Posttraumatic stress in infancy: The roles of cumulative trauma and caregiving context

Ann T Chu1, Melissa H Bond1, Belén Rogowski1

  • 1Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, California, USA.

PubMed

Insights

Infants exposed to trauma may show symptoms of posttraumatic stress disorder (PTSD). Caregiver stress and infant trauma exposure predict symptom severity, highlighting the need for early assessment.

Area of Science:

  • Pediatrics
  • Psychology
  • Trauma Studies

Background:

  • Infants experience traumatic events more frequently than older children.
  • Research on infant posttraumatic stress responses is limited due to developmental and methodological challenges.

Purpose of the Study:

  • To investigate posttraumatic stress symptoms in infants (3-18 months) following trauma exposure.
  • To identify predictors of infant posttraumatic stress symptoms.

Main Methods:

  • Study conducted in the United States with 116 racially and ethnically diverse infants.
  • Caregivers completed the UCLA PTSD Reaction Index for DSM-5 for Children Age 6 and Younger for infant symptoms.
  • Caregivers also completed the PTSD Diagnostic Scale for DSM-5 (PDS-5) for their own symptoms.

Main Results:

  • 82.8% of infants were exposed to at least one traumatic event.
  • Infant trauma exposure and caregiver posttraumatic stress symptoms significantly predicted infant symptom number and severity.
  • Posttraumatic stress symptoms were observed in infants as young as 3 months.

Conclusions:

  • Infants can manifest posttraumatic stress symptoms after trauma exposure.
  • Developmental context and caregiver functioning are crucial factors in assessing infant posttraumatic stress.
  • Early identification and intervention for infants experiencing trauma are important.

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