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Abdelhamid S, Kraaijenvanger E, Fischer J, Steinisch M. Assessing adverse childhood experiences in young refugees: a systematic review of available questionnaires. Eur Child Adolesc Psychiatry 2024:10.1007/s00787-023-02367-6. [PMID: 38451312 DOI: 10.1007/s00787-023-02367-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/12/2023] [Accepted: 12/21/2023] [Indexed: 03/08/2024]
Abstract
Today, various questionnaires are available to assess Adverse Childhood Experiences (ACEs) in children; however, it is uncertain if these questionnaires are comprehensive in addressing adversities of vulnerable subgroups, specifically refugee children. This review's objectives are to (1) identify current ACE questionnaires and determine if they are suitable in assessing refugee children's adversities, and (2) identify those previously used within a refugee population. A systematic literature search was conducted across five databases for articles published since 2010, including studies using an ACE-questionnaire that recognized multiple adversities in healthy children and were published in English. A total of 103 ACE questionnaires were identified in 506 studies. Only 14 of the 103 questionnaires addressed a refugee-specific adversity. Their ability to capture refugee children's experiences was limited: available questionnaires used a maximum of three items to assess refugee-specific adversities, covering only a fraction of forms of adversities relevant to refugee children. Psychometric characteristics were rarely reported. In addition, only two ACE questionnaires were used within a refugee population. With the tools currently available, it is not possible to comprehensively assess the exposure to and severity of the adversities faced by refugee children. The perpetuation of ongoing crises necessitates assessing refugee children's adversities to understand how their wellbeing is affected and to identify children at risk.
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Affiliation(s)
- Shaymaa Abdelhamid
- Medical Faculty Mannheim, Center for Preventive Medicine and Digital Health (CPD), Division of General Medicine, Heidelberg University, Alte Brauerei, Röngtenstraße 7, 68167, Mannheim, Germany.
| | - Eline Kraaijenvanger
- Department of Child and Adolescent Psychiatry and Psychotherapy, Central Institute of Mental Health, Heidelberg University, J5, 68159, Mannheim, Germany
| | - Joachim Fischer
- Medical Faculty Mannheim, Center for Preventive Medicine and Digital Health (CPD), Division of General Medicine, Heidelberg University, Alte Brauerei, Röngtenstraße 7, 68167, Mannheim, Germany
| | - Maria Steinisch
- Medical Faculty Mannheim, Center for Preventive Medicine and Digital Health (CPD), Division of Public Health, Social and Preventive Medicine, Heidelberg University, Alte Brauerei, Röngtenstraße 7, 68167, Mannheim, Germany
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Greenblatt-Kimron L. The association between looming cognitive style and posttraumatic stress symptoms: The case of older Holocaust survivors. J Psychiatr Res 2024; 171:1-8. [PMID: 38217944 DOI: 10.1016/j.jpsychires.2024.01.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/03/2023] [Revised: 11/26/2023] [Accepted: 01/05/2024] [Indexed: 01/15/2024]
Abstract
The looming cognitive style (LCS) refers to a tendency to produce mental illustrations and images of adverse events and potentially threatening situations with perceived accumulating threat and danger. LCS is a well-known cognitive vulnerability for anxiety, nevertheless few studies examined the relationship between LCS and posttraumatic reactions. Among the existing studies, a higher LCS was reported in Holocaust survivors relative to matched comparisons, and directly associated with posttraumatic stress symptoms (PTSS) in older Holocaust survivors. The current study aimed to expand the understanding of the relationship between LCS with PTSS in general, and among older Holocaust survivors in particular. Moreover, whether the number of Holocaust experiences encountered by Holocaust survivors moderated this relationship. The sample consisted of 153 older Holocaust survivors (Mage = 82.42, SD = 5.75). Participants were interviewed regarding their background characteristics, PTSS, LCS, and number of Holocaust experiences. Participants reporting higher LCS showed higher PTSS. There was an interaction between LCS and number of Holocaust experiences for predicting PTSS, suggesting that LCS was associated with higher PTSS to a stronger degree among Holocaust survivors who experienced a smaller number of Holocaust experiences. The findings indicate that Holocaust trauma may have influenced the LCS of Holocaust survivors throughout their lives and into old age. The results provide insight for mental health practitioners treating older Holocaust survivors in focusing on reducing schematic processing biases for threat information and anxiety to enhance better mental health for those suffering from posttraumatic stress symptoms.
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Nguyen PT, Gordon CT, Owens EB, Hinshaw SP. Patterns of Childhood Adversity among Women with and without Childhood ADHD: Links to Adult Psychopathology and Global Functioning. Res Child Adolesc Psychopathol 2023; 51:1813-1825. [PMID: 36399241 DOI: 10.1007/s10802-022-00994-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/03/2022] [Indexed: 11/19/2022]
Abstract
We examine the outcomes associated with childhood adversity for women with and without carefully diagnosed childhood ADHD, via an ethnically diverse sample of 140 participants with ADHD (Mage = 9.7) and 88 age- and ethnicity-matched comparisons (Mage = 9.4). At adult follow-up, we retained 211 of the original 228 participants (92.6%; Mage = 25.6). We used latent class analysis to identify patterns of childhood adversity and examine their association with adult global functioning and psychopathology. Key findings: (1) Four childhood adversity classes emerged (Low Exposure, Familial Dysfunction, Emotional Maltreatment, Pervasive Exposure); (2) Childhood ADHD predicted membership in the Emotional Maltreatment class; and (3) Childhood adversity classes were differently associated with adult outcomes, such that membership in both the Emotional Maltreatment and Pervasive Exposure classes predicted significantly higher internalizing and externalizing symptoms as well as significantly lower global functioning than women in the Low Exposure class. Furthermore, compared to the Emotional Maltreatment class, the Familial Dysfunction class had lower externalizing symptoms, whereas the Pervasive Exposure class had lower global functioning and higher internalizing symptoms by adulthood. Findings provide information about girls and women who could be targeted for intervention in terms of ADHD behavior patterns plus adverse experiences in childhood. Beyond limitations, we discuss the need to investigate the confluence of neurodevelopmental conditions and adverse child events with respect to maladaptive outcomes.
