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Trauma- and Stressor-Related Disorders Among Children and Adolescents
Akanksha Thakur1, Jennifer Creedon1, Charles H Zeanah1
1The authors are with the Section of Child and Adolescent Psychiatry, Department of Psychiatry and Behavioral Sciences, Tulane University School of Medicine, New Orleans, Louisiana.
This review examines trauma- and stressor-related disorders in children and adolescents, focusing on conditions stemming from traumatic events or severe social neglect. It details how these disorders manifest based on excessive or inadequate environmental input.
Area of Science:
- Child and Adolescent Psychiatry
- Psychology
- Mental Health
Background:
- The Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) introduced a distinct category for trauma- and stressor-related disorders.
- These disorders are characterized by their etiology being an integral part of the diagnostic criteria.
- Understanding these conditions is crucial for addressing mental health challenges in young populations.
Purpose of the Study:
- To review the presentation of trauma- and stressor-related disorders in children and adolescents.
- To explore how these disorders manifest in response to specific types of environmental input, namely excessive/unwanted or inadequate/necessary stimuli.
- To provide a framework for understanding the etiology and clinical features of these conditions in pediatric populations.
Main Methods:
- Literature review of trauma- and stressor-related disorders.
- Analysis of diagnostic criteria within the DSM-5 framework.
- Synthesis of information on the manifestation of these disorders in children and adolescents.
Main Results:
- Posttraumatic stress disorder and related disorders arise from exposure to frightening, traumatic events.
- Attachment disorders are linked to experiences of severe social neglect.
- Trauma- and stressor-related disorders in youth can stem from both excessive (e.g., trauma) and inadequate (e.g., neglect) environmental input.
Conclusions:
- Trauma- and stressor-related disorders in children and adolescents are directly linked to specific etiological factors, including trauma and neglect.
- The nature of the environmental input (excessive or inadequate) shapes the manifestation of these disorders.
- This framework aids in understanding and diagnosing these conditions in pediatric populations.
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