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Clinical implications of traumatic stress from birth to age five
Ann T Chu1, Alicia F Lieberman
1Child Trauma Research Program, Department of Psychiatry, University of California, San Francisco, California 94143, USA. ann.chu@ucsf.edu
Insights
Young children (birth to five years) face high rates of trauma exposure. Early traumatic stress significantly impacts development, yet interventions and research remain limited.
Area of Science:
- Developmental Psychology
- Child Psychiatry
- Trauma Studies
Background:
- Children aged birth to five years experience a disproportionately high amount of potentially traumatic events.
- Early trauma exposure can significantly impede healthy child development.
Purpose of the Study:
- To examine the prevalence of traumatic exposure in young children (birth to five years).
- To review indicators, diagnostic criteria, and contextual factors of early traumatic stress.
- To explore the impact of trauma on child development and effective interventions.
Main Methods:
- This study is a review of existing literature.
- It selectively reviews research on early trauma, its effects, and interventions.
- Focuses on parent-child relationship as a recovery vehicle.
Main Results:
- Traumatic events are prevalent in children aged birth to five years.
- Early trauma negatively impacts biological, emotional, social, and cognitive development.
- Clinical interventions targeting the parent-child relationship show promise for trauma recovery.
Conclusions:
- Despite documented negative impacts, research and policy for early trauma remain limited.
- There is a need for increased research, clinical practice, and policy efforts.
- Future directions include enhancing research and clinical practices for early victimization.
Abstract:
Children aged birth to five years are exposed to a disproportionately increased amount of potentially traumatic events compared to older children. This review examines the prevalence of traumatic exposure in the birth-to-five age range, the indicators and diagnostic criteria of early traumatic stress, and the contextual issues associated with the experience of early trauma. The article also selectively reviews the impact of trauma on the biological, emotional, social, and cognitive functioning of young children's development along with some promising clinical treatment and service interventions that target the parent-child relationship as a vehicle of trauma recovery. Despite extensive documentation of the negative impact of trauma on the normal development of young children, research, clinical, and policy efforts to address the psychological repercussions of early victimization remain remarkably limited. Future directions in research and clinical practice as well as implications for policy are discussed.
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