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Affiliation(s)
- Phuc T Nguyen
- University of California, Berkeley, Berkeley, CA, USA.
| | - Chanelle T Gordon
- Child and Family Translational Research Center, Boys Town National Research Hospital, Omaha, NE, USA
| | | | - Stephen P Hinshaw
- University of California, Berkeley, Berkeley, CA, USA
- University of California, San Francisco, CA, USA
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Brieant A, Clinchard C, Deater-Deckard K, Lee J, King-Casas B, Kim-Spoon J. Differential Associations of Adversity Profiles with Adolescent Cognitive Control and Psychopathology. Res Child Adolesc Psychopathol 2023; 51:1725-1738. [PMID: 36107273 DOI: 10.1007/s10802-022-00972-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/19/2022] [Indexed: 10/14/2022]
Abstract
Adverse childhood experiences are common and have long-term consequences for biological and psychosocial adjustment. We used a person-centered approach to characterize distinct profiles of adversity in early adolescence and examined associations with later cognitive control and psychopathology. The sample included 167 adolescents (47% female) and their primary caregivers who participated in a longitudinal study across four time points (approximately one year between assessments). At Time 1 (Mage = 14 years), we measured seven indicators of adversity: socioeconomic disadvantage, abuse, neglect, household chaos, parent substance use, parent depression, and negative life events. At Times 2-4, adolescents' behavioral performance and functional activation during a cognitive control task were measured. At Time 5, adolescents and their caregiver reported on adolescent internalizing and externalizing symptomatology. Using latent profile analysis, we identified four distinct adversity subgroups: a low exposure group, a neglect group, a household instability group, and a poly-adversity group. These groups significantly differed on subsequent levels of psychopathology, but not cognitive control. Specifically, the poly-adversity group reported significantly higher levels of both internalizing and externalizing symptomatology relative to the low exposure group, and the household instability group demonstrated elevated risk for externalizing symptomatology. When using a cumulative risk approach, higher levels of adversity exposure were associated with significantly worse cognitive control performance (but not neural activation). These results suggest that psychopathology outcomes may be differentially predicted by distinct patterns of risk, and that cognitive control impairment may be more strongly predicted by cumulative risk.
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Affiliation(s)
- Alexis Brieant
- Department of Psychology, Yale University, New Haven, CT, 06520, USA.
| | | | - Kirby Deater-Deckard
- Department of Psychological and Brain Sciences, University of Massachusetts Amherst, MA, Amherst, USA
| | - Jacob Lee
- Fralin Biomedical Research Institute, Roanoke, VA, USA
| | - Brooks King-Casas
- Department of Psychology, Virginia Tech, Blacksburg, VA, USA
- Fralin Biomedical Research Institute, Roanoke, VA, USA
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Redican E, Vang ML, Shevlin M, Ghazali S, Elklit A. The co-occurrence of potentially traumatic events (PTEs) and their associations with posttraumatic stress disorder (PTSD) in Indian and Malaysian adolescents. Acta Psychol (Amst) 2023; 235:103896. [PMID: 36990035 DOI: 10.1016/j.actpsy.2023.103896] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2022] [Revised: 03/06/2023] [Accepted: 03/20/2023] [Indexed: 03/30/2023] Open
Abstract
BACKGROUND Although it is well-established that people can experience multiple traumatic events, there are few studies examining the co-occurrence of such experiences in non-Western nations. The current study sought to examine the occurrence of multiple potentially traumatic experiences (PTEs) and their associations with posttraumatic stress disorder (PTSD) among adolescents from two Asian nations. METHODS Latent class analysis (LCA) was employed to model the co-occurrence of PTEs in two school samples of adolescents from India (n = 411) and Malaysia (n = 469). Demographic correlates (i.e., sex, age, household composition, parent education) of the latent classes and the association between latent class membership and probable diagnosis of posttraumatic stress disorder (PTSD) were examined. RESULTS The LCA identified three latent classes for the Indian sample: 'Low Risk - moderate sexual trauma', 'Moderate Risk', and 'High Risk'. Similarly, three classes were also identified for the Malaysian sample: 'Low Risk', 'Moderate Risk', and 'High Risk'. Membership of 'Moderate Risk' was associated with male sex in both samples, and with older age and lower levels of parental education attainment in the Malaysian sample. No correlates of 'High Risk' class were identified in either sample. Membership of the 'High Risk' class was significantly associated with probable PTSD diagnosis in both samples, while membership of the 'Moderate Risk' class was associated with probable PTSD diagnosis in the Malaysian sample. CONCLUSION Findings from this study correspond with Western studies indicating co-occurrence of PTEs to be common and to represent a salient risk factor for the development of PTSD.
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Affiliation(s)
- Enya Redican
- Department of Psychology, Ulster University, United Kingdom.
| | - Maria Louison Vang
- Department of Psychology, The National Center of Psychotraumatology, Denmark.
| | - Mark Shevlin
- Department of Psychology, Ulster University, United Kingdom.
| | - Siti Ghazali
- Department of Psychological Medicine, Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak, Malaysia.
| | - Ask Elklit
- Department of Psychology, The National Center of Psychotraumatology, Denmark.
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Silke C, Brady B, Devaney C, O'Brien C, Durcan M, Bunting B, Heary C. Youth Suicide and Self-Harm: Latent Class Profiles of Adversity and the Moderating Roles of Perceived Support and Sense of Safety. J Youth Adolesc 2023; 52:1255-1271. [PMID: 36964434 PMCID: PMC10121538 DOI: 10.1007/s10964-023-01762-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2022] [Accepted: 03/02/2023] [Indexed: 03/26/2023]
Abstract
Research suggests that exposure to adversity can lead to an increased risk of experiencing suicidal and self-injurious thoughts or behaviours, but few studies have examined whether different patterns of adversity are differentially associated with youth suicide/self-harm. The current study aims to explore the relationship between exposure to adversity across various social domains and youth self-harm and suicidality, using a person centred approach, and examines whether access to social support and a sense of safety across home, peer or school settings buffer the relationship between adversity and self-harm/suicidality. Secondary data analyses were carried out on cross-sectional self-report data collected from 4848 (Mage=15.78, SD = 0.59; 50% female) adolescents who participated in the Irish Planet Youth survey. Latent Class Analyses identified four distinct profiles of adversity; low-adversity (n = 2043, 42%); peer-adversity (n = 972, 20%); parental-adversity (n = 1189, 25%); and multiple-adversity (n = 644, 13%). Findings from logistic moderated regressions indicated that there were significant differences in self-harm and suicidality across the adversity classes. Although parental support and perceived safety at school were negatively associated with suicidality and self-harm outcomes, no significant moderation effects were observed. These findings suggest that youth who experience adversity across multiple social domains are more likely to report suicidal and self-harm thoughts and behaviours, and should be key targets for intervention/prevention efforts. While parental support and school safety may act as significant compensatory factors, further work is needed to identify the social resources that can offset the risk imposed by youth's adverse experiences.
