PMID- 38332363
OWN - NLM
STAT- Publisher
LR  - 20240209
IS  - 1573-3327 (Electronic)
IS  - 0009-398X (Linking)
DP  - 2024 Feb 8
TI  - Associations Between Distinct Trauma Classes and Mental Health Care Utilization 
      in Norwegian Adolescents: A National Registry Study.
LID - 10.1007/s10578-024-01671-9 [doi]
AB  - Adolescents who experience potentially traumatic experiences (PTEs) have an 
      increased risk of psychopathology. PTEs often co-occur and may form interrelated 
      patterns of exposure. This study investigated underlying classes of PTE exposure 
      among Norwegian adolescent participants in the youth@hordaland study, and whether 
      such classes were associated with contact with child and adolescent mental health 
      services (CAMHS) and psychiatric diagnoses. The data stem from the 
      population-based youth@hordaland study conducted in 2012 which was linked to the 
      Norwegian Patient Registry (NPR, n = 8845). Exposure to PTEs was assessed by 
      adolescent self-report whereas psychiatric disorders (Axis 1) were derived from 
      the NPR. Latent Class Analysis was used to identify distinct classes of PTE 
      exposure-patterns in the data. Logistic regression analyses were performed to 
      investigate associations between classes of PTEs and contact with CAMHS and 
      psychiatric diagnoses. Three classes of PTE exposure were identified based on 
      model fit indices and theoretical considerations. Compared with participants in 
      the low trauma class (88% of participants), those in the Situational-(6%) and 
      Interpersonal trauma class (6%) had higher odds-ratios (ORs) for contact with 
      CAMHS (OR = 2.27 (95% CI [1.78, 2.87])) and (OR = 3.26 (95% CI [2.61, 4.04])) 
      respectively, and for being diagnosed with a psychiatric disorder in CAMHS (ORs 
      ranged from 2.19 - 10.4) after adjusting for sex and parental education. There 
      were more participants diagnosed with ADHD within the Interpersonal trauma class 
      compared to the Situational trauma class when adjusting for sex and parental 
      education (OR = 2.22 (95% CI [1.17, 4.40])). Three relatively homogeneous PTE 
      classes, consisting of distinct patterns of trauma exposure were associated with 
      a higher odds of contact with CAMHS and of being diagnosed with a psychiatric 
      disorder in CAMHS. The study highlights the co-occurrence of PTEs and their 
      impact across the diagnostic spectrum.
CI  - (c) 2024. The Author(s).
FAU - Skandsen, Annika
AU  - Skandsen A
AD  - Department of Psychosocial Science, Faculty of Psychology, University of Bergen, 
      Bergen, Norway. annika.skandsen@uib.no.
AD  - Stavanger University Hospital, Stavanger, Norway. annika.skandsen@uib.no.
FAU - Nilsen, Sondre Aasen
AU  - Nilsen SA
AD  - Regional Centre for Child and Youth Mental Health and Child Welfare, NORCE 
      Norwegian Research Centre, Bergen, Norway.
FAU - Hysing, Mari
AU  - Hysing M
AD  - Department of Psychosocial Science, Faculty of Psychology, University of Bergen, 
      Bergen, Norway.
AD  - Regional Centre for Child and Youth Mental Health and Child Welfare, NORCE 
      Norwegian Research Centre, Bergen, Norway.
FAU - Teicher, Martin H
AU  - Teicher MH
AD  - Department of Psychiatry, Harvard Medical School, Boston, MA, USA.
AD  - Developmental Biopsychiatry Research Program, McLean Hospital, Belmont, MA, USA.
FAU - Sand, Liv
AU  - Sand L
AD  - Stavanger University Hospital, Stavanger, Norway.
FAU - Boe, Tormod
AU  - Boe T
AD  - Department of Psychosocial Science, Faculty of Psychology, University of Bergen, 
      Bergen, Norway.
AD  - Regional Centre for Child and Youth Mental Health and Child Welfare, NORCE 
      Norwegian Research Centre, Bergen, Norway.
LA  - eng
PT  - Journal Article
DEP - 20240208
PL  - United States
TA  - Child Psychiatry Hum Dev
JT  - Child psychiatry and human development
JID - 1275332
SB  - IM
OTO - NOTNLM
OT  - Adolescence
OT  - CAMHS
OT  - Diagnosis
OT  - Latent class analysis
OT  - Potentially traumatic life experiences
EDAT- 2024/02/09 06:43
MHDA- 2024/02/09 06:43
CRDT- 2024/02/09 00:12
PHST- 2024/01/09 00:00 [accepted]
PHST- 2024/02/09 06:43 [medline]
PHST- 2024/02/09 06:43 [pubmed]
PHST- 2024/02/09 00:12 [entrez]
AID - 10.1007/s10578-024-01671-9 [pii]
AID - 10.1007/s10578-024-01671-9 [doi]
PST - aheadofprint
SO  - Child Psychiatry Hum Dev. 2024 Feb 8. doi: 10.1007/s10578-024-01671-9.