The Process Leading to Help Seeking Following Childhood Trauma

Stige, Signe Hjelen; Træen, Bente; Rosenvinge, Jan H.

doi:10.1177/1049732313503907

Cited by 22 publications

(12 citation statements)

References 31 publications

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“…Additionally, the present study sheds light on targeting specific contextual and individual factors to ameliorate mothers’ depression and PTSD trajectories as these factors have clinically meaningful impact on treatment seeking (Stige, Træen, & Rosenvinge, 2013) and outcomes (Sayin, Candansayar, & Welkin, 2013). Interventions targeting social support, post-traumatic cognitions, dissociation and shame may aid in increasing mothers’ coping (for a review see Keeshin & Strawn, 2014; Oktedalen et al, 2014) via Interpersonal Therapy (Grigoriadis & Ravitz, 2007), Cognitive Processing Therapy (CPT; Resick et al, 2008), and Dialectical Behavior Therapy (DBT; Harned, Korslund, & Linehan, 2014; Neacsiu, Lungu, Harned, Rizvi, & Linehan, 2014).…”

Section: Discussionmentioning

confidence: 96%

Comorbid trajectories of postpartum depression and PTSD among mothers with childhood trauma history: Course, predictors, processes and child adjustment

Muzik

McGinnis

et al. 2016

Journal of Affective Disorders

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Background Both postpartum depression and posttraumatic stress disorder (PTSD) have been identified as unique risk factors for poor maternal psychopathology. Little is known, however, regarding the longitudinal processes of co-occurring depression and PTSD among mothers with childhood adversity. The present study addressed this research gap by examining co-occurring postpartum depression and PTSD trajectories among mothers with childhood trauma history. Methods 177 mothers with childhood trauma history reported depression and PTSD symptoms at 4, 6, 12, 15 and 18 months postpartum, as well as individual (shame, posttraumatic cognitions, dissociation) and contextual (social support, childhood and postpartum trauma experiences) factors. Results Growth mixture modeling (GMM) identified three comorbid change patterns: The Resilient group (64%) showed the lowest levels of depression and PTSD that remained stable over time; the Vulnerable group (23%) displayed moderately high levels of comorbid depression and PTSD; and the Chronic High-Risk group (14%) showed the highest level of comorbid depression and PTSD. Further, a path model revealed that postpartum dissociation, negative posttraumatic cognitions, shame, as well as social support, and childhood and postpartum trauma experiences differentiated membership in the Chronic High-Risk and Vulnerable. Finally, we found that children of mothers in the Vulnerable group were reported as having more externalizing and total problem behaviors. Limitations Generalizability is limited given sample of mothers with childhood trauma history and demographic risk. Conclusions The results highlight the strong comorbidity of postpartum depression and PTSD among mothers with childhood trauma history, and also emphasize its aversive impact on the offspring.

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Section: Discussionmentioning

confidence: 96%

Comorbid trajectories of postpartum depression and PTSD among mothers with childhood trauma history: Course, predictors, processes and child adjustment

Muzik

McGinnis

et al. 2016

Journal of Affective Disorders

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“…Care staff in specialist services are more experienced in meeting the needs of survivors although the majority of the referrals in specialist services are complex and severe (Astbury ). Trauma survivors who make the decision to seek help can no longer manage their problems on their own; the experience of losing control over their symptoms and the negative impact that these have on their significant others often leads them to seek help (Stigne & Rosenvinge ). Indeed, CSA survivors in our study reported elevated levels of a few psychopathological disorders.…”

Section: Discussionmentioning

confidence: 99%

Nature of child sexual abuse and psychopathology in adult survivors: results from a clinical sample in Scotland