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Affiliation(s)
- Charlotte Silke
- UNESCO Child & Family Research Centre, University of Galway, Galway, Ireland.
| | - Bernadine Brady
- UNESCO Child & Family Research Centre, University of Galway, Galway, Ireland
| | - Carmel Devaney
- UNESCO Child & Family Research Centre, University of Galway, Galway, Ireland
| | | | - Micheal Durcan
- Western Region Drugs & Alcohol Task Force, Galway, Ireland
| | | | - Caroline Heary
- School of Psychology, University of Galway, Galway, Ireland
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Gizdic A, Sheinbaum T, Kwapil TR, Barrantes-Vidal N. Empirically-derived dimensions of childhood adversity and cumulative risk: associations with measures of depression, anxiety, and psychosis-spectrum psychopathology. Eur J Psychotraumatol 2023; 14:2222614. [PMID: 37377079 DOI: 10.1080/20008066.2023.2222614] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/10/2022] [Revised: 04/30/2023] [Accepted: 05/25/2023] [Indexed: 06/29/2023] Open
Abstract
Background: Investigating different approaches to operationalizing childhood adversity and how they relate to transdiagnostic psychopathology is relevant to advance research on mechanistic processes and to inform intervention efforts. To our knowledge, previous studies have not used questionnaire and interview measures of childhood adversity to examine factor-analytic and cumulative-risk approaches in a complementary manner.Objective: The first aim of this study was to identify the dimensions underlying multiple subscales from three well-established childhood adversity measures (the Childhood Trauma Questionnaire, the Childhood Experience of Care and Abuse Interview, and the Interview for Traumatic Events in Childhood) and to create a cumulative risk index based on the resulting dimensions. The second aim of the study was to examine the childhood adversity dimensions and the cumulative risk index as predictors of measures of depression, anxiety, and psychosis-spectrum psychopathology.Method: Participants were 214 nonclinically ascertained young adults who were administered questionnaire and interview measures of depression, anxiety, psychosis-spectrum phenomena, and childhood adversity.Results: Four childhood adversity dimensions were identified that captured experiences in the domains of Intrafamilial Adversity, Deprivation, Threat, and Sexual Abuse. As hypothesized, the adversity dimensions demonstrated some specificity in their associations with psychopathology symptoms. Deprivation was uniquely associated with the negative symptom dimension of psychosis (negative schizotypy and schizoid symptoms), Intrafamilial Adversity with schizotypal symptoms, and Threat with depression, anxiety, and psychosis-spectrum symptoms. No associations were found with the Sexual Abuse dimension. Finally, the cumulative risk index was associated with all the outcome measures.Conclusions: The findings support the use of both the empirically-derived adversity dimensions and the cumulative risk index and suggest that these approaches may facilitate different research objectives. This study contributes to our understanding of the complexity of childhood adversity and its links to different expressions of psychopathology.
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Affiliation(s)
- Alena Gizdic
- Departament de Psicología Clínica i de la Salut, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - Tamara Sheinbaum
- Dirección de Investigaciones Epidemiológicas y Psicosociales, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, Mexico City, Mexico
| | - Thomas R Kwapil
- Department of Psychology, University of Illinois at Urbana-Champaign, Champaign, IL, USA
| | - Neus Barrantes-Vidal
- Departament de Psicología Clínica i de la Salut, Universitat Autònoma de Barcelona, Barcelona, Spain
- Centro de Investigación Biomédica en Red de Salud Mental, Instituto de Salud Carlos III, Barcelona, Spain
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Martin AF, Maughan B, Jaquiery M, Barker ED. The protective role of father behaviour in the relationship between maternal postnatal depression and child mental health. JCPP ADVANCES 2022. [PMID: 37431461 PMCID: PMC10242879 DOI: 10.1002/jcv2.12075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Background Maternal depression, especially when severe and long-lasting, is associated with adverse mental health outcomes in children. We aimed to assess, for children of mothers with persistent postnatal depression symptoms, whether positive father behaviours would decrease risk for conduct and emotional symptoms. Methods Using data from 4009, mother-father-child trios from the Avon Longitudinal Study of Parents and Children we examined associations between maternal depression trajectories and positive father behavioural profiles across the postnatal period (child age: 2-21 months), and child conduct and emotional symptom trajectories across middle childhood (child age: 3.5-11 years). Results Positive father behaviour was much less common in families where mothers experienced high-persistent depression symptoms (33%) than in families where mothers did not (56%); of note, these fathers also had higher levels of depression symptoms. Using person-level analysis, exposure to high-persistent maternal depression symptoms increased child risk for a high trajectory of both conduct (odds ratio, 2.69; 95% CI: 2.00, 3.60) and emotional symptoms (odds ratio, 2.47; 95% CI: 1.83, 3.31). However, positive father behaviour (toward child and mother) reduced the odds of following high trajectories of conduct symptoms by 9% (x = 4.52, p < .001) and of emotional symptoms by 10% (x = 4.12, p < .001), even after controlling for father depression symptoms. Using variable-level analysis, we did not identify an interaction between maternal depression and positive father behaviour. For conduct problems, we identified a direct effect of positive father behaviour and lower conduct problems. For emotional symptoms, father behaviour interacted with child age, where the largest decrease was seen at age 9, when symptoms were highest across the sample. Conclusions Positive father behaviour can be protective against chronic mental health problems for children exposed to persistent maternal postnatal depression symptoms.
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Affiliation(s)
- Alex F. Martin
- Department of Psychology King's College London Institute of Psychiatry, Psychology & Neuroscience London UK
| | - Barbara Maughan
- Social, Genetic & Developmental Psychiatry Centre King's College London Institute of Psychiatry, Psychology and Neuroscience London UK
| | - Matt Jaquiery
- Department of Experimental Psychology Medical Sciences Division University of Oxford Oxford UK
| | - Edward D. Barker
- Department of Psychology King's College London Institute of Psychiatry, Psychology & Neuroscience London UK
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Stoiber KC, Gettinger M, Bella ZA, Monahan KL. Exploratory Analysis of a Consultative Coaching Model Applied in Early Childhood Classrooms. JOURNAL OF EDUCATIONAL AND PSYCHOLOGICAL CONSULTATION 2022. [DOI: 10.1080/10474412.2021.1984930] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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10
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Zhang X, Monnat SM. Racial/ethnic differences in clusters of adverse childhood experiences and associations with adolescent mental health. SSM Popul Health 2022; 17:100997. [PMID: 34984220 PMCID: PMC8693281 DOI: 10.1016/j.ssmph.2021.100997] [Citation(s) in RCA: 13] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2021] [Revised: 12/05/2021] [Accepted: 12/06/2021] [Indexed: 11/19/2022] Open
Abstract
Childhood adversity is a well-established risk factor for mental health problems during adolescence. Using data from the Fragile Families and Child Wellbeing Study and latent class analysis (LCA), we examined patterns of exposure to ten adverse childhood experiences (ACEs), including socioeconomic adversity, among non-Hispanic (NH) White, NH Black, and Hispanic 9 year olds and determined associations between membership in ACE exposure “classes” and depression and anxiety scores at age 15 (N = 2849). Parental separation/divorce, economic hardship, and paternal incarceration were the most common ACEs. ACE prevalence was significantly higher among Blacks and Hispanics. ACEs clustered into four classes for Whites and Hispanics and three classes for Blacks. Over half of Whites were classified in the ‘Low Adversity’ class. Conversely, most Black and Hispanic adolescents were classified in the ‘High Socioeconomic Adversity and Paternal Incarceration’ class, characterized by above average probabilities of experiencing family economic hardship, parental separation/divorce, low maternal education, and paternal incarceration. A small share of adolescents in all three racial/ethnic groups were in the ‘High Global Adversity’ class, characterized by high probability of exposure to most ACEs, including physical and psychological abuse. Finally, ACE class membership was differentially associated with anxiety and depression across the three racial/ethnic groups, with generally larger differences in mental health scores across ACE groups for Whites than for Blacks and Hispanics. Our findings suggest that studies on the associations between ACEs and health outcomes that do not include childhood economic adversity risk underestimating the role of ACEs on mental health among racial/ethnic minorities. Moreover, different patterns of ACE exposure are differentially linked to anxiety and depression, and ACE group membership differences in anxiety and depression vary by racial/ethnic group. Findings suggest the need for racially tailored prevention and intervention strategies. In a U.S. sample of low-income children, 93% experienced at least one ACE in past year. ACEs cluster differently for White, Black, and Hispanic adolescents. Most White adolescents are in a low adversity class. Most Black and Hispanic adolescents are in a high SES adversity and parental incarceration class. There are race differences in relationships between ACE classes and mental health.
