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Scandinavian Journal of Child and Adolescent Psychiatry and Psychology logoLink to Scandinavian Journal of Child and Adolescent Psychiatry and Psychology
. 2012 Nov 30;1(2):63–71. doi: 10.21307/sjcapp-2013-009

Modeling Patterns of Negative Life Events and Mental Health in Faroese Adolescents

Tóra Petersen 1,✉, Cherie Armour 1,✉, Ask Elklit 1,✉
PMCID: PMC10586151  PMID: 37869705

Abstract

Objectives: The objective of this study was to identify naturally occurring typologies of Faroese adolescents on the basis of their exposure to traumatic and negative life events. It was hypothesized that underlying typologies of trauma and negative life events would be uncovered. Furthermore, it was hypothesized that males would be overrepresented in classes characterized by the endorsement of a wide range of trauma and negative life events. On the basis of prior research, it was also hypothesized that females had endorsed more traumas of a sexual nature and that males had endorsed more traumas of a violent nature. Finally, post-traumatic stress, negative affectivity, and somatization were examined in the different typologies.

Methods: Latent class analyses were conducted with the use of data collected from a self-report questionnaire survey from 687 Faroese eighth graders (85% response rate). The questionnaire included a traumatic and negative life event list, the Harvard Trauma Questionnaire—Part IV, and the Trauma Symptom Checklist.

Results: Three classes of adolescents were identified on the basis of their exposure to potentially traumatic and negative life events. The baseline class (81.3%) had a low probability of the endorsement of all potentially traumatic and negative life events, except threats of violence and bullying. This group had low scores for post-traumatic symptoms, negative affectivity, and somatization. Class 2 (13.7%) comprised mainly males and had the highest probability of endorsement of threats of violence, physical assault, and bullying; this group also had high scores for post-traumatic stress symptoms, negative affectivity, and somatization. Finally, Class 1 (5.0%) consisted of adolescents with a relatively high risk of exposure to all potentially traumatic events and negative life events, except threats of violence. This group had the highest scores for post-traumatic stress symptoms, negative affectivity, and somatization.

Conclusions: The present study can be said to be a concise picture of trauma exposure and its consequences among Faroese adolescents, and it is thereby a valuable tool for the national planning of preventive and interventional strategies and for empirically founded economic prioritization. These results emphasize the importance of choosing a trauma-informed strategy in various disciplines, such as pediatrics, child and adolescent psychiatry, social work, and school psychology when the aim is to provide the appropriate intervention.

Keywords: trauma typologies, adolescents, latent class analysis, total population, posttraumatic stress

Contributor Information

Tóra Petersen, Email: lstorpe@ls.fo.

Cherie Armour, Email: lstorpe@ls.fo.

Ask Elklit, Email: lstorpe@ls.fo.

