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Mass trauma: disasters, terrorism, and war
Allan K Chrisman1, Joseph G Dougherty2
1Division of Child and Adolescent Psychiatry, Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA; Duke Child and Family Study Center, 2608 Erwin Road Lakeview Pavilion, Suite 300, Durham, NC 27705, USA; Mental Health Service Line, Department of Veterans Affairs Medical Center, Durham, NC 27705, USA.
Insights
Children exposed to mass trauma face risks influenced by their social environment. This review explores developmental systems theory and psychopathology to inform community resilience and intervention strategies for child trauma.
Area of Science:
- Child Psychology
- Trauma Studies
- Public Health
Background:
- Mass trauma events like disasters, war, and terrorism increasingly affect children globally.
- A child's social ecology significantly influences the clinical impact of trauma exposure.
- Risk and resilience frameworks are crucial for understanding these influences.
Purpose of the Study:
- To review research findings on child mass trauma exposure.
- To apply developmental systems theory and developmental psychopathology principles.
- To discuss interventions based on community resilience and provide clinical tools.
Main Methods:
- Literature review of research findings.
- Application of developmental systems theory and developmental psychopathology.
- Discussion of public health models and intervention strategies.
Main Results:
- Findings highlight the role of social ecology in child trauma outcomes.
- Developmental systems theory and psychopathology offer a framework for understanding risk and resilience.
- Community resilience models inform intervention recommendations.
Conclusions:
- Interventions should consider the child's social ecology within a risk and resilience framework.
- Public health approaches are vital for addressing mass trauma in children.
- Practical clinical tools can aid in individual responses to child trauma.
Abstract:
Disasters, war, and terrorism expose millions of children globally to mass trauma with increasing frequency and severity. The clinical impact of such exposure is influenced by a child's social ecology, which is understood in a risk and resilience framework. Research findings informed by developmental systems theory and the related core principles of contemporary developmental psychopathology are reviewed. Their application to the recent recommendations for interventions based on evolving public health models of community resilience are discussed along with practical clinical tools for individual response.
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