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Affiliation(s)
- Xiaoyan Zhang
- Lerner Center for Public Health Promotion, Maxwell School of Citizenship and Public Affairs, Department of Human Development and Family Science, Falk College of Sport and Human Dynamics, Syracuse University, 426 Eggers Hall, Syracuse, NY, 13244, USA
| | - Shannon M. Monnat
- Lerner Center for Public Health Promotion Department of Sociology Maxwell School of Citizenship and Public Affairs, Syracuse University, 426 Eggers Hall, Syracuse, NY, 13244, USA
- Corresponding author.
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Miller JG, Chahal R, Gotlib IH. Early Life Stress and Neurodevelopment in Adolescence: Implications for Risk and Adaptation. Curr Top Behav Neurosci 2022; 54:313-339. [PMID: 35290658 DOI: 10.1007/7854_2022_302] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
An alarming high proportion of youth experience at least one kind of stressor in childhood and/or adolescence. Exposure to early life stress is associated with increased risk for psychopathology, accelerated biological aging, and poor physical health; however, it is important to recognize that not all youth who experience such stress go on to develop difficulties. In fact, resilience, or positive adaptation in the face of adversity, is relatively common. Individual differences in vulnerability or resilience to the effects of early stress may be represented in the brain as specific patterns, profiles, or signatures of neural activation, structure, and connectivity (i.e., neurophenotypes). Whereas neurophenotypes of risk that reflect the deleterious effects of early stress on the developing brain are likely to exacerbate negative outcomes in youth, neurophenotypes of resilience may reduce the risk of experiencing these negative outcomes and instead promote positive functioning. In this chapter we describe our perspective concerning the neurobiological mechanisms and moderators of risk and resilience in adolescence following early life stress and integrate our own work into this framework. We present findings suggesting that exposure to stress in childhood and adolescence is associated with functional and structural alterations in neurobiological systems that are important for social-affective processing and for cognitive control. While some of these neurobiological alterations increase risk for psychopathology, they may also help to limit adolescents' sensitivity to subsequent negative experiences. We also discuss person-centered strategies that we believe can advance our understanding of risk and resilience to early stress in adolescents. Finally, we describe ways in which the field can broaden its focus to include a consideration of other types of environmental factors, such as environmental pollutants, in affecting both risk and resilience to stress-related health difficulties in youth.
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Affiliation(s)
- Jonas G Miller
- Department of Psychology, Stanford University, Stanford, CA, USA
| | - Rajpreet Chahal
- Department of Psychology, Stanford University, Stanford, CA, USA
| | - Ian H Gotlib
- Department of Psychology, Stanford University, Stanford, CA, USA.
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12
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Patterns of conflict-related trauma exposure and their relation to psychopathology: A person-centered analysis in a population-based sample from eastern DRC. SSM - MENTAL HEALTH 2021. [DOI: 10.1016/j.ssmmh.2021.100005] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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13
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Zhu C, Yin X, Li Z, Zhou L. Psychological Capital Differs Among Rural Left-Behind Children and Is Associated With Emotional and Behavioral Problems. Front Psychol 2021; 12:565385. [PMID: 34290634 PMCID: PMC8287032 DOI: 10.3389/fpsyg.2021.565385] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2020] [Accepted: 06/14/2021] [Indexed: 11/16/2022] Open
Abstract
This study aims to explore, through latent profile analysis (LPA), rural left-behind children’s psychological capital and its relationship with emotional and behavioral indicators. In this study, 677 rural-based left-behind children (average age 11.7 ± 1.58 years) in Hunan Province, China, were recruited and assessed using the Rural Left-behind Children’s Psychological Capital Questionnaire and the Children’s Strengths and Difficulties Questionnaire. We found that psychological capital was divided into three latent profiles: high (43.3% of the sample), medium (46.1%), and low (10.6%). Compared to the other two types, the children with low psychological capital returned higher scores for emotional symptoms, conduct disorder, hyperactivity and impulsivity, and peer-interaction problems, but lower prosocial behavior scores. Meanwhile, examination of the effects of gender and grade found that most of the elementary school students had high psychological capital, and that there was no significant difference among the groups in regard to gender. In summary, distinct differences in psychological capital were found among left-behind children, and the latent profiles were determined to be related to grade, emotional symptoms, hyperactivity and impulsivity, and prosocial behavior. There was also a significant difference in emotional and behavioral indicators across the different latent profiles.
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Affiliation(s)
- Cuiying Zhu
- College of Public Administration and Law, Hunan Agricultural University, Changsha, China
| | - Xiaolan Yin
- College of Education, Hunan Agricultural University, Changsha, China.,Guangxi Sub-Center of China Financial Literacy Education Synergy Innovation Center, Guangxi University of Finance and Economics, Nanning, China
| | - Zhihua Li
- College of Education, Hunan Agricultural University, Changsha, China
| | - Lujun Zhou
- School of Information and Statistics, Guangxi University of Finance and Economics, Nanning, China
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14
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Mills MS, Embury CM, Klanecky AK, Khanna MM, Calhoun VD, Stephen JM, Wang YP, Wilson TW, Badura-Brack AS. Traumatic Events Are Associated with Diverse Psychological Symptoms in Typically-Developing Children. JOURNAL OF CHILD & ADOLESCENT TRAUMA 2020; 13:381-388. [PMID: 33269038 PMCID: PMC7683694 DOI: 10.1007/s40653-019-00284-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
Abstract
Childhood traumatic events are significant risk factors for psychopathology according to adult retrospective research; however, few studies examine trauma exposure and psychological symptoms in pre-adolescent children. Typically-developing children, aged 9-12 years (N = 114), were recruited from the community and selected from the Developmental Chronnecto-Genomics (Dev-CoG) study examining child development. Children completed questionnaires about traumatic life events, posttraumatic stress, anxiety, depression, dissociation, anger, and internalizing and externalizing behaviors. Parents also completed internalizing and externalizing measures. The number of traumatic events significantly correlated with symptom severity across all child-report psychological measures, but surprisingly, trauma was not correlated with any parent-report scores. Follow-up analyses revealed a significant trauma effect for internalizing and externalizing behaviors according to child self-report, but not for parent-report measures. Results indicate that childhood trauma may be a non-specific risk factor for sub-clinical psychopathology in otherwise typically-developing children. Moreover, children appear to be the most appropriate reporters of their own psychological distress.
