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Published on: November 30, 2015
Impact of traumatic life events in a community sample of toddlers
Elizabeth A Mongillo1, Margaret Briggs-Gowan, Julian D Ford
1Department of Psychology, University of Massachusetts Boston, Boston, MA 02125-3393, USA.
Insights
Trauma significantly impacts toddlers, increasing risks for psychiatric and developmental issues. Event-exposed toddlers showed more severe symptoms, with some developing Post-Traumatic Stress Disorder (PTSD) symptoms.
Area of Science:
- Child Psychology
- Developmental Neuroscience
- Trauma Studies
Background:
- Toddlers (6-36 months) are vulnerable to psychiatric, developmental, and neurobiological effects of trauma.
- Potentially traumatic life events can profoundly affect social and emotional development in early childhood.
Purpose of the Study:
- To assess the social and emotional impact of traumatic events on toddlers aged 18-36 months.
- To identify symptom severity and changes in functioning following trauma exposure in early childhood.
Main Methods:
- Epidemiological birth cohort study in the Greater New Haven Area.
- Assessment of toddlers aged 18-36 months exposed to potentially traumatic events.
- Utilized the Inventory of Children's Traumatization Symptoms (ITSEA) and the Child Behavior Checklist (CBCL).
Main Results:
- Event-exposed toddlers exhibited higher symptom severity on ITSEA (Internalizing, Externalizing, Dysregulation, Atypical, Maladaptive) and CBCL (Internalizing, Externalizing) scales.
- Approximately 20% of exposed toddlers showed significant functional changes post-event.
- Exposed toddlers with reported functional changes had higher levels of PTSD symptoms (re-experiencing, arousal).
Conclusions:
- Traumatic events pose significant risks to toddler mental health and development.
- Early identification of functional changes is crucial for addressing PTSD symptoms in toddlers.
- Clinical and childcare interventions are needed for toddlers and families affected by trauma.
Abstract:
Toddlers may be at particularly high risk for a number of psychiatric, developmental and neurobiological consequences in the aftermath of trauma. The social and emotional impact of potentially traumatic life events experienced between 6 and 36-months of age was assessed in an epidemiological birth cohort of 18- to 36-month-olds from the Greater New Haven Area. Event-exposed toddlers evidenced greater symptom severity on the ITSEA Internalizing, Externalizing, Dysregulation, Atypical and Maladaptive scales, as well on the CBCL Internalizing and Externalizing scales than those not exposed. Approximately one-fifth of event-exposed toddlers were reported by their parents to have experienced a dramatic change in functioning following the event, and were described as experiencing higher levels of symptoms consistent with Post-Traumatic Stress Disorder (PTSD), namely re-experiencing and arousal, than exposed toddlers whose parents did not report a change in their functioning. Implications for clinicians and child care providers working with toddlers and their parents are discussed.
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