Mental Health Symptom Profiles of Adolescents in Foster Care

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dc.contributor.authorTarren-Sweeney, Michael
dc.date.accessioned2022-10-25T01:31:55Z
dc.date.available2022-10-25T01:31:55Z
dc.date.issued2021en
dc.date.updated2022-08-17T23:23:26Z
dc.description.abstractThe article describes an investigation of the nature, patterns and complexity of carer-reported mental health symptoms for a population sample (N = 230) of adolescents (age 12–17) placed in long-term foster and kinship care following chronic and severe maltreatment. Two cluster analyses of Child Behaviour Checklist DSM-oriented (CBCL-DSM) and Assessment Checklist for Adolescents sub-scale scores of clinical cases were performed. The first yielded 8 profiles of attachment- and trauma-related symptoms as measured across eight ACA scales (N = 113 cases). The second yielded 11 profiles of a broader range of symptoms, as measured across five CBCL–DSM and five ACA sub-scales (N = 141 cases). The symptom profiles derived from both cluster analyses are differentiated more by symptom severity and complexity, than by symptom specificity – suggesting that trauma- and attachment-related symptomatology does not conform to a taxonomy of discrete disorders. Five of the 11 CBCL-DSM/ACA profiles describe severe and complex symptomatology that does not correspond to discrete DSM-5 or ICD-11 diagnoses. Accurate measurement and formulation of clinical phenomena is an essential component of evidence-based psychological and psychiatric practice. Clinicians who carry out mental health assessments of children and adolescents in care should be aware of the limits of the diagnostic classification systems for formulating complex attachment- and trauma-related symptomatology.en
dc.identifier.citationTarren-Sweeney M (2021). Mental Health Symptom Profiles of Adolescents in Foster Care. Journal of Child and Adolescent Trauma.en
dc.identifier.doihttp://doi.org/10.1007/s40653-021-00417-2
dc.identifier.issn1936-1521
dc.identifier.issn1936-153X
dc.identifier.urihttps://hdl.handle.net/10092/104600
dc.languageen
dc.language.isoenen
dc.publisherSpringer Science and Business Media LLCen
dc.rightsAll rights reserved unless otherwise stateden
dc.rights.urihttp://hdl.handle.net/10092/17651en
dc.subject.anzsrc1701 Psychologyen
dc.subject.anzsrcFields of Research::42 - Health sciences::4203 - Health services and systems::420313 - Mental health servicesen
dc.subject.anzsrcFields of Research::42 - Health sciences::4206 - Public health::420601 - Community child healthen
dc.subject.anzsrcFields of Research::52 - Psychology::5201 - Applied and developmental psychology::520101 - Child and adolescent developmenten
dc.subject.anzsrcFields of Research::52 - Psychology::5203 - Clinical and health psychology::520302 - Clinical psychologyen
dc.subject.anzsrcFields of Research::32 - Biomedical and clinical sciences::3202 - Clinical sciences::320221 - Psychiatry (incl. psychotherapy)en
dc.titleMental Health Symptom Profiles of Adolescents in Foster Careen
dc.typeJournal Articleen
uc.collegeFaculty of Health
uc.departmentSchool of Health Sciences
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