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Affiliation(s)
- Mackenzie S. Mills
- Department of Psychological Science, Creighton University, 2500 California Plaza, Omaha, NE 68178 USA
| | - Christine M. Embury
- Department of Neurological Sciences, University of Nebraska Medical Center, Omaha, NE USA
- Center for Magnetoencephalography, UNMC, Omaha, NE USA
- Department of Psychology, University of Nebraska at Omaha, Omaha, NE USA
| | - Alicia K. Klanecky
- Department of Psychological Science, Creighton University, 2500 California Plaza, Omaha, NE 68178 USA
| | - Maya M. Khanna
- Department of Psychological Science, Creighton University, 2500 California Plaza, Omaha, NE 68178 USA
| | - Vince D. Calhoun
- Department of Neurosciences, University of New Mexico (UNM), Albuquerque, NM USA
- Department of Electrical and Computer Engineering, UNM, Albuquerque, NM USA
- Department of Computer Science, UNM, Albuquerque, NM USA
- Department of Psychiatry, UNM, Albuquerque, NM USA
- The Mind Research Network, Albuquerque, NM USA
| | - Julia M. Stephen
- Department of Electrical and Computer Engineering, UNM, Albuquerque, NM USA
- Department of Computer Science, UNM, Albuquerque, NM USA
- Department of Psychiatry, UNM, Albuquerque, NM USA
- The Mind Research Network, Albuquerque, NM USA
| | - Yu-Ping Wang
- Department of Biomedical Engineering, Tulane University, New Orleans, LA USA
| | - Tony W. Wilson
- Department of Neurological Sciences, University of Nebraska Medical Center, Omaha, NE USA
- Center for Magnetoencephalography, UNMC, Omaha, NE USA
| | - Amy S. Badura-Brack
- Department of Psychological Science, Creighton University, 2500 California Plaza, Omaha, NE 68178 USA
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15
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Wallander JL, Berry S, Carr PA, Peterson ER, Waldie KE, Marks E, D'Souza S, Morton SMB. Patterns of Exposure to Cumulative Risk Through Age 2 and Associations with Problem Behaviors at Age 4.5: Evidence from Growing Up in New Zealand. JOURNAL OF ABNORMAL CHILD PSYCHOLOGY 2020; 47:1277-1288. [PMID: 30790213 DOI: 10.1007/s10802-019-00521-w] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
Exposure to cumulative risk (CR) has important implications for child development, yet little is known about how frequency, persistence, and timing of CR exposure during early childhood predict behavioral problems already before school start. We examine prospective longitudinal associations between patterns of CR exposure from third trimester through 2 years and subsequent behavior problems at 4.5 years. In 6156 diverse children in the Growing Up in New Zealand longitudinal study, the presence of 12 risk factors, spanning maternal health, social status, and home and neighborhood environment, defined CR and were assessed at last trimester and 9 months and 2 years of age. At child age 4.5 years, mothers completed the Strengths and Difficulties Questionnaire, where a score ≥ 16 indicated an abnormal level of problem behaviors (ALPB). Children exposed to a CR ≥ 1 at least once in early development, compared to those with consistent CR = 0, showed a significantly higher likelihood of ALPB at 4.5 years. Consistent high exposure to CR ≥ 4 across all three assessments had the highest prevalence (44%) of ALPB at age 4.5. Children with high CR exposure on two of three, compared to on all three, time points in early development did not evidence a significantly reduced prevalence (32%-41%) of ALPB. The common co-occurrence of risk factors and their significant developmental impact when accumulated early in life underscore the need for systematic multisector intervention and policy implementation during pregnancy and shortly after birth to improve outcomes for vulnerable children.
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Affiliation(s)
- Jan L Wallander
- Psychological Sciences and Health Sciences Research Institute, University of California, Merced, 5400 North Lake Rd., Merced, CA, 95343, USA.
| | - Sarah Berry
- School of Population Health and Center for Longitudinal Research He Ara ki Mua, University of Auckland, Auckland, New Zealand
| | - Polly Atatoa Carr
- School of Population Health and Center for Longitudinal Research He Ara ki Mua, University of Auckland, Auckland, New Zealand
| | - Elizabeth R Peterson
- School of Psychology, Faculty of Science, University of Auckland, Auckland, New Zealand
| | - Karen E Waldie
- School of Psychology, Faculty of Science, University of Auckland, Auckland, New Zealand
| | - Emma Marks
- School of Population Health and Center for Longitudinal Research He Ara ki Mua, University of Auckland, Auckland, New Zealand
| | - Stephanie D'Souza
- School of Psychology, Faculty of Science, University of Auckland, Auckland, New Zealand
| | - Susan M B Morton
- School of Population Health and Center for Longitudinal Research He Ara ki Mua, University of Auckland, Auckland, New Zealand
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16
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Liang Y, Zhou Y, Ruzek JI, Liu Z. Patterns of childhood trauma and psychopathology among Chinese rural-to-urban migrant children. CHILD ABUSE & NEGLECT 2020; 108:104691. [PMID: 32854057 DOI: 10.1016/j.chiabu.2020.104691] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/10/2019] [Revised: 07/22/2020] [Accepted: 08/12/2020] [Indexed: 06/11/2023]
Abstract
BACKGROUND Exposure to childhood trauma can cause psychopathology and negative psychosocial outcomes across the lifespan. Rural-to-urban migrant children are commonly exposed to traumatic experiences (TEs). However, no study has comprehensively examined patterns of childhood trauma in Chinese culture. The current study aimed to examine patterns of childhood trauma exposure among Chinese rural-to-urban migrant children. METHODS A large-scale (N = 15,890) cross-sectional survey of rural-to-urban migrant workers' children in grades 4 to 9 was conducted in Beijing. Childhood TEs, including accidents and injuries, interpersonal violence, and vicarious trauma, as well as demographics and internalizing and externalizing behaviors, were measured. RESULTS Four patterns of childhood trauma were found: low trauma exposure (60.4%), vicarious trauma exposure (23.9%), domestic violence exposure (10.5%), and multiple trauma exposure (5.3%). Age, gender, parents' marital status, father's education level, family support and peer support differentiated the four TE patterns. Both internalizing and externalizing behaviors were more severe in patterns with more types of TEs. CONCLUSIONS Our findings provide a better understanding of childhood trauma in Chinese culture and the relationship between TEs and mental health. Clinicians and policy makers should tailor prevention and treatment programs according to different patterns of victimization.
