Associations Between Distinct Trauma Classes and Mental Health Care Utilization in Norwegian Adolescents: A National Registry Study.
Adolescents who experience potentially traumatic experiences (PTEs) have an increased risk of psychopathology. PTEs often co-occur and may form interrelated patterns of exposure. This study investigated underlying classes of PTE exposure among Norwegian adolescent participants in the youth@hordaland...
| Publicado en: | Child Psychiatry & Human Development Vol. 56; no. 6; pp. 1614 - 1625 |
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| Autores principales: | , , , , , |
| Formato: | Artículo |
| Publicado: |
Springer Nature
Dec2025
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=189360958&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 189360958 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 0009398X CPH jtl: Child Psychiatry & Human Development issn: 0009398X maglogo: N pubinfo: dt: Dec2025 vid: 56 iid: 6 pid: 237 pub: Springer Nature artinfo: ui: 189360958 10.1007/s10578-024-01671-9 ppf: 1614 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P size: 1.2MB tig: atl: Associations Between Distinct Trauma Classes and Mental Health Care Utilization in Norwegian Adolescents: A National Registry Study. aug: au: Skandsen, Annika Nilsen, Sondre Aasen Hysing, Mari Teicher, Martin H. Sand, Liv Bøe, Tormod affil: https://ror.org/03zga2b32 Department of Psychosocial Science, Faculty of Psychology, University of Bergen, Bergen, Norway https://ror.org/04zn72g03 Stavanger University Hospital, Stavanger, Norway https://ror.org/02gagpf75 Regional Centre for Child and Youth Mental Health and Child Welfare, NORCE Norwegian Research Centre, Bergen, Norway https://ror.org/03vek6s52 Department of Psychiatry, Harvard Medical School, Boston, MA, USA https://ror.org/01kta7d96 Developmental Biopsychiatry Research Program, McLean Hospital, Belmont, MA, USA su: Child mental health services Teenagers Mental health Pathological psychology Mental illness Latent class analysis (Statistics) Traumatism Medical registries sug: subj: Child mental health services Teenagers Mental health Pathological psychology Mental illness Psychiatric and Substance Abuse Hospitals Residential Mental Health and Substance Abuse Facilities Offices of Mental Health Practitioners (except Physicians) Latent class analysis (Statistics) Traumatism Medical registries keyword: Adolescence CAMHS Diagnosis Latent class analysis Medical and Health Sciences Public Health and Health Services Potentially traumatic life experiences Adolescence CAMHS Diagnosis Latent class analysis Medical and Health Sciences Public Health and Health Services Potentially traumatic life experiences ab: Adolescents who experience potentially traumatic experiences (PTEs) have an increased risk of psychopathology. PTEs often co-occur and may form interrelated patterns of exposure. This study investigated underlying classes of PTE exposure among Norwegian adolescent participants in the youth@hordaland study, and whether such classes were associated with contact with child and adolescent mental health services (CAMHS) and psychiatric diagnoses. The data stem from the population-based youth@hordaland study conducted in 2012 which was linked to the Norwegian Patient Registry (NPR, n = 8845). Exposure to PTEs was assessed by adolescent self-report whereas psychiatric disorders (Axis 1) were derived from the NPR. Latent Class Analysis was used to identify distinct classes of PTE exposure-patterns in the data. Logistic regression analyses were performed to investigate associations between classes of PTEs and contact with CAMHS and psychiatric diagnoses. Three classes of PTE exposure were identified based on model fit indices and theoretical considerations. Compared with participants in the low trauma class (88% of participants), those in the Situational-(6%) and Interpersonal trauma class (6%) had higher odds-ratios (ORs) for contact with CAMHS (OR = 2.27 (95% CI [1.78, 2.87])) and (OR = 3.26 (95% CI [2.61, 4.04])) respectively, and for being diagnosed with a psychiatric disorder in CAMHS (ORs ranged from 2.19 – 10.4) after adjusting for sex and parental education. There were more participants diagnosed with ADHD within the Interpersonal trauma class compared to the Situational trauma class when adjusting for sex and parental education (OR = 2.22 (95% CI [1.17, 4.40])). Three relatively homogeneous PTE classes, consisting of distinct patterns of trauma exposure were associated with a higher odds of contact with CAMHS and of being diagnosed with a psychiatric disorder in CAMHS. The study highlights the co-occurrence of PTEs and their impact across the diagnostic spectrum. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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