; Institute of Mental Health, Belgrade, Serbia
  • Lazar Tenjović Department of Psychology, Faculty of Philosophy, University of Belgrade, Belgrade, Serbia
  • Veronika Išpanović Faculty of Media and Communication, Department of Psychology, University Singidunum, Belgrade, Serbia
  • Marija Mitković Institute of Mental Health, Belgrade, Serbia
  • Jelena Radosavljev Kirćanski Institute of Mental Health, Belgrade, Serbia; Faculty of Media and Communication, Department of Psychology, University Singidunum, Belgrade, Serbia
  • Teodora Minčić Institute of Mental Health, Belgrade, Serbia;
  • Vladimir Miletić Association for Mental Health Promotion, Belgrade, Serbia
  • Saveta Draganić Gajić Faculty of Medicine, University of Belgrade, Belgrade, Serbia; Institute of Mental Health, Belgrade, Serbia
  • Dušica Lečić Toševski Faculty of Medicine, University of Belgrade, Belgrade, Serbia; Institute of Mental Health, Belgrade, Serbia
Ključne reči: psychopathology||, ||psihopatologija, resilience, psychological||, ||rezilijentnost, psihološka, child abuse||, ||zlostavljanje dece, adolescent psyhiatry||, ||psihijatrija, adolescentna,

Sažetak


Uvod/Cilj. Zlostavljanje u detinjstvu može biti uzrok različitih psiholoških problema kod odraslih osoba. Malo se, međutim, zna o specifičnim kliničkim i porodičnim profilima, kao i karakteristikama rezilijentnosti adolescenata koji su doživeli zlostavljanje u detinjstvu. Cilj našeg rada bio je ispitivanje simptoma, porodičnog funkcionisanja i rezilijentnosti adolescenata sa iskustvom zlostavljanja u detinjstvu upućenih na psihijatrijski pregled. Metode. Uzorak se sastojao od 84 konsekutivno regrutovana mlada ispitanika (prosečne starosti 14,90 ± 3,10, u rasponu od 11 do 18 godina) upućena na prvi pregled u Kliniku za decu i omladinu Instituta za mentalno zdravlje u Beogradu, koji su na osnovu Matrice rizika za zlostavljanje i zanemarivanje dece bili podeljeni u dve grupe. Prvu grupu činili su adolescenti sa iskustvom zlostavljanja u detinjstvu (n = 38, 13 dečaka, 25 devojčica), a drugu, kontrolnu grupu, adolescenti bez iskustva zlostavljanja u detinjstvu (n = 47, 20 dečaka, 27 devojčica). U istraživanju su korišćeni sledeći upitnici: Upitnik za samoprocenu adolescenata (Youth Self-Report – YSR),  Skala adolescentnih rezilijentnih stavova (Adolescent Resilience Attitudes Scale – ARAS) i Upitnik za porodicu, (Self-Report Family Inventory – SFI). Rezultati. Značajne razlike pronađene su kod adolescentkinja. Na upitniku YSR, zlostavljane adolescentkinje imale su značajno više skorove delinkventnog ponašanja i marginalno veće skorove anksioznosti/depresivnosti i socijalnih problema. Analize upitnika SFI pokazale su značajno lošije funkcionisanje kod zlostavljanih adolescentkinja u svim podskalama osim na podskali direktivnog vođstva. Na upitniku ARAS, zlostavljane adolescentkinje imale su značajno niže skorove na podskali uvida i marginalno niže skorove na podskali za inicijativu. Zaključak. Navedeni rezultati mogli bi imati praktičnu primenu pri planiranju specifičnih preventivnih strategija i tretmana koji se posebno fokusiraju na delinkventne tendencije kao i na jačanje rezilijentnosti obezbeđivanjem pozitivnog okruženja u okviru porodice, škole i zajednice.

 

Reference

Egeland B, Yates T, Appleyard K, van Dulmen M. The long-term consequences of maltreatment in the early years: a develop-mental pathway model to antisocial behavior. Children's Ser-vices 2002; 5(4): 249−60.

Kendall-Tackett KA, Williams LM, Finkelhor D. Impact of sexual abuse on children: A review and synthesis of recent empirical studies. Psycholl Bull 1993; 113(1): 164−80.

Forbey DJ, Ben-Porath SY, Davis LD. A comparison of sexually abused and non-sexually abused adolescents in a clinical treat-ment facility using MMPI-A. Child Abuse Negl 2000; 24(4): 557−68.

Dodge KA, Bates JE, Pettit GS. Mechanisms in the cycle of vi-olence. Science 1990; 250(4988): 1678−83.

Flisher AJ, Kramer RA, Hoven CW, Greenwald S, Alegria M, Bird HR, et al. Psychosocial characteristics of physically abused children and adolescents. J Am Acad Adolesc Psychiatry 1997; 36(1): 123−31.

Vandivere S, Gallagher M, Moore KA. Changes in children's well being and family environments: Snapshots of America's fami-lies III. Washington, DC: The Urban Institute; 2004.

Masten AS. Ordinary magic: Resilience process in develop-ment. Am Psychol 2001; 56(3): 227−38.