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Affiliation(s)
- Yiming Liang
- CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, 16 Lincui Road, Chaoyang District, Beijing 100101, China; Department of Psychology, University of Chinese Academy of Sciences, 19A Yuquan Road, Shijingshan District, Beijing 100049, China
| | - Yueyue Zhou
- CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, 16 Lincui Road, Chaoyang District, Beijing 100101, China; Department of Psychology, University of Chinese Academy of Sciences, 19A Yuquan Road, Shijingshan District, Beijing 100049, China
| | - Josef I Ruzek
- Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, 401 Quarry Road, Stanford, CA 94305, USA
| | - Zhengkui Liu
- CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, 16 Lincui Road, Chaoyang District, Beijing 100101, China; Department of Psychology, University of Chinese Academy of Sciences, 19A Yuquan Road, Shijingshan District, Beijing 100049, China.
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17
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Amin R, Nadeem E, Iqbal K, Asadullah MA, Hussain B. Support for Students Exposed to Trauma (SSET) Program: An Approach for Building Resilience and Social Support Among Flood-Impacted Children. SCHOOL MENTAL HEALTH 2020. [DOI: 10.1007/s12310-020-09373-y] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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18
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Prince DM, Vidal S, Okpych N, Connell CM. Effects of individual risk and state housing factors on adverse outcomes in a national sample of youth transitioning out of foster care. J Adolesc 2019; 74:33-44. [PMID: 31136857 DOI: 10.1016/j.adolescence.2019.05.004] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2018] [Revised: 05/10/2019] [Accepted: 05/13/2019] [Indexed: 10/26/2022]
Abstract
INTRODUCTION Compared to their peers, youth who leave the foster care system without permanency experience greater risks for adverse young adult outcomes, including homelessness, incarceration, substance abuse, and early child birth. Extant literature focuses on individual-level factors related to adversity. In this study, we estimated the impact of state and individual-level risk and protective factors on adverse 19-year-old outcomes among a cohort of U.S. transition age youth. METHODS We used multilevel modeling to analyze prospective, longitudinal data from two waves of the National Youth in Transitions Database (N = 7449). These data were linked to the Adoption and Foster Care Reporting System, the Administration for Children and Families budget expenditures, and the American Community Survey for the period from 2011 to 2013. RESULTS Approximately 30% of the variation in each of the 19-year-old outcomes could be attributed to state-level effects. Residence in a state that spent above average of CFCIP budget on housing supports reduced the risk of homelessness and incarceration. Living in a state with a higher proportion of housing-burdened low-income renters significantly increased the risk of substance abuse and child birth. Individual-level risks were significant: racial/ethnic minority, male gender, past risk history, placement instability, child behavioral problems, residence in group home or runaway. Remaining in foster care at age 19 reduced the odds of homelessness, incarceration, and substance abuse. CONCLUSION Macro factors, including financial support for transition-age youth, and broader housing market characteristics, have a bearing on young adult outcomes, and raise policy questions across social and human service sectors.
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Affiliation(s)
- Dana M Prince
- Case Western Reserve University, Jack, Joseph and Morton Mandel School of Applied Social Sciences, USA.
| | | | | | - Christian M Connell
- Human Development and Family Studies, College of Health and Human Development, The Pennsylvania State University, USA
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19
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King LS, Humphreys KL, Camacho MC, Gotlib IH. A person-centered approach to the assessment of early life stress: Associations with the volume of stress-sensitive brain regions in early adolescence. Dev Psychopathol 2019; 31:643-655. [PMID: 29716668 PMCID: PMC6214790 DOI: 10.1017/s0954579418000184] [Citation(s) in RCA: 33] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
Researchers are becoming increasingly interested in linking specific forms of early life stress (ELS) to specific neurobiological markers, including alterations in the morphology of stress-sensitive brain regions. We used a person-centered, multi-informant approach to investigate the associations of specific constellations of ELS with hippocampal and amygdala volume in a community sample of 211 9- to 13-year-old early adolescents. Further, we compared this approach to a cumulative risk model of ELS, in which ELS was quantified by the total number of stressors reported. Using latent class analysis, we identified three classes of ELS (labeled typical/low, family instability, and direct victimization) that were distinguished by experiences of family instability and victimization. Adolescents in the direct victimization class had significantly smaller hippocampal volume than did adolescents in the typical/low class; ELS classes were not significantly associated with amygdala volume. The cumulative risk model of ELS had a poorer fit than did the person-centered model; moreover, cumulative ELS was not significantly associated with hippocampal or amygdala volume. Our results underscore the utility of taking a person-centered approach to identify alterations in stress-sensitive brain regions based on constellations of ELS, and suggest victimization is specifically associated with hippocampal hypotrophy observed in early adolescence.
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20
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Liu SR, Kia-Keating M, Nylund-Gibson K. Patterns of adversity and pathways to health among White, Black, and Latinx youth. CHILD ABUSE & NEGLECT 2018; 86:89-99. [PMID: 30273815 DOI: 10.1016/j.chiabu.2018.09.007] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/27/2018] [Revised: 09/03/2018] [Accepted: 09/12/2018] [Indexed: 05/21/2023]
Abstract
Research has demonstrated the negative impact of Adverse Childhood Experiences (ACEs) on long-term trajectories of mental and physical health. Yet existing literature on this topic is limited in its understanding of outcomes among youth samples, optimal measurement items and methods, and differences in adverse experiences across race/ethnicity. The current study used a person-centered approach to measure ACEs and their impact on youth health outcomes across three different racial/ethnic groups from a large national database. Patterns of exposure to adverse experiences among Black, Latinx, and White youth (N = 30,668, ages 12-17) were determined empirically using latent class analysis (LCA). Significant differences in class membership by demographic indicators (age, household income, sex) and concurrent health outcomes were identified. Different models emerged for Black (2 classes), Latinx (3 classes), and White youth (3 classes). Older and lower-income youth were more likely to have experienced adversities, but there were no differences in adversity likelihood by sex. Additionally, racial/ethnic minority youth were at greater risk of experiencing higher levels of adversity, poverty, and poor health when compared to their White counterparts. Rather than occuring in meaningful clusters, adverse experiences among youth reflected a cumulative risk model such that classes were defined by the overall intensity of adverse experiences (i.e., low, moderate, high). Findings provide greater knowledge regarding the relationship between ACEs and health and future research directions to inform more targeted and culturally-appropriate screening, prevention, and intervention programs.
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Affiliation(s)
- Sabrina R Liu
- Department of Counseling, Clinical, & School Psychology, Gevirtz Graduate School of Education, University of California, Santa Barbara, Santa Barbara, CA 93106-9490, United States.
| | - Maryam Kia-Keating
- Department of Counseling, Clinical, & School Psychology, Gevirtz Graduate School of Education, University of California, Santa Barbara, Santa Barbara, CA 93106-9490, United States.
| | - Karen Nylund-Gibson
- Department of Education, Gevirtz Graduate School of Education, University of California, Santa Barbara, Santa Barbara, CA 93106-9490, United States.