References

  • 1.Kessler RC, Sonnega A, Bromet E, Hughes M, Nelsen A Post-traumatic stress disorder in the national comorbidity survey Arch Gen Psychiatry. 1995;52:1048. doi: 10.1001/archpsyc.1995.03950240066012. . . ; : - . [DOI] [PubMed] [Google Scholar]
  • 2.Elklit A Victimization and PTSD in a Danish national youth probability sample J Am Acad Child Adolesc Psychiatry. 2002;41:174. doi: 10.1097/00004583-200202000-00011. . . ; : - . [DOI] [PubMed] [Google Scholar]
  • 3.Elklit A, Petersen T Exposure to traumatic events among adolescents in four nations Torture 2008;18(1):2. . . , ; ( ): - . [PubMed] [Google Scholar]
  • 4.Petersen T, Elklit A, Olesen JG Victimization among Faroese Adolescents Scand J Psychology. 2010;51:56. doi: 10.1111/j.1467-9450.2009.00728.x. . . ; : - . [DOI] [PubMed] [Google Scholar]
  • 5.Briggs EC, Fairbank JA, Greeson JKP, Amaya-Jackson LM, Gerrity ET, Belcher HME, et al Links between child and adolescent trauma exposure and service use histories in a national clinic-referred sample Psychological Trauma: Theory, Research, Practice, and Policy. 2012;4:1. . . ; : - . [Google Scholar]
  • 6.Broberg AO, Dyregrov A, Lilled L The Göteborg discotheque fire – posttraumatic stress, and school adjustment as reported by the primary victims 18 months later J Child Psychology and Psychiatry. 2005;46:1279. doi: 10.1111/j.1469-7610.2005.01439.x. . . ; : –. . [DOI] [PubMed] [Google Scholar]
  • 7.Reed PL, Anthony JC, Breslau N Incidence of drug problems in young adults exposed to trauma and posttraumatic stress disorder Arch Gen Psychiatry. 2007;64:1435. doi: 10.1001/archpsyc.64.12.1435. . . ; : - . [DOI] [PubMed] [Google Scholar]
  • 8.Nanni V, Uher R, Danese A Childhood maltreatment predicts unfavorable course of illness and treatment outcome in depression: A meta-analysis Am J Psychology. 2012;169:141. doi: 10.1176/appi.ajp.2011.11020335. . . ; : - . [DOI] [PubMed] [Google Scholar]
  • 9.Onyut LP, Neuner F, Schauer E, Ertl V, Odenwald M, Schauer M, et al The Nakivale camp mental health project: Building local competency for psychological assistance to traumatized refugees Intervention. 2004;2(2):90. . . ; ( ): - . [Google Scholar]
  • 10.Perkonigg A, Pfister H, Stein MB, Hofler M, Lieb R, Maercker A, Wittchen H-U Longitudinal course of posttraumatic stress disorder and posttraumatic stress disorder symptoms in a community sample of adolescents and young adults Am J Psychiatry. 2005;162:1320. doi: 10.1176/appi.ajp.162.7.1320. . . ; : - . [DOI] [PubMed] [Google Scholar]
  • 11.Ditlevsen DN, Elklit A The combined effect of gender and age on posttraumatic stress disorder: Do men and women show differences in the lifespan distribution of PTSD? Ann Gen Psychiatry. 2010;9:32. doi: 10.1186/1744-859X-9-32. . ; : . [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 12.Tolin DF, Foa EB Sex differences in trauma and posttraumatic stress disorder: a quantitative review of 25 years of research Psychol Bulletin. 2006;132:959. doi: 10.1037/0033-2909.132.6.959. . . ; : - . [DOI] [PubMed] [Google Scholar]
  • 13.Stein MB, Hofler M, Perkonigg A, Lieb R, Pfister H, Maercker A, et al Patterns of incidence and psychiatric risk factors for traumatic events Int J Methods Psychiatr Res. 2002;11(4):143. doi: 10.1002/mpr.132. . . ; ( ): - . [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 14.Davidson JRT, Hughes D, Blazer DG, George LK Post-traumatic stress disorder in the community: an epidemiological study Psychol Medicine. 1991;21:713. doi: 10.1017/s0033291700022352. . . ; : - . [DOI] [PubMed] [Google Scholar]
  • 15.Moeller TP, Bachmann GA, Moeller JR The combined effects of physical, sexual, and emotional abuse during childhood: Long-term health consequences for women Child Abuse & Neglect. 1993;7:623. doi: 10.1016/0145-2134(93)90084-i. . . : : - . [DOI] [PubMed] [Google Scholar]
