The lasting effects of childhood trauma

Verma, Shikha; Agrawal, Ruchita

doi:10.12788/cp.0101

Cited by 5 publications

(2 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our results indicate that trauma-type matters: veterans with childhood trauma were less likely to be offered TF-EBP despite TF-EBP being efficacious for adults who have experienced childhood trauma (Verma & Agrawal, 2021). This may be because veterans with nonmilitary traumas are more likely to be referred for therapy outside the PTSD Clinic where less TF-EBPs are delivered.…”

Section: Discussionmentioning

confidence: 84%

A clinician/researcher partnership to understand patterns and predictors of trauma-focused psychotherapy and nontrauma-focused psychotherapy use among veterans with PTSD.

Possemato¹,

Steiger²,

Sindoni³

et al. 2023

Psychological Services

View full text Add to dashboard Cite

Post-traumatic stress disorder (PTSD) is common in veterans, and trauma-focused evidence-based psychotherapies (TF-EBP) have the strongest evidence for reducing PTSD and improving functioning. However, most veterans with PTSD do not receive TF-EBP. Extensive research focuses on why this gap between scientific recommendations and clinician practice exists. This study adds an unique perspective by reporting on a program evaluation that was jointly designed and implemented by Veterans Affairs researchers and PTSD Clinic providers to increase shared understanding about patterns and predictors of TF-EBP and non-TF-EBP use and interpret results in light of clinic contextual factors. The evaluation describes the psychotherapy utilization patterns of 242 veterans' who were referred to the PTSD clinic and investigates what patient characteristics predict psychotherapy use over the next year. Most veterans (87%) received psychotherapy: 27% received at least one session of TF-EBP and 14% received an adequate dose of TF-EBP. Veterans who started TF-EBP were significantly more likely to receive eight sessions compared to veterans getting non-TF-EBP. Core PTSD symptoms predicted more psychotherapy use, while negative beliefs about oneself/the world predicted less psychotherapy use. Clinicians were more likely to recommend TF-EBP when veterans endorsed feeling guilt/shame in reaction to their emotions. Referral from integrated primary care-mental health providers rather than specialty mental health providers predicted more overall psychotherapy sessions. Clinicians interpret results in line with contextual factors that promote delivery of non-TF-EBP. More clinician engagement in the research process can improve the clinical relevance of research and help bridge the gap between scientific and practice. Impact StatementA program evaluation of a Veterans Affairs (VA) PTSD clinic was jointly designed and implemented by clinicians and researchers to understand patterns and predictors of trauma-focused evidence-based and nontrauma-focused evidence-based psychotherapy use. Suicidal ideation and childhood trauma predicted less evidence-based psychotherapy while being married/partnered and struggling with PTSD startle reactions predicted more. Results are interpreted within the real-world context of a VA PTSD clinic.

show abstract

Section: Discussionmentioning

confidence: 84%

A clinician/researcher partnership to understand patterns and predictors of trauma-focused psychotherapy and nontrauma-focused psychotherapy use among veterans with PTSD.

Possemato¹,

Steiger²,

Sindoni³

et al. 2023

Psychological Services

View full text Add to dashboard Cite

show abstract

“…A child who has encountered a traumatic incident or series of events early in life may face behavioral problems that could eventually hinder the development of healthy interpersonal connections in the future (12).…”

Section: Introductionmentioning

confidence: 99%

One in Six Children and Adolescents in South Ethiopia Had Childhood trauma

Berhanu,

Tesfaye,

Girma

et al. 2023

Preprint

View full text Add to dashboard Cite

Background: Trauma in childhood is a serious experience that can affect the physical, psychological, and social development of the child and adolescent and has immense long-term effects on the child, and society. However, the condition is overlooked by parents, teachers, medical professionals, mental health practitioners, and researchers. Hence this study aimed to assess childhood trauma and its associated factors among children and Adolescents aged 5–14 years old at Wolaita Sodo University Comprehensive Specialized Hospital, South Ethiopia, in 2022. Method: From 22 September to 22 November, 2022, a hospital-based cross-sectional study was conducted, at Wolaita Sodo University Comprehensive Specialized Hospital. About 423 study participants were selected using a systematic random sampling technique. Data was collected using a structured interviewer administered questionnaire. Childhood trauma was screening using the Child trauma screening questionnaire. The data was analyzed using descriptive and logistic regression analysis methods. The strength as well as presence of association was presented using odds ratio and 95% CI with a corresponding p-value < 0.05. Result: The magnitude of childhood trauma among children and Adolescents aged 5–14 was17.5%. Large family size (AOR = 1.8; 95% CI: 1.07, 3.13), educational level of parents (AOR = 4.4; 95% CI: 2.18, 9.00), and children and adolescent emotional problems (AOR = 1.9; 95% CI: 1.09, 3.20) were significantly associated with childhood trauma Conclusion and Recommendation: Approximately one in six children and adolescents had experienced childhood trauma. Large family size, educational level of parents, and emotional problems of children and adolescents were factors associated with childhood trauma. Therefore, a holistic preventive approach and early detection and management are important to halt the short and long-term impact of childhood trauma.

show abstract