Assessing the Effects of Trauma in Children and Adolescents in Practice Settings

Kisiel, Cassandra; Conradi, Lisa; Fehrenbach, Tracy; Torgersen, Elizabeth; Briggs, Ernestine C.

doi:10.1016/j.chc.2013.12.007

Cited by 38 publications

(18 citation statements)

References 22 publications

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“…Increased exposure to ACEs was associated with selfreported post-traumatic stress, depression, and anxiety symptoms, as well as perceived stress. These results are consistent with the converging and growing evidence linking childhood adversity with numerous long-term pernicious effects in adulthood, including risk for current and lifetime PTSD, 15 chronic depression, 16 severity of depressive course trajectory, 17 substance use disorders, eating disorders, and borderline personality disorder.…”

Section: Discussionsupporting

confidence: 88%

Adverse Childhood Experiences, Maternal/Fetal Attachment, and Maternal Mental Health

Hinesley

Amstadter

Sood

et al. 2020

Women's Health Reports

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Background: This pilot study investigated the potential impact of exposure to childhood adversity on variables known to be related to posttraumatic stress (including attachment, mental health, and perceived stress) in a clinic sample of pregnant women. Materials and Methods: Participants consisted of 101 pregnant women recruited from the Virginia Commonwealth University Health System in Richmond, VA. All participants completed the Adverse Childhood Experience (ACE) questionnaire, Parental Bonding Instrument, Maternal Fetal Attachment Scale, Posttraumatic Stress Disorder (PTSD) Checklist, Symptom Checklist, and the Perceived Stress Scale. Results: Increased exposure to ACEs was negatively associated with retrospective report of viewing one's mother and father as caring and involved. ACE exposure was a statistically significant predictor of viewing one's mother and father as intrusive and controlling. ACEs were positively associated with self-reported PTSD symptoms, depressive and anxious symptomatology, and perceived stress. No direct effect of adverse childhood events on maternal/fetal attachment was found. Conclusions: ACE associations are discussed in terms of study methodology and needs for future research. Providers may consider incorporating the ACE questionnaire to identify exposure to childhood adversity and events that may increase an individual's risk for toxic stress and negative health outcomes.

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Section: Discussionsupporting

confidence: 88%

Adverse Childhood Experiences, Maternal/Fetal Attachment, and Maternal Mental Health

Hinesley

Amstadter

Sood

et al. 2020

Women's Health Reports

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“…Specifically, these findings underscore the need to conduct a thorough assessment for PTE and PTSD symptoms at the beginning of any type of mental health intervention in youth (Kisiel, Conradi, Fehrenbach, Torgersen, & Briggs, 2014), consistent with guidelines from the American Academy of Child and Adolescent Psychiatry (2010). To the degree that interfering symptoms are found, there are several evidence-based treatments available, the most well-researched of which is Trauma-Focused Cognitive Behavior Therapy (TF-CBT; Cohen, Mannarino, & Deblinger, 2012).…”

Section: Discussionmentioning

confidence: 65%

Evaluating the Need for Trauma-Informed Care in a Behavioral Health System of Care

Freeman

Young

Erickson

et al. 2020

jcycw

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Potentially traumatic events (PTE) can occur in the life of an individual and can cause long-term psychological harm, including symptoms or diagnosis of posttraumatic stress disorder (PTSD). A large number of youth currently receiving mental and behavioral health services have been exposed to PTE, and a subset of those struggle with distressing and impairing symptoms of PTSD. Often, these youth have not and will not receive appropriate care, which can include Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) and trauma-informed care (e.g., Sanctuary). We sought to identify rates of exposure to PTE and expression of PTSD symptoms in youth receiving services in a system of care and found that 95% of the sample reported exposure to at least one PTE (mean = 5). One third of the sample reported a significant burden of PTSD symptoms (5 or more rated highly in the past month). These findings support the trauma-informed care principle of universal precautions in environments that provide mental and behavioral health services to youth. Case vignettes are presented and implications for practice are discussed.

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“…Evaluating children after trauma exposure is complex and is described in detail elsewhere 5 . There are important differences between forensic and clinical evaluations, particularly after child abuse 6 .…”

Section: Child Evaluation Overviewmentioning

confidence: 99%

Trauma-focused Cognitive Behavior Therapy for Traumatized Children and Families

Cohen¹,

Mannarino²

2015

Child and Adolescent Psychiatric Clinics of North America

134

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Assessing the Effects of Trauma in Children and Adolescents in Practice Settings

Cited by 38 publications

References 22 publications

Adverse Childhood Experiences, Maternal/Fetal Attachment, and Maternal Mental Health

Adverse Childhood Experiences, Maternal/Fetal Attachment, and Maternal Mental Health

Evaluating the Need for Trauma-Informed Care in a Behavioral Health System of Care

Trauma-focused Cognitive Behavior Therapy for Traumatized Children and Families

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