Several studies have highlighted high levels of risk for girls who have been exposed to traumatic experiences, but little is known about the exact relationship between traumatic experiences and problems with delinquency and health-risking sexual behavior (e.g., precipitory and/or exacerbatory roles). However, numerous short-and long-term detrimental effects have been linked to trauma, delinquency, and health-risking sexual behavior. The utility of diagnostic and experiential trauma measures in predicting the greatest risk for poor outcomes for delinquent girls was examined in this study. Results indicate that the experiential measures of trauma (cumulative and composite trauma scores) significantly predicted adolescent offending and adolescent health-risking sexual behavior, whereas the diagnostic measures of trauma (full and partial diagnostic criteria) did not.
Adolescent Girls' Offending and Health-Risking Sexual Behavior: The Predictive Role of TraumaExposure to a traumatic event can result in significant psychological disturbance. Common symptoms include posttraumatic stress disorder (PTSD), other anxiety disorders, depressive symptoms, and a variety of behavioral problems (American Academy of Child and Adolescent Psychiatry, 1998). Furthermore, untreated PTSD symptoms and trauma experiences have been associated with numerous debilitating outcomes (Mullen, Martin, Anderson, Romans, & Herbison, 1996;Neumann, Houskamp, Pollock, & Briere, 1996). Youths meeting full or partial criteria for PTSD are significantly more likely to experience serious behavioral, emotional, and health-related problems (Giaconia et al., 1995) and, when not effectively treated, tend to be at risk for experiencing similar or exacerbated problems in adulthood (Briere & Runtz, 1993;Browne & Finkelhor, 1986;Goodwin, 1988;Kendall-Tackett, Williams, & Finkelhor, 1993;Kessler, Sonnega, Bromet, Hughes, & Nelson, 1995;Kolko, 1996;Lindberg & Distad, 1985;Roesler & McKenzie, 1994;Rowan & Foy, 1993). Therefore, developing strategies for early, accurate identification of those at high risk is crucial.Research has identified a link between early childhood trauma and high rates of health-risking sexual behavior, conduct problems, and criminal offending in adolescence (Brener, McMahon,