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Published on: August 16, 2019
Trauma in early childhood: empirical evidence and clinical implications
Alicia F Lieberman1, Ann Chu, Patricia Van Horn
1Department of Psychiatry, University of California, San Francisco, San Francisco, CA 94143-0852, USA. alicia.lieberman@ucsf.edu
Insights
Young children, especially minorities and those in poverty, face high trauma exposure but lack research and treatment. Addressing their needs requires urgent research, clinical, and policy initiatives.
Area of Science:
- Child Psychology
- Trauma Studies
- Public Health Policy
Background:
- Early childhood trauma disproportionately affects young children (birth to 5), particularly ethnic minorities and those in poverty.
- This age group is underrepresented in trauma research, clinical treatments, and public policy.
- Understanding early trauma requires examining parental functioning, intergenerational transmission, and protective factors.
Purpose of the Study:
- To highlight the urgent need for systematic research, clinical interventions, and public policy for traumatized young children.
- To review existing research on early childhood maltreatment and trauma.
- To advocate for underserved populations affected by early trauma.
Main Methods:
- Review of research findings on early childhood maltreatment and trauma.
- Analysis of parental factors, intergenerational transmission, and protective elements.
- Discussion of therapeutic approaches integrating current trauma and relational patterns.
Main Results:
- Traumatized young children, especially from minority and low-income backgrounds, are a vulnerable and under-researched population.
- Parental functioning and intergenerational trauma significantly influence a child's response to traumatic events.
- A dual therapeutic focus on current trauma and intergenerational patterns shows promise.
Conclusions:
- There is a critical need to prioritize research, clinical practice, and policy for early childhood trauma.
- Interventions should consider the family system and the intergenerational transmission of trauma.
- Future research should inform evidence-based practices and public policy for this population.
Abstract:
Children in the birth to 5 age range are disproportionately exposed to traumatic events relative to older children, but they are underrepresented in the trauma research literature as well as in the development and implementation of effective clinical treatments and in public policy initiatives to protect maltreated children. Children from ethnic minority groups and those living in poverty are particularly affected. This paper discusses the urgent need to address the needs of traumatized young children and their families through systematic research, clinical, and public policy initiatives, with specific attention to underserved groups. The paper reviews research findings on early childhood maltreatment and trauma, including the role of parental functioning, the intergenerational transmission of trauma and psychopathology, and protective contextual factors in young children's response to trauma exposure. We describe the therapeutic usefulness of a simultaneous treatment focus on current traumatic experiences and on the intergenerational transmission of relational patterns from parent to child. We conclude with a discussion of the implications of current knowledge about trauma exposure for clinical practice and public policy and with recommendations for future research.
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