The Effects of Adverse Childhood Experiences and Gender on Developmental Trajectories of Internalizing and Externalizing Outcomes

Leban, Lindsay

doi:10.1177/0011128721989059

Cited by 42 publications

(29 citation statements)

References 110 publications

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“…This could be related to traditional gender norms (e.g., men's desire to appear strong) and male mental health-related stigma (e.g., mental illness as a form of weakness) as deterrents to seek help from mental health services (Clement et al, 2015). More in general, gender differences in suicidality may be in part explained by behavioral factors (e.g., males' preference for highly lethal suicide methods; Varnik et al, 2008;Mergl et al, 2015) and differences in the experience and expression of emotional difficulties, such as the higher rates of externalizing and internalizing problems in males and females, respectively (Mergl et al, 2015;Leban, 2021).…”

Section: Introductionmentioning

confidence: 99%

Insecure adult attachment and reflective functioning as mechanisms of the relationship between traumatic life events and suicidal ideation: A path analysis

Musetti

Pingani²,

Zagaria³

et al. 2022

Front. Psychol.

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The relationship between traumatic life events and increased suicide risk has been well reported in literature. However, the complex nature of suicidality phenomena still hinders our ability to comprehend the mediation mechanism underlying this association. In this study, we examined the mediating role of adult attachment and reflective functioning in the relationship between traumatic life events and suicidal ideation. Nine hundred and fifty Italian adults completed an online survey evaluating traumatic life events, adult attachment, reflective functioning and suicidal ideation. The path analysis showed that the positive relationship between traumatic life events and suicidal ideation was partially mediated by attachment anxiety and reflective functioning. From a clinical point of view, these results support the relevance of evaluating and improving patients’ ability to mentalize as a part of psychotherapeutic intervention aimed at reducing suicidality in people with a history of traumatic experiences and attachment anxiety.

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Section: Introductionmentioning

confidence: 99%

Insecure adult attachment and reflective functioning as mechanisms of the relationship between traumatic life events and suicidal ideation: A path analysis

Musetti

Pingani²,

Zagaria³

et al. 2022

Front. Psychol.

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“…Relatively few studies have examined these patterns during adolescence, despite being a period of onset and peak of most mental disorders (Lee et al, 2014). However, there is initial evidence that heterogeneity in psychopathology trajectories does persist during adolescence, evidenced by five different internalizing trajectories and six different externalizing trajectories from age 12 through 16 (Leban, 2021). While most youth in this study demonstrated low initial symptom levels that stayed relatively stable over time, others exhibited moderate symptoms, sharply increasing symptoms, and decreasing symptoms.…”

Section: Introductionmentioning

confidence: 69%

“…This rich variability was obfuscated when we examined average changes across the entire sample, highlighting the utility of a person-centered approach for mapping developmental changes in psychopathology. Indeed, most studies using similar approaches find two to four classes of psychopathology trajectories, which consistently provide better fit to the data than one-class solutions (e.g., (Ip et al, 2019;Leban, 2021;Vella et al, 2019)).…”

Section: Discussionmentioning

confidence: 99%

“…The subgroups of youth that we have identified may have unique individual and environmental risk and protective factors. Indeed, prior research has found that factors such as childhood adversity (Leban, 2021;Witt et al, 2019), cognitive functioning (Brieant et al, 2020;Ip et al, 2019), and attachment (Lee & Bukowski, 2012) are differentially associated with youth symptom trajectories. While the present study focused on age and sex differences, the rich environmental and neurobehavioral data in the ABCD Study offer novel opportunities to elucidate the factors that may increase (or decrease) risk for certain psychopathology trajectories.…”

Section: Discussionmentioning

confidence: 99%

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Parsing Heterogeneity in Developmental Trajectories of Internalizing and Externalizing Symptomatology in the Adolescent Brain Cognitive Development Study

Brieant¹,

Ip²,

Gee³

2022

Preprint

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Background: Psychopathology demonstrates marked changes within and between individuals across development, especially during the transition from childhood to adolescence. Evidence characterizing the directionality and rate of change across distinct dimensions of psychopathology has been mixed, with different studies indicating increases, decreases, or no change in internalizing and externalizing symptoms. Moreover, much remains unknown about the extent to which trajectories differ across individuals. Methods: Using a large, diverse national sample of youth (9-10 years old at baseline) from the Adolescent Brain Cognitive Development (ABCD) Study® (n = 6,405) we tested trajectories of psychopathology over three years. At each time point, parents reported their child’s internalizing and externalizing symptoms. Results: Results from a latent growth curve model indicated that, on average, externalizing symptoms decreased across the three time points, whereas internalizing symptoms did not significantly change. We then used growth mixture modeling to identify latent subgroups of pre-adolescents with distinct psychopathology trajectories. Results indicated that there were four different internalizing trajectories: a high-stable group, a moderate-decreasing group, a moderate-increasing group, and a low-decreasing group. For externalizing symptoms, there were three trajectories: a high-decreasing group, a moderate-increasing group, and a low-decreasing group. We also used parallel process growth analysis to examine the co-development of internalizing and externalizing symptoms and identified five subgroups with distinct patterns of co-development. These subgroups were differentially associated with sex and age. Conclusion: These findings highlight important heterogeneity in the development of psychopathology during pre-adolescence.

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“…If family members experienced one of these events during any of these surveys, youth were then coded as having experienced this ACE. Although divorce was originally included as an ACE, we opted not to include it in our measure, given its weak association with youth behavior problems (Finkelhor et al, 2013) and lack of inclusion in prior ACE measures with the LONGSCAN data (Fagan & Novak, 2018; Leban, 2021) and other data sets (Finkelhor et al, 2013; Hunt et al, 2017; Leban & Gibson, 2020).…”

Section: Methodsmentioning

confidence: 99%

The Impact of Childhood School Suspension on Dropout and Arrest in Adolescence: Disparate Relationships by Race and Adverse Childhood Experiences

Leban

Masterson

2021

Criminal Justice and Behavior

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Despite its widespread use, school suspension is related to negative outcomes in adolescence, including delinquency and low academic attainment. However, it remains less clear how other sources of adversity affect the relationship between suspension and negative outcomes. Drawing on longitudinal data on a sample of at-risk youth, this study examines the roles of two sources of disadvantage—being a racial minority and experiencing high levels of adverse childhood experiences (ACEs)—in the relationships between school suspension in childhood and arrest and high school dropout in adolescence. Results reveal that suspension increased odds of dropout and arrest regardless of race, even after accounting for high ACEs and other covariates. Among Black youth only, the impact of suspension on dropout was amplified for those with high ACE exposure. Findings shed light on the complex connections between sources of adversity and their relation to negative outcomes in adolescence.

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The Effects of Adverse Childhood Experiences and Gender on Developmental Trajectories of Internalizing and Externalizing Outcomes

Cited by 42 publications

References 110 publications

Insecure adult attachment and reflective functioning as mechanisms of the relationship between traumatic life events and suicidal ideation: A path analysis

Insecure adult attachment and reflective functioning as mechanisms of the relationship between traumatic life events and suicidal ideation: A path analysis

Parsing Heterogeneity in Developmental Trajectories of Internalizing and Externalizing Symptomatology in the Adolescent Brain Cognitive Development Study

The Impact of Childhood School Suspension on Dropout and Arrest in Adolescence: Disparate Relationships by Race and Adverse Childhood Experiences

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