Childhood Trauma And Depression In Adulthood

Terr, L. C. (1991). Childhood traumas: an outline and overview. Am J Psychiatry, 1, 48.

Stein, Dan J., Seedat, Soraya, Iversen, Amy, and Wesley, Simona, (2007), Post-traumatic stress disorder: medicine and politics, 369: 139 44

Throughout the years, several adults have been affected by traumatic events that have taken place during their childhood(s). Lenore C. Terr (January, 1999) states, "Childhood trauma appears to be a critical etiological factor in the development of a number of serious disorders both in childhood and in adulthood." To better understand childhood trauma, Terr defines this as, the "mental result of one sudden, external or a series of blows, rendering the young person temporarily helpless and breaking past ordinary coping and defense operations" (January, 1999). The statistics of childhood trauma is alarming. In the United States, there are approximately five million children that experience trauma each year, with two million of these cases

As children go through life, they will come upon stressful situations and experiences. Many children will work through the challenges that life brings, build resilience and move forward, however, some children may experience more extreme traumatic events that can result in life difficulties due to serious trauma symptoms that are much harder to manage. Trauma-Focused-Cognitive Behavioral Therapy is an evidence based treatment model designed to help youth who have experienced a significantly traumatic life event. TF-CBT uses skills and strength based therapy to address symptoms of post-traumatic stress disorder (PTSD), depression and anxiety (Cohen et al, 2006). This research is an examination of trauma focused cognitive behavior therapy as a model of practice including the areas of history and development of the model, its relationship with other models of practice, considerations of appropriate populations, methods and components for treatment, effectiveness of the intervention and relevance for social work practice.

This prevalence rate is considerably higher than that of the general population, therefore confirming the theory that trauma occurring in childhood has the ability to play a significant role in the development of mental illness. In addition to broad and generalized findings, they also found specific age groups to be related to specific forms of trauma in terms of what can result in the most detrimental effects. In relation to emotional abuse, it is considered most damaging at ages 6, 14, and 16. Sexual abuse is most harmful at age 12. Non-verbal abuse was found to be more detrimental at age 14 (Schalinksi, 2016). All of these findings also proved to be predictive of the development of PTSD as well as other mental illnesses, such as

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).

Evidence-based practices have been gaining a lot importance recently and it was so interesting to search the online libraries to actually see how many exist. It was stimulating to go onto the National Registry of Evidence-based Programs and Practices websites and be in awe of abundance of programs. There were programs for almost every type of social work practice. While looking through the different databases in regards to evidence-based practice (EBP), one in particular really caught my attention. The particular EBP that will be discussed is known as Cognitive Processing Therapy for Post Traumatic Stress Disorder (PTSD). I chose this specific one because I have a great interest in therapies with those suffering from PTSD.

Childhood trauma is not just widely prevalent but also has pervasive implications for diverse areas of functioning (van der Kolk, 2005). However, research indicates that childhood trauma assessment is often prevented by the social taboos associated with such events as neglect, abuse and exposure to violence yet it is important to acknowledge this. The Adverse Childhood Experiences Studies indicate that there is a very strong relationship between early adverse childhood experiences and other long-term effects such as depression, attempts of suicide, abusing substances like alcohol, cigarette or drugs, domestic violence, reduced physical activity, obesity, sexual promiscuity and sexually transmitted diseases. They also predispose people to develop physical ailments such as heart disease, diabetes,

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.

Gibb and Chelminski (2007) examined childhood emotional, physical, and sexual abuse, and the diagnoses of depressive and anxiety disorders in adult psychiatric outpatients. Research showed that major depression are strongly related to the reports of childhood emotional abuse than to physical or sexual abuse. According to Rose and Abramson [1992] “The experiences of childhood emotional abuse, the children may begin to make more negative attributions, which then may develop into a more general negative attributional style that would contribute vulnerability to depression”.

Childhood trauma contributes to the development of disorders later in life. Several psychological disorders may be caused by childhood trauma. These disorders may include: post-traumatic stress disorder (PTSD), depression, addiction, borderline personality disorder, and dissociative identity disorder.

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.

What do you do when you experience a life threatening, traumatic event, and months later you are still experiencing the same frightening responses? Individuals who experience trauma are often forced to face their problems long after the event has happened. The first step to dealing with this issue would be to seek professional help as soon as possible so that they may be properly diagnosed and receive accurate treatment to overcome the intrusive symptoms. An individual who is suffering from symptoms of post-traumatic stress disorder (PTSD) have experienced, witnessed, or was affected by a life

2. Allen, J. G. (2001). Traumatic relationships and serious mental disorders. New York : Wiley.

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