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61.
Purpose
To examine whether internal resiliency and external assets directly protect juvenile offenders exposed to adverse childhood experiences (ACEs) from psychological distress and moderate the relationship between ACE exposure and psychological distress.Methods
A total of 429 male and female adolescents involved with juvenile justice systems in a Western state completed an audio computer-assisted self-interview. Validated measures assessed ACEs, psychological distress, internal resiliency, and external youth assets. Hierarchical linear regression was used to assess the direct and moderating protective effects of internal resilience, family communication, school connectedness, peer role models, and nonparental role models on psychological distress. All models controlled for age, sex, race/ethnicity, free/reduced lunch qualification, current custody, supervision status, detention, and site.Results
The mean ACE score among participants was 3.7 (standard deviation = 2.2) and 52.8% reported four or more ACEs. Participants with 4–5 ACEs (β?=?.37, p < .001) and 6–8 ACEs (β?=?.49, p < .001) were at increased risk for psychological distress. High internal resilience (β = ?.20, p < .001), family communication (β = ?.19, p < .001), school connectedness (β = ?.14, p < .01), and peer role models (β = ?.09, p < .05) were associated with a reduction in psychological distress in the presence of high ACE exposure. In the interaction models, having a high number of ACEs remained strongly associated with increased psychological distress. However, internal resilience (β = ?.24, p < .01) and school connectedness (β = ?.18, p < .05) significantly moderated (reduced) the relationship between high ACE exposure and psychological distress.Conclusions
Our findings suggest that programs and policies that promote internal resilience and protective factors across multiple levels of influence may protect juvenile offenders exposed to childhood trauma from psychological distress. 相似文献62.
通过对衢州市公立医院固定资产管理现状的调查,全面了解衢州市公立医院固定资产规模、组成结构及使用情况,利用DEA分析方法进行效率评价,提出做好区域卫生规划以加强卫生资源管理、实现卫生资源效益最大化的对策建议。 相似文献
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本文阐述了院级成本核算管理信息平台的构成,以及运用院级成本核算管理信息平台进行有效的院级成本核算管理,并介绍了院级成本核算辅助管理系统的功能与作用。 相似文献
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国有大型医院改制问题探讨 总被引:3,自引:1,他引:2
文章探讨了国有大型医院的改制问题 ,从市场经济条件下国有大型医院的服务特点入手 ,论述了改制与政府职能转型之间的关系 ,明确了国有资产管理体制改革对改制的影响 ,提出了产权结构多元化的基本途径 ,以及管理层与员工持股的客观性和机制意义 ,并强调了公司治理的地位与作用。 相似文献
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Olöf Birna Kristjansdottir PhD Una Stenberg PhD Jelena Mirkovic PhD Tonje Krogseth RN Tone Marte Ljoså PhD Kurt C. Stange PhD Cornelia M. Ruland PhD 《Health expectations》2018,21(4):787-795