Exploring networks of complex developmental trauma symptomatology among children and adolescents involved in child welfare

JCPP Advances, Journal Year: 2024, Volume and Issue: 4(2)

Published: March 12, 2024

Abstract Background Clinical presentations of child and adolescent psychopathology can vary systematically for boys girls. While network analysis is increasingly being applied to explore in adults, there a dearth studies considering differences symptoms girls, particularly developmental trauma‐related symptomatology. Methods This study involves rural children ( n = 375, 39.47% girls) adolescents 291, 51.20% involved with protection services Ontario, Canada. Caregivers completed the Assessment Checklist Children or Adolescents within first 6 months care. Psychometric analyses were conducted using subscales Differences examined via comparison permutation tests, moderated models, independent t ‐tests. Results Attachment‐related interpersonal difficulties most central nodes networks both Emotional dysregulation also had high strength centrality adolescents. tests found overall structures global be invariant between girls adolescents, models ‐tests revealed several regards expression specific symptoms. Among children, exhibited more indiscriminate pseudomature behaviors, whereas expressed significantly non‐reciprocal behaviors self‐injury. Adolescent behavioral suicide discourse model; indicated higher levels emotional dysregulation, negative self‐image, other items considered clinically important complex trauma (e.g., distrust confused belonging). Discussion supports evidence symptomatology Additionally, exhibit symptoms, general. Consistent transdiagnostic conceptualization consequences trauma, findings demonstrate primacy attachment‐specific emotion dysregulation.

Language: Английский

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Protective Impact of Future Orientation Domains for African American Youth Exposed to Community Violence

Journal of Child and Family Studies, Journal Year: 2024, Volume and Issue: 33(8), P. 2571 - 2582

Published: April 2, 2024

Language: Английский

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Self-harm, Suicide, and ICD-11 Complex Posttraumatic Stress Disorder in Treatment-Seeking Adolescents with Major Depression

Journal of Child & Adolescent Trauma, Journal Year: 2024, Volume and Issue: 17(4), P. 1057 - 1066

Published: Aug. 21, 2024

Abstract Posttraumatic stress disorder (PTSD) is linked with self-harm and suicide, but few studies have examined these severe outcomes in relation to complex trauma. This study the associations between suicide-related phenomena ICD-11 PTSD (CPTSD) among treatment-seeking youths. A convenience sample of 109 adolescents major depression (69.7% female; mean age = 15.24) were recruited from an outpatient psychiatric clinic. Participants completed measures for CPTSD, adverse childhood experiences (ACEs), behaviors, past-year history four phenomena. Relationships each variable CPTSD assessed at symptom diagnostic levels. reported average three ACEs; 33.9% met requirements CPTSD. Past-year suicidal thought attempt, not self-harm, significantly associated status. At level, total all clusters scores, strongest found symptoms negative self-concept. scores also strongly thought, plan, attempt; core consistently For trauma, relationship disturbances having a suicide self-concept both plan attempt. Assessing targeting potential reduce suicidality young people experiencing mental distress, particularly those trauma regardless whether they meet criteria diagnosable response.

Language: Английский

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EMDR–Teens–cPTSD: Efficacy of Eye Movement Desensitization and Reprocessing in Adolescents with Complex PTSD Secondary to Childhood Abuse: A Case Series

Healthcare, Journal Year: 2024, Volume and Issue: 12(19), P. 1993 - 1993

Published: Oct. 6, 2024

Background: Mental healthcare for children and adolescents with a history of childhood abuse constitutes major public health issue. Indeed, exposes to severe complex post-traumatic stress disorder (cPTSD) but also neurodevelopmental psychological repercussions impacting the developmental trajectory. Trauma-focused care is essential avoid chronicization symptoms disorders. Objective: The aim this prospective case series study was investigate efficacy eye movement desensitization reprocessing (EMDR) on associated psychiatric disorders in abuse. Method: Twenty-two adolescents, aged 12 17, who had been abused during were included. All met ICD-11 criteria PTSD. Subjective measures PTSD taken before (T0) after 3 months EMDR therapy (T1). Results: average symptom score CPTS-RI significantly decreased from 40.2 34.4 EMDR, indicating improvement symptoms. A significant decrease depression (CDI 18.2 at T0 10.6 T1), anxiety (R–CMAS 21.3 13.3 emotional regulation (ALS 29 10.8 insomnia (ISI 18.5 T1 9.2 harmful use alcohol drugs (ADOSPA 2.3 0.3 T1) observed therapy, as well an increase quality life (CBCL 4–16 57.9 77.4 T1). Conclusions: results are encouraging suggest that may be effective management reducing certain comorbid frequently seen have experienced Further research needed adolescent populations suffering cPTSD (e.g., randomized controlled trials control groups other therapies or evaluating action different phases study).

Language: Английский

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Perspective Chapter: Silenced Voices – Childhood, Trauma, and Dissociation

IntechOpen eBooks, Journal Year: 2024, Volume and Issue: unknown

Published: Oct. 24, 2024

This chapter explores the complex social construction of childhood, questioning how its perception has been shaped by historical, cultural, and political contexts. Through critical analysis, it examines conception childhood as a stage vulnerability dependence perpetuated power dynamics that render children invisible unprotected, facilitating abuses such sexual abuse. Additionally, dissociation is addressed defense mechanism that, while initially adaptive, can become significant obstacle to recovery victims, fragmenting their identity complicating therapeutic treatment. The text underscores need reexamine our perceptions practices surrounding promoting more holistic multidimensional approach not only responds trauma but also works prevent mitigate long-term effects. discussion includes importance early support implementation public policies empower full-rights subjects, highlighting urgency transforming structures perpetuate child vulnerability.

Language: Английский

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