A Systematic Review of the Validity, Reliability, and Clinical Utility of Developmental Trauma Disorder (DTD) Symptom Criteria

Morelli, Nicholas; Villodas, Miguel T.

doi:10.1007/s10567-021-00374-0

Cited by 12 publications

(9 citation statements)

References 67 publications

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“…In a recent literature review, 21 articles reported the evaluation of DTD symptom criteria using objective, empirical methods (e.g., factor analysis, comorbidity with other diagnostic constructs, associations with trauma exposure type, and clinician ratings of utility). Data supported the DTD construct and its clinical utility with the need for further replication in larger samples [50]. As for the existing investigations, two trials supported the validity of DTD as a unifying diagnosis for traumatized children highlighting the value of putting together a wide spectrum of post-traumatic outcomes and the hope for more effective treatments if this diagnosis was considered [51].…”

Section: A Trauma-informed Perspective and The New Diagnosis Of Devel...mentioning

confidence: 92%

Developmental Trauma through a Public Health Lens: The Economic Case for the Developmental Trauma Disorder Diagnosis and a Trauma-informed Vision

Acquarini¹,

Ardino²,

Rombaldoni³

2022

Child Abuse and Neglect

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Developmental trauma is a hidden pandemic leading to a multilayered array of negative outcomes across the lifespan, including critical health conditions and increased healthcare utilization. Such a scenario represents a major socio-economic burden with costs for health and social care and for society as a whole. A trauma-informed public health approach puts childhood adversities at the core of treatment and service provision. The chapter firstly outlines how a trauma-informed public health approach embedding the recognition of the Developmental Trauma Disorder diagnosis represents a major shift in conceptualizing health and social care provision and to recognizing the pervasiveness of adverse experiences. Secondly, the chapter elaborates a projective cost analysis to illustrate how the societal, health, and social care costs would be reduced if trauma-related policies were implemented. A multidisciplinary view—which includes an economic case aspect—could strengthen ACEs prevention efforts and could raise awareness about the problem.

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Section: A Trauma-informed Perspective and The New Diagnosis Of Devel...mentioning

confidence: 92%

Developmental Trauma through a Public Health Lens: The Economic Case for the Developmental Trauma Disorder Diagnosis and a Trauma-informed Vision

Acquarini¹,

Ardino²,

Rombaldoni³

2022

Child Abuse and Neglect

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“…Two new diagnoses that are potentially relevant to child abuse and neglect have been proposed: complex PTSD (cPTSD) 23 and developmental trauma disorder (DTD). 24 However, these diagnoses have not been formally included in the DSM, seemingly due to ongoing debate about whether they should be separate from PTSD. 25,26 The Table compares criteria for a diagnosis of PTSD and borderline personality disorder (BPD) to these newly proposed constructs.…”

Section: Diagnostic Advancesmentioning

confidence: 99%

Key Updates to Understanding Roles of Childhood Trauma in Overall Health

Weleff

Potter

2023

AMA Journal of Ethics

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While adverse childhood experiences and trauma, including childhood abuse and neglect, have often been viewed from the lens of psychiatry, their influence on physical health, health behaviors, and factors that moderate health now garner more attention. This article reviews recent literature that has changed clinical and social viewpoints on child abuse and neglect and can be used as a primer to better understand (1) influences of child abuse and neglect on physical illness; (2) critical diagnostic advances relevant to persons who have experienced child abuse and neglect; and (3) ethical, research, and practical questions generated by these new understandings.The American Medical Association designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 Credit™ available through the AMA Ed Hub TM . Physicians should claim only the credit commensurate with the extent of their participation in the activity. Trauma's Roles in HealthIncreasing attention is being paid to the impact of child abuse and neglect on health. The rapidly growing knowledge base on long-term outcomes of those exposed to child abuse and neglect in the form of both trauma and adverse childhood experiences (ACEs), such as childhood economic hardship, 1 neglect, sexual abuse, emotional abuse, discrimination, racism, household dysfunction, exposure to violence, parental mental illness, and parental substance use has warranted this attention. 2 These types of maltreatment have often been viewed only from the lens of psychiatry, but it is now clear that, beyond their impact on mental health, these experiences affect biological mechanisms that influence physical health, 3,4 health behaviors, and other factors that moderate good health, making it a general concern for all of health care and for those invested in improving health outcomes at large. Given these wide-ranging health impacts, health care systems and individual practitioners must be prepared to evaluate childhood maltreatment-related health concerns. Many clinicians feel unprepared to do this sort of work, and it was likely absent from their training. 5 This article aims to review recent core literature that has broadened medicine's understanding of the forms of child abuse and neglect. It also

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“…Exposure to traumatic events in childhood may result in symptoms that reflect the developmental stage, duration, frequency, types and intensity of the abuses inflicted. As a result, clinical presentations vary greatly, and can include internalizing symptoms (anxiety, depression), externalizing symptoms (aggression, inattention, hyperactivity), suicidality, emotional dysregulation, cluster B personality traits, psychosis, and substance use (Morelli and Villodas, 2022). As a result of the wide presentation range, patients may receive several co-occurring diagnoses in a clinician's attempt to capture the full extent of the patient's symptom expression.…”

Section: Developmental Traumamentioning

confidence: 99%

“…In the definition offered for DTD, patients must exhibit impairments in three major 1. affective or physical arousal regulation, 2. attentional and behavior regulation, and 3. personal identity and relationship involvement. These criteria attempt to gather the myriad of symptoms observed in people exposed to childhood trauma, i.e: impaired ability to modulate high arousal states, impaired ability to learn from and cope with stress, and negative perception of self and maladaptive relational behavior (Morelli and Villodas, 2022).…”

Section: Developmental Traumamentioning

confidence: 99%

Case Report: Cannabis for Treatment of PTSD

2023

JMCCR

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Eddie is a 14-year-old male residing in a Child Protective Services center. He presented unaccompanied to the psychiatric emergency department of a large city hospital reporting suicidal ideation in the setting of ongoing stressors. He explains that in the previous two days, he has been involved in physical altercations at the center despite the fact that he was attempting to remain uninvolved in any conflicts.

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A Systematic Review of the Validity, Reliability, and Clinical Utility of Developmental Trauma Disorder (DTD) Symptom Criteria

Cited by 12 publications

References 67 publications

Developmental Trauma through a Public Health Lens: The Economic Case for the Developmental Trauma Disorder Diagnosis and a Trauma-informed Vision

Developmental Trauma through a Public Health Lens: The Economic Case for the Developmental Trauma Disorder Diagnosis and a Trauma-informed Vision

Key Updates to Understanding Roles of Childhood Trauma in Overall Health

Case Report: Cannabis for Treatment of PTSD

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