The American Journal of Family Therapy, 41:198–211, 2013 Copyright © Taylor & Francis Group, LLC ISSN: 0192-6187 print / 1521-0383 online DOI: 10.1080/01926187.2012.677662 Childhood Abuse and Neglect in an Outpatient Clinical Sample: Prevalence and Impact LIN SHI Specialization in Marriage and Family Therapy, School of Family, Consumer, and Nutrition Sciences, Northern Illinois University, DeKalb, Illinois, USA The study examined the prevalence of five types of childhood trauma in a sample of adult clients (n = 497) as well as their longterm relation to trauma symptoms in adulthood. Results showed a high prevalence of abuse and neglect with emotional abuse and neglect being the most common ones. Emotional abuse was the best …show more content…
Sequelae of diagnoses linked to long-term impact of childhood trauma include anxiety, depression, bipolar, borderline, substance abuse, antisocial, and personality, eating, dissociative, affective, somatoform, and sexual disorders (van der Kolk, 2007), and PTSD. Among them PTSD has captured the imagination of trauma research (van der Kolk, 2007; Kirmayer, Lemelson, & Barad, 2007) despite the fact that it is only one of the many consequences of trauma (Kirmayer, Lemelson, & Barad, 2007) and that only a small percentage of victims of severe and profound trauma develop PTSD (van der Kolk, 2007). Furthermore, the study of trauma consequences needs to go beyond DSM diagnoses as impact of childhood trauma can be multifaceted and leave its mark on developmental and relational issues (van der Kolk, 2007). Many symptoms and difficult adjustments such as relational issues can be long-term consequences of early abuse and neglect. To date studies linking early abuse and neglect to difficulties in adulthood beyond specific DSM diagnoses are scarce if not lacking. Moreover, numerous studies fail to 200 L. Shi incorporate the co-presence of multiple types of maltreatment as if diagnosis occurs independently of other trauma symptoms (van der Kolk,
They also found that childhood sexual abuse was the most common trauma that lead to PTSD symptoms. These findings are in line with previous research on this topic or similar topics to this one. Although childhood sexual assault was the common, the authors noted that being stalked and being threatened produces the most severe symptoms of PTSD in the regression equation. Another finding that was consistent with previous research is that sudden death of a loved one was a traumatic even experienced more frequently by the participants. Even though this was a very diverse group in terms of ethnicity, it still found that men experienced robbery and stranger assault more frequently than women. These findings are also consistent with other research. The authors expressed that because the diagnoses were not based on research-based diagnoses but from clinical charts it may not be as reliable. They also noted that there may be some groups that were not represented in the study, such as those living with SMI in the inner
Terr, L. C. (1991). Childhood traumas: an outline and overview. Am J Psychiatry, 1, 48.
Child Abuse: When a parent or any caregiver causes injury, emotional harm, or death to a child.
Stein, Dan J., Seedat, Soraya, Iversen, Amy, and Wesley, Simona, (2007), Post-traumatic stress disorder: medicine and politics, 369: 139 44
Sullivan, Gregory. "Vetting PTSD." Nature Medicine 17.9 (2011): 1031. Health Reference Center Academic. Web. 21 Apr.
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
The disorder did not become more common until it was affecting the veterans at war who are haunted by the tragedies of war. “PTSD did not become an official disorder until the American Psychiatric Association added it to the Diagnostic and Statistical Manual of Mental Disorders or DSM-III in 1980.” (Friedman) The DSM-III is a criterion for the classification of mental disorders that was first published in 1952. In today’s world, it is known as the DSM-V. PTSD in the DSM-III was classified as an anxiety disorder. However, today PTSD is now diagnosed as a trauma and stressor-related disorder. What we know now about PTSD is that under the classification of trauma and stressor- related disorder, a person must be exposed to a life stress related event to cause the disorder. What we also know now about PTSD is that it can occur in one of four ways: “direct exposure to trauma; witnessing trauma in person; learning a close friend or relative experienced trauma (indirect exposure); and repeated or extreme indirect exposure to aversive details of the event”
The prevalence of PTSD is shown that women develop the disorder at a rate twice of that of men, despite other factors (Simmons, 2010). As stated in the National Comorbidity Survey, total lifetime prevalence of
“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 American Psychiatric Association (APA) added post-traumatic stress disorder (PTSD) to their third edition of its Diagnostic and Statistical Manual In 1980. PSTD was popularized as an adversity but since then the psychiatric theory and practice gap has been filled. PTSD was considered a traumatic etiological (individual) occurrence as oppose to a hereditary occurrence (Friedman, 2015). Post-Traumatic Stress Disorder (PTSD) is a health psychology topic that needs to be discussed more than it is. PTSD stems from an event that has taken place in a person’s life such as an act of violence, car accident, or a natural disaster. Experiencing such events as these can have a deep impact on a person’s life. These events can be identified as an isolated
The foremost disease category in the US is neuropsychiatric disorders, with 25% of citizens 18 years and older suffering from a diagnosable mental illness (Centers for Disease Control and Prevention, 2011; National Institute of Mental Health (NIMH), 2010). These mental disorders are broken into 5 axes and 17 DSM groups by the DSM-IV and include groupings such as developmental disorders, anxiety disorders, eating disorders, mood disorders, etc. (American Psychological Association, 2013). Within the spectrum of mental disorders lies the anxiety disorder Post-Traumatic Stress Disorder (PTSD). PTSD develops following exposure to a frightening event or situation in which there was a great risk of severe harm (NIMH, 2016). These events are exceedingly broad, but most often include accidents, natural disasters, violent assaults, and military combat. Currently, 70% of US adults have experienced a traumatic event, with an estimated 20% going on to develop PTSD (PTSD United, 2013). While these statistics are very much concerning, the prevalence of PTSD in current and past military personnel is found to be greater because of an increased inability to navigate through the social and structural pressures of society after returning home.
The pervasiveness of these correlations is high and suggesting childhood trauma could play a major role in the psychological health of a person later in adulthood, and there have many studies which have been conducted that could support these theories.
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.
The authors of this literature review evaluated studies completed on adults who were 50 years or older and also experienced trauma as a child. They reviewed the impact childhood trauma has on their mental and physical health as older adults. They collected findings from 23 studies that were published between 1996 through 2011 and concluded that childhood trauma did in fact have negative effects on older adults mental and physical health. Although it is well known that trauma at a young age can have serious effects, especially on development, it is interesting to see how it also transitions into late adulthood.
The experience of trauma can be identified as either acute (e.g., natural disaster, serious accident) or chronic (e.g., physical abuse, sexual abuse), which