A developmental approach to complex PTSD: Childhood and adult cumulative trauma as predictors of symptom complexity

Journal of Traumatic Stress - Tập 22 Số 5 - Trang 399-408 - 2009
Marylène Cloître1, Bradley Stolbach2, Judith Lewis Herman3, Bessel van der Kolk4, Robert S. Pynoos5, Jing Wang6, Eva Petkova7
1Department of Child and Adolescent Psychiatry, New York University School of Medicine and Nathan S. Kline Institute for Psychiatric Research, New York, NY
2La Rabida Children's Hospital Chicago Child Trauma Center and Department of Psychiatry, University of Chicago Pritzker School of Medicine, Chicago, IL
3Victims of Violence Program, Cambridge Health Alliance, and Department of Psychiatry, Harvard Medical School, Cambridge, MA
4Trauma Center at Justice Resource Institute, Brookline, MA
5Department of Psychiatry and Biobehavioral Sciences, University of California-Los Angeles, Los Angeles, CA
6Department of Child and Adolescent Psychiatry, New York University School of Medicine, New York, NY
7Department of Child and Adolescent Psychiatry, New York University School of Medicine and Nathan S. Kline Institute of Psychiatric Research, New York, NY

Tóm tắt

AbstractExposure to multiple traumas, particularly in childhood, has been proposed to result in a complex of symptoms that includes posttraumatic stress disorder (PTSD) as well as a constrained, but variable group of symptoms that highlight self‐regulatory disturbances. The relationship between accumulated exposure to different types of traumatic events and total number of different types of symptoms (symptom complexity) was assessed in an adult clinical sample (N = 582) and a child clinical sample (N = 152). Childhood cumulative trauma but not adulthood trauma predicted increasing symptom complexity in adults. Cumulative trauma predicted increasing symptom complexity in the child sample. Results suggest that Complex PTSD symptoms occur in both adult and child samples in a principled, rule‐governed way and that childhood experiences significantly influenced adult symptoms.

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Tài liệu tham khảo

Achenbach T. M., 2000, Manual for the ASEBA preschool forms and profiles

Achenbach T. M., 2001, Manual for the ASEBA school‐age forms and profiles

10.1176/appi.books.9780890423349

Beck A. T., 1996, Beck Depression Inventory

10.1002/jts.2490080106

Briere J., 1992, Child abuse trauma: Theory and treatment of the lasting effects

10.1002/jts.20317

10.1207/s15327752jpa5501&2_35

10.1207/s15327752jpa5403&4_11

10.1146/annurev.psych.58.110405.085650

Childhelp Inc.(2005).National child abuse statistics. Retrieved December 30 2005 fromhttp://www.childhelpusa.org/abuseinfo_stats.htm

10.1300/J013v34n03_01

10.1002/jts.2490100309

10.1016/S0140-6736(01)05622-7

10.1016/j.chiabu.2004.01.008

Finkelhor D., 1994, Victimization of children, 10.1037/0003-066X.49.3.173

10.1002/jts.2490090104

Ford J. Spinazzola J. Putnam F. Stolbach B. C. Saxe G. Pynoos R. et al.(2007).Child Complex Trauma Symptom Checklist. Unpublished measure.

Frewen P. A., 2006, The psychobiology of post‐traumatic stress disorder, 110

10.1002/jts.2490050305

10.1176/ajp.146.4.490

10.1037/0022-006X.56.6.885

10.1093/biomet/41.1-2.133

10.1002/jts.20063

Kessler R. C., 2000, Posttraumatic stress disorder: The burden to the individual and to society, Journal of Clinical Psychiatry, 61, 4

Kovacs M., 1992, Children's Depression Inventory

10.1037/0021-843X.109.1.26

10.1016/S0145-2134(08)80004-X

Pynoos R. Fairbank J. A. Briggs‐King E. C. Steinberg A. Layne C. Stolbach B. et al.(2008 November).Trauma exposure adverse experiences and diverse symptom profiles in a national sample of traumatized children. Paper presented at the 24th Annual Meeting of the International Society for Traumatic Stress Studies Chicago IL.

Pynoos R. S. &Steinberg A. M.(2004).Trauma/Loss History Profile. Unpublished measure.

Pynoos R. S., 1995, Manual of developmental psychopathology, Vol. 2, risk, disorder, and adaptation, 72

10.1097/00004583-200001000-00017

10.1037/0022-006X.60.5.748

10.1002/jts.2490100403

10.1097/01.chi.0000145374.45992.c9

10.1016/j.chiabu.2005.01.006

10.1017/S0954579400001036

Spielberger C. D., 1991, State Trait Anger Expression Inventory

10.1007/s11920-004-0048-2

10.1016/j.chiabu.2007.04.011

Stolbach B. C.(1997).The Children's Dissociative Experiences Scale and Posttraumatic Symptom Inventory: Rationale development and validation of a self‐report measure. Unpublished doctoral dissertation University of Colorado Boulder CO.

Stolbach B. Dominguez R. Z. Rompala V. &Gazibara T.(2008 November).Relationships among complex trauma histories dissociation and symptom profiles in traumatized urban children. Paper presented at the 25th Annual Meeting of the International Society for the Study of Trauma and Dissociation Chicago IL.

Stolbach B. C. Dominguez R. Z. Rompala V. Fleisher C. Gazibara T. &Gottlieb L.(2007 November).Children's Dissociative Experiences Scale and Posttraumatic Symptom Inventory: A replication study. Poster presented at the 23rd Annual Meeting of the International Society for Traumatic Stress Studies Baltimore MD.

10.3928/00485713-20050501-06

10.1002/jts.20047

10.1002/jts.2490090203

10.1037/1040-3590.11.2.124

10.1097/00004583-198709000-00007

Widom C. S., 1999, Posttraumatic stress disorder in abused and neglected children grown up, American Journal of Psychiatry, 156, 1226, 10.1176/ajp.156.8.1223

Wyatt G., 1992, Differential effects of women's child sexual abuse and subsequent sexual revictimization, Journal of Consulting and Clinical Psychology, 60, 167, 10.1037/0022-006X.60.2.167

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Journal of Traumatic Stress

Tập 22 Số 5

399-408

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