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21
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Glackin E, Forbes D, Heberle A, Carter A, Gray SAO. Caregiver Self-Reports and Reporting of Their Preschoolers' Trauma Exposure: Discordance Across Assessment Methods. ACTA ACUST UNITED AC 2018; 25:172-180. [PMID: 31507351 DOI: 10.1037/trm0000179] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
Abstract
Nearly half of preschool-aged children from low-income families in the United States have been exposed to potentially traumatic events (PTEs), yet few are identified or receive trauma-focused mental health care. Given the critical need to accurately and efficiently identify PTE-exposed individuals, the current study examined discordant caregiver self-reporting of PTE exposure and caregiver reporting of child PTE exposure across two assessment methods: checklist and interview. Research has demonstrated significant cross-method discrepancies among adults reporting stressful life experiences, but examinations of caregiver reporting for their young children have not been conducted. Further, given their possible impact on reporting patterns, caregiver and child characteristics were examined in relation to discordant caregiver reporting by trauma type. Participants were 64 low-income, racially and ethnically diverse caregivers and their preschool-aged children from a Northeastern US city. Caregivers reported self and child PTE exposure via checklist and semi-structured interview. Cross-method discordance for caregiver and child exposure by trauma type ranged from 10.9% to 46.9% (Cohen's kappa =.06-.70). Caregiver race and education were associated with discordant reporting, as were caregiver and child psychopathology. Lower levels of caregiver psychopathology were associated with discordant caregiver reporting of their own exposure, whereas higher levels were associated with discordant caregiver reporting of child exposure. Discordant caregiver reporting of PTE exposure varies by assessment format and trauma type and is differentially related to caregiver demographics and caregiver and child psychopathology. Associations between assessment methods, individual characteristics, and reporting should be considered when assessing PTE exposure to support service engagement and targeted treatment.
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Affiliation(s)
- Erin Glackin
- Department of Psychology, Tulane University, New Orleans, Louisiana
| | - Danielle Forbes
- Department of Psychology, University of Massachusetts, Boston, Massachusetts
| | - Amy Heberle
- Department of Psychology, Clark University, Worcester, Massachusetts
| | - Alice Carter
- Department of Psychology, University of Massachusetts, Boston, Massachusetts
| | - Sarah A O Gray
- Department of Psychology, Tulane University, New Orleans, Louisiana
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22
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Schimmenti A. The trauma factor: Examining the relationships among different types of trauma, dissociation, and psychopathology. J Trauma Dissociation 2018; 19:552-571. [PMID: 29125800 DOI: 10.1080/15299732.2017.1402400] [Citation(s) in RCA: 43] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
Extensive research has reported a dose-response relationship between exposure to trauma and the severity of both dissociation and psychopathology. However, certain types of trauma may co-occur more frequently than others and specific combinations of traumatic experiences may relate differently to dissociative processes and psychiatric symptoms. In the current study, 359 adult participants completed questionnaires on traumatic experiences, dissociation, and psychopathology. A correlation network analysis showed that some types of trauma are more likely to co-occur and that especially traumatic experiences in attachment relationships during childhood were significantly associated with other trauma in life. A latent class analysis identified four classes of participants (namely, extremely traumatized, resilient to the impact of abuse, exposed to impersonal and social trauma, and reporting low levels of traumatization) who showed different profiles on trauma exposure, dissociation, and psychopathology. Mediation analyses further showed that dissociation partially mediated the relationship between different types of traumatic experiences and the severity of psychiatric symptoms. The findings of this study support the view that a comprehensive assessment of traumatic experiences and dissociation is needed in trauma research and clinical practice.
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Affiliation(s)
- Adriano Schimmenti
- a Faculty of Human and Social Sciences , UKE - Kore University of Enna , Italy
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23
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Connell CM, Pittenger SL, Lang JM. Patterns of Trauma Exposure in Childhood and Adolescence and Their Associations With Behavioral Well-Being. J Trauma Stress 2018; 31:518-528. [PMID: 30058739 PMCID: PMC6393935 DOI: 10.1002/jts.22315] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/20/2017] [Revised: 04/17/2018] [Accepted: 04/18/2018] [Indexed: 11/06/2022]
Abstract
The majority of youth living in the United States experience a potentially traumatic event (PTE) by 18 years of age, with many experiencing multiple PTEs. Variation in the nature and range of PTE exposure differentially impacts youth functioning, although this association is poorly understood. We used latent class analysis (LCA) to identify patterns of PTE exposure from caregiver and youth report in a treatment-seeking sample of children and adolescents (N = 701) and examined how these patterns predict youths' behavioral health outcomes. We identified four classes based on both caregiver and youth reports of PTE exposure, with the best-fitting model representing a constrained measurement model across reporters; these included high polyvictimization, moderate polyvictimization (general), moderate polyvictimization (interpersonal), and low polyvictimization classes. Prevalence of classes varied across reporters, and agreement in classification based on caregiver and youth report was mixed. Despite these differences, we observed similar patterns of association between caregiver- and youth-reported classes and their respective ratings of posttraumatic stress disorder and depressive symptoms, as well as both caregiver and therapist ratings of problem behavior, with Cohen's d effect size estimates of significant differences ranging from d = 0.25 to d = 0.51. The PTE exposure classes did not differ with respect to ratings of child functioning. Findings highlight the importance of gathering information from multiple informants.
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Affiliation(s)
- Christian M. Connell
- Development and Family Studies, Human College of Health and Human Development, The Pennsylvania State University, University Park, Pennsylvania, USA,Department of Psychiatry, Division of Prevention and Community Research, Yale School of Medicine, New Haven, Connecticut, USA
| | - Samantha L. Pittenger
- Department of Psychiatry, Division of Prevention and Community Research, Yale School of Medicine, New Haven, Connecticut, USA
| | - Jason M. Lang
- Development Institute, Child Health and Farmington, Connecticut, USA,Department of Psychiatry, UCONN Health, Farmington, Connecticut, USA,Child Study Center, Yale School of Medicine, New Haven, Connecticut, USA
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24
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Hagan MJ, Gentry M, Ippen CG, Lieberman AF. PTSD with and without dissociation in young children exposed to interpersonal trauma. J Affect Disord 2018; 227:536-541. [PMID: 29169122 DOI: 10.1016/j.jad.2017.11.070] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/21/2017] [Revised: 09/29/2017] [Accepted: 11/12/2017] [Indexed: 11/20/2022]
Abstract
BACKGROUND A Dissociative Subtype of Posttraumatic Stress Disorder (PTSD) was added to the DSM-5, but little is known about this symptom pattern in young children exposed to trauma. Tailoring treatment to traumatized young children requires understanding the different patterns of trauma-related symptomatology and important correlates. The current study tested the hypothesis that type and number of child traumatic events, caregiver trauma exposure, and caregiver symptomatology would predict whether traumatized young children presented with PTSD, PTSD with clinical dissociation, or non-clinical trauma symptoms. METHODS A multinomial regression was conducted using data collected from an ethnically and economically diverse sample of 297 trauma-exposed children between the ages of 3 and 6 and their caregivers. Based on parent-report on a well-validated measure of trauma symptoms, children were categorized into three groups: non-clinical (n = 128), PTSD only (n = 104), or PTSD with dissociation (PTSD-DISS; n = 65). Predictors included trauma exposure, parent trauma symptoms, and child sex. RESULTS Girls were twice more likely than boys to be in the PTSD-DISS group; sexually abused children were almost three times as likely to be in the PTSD-DISS group; and, for every unit increase in parent avoidance symptoms or number of traumatic events, the odds of being in the PTSD-DISS group increased significantly. LIMITATIONS Given the cross-sectional study design, conclusions cannot be drawn regarding causality. Measures were completed by a single reporter. CONCLUSIONS Findings suggest that subgroups of children may be especially vulnerable to comorbid PTSD and dissociation. Implications for treatment are discussed.