  • 16.Pears KC, Kim HK, Fisher PA Psychosocial and cognitive functioning of children with specific profiles of maltreatment Child Abuse & Neglect. 2008;32:958. doi: 10.1016/j.chiabu.2007.12.009. . . ; : - . [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 17.Nooner KB, Litrownik AJ, Thompson R, Margolis B, English DJ, Knight ED, et al Youth self-report of physical and sexual abuse: A latent class analysis Child Abuse & Neglect. 2010;34:146. doi: 10.1016/j.chiabu.2008.10.007. . . ; : - . [DOI] [PubMed] [Google Scholar]
  • 18.Joubert D, Webster L, Hackett RK Unresolved attachment status and trauma-related symptomatology in maltreated adolescents: An examination of cognitive mediators Child Psychiatry Hum Dev. 2012;43(3):471. doi: 10.1007/s10578-011-0276-8. . . ; ( ): - . [DOI] [PubMed] [Google Scholar]
  • 19.Walsh K, Danielson CK, McCauley J, Hanson RF, Smith DW, Resnick HS, et al Longitudinal trajectories of posttraumatic stress disorder symptoms and binge drinking among adolescent girls: The role of sexual victimization J Adolesc Health. 2012;50:54. doi: 10.1016/j.jadohealth.2011.05.017. . . ; : - . [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 20.Dimitry L A systematic review on the mental health of children and adolescents in areas of armed conflict in the Middle East Child: care, health, and development. 2011;38:153. doi: 10.1111/j.1365-2214.2011.01246.x. . . ; : - . [DOI] [PubMed] [Google Scholar]
  • 21.Penning SL, Bhagwanjee A, Govender K Bullying boys: The traumatic effects of bullying in male adolescent learners J Child Adolesc Ment Health. 2010;22:131. doi: 10.2989/17280583.2010.528580. . . ; : - . [DOI] [PubMed] [Google Scholar]
  • 22.Ganz D, Sher L Adolescent suicide in New York City: plenty of room for new research Int J Adolesc Med Health. 2011;24(2):99. doi: 10.1515/ijamh.2012.015. . . ; ( ): - . [DOI] [PubMed] [Google Scholar]
  • 23.Benjet C, Borges G, Medina-Mora ME, Zambrano J, Cruz C, Méndez E Descriptive epidemiology of chronic childhood adversity in Mexican adolescents J Adolesc Health. 2009;45:483. doi: 10.1016/j.jadohealth.2009.03.002. . . ; : - . [DOI] [PubMed] [Google Scholar]
  • 24.Graham-Bermann SA, Castor LE, Miller LE, Howell KH The impact of intimate partner violence and additional traumatic events on trauma symptoms and PTSD in preschool-aged children J Traumatic Stress. 2012;25:393. doi: 10.1002/jts.21724. . . ; : - . [DOI] [PubMed] [Google Scholar]
  • 25.Mollica RF, Caspi-Yavin Y, Bollini P, Truong T, Tor S, Lavelle Jl The Harvard Trauma Questionnaire: Validating a cross-cultural instrument for measuring torture, trauma, and posttraumatic stress disorder in Indochinese refugees J Nerv Ment Dis. 1992;180(2):111. . . ; ( ): - . [PubMed] [Google Scholar]
  • 26.American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders 4th Ed Washington DC: American Psychiatric Association; 1994. , . : ; . [Google Scholar]
  • 27.Bach ME En empirisk belysning og analyse af “emotional numbing” som eventuel selvstændig factor i PTSD Psykologisk Studieskriftserie. 2003;6(1):1. . . ; ( ): - . [Google Scholar]
  • 28.Briggs RS, Cheek JM The role of factor analysis in the development and evaluation of personality scales J Personality. 1986;54:106. . . ; : - . [Google Scholar]
  • 29.Briere JN, Runtz MG The Trauma Symptom Checklist (TSC-33): Early data on a new scale J Interpersonal Violence. 1989;4:151. . . ; : - . [Google Scholar]
  • 30.Krog T, Duel M Trauma symptom checklist (TSC) Psykologisk Studieskriftserie. 2003;6(4):1. . . ; ( ): - . [Google Scholar]
  • 31.Muthén LK, Muthén BO . Mplus user’s guide. 6th ed Los Angeles, California: Muthén & Muthén; 1998-2010. . ( .), . : . [Google Scholar]
  • 32.Haagenars JA, McCutcheon AL, editors. Applied Latent Class Analysis. Cambridge University Press; Cambridge: 2002. (Eds.). . , ; . [Google Scholar]
