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Recognition of attachment difficulties and developmental trauma is the responsibility of all paediatricians

Samantha Kaiser1,2, Marcel Zimmet1,3,4, Jolene Fraser1,5

  • 1Neurodevelopmental and Behavioural Paediatric Society of Australasia (https://nbpsa.org/).

Journal of Paediatrics and Child Health
|October 9, 2018
PubMed

Insights

Attachment theory and developmental trauma significantly impact child brain development and long-term health. Paediatricians must integrate trauma-informed care into assessments for better clinical insights and patient outcomes.

Area of Science:

  • Child development
  • Neuroscience
  • Paediatrics

Background:

  • Parent-child relationship quality influences brain development and lifelong health.
  • Developmental trauma has demonstrable adverse neurological effects, supporting attachment theory.
  • Childhood adversity is prevalent and affects physical and mental health across the lifespan.

Purpose of the Study:

  • To provide paediatricians with an overview of attachment theory, developmental trauma, and trauma-informed care.
  • To highlight the importance of understanding attachment difficulties and developmental trauma in paediatric assessments.
  • To advocate for the adoption of trauma-informed care practices by all paediatricians.

Main Methods:

  • Literature review on attachment theory, developmental trauma, and neuroscience research.
  • Synthesis of evidence on the impact of childhood adversity on health.
  • Discussion of the application of trauma-informed care in paediatric practice.

Main Results:

  • Neuroscience confirms the biological basis of attachment theory and the adverse neurological impacts of developmental trauma.
  • Childhood adversity is a common factor with significant long-term physical and mental health consequences.
  • A trauma-informed lens offers critical insights into children's clinical presentations and care requirements.

Conclusions:

  • Comprehensive paediatric assessment necessitates an understanding of attachment and developmental trauma.
  • Trauma-informed care is essential for effective paediatric practice.
  • Paediatricians play a crucial role in identifying and addressing the effects of developmental trauma.

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