Bak-Klimek

Karatzias

Elliott

et al. 2013

Psychiatric Ment Health Nurs

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Accessible SummaryChild sexual abuse (CSA) is highly prevalent. Survivors of childhood sexual abuse are likely to develop a range of mental health problems in adult life which vary widely in severity, duration, and form. While some survivors suffer a wide range of severe psychological problems others experience few, if any at all.There is no clear explanation for such differences in frequency and intensity of problems across survivors. The nature of abuse is considered to have a primary role in the development of mental health problems in adult life, although results of existing studies remain inconclusive.To our knowledge, this is the first study which investigates the relationship between a wide range of sexual abuse characteristics and the severity of psychopathological disorders in a large sample of adult CSA survivors who attended a specialist Psychotherapy Service for CSA survivors.Many experienced severe sexual assault(s) in their early years and presented with severe pathology which could suggest a strong causal link. However, no significant association between the sexual abuse characteristics and severity of psychopathology was detected. This may suggest that for severely disordered, treatment-seeking CSA survivors other factors might have contributed to the development of the post-abuse psychopathology. The present study adds to the growing body of evidence suggesting that CSA effects may be dependent on factors which may not necessarily be related to the nature of the sexual abuse such as poor family relationships or detrimental coping strategies. The current study will contribute to 3 clinicians' knowledge and understanding of the determinants of psychopathology among severely disordered, help-seeking CSA survivors. 4 AbstractThe relationship between history of childhood sexual abuse and psychopathology in adult life is well-established. However, understanding of the mechanisms by which abuse exerts its effects is limited. To our knowledge, this is the first study which investigates the relationship between a wide range of sexual abuse characteristics (i.e., age at onset, frequency of assaults and number and gender of perpetrators, their relationship to the victim) and the severity of psychopathological disorders in a large sample of adult CSA survivors who attended a specialist Psychotherapy Service for CSA survivors. Many CSA survivors experienced severe sexual assault(s) in their early years and presented with severe pathology which could suggest a strong causal link. However, none of the examined trauma characteristics significantly predicted severity of psychopathology. This may suggest that for severely disordered, treatment-seeking CSA survivors post-abuse psychopathology could be caused by other factors. The study adds to the growing body of evidence suggesting that CSA effects may be dependent on factors which are not necessarily related to the nature of sexual abuse. The study findings will help improve clinicians' insight into the determinants of psychopathology.5

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“…How to understand this delay and the mechanisms behind it, however, is not well understood. Interviewing 13 trauma survivors about the process that led them to seek help following childhood trauma provided examples of what mechanisms contributed to delays in help-seeking for these participants-including the interplay between a coping strategy of selfmanagement and situational demands (Stige, Traeen, & Rosenvinge, 2013).…”

Section: The Discovery Functionmentioning

confidence: 99%

“…Moreover, in the design and focus of qualitative research itself, groups that are traditionally 8/21 marginalised can be given a voice. For example, by exploring other-initiated versus self-initiated help-seeking among 13 trauma survivors, it became clear that a praxis of judging motivation and denying health services solely based on the number of previous consultation series ran a high risk of excluding motivated survivors in need of mental health services (Stige et al, 2013). Pugach and Goodman (2015) studied low-income women's experiences in out-patient therapy and showed how we need nuances of understanding to differentiate no-show and attrition that point to low motivation or lack of structure among this population.…”

Section: The Critical Functionmentioning

confidence: 99%

Why do we need qualitative research on psychological treatments? The case for discovery, reflexivity, critique, receptivity, and evocation

Binder¹,

Schanche²,

Holgersen³

et al. 2016

Scand.Psychol.

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Why do we need qualitative research on psychological treatments? The case for discovery, reflexivity, critique, receptivity, and evocation psykologisk.no /sp/2016/05/e8/ All research needs to be engaged, reflexive, and honest. We propose five functions that qualitative approaches may contribute to achieve these aims within the study of psychological treatments, write Per-Einar Binder and colleagues.

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The Process Leading to Help Seeking Following Childhood Trauma

Cited by 22 publications

References 31 publications

Comorbid trajectories of postpartum depression and PTSD among mothers with childhood trauma history: Course, predictors, processes and child adjustment

Comorbid trajectories of postpartum depression and PTSD among mothers with childhood trauma history: Course, predictors, processes and child adjustment

Nature of child sexual abuse and psychopathology in adult survivors: results from a clinical sample in Scotland

Why do we need qualitative research on psychological treatments? The case for discovery, reflexivity, critique, receptivity, and evocation

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