  • 33.Akaike H Factor analysis and the AIC Psychometrika. 1987;52:317. . . ; : - . [Google Scholar]
  • 34.Schwartz G Estimating the dimensions of a model Ann Statistics. 1978;6:461. . . ; : - . [Google Scholar]
  • 35.Sclove SL Application of model-selection criteria to some problems in multivariate analysis Psychometrika. 1987;52:333. . . ; : - . [Google Scholar]
  • 36.Ramaswamy V, Desarbo WS, Reibstein DJ, Robinson WT An empirical pooling approach for estimating marketing mix elasticities with PIMS data J Acad Marketing Science. 1993;12:103. . . ; : - . [Google Scholar]
  • 37.LoY, Mendell N, Rubin D Testing the number of components in a normal mixture Biometrika. 2001;88:767. . . ; : - . [Google Scholar]
  • 38.DiStefano C, Kamphaus RW Investigating subtypes of child development. A comparison of cluster analysis and latent class cluster analysis in typology creation Educ Psychol Measurement. 2006;66:778. . . ; : - . [Google Scholar]
  • 39.Nylund K, Bellmore A, Nishina A, Graham S Subtypes, severity, and structural stability of peer victimization: What does latent class analysis say? Child Dev. 2007;78:1706. doi: 10.1111/j.1467-8624.2007.01097.x. . ; : - . [DOI] [PubMed] [Google Scholar]
  • 40.Yang C Evaluating latent class analysis in qualitative phenotype identification Computer & Statistical Data Analysis. 2006;50:1090. . . ; : - . [Google Scholar]
  • 41.Ford JD, Elhai JD, Connor DF, Frueh BC Poly-victimization and risk of posttraumatic, depressive, and substance use disorders and involvement in delinquency in a national sample of adolescents J Adolesc Health. 2010;46:545. doi: 10.1016/j.jadohealth.2009.11.212. . . ; : - . [DOI] [PubMed] [Google Scholar]
  • 42.Turner HA, Finkelhor D, Ormrod R Poly-victimization in a national sample of children and youth Am J Preventive Medicine. 2010;38:323. doi: 10.1016/j.amepre.2009.11.012. . . ; : - . [DOI] [PubMed] [Google Scholar]
  • 43.Uddo M, Allain AN Sutker PB . In: Assessment of posttraumatic stress disorder: A conceptual overview. Theory and assessment of stressful life events. Miller TW, editor. Madison, CT: International Universities Press; 1996. pp. 181–207. , Jr, . (Ed.) . : ; : - . [Google Scholar]
  • 44.Peterson CK, Prout FM, Schwartz AR . A clinician’s guide. New York: Plenum Press; 1991. Post-traumatic stress disorder . . . : ; . [Google Scholar]
  • 45.Finkelhor D, Ormrod RK, Turner HA Poly-victimization: A neglected component in child victimization Child Abuse & Neglect. 2007;31:7. doi: 10.1016/j.chiabu.2006.06.008. . . ; : - . [DOI] [PubMed] [Google Scholar]
  • 46.Hulette A, Freyd JJ, Pears KC, Kim HK, Fisher PA, Becker-Blease KA Trauma symptoms in children. Dissociation and posttraumatic symptoms in maltreated preschool children J Child & Adolesc Trauma. 2008;1:93. doi: 10.1080/19361520802083980. . . ; : - . [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 47.Garnefski N, Diekstra R Child sexual abuse and emotional and behavioral problems in adolescence: gender differences J Am Acad Child Adolesc Psychiatry. 1996;36:323. doi: 10.1097/00004583-199703000-00010. . . ; : - . [DOI] [PubMed] [Google Scholar]
  • 48.Karsberg SH, Lasgaard M, Elklit A Victimization and PTSD in a Greenlandic youth sample Int J Circumpolar Health. 2012;71:1. doi: 10.3402/ijch.v71i0.18378. . . ; : - . [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 49.Tolin DF, Breslau N Sex differences in risks of PTSD PTSD Research Quarterly. 2007;18:1. . . ; : - . [Google Scholar]
  • 50.Dyregrov K, Dyregrov A . In: Brief interventions with bereaved children. 2nd ed Monroe B, Kraus F, editors. Oxford: Oxford University Press; 2009. Helping the family following suicide; pp. 213–228. . (Eds.) . . : ; : - . [Google Scholar]

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