METHODS Participants One-hundred and thirty-six children from the state of Florida were referred by parents, physicians and counselors as having traumatic stress symptoms. The children had experienced either Type 1 (usually a natural disaster, chronic illness or catastrophic event) or Type 2 (stressors resulting from long term ordeal, such as abuse and or neglect), trauma. 78 out of the 136 children scored moderate to severe in the pre-test for symptoms of trauma; those who scored mild levels of traumatic symptoms were eliminated from the study. From those a random sampling of 50 children qualified and random assignment was used to place them in experimental or control groups. Participants included 50 children (29 females, 21 males), ages four to ten years old. Of the 50 …show more content…
All participants were administered the CANS assessment tool as a pretest to determine their levels of severity. All qualifying participants scored moderate to high levels of traumatic stress symptoms. At the initial meeting, the children were randomly assigned to one of the two experimental groups. Participants in the experimental group were to meet every even week for one hour of play therapy, and every odd week to one hour of traditional counseling. During play therapy sessions the children had access to dolls and dollhouses, dress-up, art supplies, puppets, animals, music and other toys. Those in the control group would meet for traditional counseling every other week for one hour. At the assigned times, participants in the experimental group attended individual sessions of play therapy. On the alternate weeks they attended individual counseling with a therapist. Children in the control group met with a therapist for individual one hour sessions every other week. At the end of the six month period all participants were given the CANS trauma computation to reassess their levels of
The effects of maltreatment in children can last through adolescence and on through adulthood for many. Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT) is a very popular type of therapy that join the caregiver and the child’s sessions. The basic process of this therapy is educate and improve parenting skills, teach relaxation techniques and skills, introduce cognitive coping skills, allow the child to talk about the narrative and make the child feel comfortable about talking about the trauma and allow the child cognitively process the traumatic events, ensure that the child feels safe. Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT). For children who suffer post-traumatic stress syndrome, this treatment can require maintenance for up to 2 years after the child has completed treatment (Deblinger, Steer, & Lippmann,
The National Child Traumatic Stress Network (NCTSN) was stablished by Congress in 2000 and brings a comprehensive focus to childhood trauma. This network raises the average standard of care and improves access to services for traumatized children, their families and communities throughout the United States. The NCTSN defines trauma‑focused cognitive behavioral therapy (TF‑CBT) as an evidence‑based treatment approach that is shown to help children, adolescents, and their caregivers overcome trauma‑related difficulties. It is designed to reduce negative emotional and behavioral responses following a traumatic event. The treatment addresses distorted beliefs related to the abuse and provides a supportive environment so the individual can talk about their traumatic experience. TF‑CBT also helps parents cope with their own emotional issues and develop skills to support their children.
The key concept of this literature review is to better understand how childhood trauma is associated with mental health, such as post-traumatic stress disorder
Sixty percent of adults report experiencing abuse or other difficult family circumstances during childhood. (Mental Health Connection, N.D.). This shocking statistic exemplifies the high prevalence of childhood trauma. Furthermore, twenty-six percent of children in the United States will witness or experience a traumatic event before the age of four. (Mental Health Connection, N.D.) Trauma is an extremely common and complex phenomenon. But what is trauma? According to Merriam Webster, trauma is defined as, “a disordered psychic or behavioral state resulting from severe mental or emotional stress or physical injury.” (Merriam Webster, 2017). Dr. Lenore C. Terr from the Child and Adolescent Psychiatric Clinics of America further describes trauma as unique to each individual. It can be caused by a series of events or one severe incident. Unfortunately, childhood trauma is usually experienced repeatedly. For example, many children endure sexual abuse, bullying, and severe family problems over and over again. Children may experience a variety of traumas that have lasting consequences on their mental health. Those who experience childhood trauma are more likely to develop psychological disorders. This occurs because their brains lack neuroplasticity, which inhibits their ability to adapt to various stressful circumstances.
Childhood and adolescence is a crucial time for humans- a time full of physical, emotional, and cognitive development. Upon observing the significant impact that trauma induced stress can have on adults following time in combat or an injury, when adults have fully matured in all areas, it raises the question of what influence post-traumatic stressors can have on development in children. This issue was so significant that in the DSM-5, the psychologists introduced a new, and separate, section of criteria for PTSD that specifically relates to the preschool subtype, or those individuals six years and younger. The first age specific sub-type for this disorder is important due to the rising number of studies and cases of PTSD in children.