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Affiliation(s)
- Melissa J Hagan
- Department of Psychology, San Francisco State University, United States; Department of Psychiatry, University of California, San Francisco, United States.
| | - Miya Gentry
- Department of Psychology, San Francisco State University, United States
| | - Chandra Ghosh Ippen
- Child Trauma Research Program, Department of Psychiatry, University of California, San Francisco, United States
| | - Alicia F Lieberman
- Child Trauma Research Program, Department of Psychiatry, University of California, San Francisco, United States
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25
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O'Donnell ML, Schaefer I, Varker T, Kartal D, Forbes D, Bryant RA, Silove D, Creamer M, McFarlane A, Malhi G, Felmingham K, Van Hoof M, Hadzi-Pavlovic D, Nickerson A, Steel Z. A systematic review of person-centered approaches to investigating patterns of trauma exposure. Clin Psychol Rev 2017; 57:208-225. [DOI: 10.1016/j.cpr.2017.08.009] [Citation(s) in RCA: 47] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2017] [Revised: 08/29/2017] [Accepted: 08/29/2017] [Indexed: 10/18/2022]
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26
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Subjective Well-Being of Filipino Women who Experienced Intimate Partner Violence: A Person-Centered Analysis. INTERNATIONAL JOURNAL FOR THE ADVANCEMENT OF COUNSELLING 2017. [DOI: 10.1007/s10447-017-9303-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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27
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Hamiel D, Wolmer L, Pardo-Aviv L, Laor N. Addressing the Needs of Preschool Children in the Context of Disasters and Terrorism: Clinical Pictures and Moderating Factors. Curr Psychiatry Rep 2017; 19:38. [PMID: 28534295 DOI: 10.1007/s11920-017-0793-7] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
PURPOSE OF REVIEW This paper surveys the existent theoretical and research literature regarding the needs of preschool children in the context of disasters and terrorism with the aim of understanding (a) the consequences of such events for young children and (b) the main moderating variables influencing the event-consequence association to learn how to enhance their resilience. RECENT FINDINGS Consequences include a variety of emotional, behavioral, and biological outcomes. Implications for refugee children are discussed. Main moderating variables were mother's sensitivity and mother's PTSD symptoms. Exposure to disasters and terrorism may have severe effects on the mental health and development among preschool children. Future research should explore the implications of different levels of exposure and the effects of moderating psychosocial and biological variables, including the parent-child triad, on the event-consequence relationship.
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Affiliation(s)
- Daniel Hamiel
- Donald J. Cohen & Irving B. Harris Resilience Center, Association for Children at Risk, Tel-Aviv, Israel. .,Baruch Ivcher School of Psychology, Herzlyia Interdisciplinary Center, Herzliya, Israel. .,Tel-Aviv-Brüll Community Mental Health Center, Clalit Health Services, Tel-Aviv, Israel.
| | - Leo Wolmer
- Donald J. Cohen & Irving B. Harris Resilience Center, Association for Children at Risk, Tel-Aviv, Israel.,Baruch Ivcher School of Psychology, Herzlyia Interdisciplinary Center, Herzliya, Israel
| | - Lee Pardo-Aviv
- Donald J. Cohen & Irving B. Harris Resilience Center, Association for Children at Risk, Tel-Aviv, Israel
| | - Nathaniel Laor
- Donald J. Cohen & Irving B. Harris Resilience Center, Association for Children at Risk, Tel-Aviv, Israel.,Departments of Psychiatry and Medical Education, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.,Child Study Center, Yale University, New Haven, CT, USA
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28
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Grasso DJ, Petitclerc A, Henry DB, McCarthy KJ, Wakschlag LS, Briggs-Gowan MJ. Examining Patterns of Exposure to Family Violence in Preschool Children: A Latent Class Approach. J Trauma Stress 2016; 29:491-499. [PMID: 27859679 PMCID: PMC5140743 DOI: 10.1002/jts.22147] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
Young children can experience violence directly or indirectly in the home, with some children exposed to multiple forms of violence. These polyvictims often experience violence that is severe, chronic, and multifaceted. The current study used latent class analysis to identify and examine the pattern of profiles of exposure to family violence (i.e., violence directed towards the child and between caregivers) among a sample of 474 children ages 3-6 year who were drawn from the Multidimensional Assessment of Preschoolers Study (Wakschlag et al., 2014). The data yielded 3 classes: a polyvictimized class (n = 72; 15.2%) with high probability of exposure to all forms of violence, a harsh parenting class (n = 235; 49.5%), distinguished mainly by child-directed physical discipline in the absence of more severe forms of violence, and a low-exposure class (n = 167; 35.2%). Classes were differentiated by contextual factors, maternal characteristics, and mother-reported and observational indicators of parenting and child functioning with most effect sizes between medium and large. These findings add to emerging evidence linking polyvictimization to impaired caregiving and adverse psychological outcomes for children and offer important insight for prevention and intervention for this vulnerable population.
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Affiliation(s)
- Damion J. Grasso
- Department of Psychiatry, University of Connecticut School of Medicine, Farmington, Connecticut, USA
| | - Amélie Petitclerc
- Department of Medical Social Sciences, Feinberg School of Medicine, Chicago, Illinois, USA
- Institute for Policy Research, Northwestern University, Chicago, Illinois, USA
| | - David B. Henry
- Institute for Health Research and Policy, University of Illinois at Chicago, Chicago, Illinois, USA
| | - Kimberly J. McCarthy
- Department of Psychiatry, University of Connecticut School of Medicine, Farmington, Connecticut, USA
| | - Lauren S. Wakschlag
- Department of Medical Social Sciences, Feinberg School of Medicine, Chicago, Illinois, USA
- Institute for Policy Research, Northwestern University, Chicago, Illinois, USA
| | - Margaret J. Briggs-Gowan
- Department of Psychiatry, University of Connecticut School of Medicine, Farmington, Connecticut, USA
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