Trauma is only part of the story: Strengths moderate the relationship between trauma and needs for older youth in foster care

Author:

Spinelli Tawny R.1ORCID,Bruckner Ellie1ORCID,Jordan Neil1ORCID,Kisiel Cassandra L.1ORCID

Affiliation:

1. Feinberg School of Medicine Northwestern University Chicago Illinois USA

Abstract

AbstractIntroductionMany youth in foster care endure traumatic experiences (TE) that can lead to lasting negative outcomes. However, the identification of strengths may mitigate the impact of TE.MethodsThis study examines the frequency and distribution of identified strengths; whether strengths moderate the association between TE and various outcomes; and whether certain strengths have a larger moderation effect on the association between TE and life domain functioning. Administrative and clinical data, including the Child and Adolescent Needs and Strengths (CANS) assessment, were examined for 3324 transition age youth and emerging adults in out‐of‐home foster care in the United States. Participants were males and females between 14.5 and 21 years old. Pearson's chi‐square tests of association were conducted to determine whether identification of strengths varied significantly by sex or race/ethnicity. Negative binomial regressions were used to determine whether strengths modified the association between TE and needs domains.ResultsOf 11 measured strengths, 56% of youth had 7 or more strengths identified as centerpiece strengths, and 20% had all 11. No significant differences in identification of strengths were found across sex or race/ethnicity. All strengths significantly moderated the association of TE and outcomes across CANS domains tested. While cumulative strengths had the largest overall moderation effects, identification of education setting, coping and savoring skills, and interpersonal strengths as centerpiece strengths had the largest moderation effect among specific strengths.ConclusionsFindings suggest assessing, identifying, and bolstering strengths may help to promote well‐being after trauma exposure.

Funder

Illinois Department of Children and Family Services

Substance Abuse and Mental Health Services Administration

Publisher

Wiley

Subject

Psychiatry and Mental health,Developmental and Educational Psychology,Social Psychology,Pediatrics, Perinatology and Child Health

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