Complex Histories and Complex Presentations: Implementation of a Manually-Guided Group Treatment for Traumatized Adolescents

It is consistently recognized that children and adolescents who have repeatedly experienced or witnessed violence are at significant risk for a multitude of lasting difficulties across many domains of functioning. Adolescents in residential settings often have extensive trauma histories and experience profound behavioral, emotional, and interpersonal difficulties. Unfortunately, there are few structured trauma-informed treatments that have been implemented in residential settings, and even fewer that have been evaluated.

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Complex Trauma Exposure and Symptoms in Urban Traumatized Children: A Preliminary Test of Proposed Criteria for Developmental Trauma Disorder

Recently, a new diagnostic construct, developmental trauma disorder (DTD), was proposed to describe the effects of chronic exposure to violence in combination with disruptions in caregiving systems. This study uses archival data to field test the consensus proposed diagnostic criteria for DTD in a sample of urban children (N-á= 214). Children with complex trauma histories as defined in the proposed DTD Criterion A were much more likely to meet the proposed DTD symptom criteria than children who did not meet the exposure criterion.

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Complex Trauma Symptoms in Former Ugandan Child Soldiers

Children exposed to repeated interpersonal trauma often develop symptoms that exceed those documented in criteria for post-traumatic stress disorder (PTSD) and are better described with the emerging concept of developmental trauma disorder (DTD). This study examines complex trauma symptoms in a sample of 330 former Ugandan child soldiers (age 11-17 years, 49% female). Prevalence rates were 33.0% for PTSD, 36.4% for depression, and 78.2% for DTD.

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Children's symptoms of posttraumatic stress and depression after a natural disaster: comorbidity and risk factors

BACKGROUND: The current study examined rates of comorbidity among children's symptoms of posttraumatic stress (PTS) and depression after a natural disaster, Hurricane Ike. We also compared children with comorbid symptoms to children without comorbid symptoms, examining recovery, severity of symptoms, and risk factors. METHOD: Children (n=277, 52% girls, 38% Hispanic, 28% White, 19% Black, grades 2-4) were assessed at 8 and 15 months postdisaster.

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Challenges and Successes in Dissemination of Evidence-Based Treatments for Posttraumatic Stress: Lessons Learned From Prolonged Exposure Therapy for PTSD

Posttraumatic stress disorder (PTSD) poses monumental public health challenges because of its contribution to mental health, physical health, and both interpersonal and social problems. Recent military engagements in Iraq and Afghanistan and the multitude of resulting cases of PTSD have highlighted the public health significance of these conditions. There are now psychological treatments that can effectively treat most individuals with PTSD, including active duty military personnel, veterans, and civilians.

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Changes in trauma memory and patterns of posttraumatic stress

The traditional static view of trauma memory holds that memories for such events are fixed and relatively unchanging over time. A more recent dynamic view proposes that memory for potential trauma, like memory for ordinary events, changes with time. The present study examined predictions from these competing theories in repeated assessments of high exposed survivors of the September 11th (9/11) attacks. Memory was assessed using both standardized questionnaires and a free recall paradigm. These data and a measure of posttraumatic stress were obtained at 7 and 18 months post-9/11.

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Book review: Trauma counselling: Theories and interventions

Reviews the book Trauma counselling: Theories and interventions by Lisa Lopez Levers (editor). ISBN: 978-0-8261-0683-4

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Brazilian version of the Structured Interview for Disorders of Extreme Stress - Revised (SIDES-R): adaptation and validation process

Posttraumatic stress disorder (PTSD) contemplates the impact of acute traumatic events, but the literature indicates that this is not true for chronic exposure to stress. In this sense, the category disorders of extreme stress not otherwise specified (DESNOS) has been proposed to characterize the behavior and cognitive alterations derived from exposure to continuous early life stress. The Structured Interview for Disorders of Extreme Stress - Revised (SIDES-R) was developed to investigate and measure DESNOS.

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Breaking the Links in Intergenerational Violence: An Emotional Regulation Perspective

The saying violence begets violence is an apt descriptor of the cycle of family violence, as children who witness parental violence are at high risk for repeating family violence in their own adult intimate relationships. Neuroscience research suggests that emotional regulation may be an important link in the heritability of family violence, and promotes awareness of the importance of internalizing as well as externalizing responses to stress, neglect, and abuse.

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Association of childhood-trauma-by-primary caregiver and affect dysregulation with borderline personality disorder symptoms in adulthood

Potentially traumatizing experiences by a primary caregiver during childhood (TPC) may lead to affect dysregulation, which is a hallmark of borderline personality disorder (BPD) in adulthood. Path analyses with bootstrap confidence intervals were used to explore the relationships of TPC and under- and overregulation of affect to BPD symptoms. Almost 63% of a sample of 472 patients diagnosed with either BPD alone, comorbid BPD + somatoform disorder, or other mental disorder, reported childhood TPC.

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