TY  - JOUR
PY  - 2021//
TI  - Characterizing Typologies of Polytraumatization: A Replication and Extension Study Examining Internalizing and Externalizing Psychopathology in an Urban Population
JO  - Clinical psychological science
A1  - Mekawi, Yara
A1  - Kuzyk, Eva
A1  - Dixon, H. Drew
A1  - McKenna, Brooke
A1  - Camacho, Luisa
A1  - de Andino, Ana Martinez
A1  - Stevens, Jennifer
A1  - Michopolous, Vasiliki
A1  - Powers, Abigail
SP  - 1144
EP  - 1163
VL  - 9
IS  - 6
N2  - A person-centered approach to examining trauma has uncovered typologies of polytraumatization that are differentially associated with psychopathology. However, previous research is limited by narrow conceptualizations of trauma, limited distal outcomes, and underrepresentation of minorities. To address these gaps, we used latent profile analyses to uncover distinct polytraumatization typologies and examine four symptom-based (PTSD, depression, aggression, and substance abuse) and two behavior-based (self-harm, jail counts) outcomes in a sample of low-income adults (n = 7,426, 94% African American). The models were indicated by 19 traumatic experiences (e.g., accident, sexual assault, witnessing/experiencing violence). The best fitting model uncovered five classes: minimal trauma, physical abuse, violence exposure, sexual abuse, and polytrauma. Classes characterized by significant and varied trauma were higher on both internalizing and externalizing psychopathology, while those characterized by specific types of trauma were only higher on one type of psychopathology. Implications for the assessment and treatment of trauma-related disorders are discussed.<p /> <p>Language: en</p>
LA  - en
SN  - 2167-7026
UR  - http://dx.doi.org/10.1177/21677026211000723
ID  - ref1
ER  -