A relational perspective on PTSD in early childhood

Michael S. Scheeringa · Charles H. Zeanah

517 citations0/0 files storedJournal of Traumatic Stress

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Posttraumatic Stress Disorder Research Psychoanalysis and Psychopathology Research Child Abuse and Trauma

Abstract

This paper describes the clinical and research evidence for the importance of the relational context of posttraumatic stress disorder in young children. We review 17 studies that simultaneously assessed parental and child functioning following trauma. In many studies, despite limitations, an association between undesirable parental/family variables and maladaptive child outcomes has been consistently found. We present a model of the parental/family variables as moderators and vicarious traumatic agents for symptoms in young children. Also, a Compound Model is proposed, with three distinctive patterns of the parent-child relationship that impact on posttraumatic symptomatology in young children. Implications for clinical practice and research directions are discussed.

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References

2013Diagnostic and Statistical Manual of Mental Disorders 1995Posttraumatic Stress Disorder in the National Comorbidity Survey 1999Handbook of attachment: theory, research, and clinical applications 2024Diagnostic and Statistical Manual of Mental Disorders 1997What I Think and Feel: A Revised Measure of Children's Manifest Anxiety 1978What i think and feel: A revised measure of children's manifest anxiety 2000Handbook of infant mental health 1999Posttraumatic Stress Disorder in Abused and Neglected Children Grown Up

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2008A memory-based model of posttraumatic stress disorder: Evaluating basic assumptions underlying the PTSD diagnosis.2004Assessment of young children's social‐emotional development and psychopathology: recent advances and recommendations for practice 2014Association Between Parents’ PTSD Severity and Children's Psychological Distress: A Meta‐Analysis 2012Teachers' perspectives on providing support to children after trauma: A qualitative study.2008Reconsideration of Harm's Way: Onsets and Comorbidity Patterns of Disorders in Preschool Children and Their Caregivers Following Hurricane Katrina

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