
This study examines how risk and protective factors interact to shape somatization and eating problems among adolescents in residential care. Using fuzzy-set Qualitative Comparative Analysis (fsQCA) in a sample of 46 adolescents from Uruguayan child protection institutions, findings reveal that relational trauma and attachment anxiety serve as key risk conditions, while resilience, emotional regulation, and perceived social support confer protection. No single factor alone accounts for these difficulties; instead, distinct configurations of vulnerability and protective mechanisms jointly explain 81–90% of cases. These results underscore the need for multifactorial approaches in both risk assessment and tailored intervention.
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