Mass traumatic events including natural and manmade disasters affect a significant proportion of the world population each year (The International Disaster Database http://www.emdat.be/, Global Terrorism Database https://www.start.umd.edu/gtd/, Shulz 2014 Mass Shootings ). In the United States an estimated 14% of children and adolescents have experienced one or more natural or human caused disaster (Beckler-Blease 2013;McLaughlin 2013). Though especially vulnerable to the impact of these events, historically the needs of children have not been systematically addressed. Given psychiatric sequelae of trauma exhibit a dose response relationship with event severity, ascertaining the level of exposure for intervention or research purposes is crucial. When the victims are children, this can be particularly difficult.
Although many children suffer from the effects of childhood stress, just as many are able to seek help in many ways through social interaction and intrapersonal work through themselves. There are many organizations within the United States that is dedicated to offering support and other tools to help children relieve stress and to get out of the depression that it may cause. The “National Child Traumatic Stress
Trauma is perceived as a physical or psychological threat or assault to a person’s physical integrity, sense of self, safety and/or survival or to the physical safety of a significant other; family member, friend, partner. (Kilpatrick, Saunders, and Smith, 2003). An adolescent may experience trauma from a variety of experiences, including but not limited to: abuse (sexual, physical, and/or emotional); neglect; abandonment; bullying; exposure to domestic violence and/ or community violence; natural disasters; medical procedures; loss/grief due to a death of a family member(s); surgery; accidents or serious illness; and war (Kilpatrick, Saunders, and Smith, 2003).
There are many types of trauma that can effect an adolescent and without the proper treatment of the traumatic event the adolescent can have difficulty adapting and developing into adulthood. Kathleen J. Moroz, of the Vermont Agency of Human Services, defines trauma as a physical or psychological threat or assault to a child’s physical integrity, sense of self, safety of survival or to the physical safety of another person significant to the child. She goes on to list the types of trauma a child may be exposed to. Abuse of every kind, domestic violence, natural disasters, abandonment, serious illness or an accident are just a few traumatic events that can effect the development of a child. (2) When these events occur as an acute event
deal with it in a way that works for them. To refer to the “Myths of
Childhood trauma is one of the most heartbreaking situations to ever fathom happening. Childhood trauma includes neglect, maltreatment, physical and emotional abuse, and many other forms of mistreatment amongst children. Childhood trauma occurs between the ages of 0 and 6 years of age. When referencing to childhood trauma, one must take thought into who commits the abuse, who is affected by the abuse, and what long term effects can the abuse have on the victims. One must also take into consideration the sex differences when referring to childhood trauma. Numerous of studies have been conducted and many findings have been made. Prior to conducting this research paper, I only considered childhood trauma to be what it was and never considered the long term effects. Because of my assumption, I never even considered the other categories of the trauma.
Trauma occurs when a child has experienced an event that threatens or causes harm to her emotional and physical well-being. Events can include war, terrorism, natural disasters, but the most common and harmful to a child’s psychosocial well-being are those such as domestic violence, neglect, physical and sexual abuse, maltreatment, and witnessing a traumatic event. While some children may experience a traumatic event and go on to develop normally, many children have long lasting implications into adulthood.
“American Psychiatric Association defines trauma as an event that represents a threat to life or personal integrity. Trauma can also be experienced when children are faced with a caregiver who acts erratically, emotional and /or physical neglect, and exploitation” (Maltby, L., & Hall, T. 2012. p. 304). Trauma comes in many different forms including: war, rape, kidnapping, abuse, sudden injury, and
The term “Psychological trauma” refers to damage wrought from a traumatic event, which that damages one’s ability to cope with stressors. “Trauma” is commonly defined as an exposure to a situation in which a person is confronted with an event that involves actual or threatened death or serious injury, or a threat to self or others’ physical well-being (American Psychiatric Association, 2000). Specific types of client trauma frequently encountered by which therapists and other mental health workers frequently encounter in a clinical setting include sexual abuse, physical , or sexual assault, natural disasters such as earthquakes or tsunamis, domestic violence, and school or/and work related violence (James & Gilliland, 2001). Traumatic
Throughout the course of one’s lifetime, there are countless events that shape the personality, actions and mentality of that individual. Some of these events will affect the individual in a positive way allowing great life opportunities, while other events will unfortunately affect the individual in a negative way which can lead to disorders. Among the various events that can affect a person, one of the most common occurrences that some children witness early on in their lives that deeply affect their long-term mental health is being a witness to domestic violence. Research and observations that were studied revealed that there are multiple factors that can contribute to a child witnessing domestic violence. The more categories that the