Howell KH, Graham-Sandra A, Czyz E, Lilly M. Assessing resi-lience in preschool children exposed to intimate partner vi-olence. Violence Vict 2010; 25(2): 150−64.

Biscoe B, Harris B. R.A.S. Resilience Attitudes Scale Manuel (adolescent version). Oklahoma City: Eagle Ridge Institute; 1994.

Lyssenko L, Rottmann N, Bengel J. Research on psychological re-silience. Relevance for prevention and health promotion. Bun-desgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2010; 53(10): 1067−72. (German)

Strand JA, Peacock TD. Nurturing Resilience and School Suc-cess in American Indian and Alska Native Students. ERIC Di-gest. Champaign, IL: ERIC Clearinghouse on Rural Education and Small Schools Charleston WV; 1999. (ERIC Document Reproduction Service No. ED-99-CO-0027).

Rutter M. Resilience: Some conceptual considerations. J Ado-lesc Health 1993; 14(8): 626−31, 690−6.

Grotberg E. Promoting resilience in children: A new approach. Birmingham: University of Alabama, The Civitan Center; 1994.

Hunter AJ, Chandler GE. Adolescent Resilience. J Nurs Scho-larsh 1999; 31(3): 243−7.

Rutter M. Psychosocial resilience and protective mechanisms. Am J Ortopsychiatry 1987; 57(3): 316−31.

McCrory E, De Brito SA, Viding E. The link between child abuse and psychopathology: a review of neurobiological and genetic research. J R Soc Med 2012; 105(4): 151−6.

Williams J, Nelson-Gardell D. Predicting resilience in sexually abused adolescents. Child Abuse Negl 2012; 36(1): 53−63.

Pejović Milovančević M, Minčić T, Kalanj D (Ed.). Manual for the application of the Special Healthcare Protocol for Protection of Children from Abuse and Neglect. Belgrade: Institute of Mental Health; 2012. (Serbian)

Achenbach TM. Manual for the Youth Self-Report and 1991 Profile. Burlington, VT: Department of Psychiatry, University of Vermont; 1991.

Beavers WR, Hampson RB. Successful families, assessment and intervention. New York, London: WW Norton & Company; 1990.

Pitzer LM, Fingerman KL. Psychosocial resources and associa-tions between childhood physical abuse and adult well-being. J Gerontol B Psychol Sci Soc Sci 2010; 65(4): 425−33.

Parker JG, Herrera C. Interpersonal processes in friendship: A comparison of maltreated and non-maltreated children's expe-riences. Dev Psychol 1996; 32: 1025−38.

Widom CS. Childhood victimization: Early adversity, later psy-chopathology. Washington, DC: National Institute of Justice Journal; 2000.

Papazian B. Brief analytic essay on unconscious forces facilitat-ing transgenerational repetition of physical or sexual abuse. Psychiatr Enfant 1994; 37(2): 353−60.

Lee V, Hoaken PN. Cognition, emotion, and neurobiological development: mediating the relation between maltreatment and aggression. Child Maltreat 2007; 12(3): 281−98.

Boulet M, Ethier LS, Couture G. Life events and trauma in chronic negligent mothers. Sante Ment Qué 2004; 29(1): 221−42.

Peters SR, Peters SD. Violent adolescent females. Corrections Today 1998; 60(3): 28−9.

Ghazarian SR, Roche KM. Social support and low-income, urban mothers: longitudinal associations with adolescent delinquen-cy. J Youth Adolesc 2010; 39(9): 1097−108.

Afifi TO, Macmillan HL. Resilience following child maltreat-ment: a review of protective factors. Can J Psychiatry 2011; 56(5): 266−72.

Hawkins JD, Herrenkohl T, Farrington DP, Brewer D, Catalano RF, Harachi T. A review of predictors of youth violence. In: Loeber R, Farington D , editors. Serious and violent juvenile offenders: Risk factors and successful interventions. Thousand Oaks, CA: Sage; 1998. p. 106−46.

Miller BV, Fox BR, Garcia-Beckwith L. Intervening in severe physical child abuse cases: mental health, legal and social ser-vices. Child Abuse Negl 1999; 23(9): 905−14.

Rousseau C, Drapeau A. Are Refugee Children an At-Risk Group? A Longitudinal Study of Cambodian Adolescents. J Refug Stud 2003; 16(1): 67−81.

Luthar SS, Zigler E. Vulnerability and competence: A review of research on resilience in childhood. Am J Ortopsychiatry 1991; 61(1): 6−22.

Magistretti PJ, Ansermet F. Neuronal plasticity: a new paradigm for resilience. Schweiz Arch Neurol Psychiatr 2008; 159(8): 475−9.

Egeland B, Susman A. Dissociation as a mediator of child abuse across generations. Child Abuse Negl 1996; 20(11): 1123-−2.

Baron-Cohen S. The extreme-male-brain theory of autism. In: Tager-Flusberg H, editor. Neurodevelopmental disorders. Cam-bridge, MA: The MIT Press; 1999. p. 401−30.

Lai D, Tseng Y, Hou Y, Guo H. Gender and geographic differ-ences in the prevalence of autism spectrum disorders in child-ren: analysis of data from the national disability registry of Taiwan. Res Dev Disabil 2012; 33(3): 909−15.

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2015/04/23
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