The Relationship Between Post-Traumatic Stress Symptoms and Substance Use Among Adolescents Involved with Child Welfare: Implications for Emerging Adulthood |
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Authors: | Abby L Goldstein Christine Wekerle Lil Tonmyr Tiffany Thornton Randall Waechter Jessica Pereira Ronald Chung |
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Institution: | (1) OISE, University of Toronto, 252 Bloor Street West, 7-228, Toronto, ON, M5S 1V5, Canada;(2) McMaster University, Hamilton, Ontario, Canada;(3) Public Health Agency of Canada, Ottawa, Ontario, Canada;(4) Health Canada, Ottawa, Ontario, Canada |
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Abstract: | The purpose of the present study was to examine the role of posttraumatic stress symptoms (PTSS) in predicting substance use
and substance-related problems in a sample of older youth and emerging adults involved with child welfare. The sample was
drawn from the Maltreatment and Adolescent Pathways (MAP) longitudinal study (Wekerle et al. 2009). Participants were 253 youth and emerging adults (ages 15–20; M = 16.87, SD = 1.04; 61.4% female and 38.6% male) who were involved with child welfare. Multiple regression analyses were conducted to
examine the impact of PTSS using subscales from the Trauma Symptom Checklist for Children (TSCC; Briere 1996). Outcome variables were past year alcohol, marijuana and illicit drug use; as well as alcohol and drug problems. Controlling
for gender, age, child welfare status and child maltreatment, both dissociation and anger emerged as significant predictors
of substance use and related problems. The implications of these findings for older youth and emerging adults exiting the
child welfare system are discussed. |
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