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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.
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.
Abstract:
Infants are exposed to traumatic events at higher rates than older children, potentially leading to posttraumatic stress symptoms. Despite this higher prevalence, posttraumatic stress responses in infancy have not been well researched due to conceptual, developmental, and methodological challenges. This study conducted in the United States investigated the responses of infants aged 3-18 months after exposure to a range of traumatic events. Caregivers reported on their infants' trauma exposure and posttraumatic stress symptoms using the UCLA PTSD Reaction Index for DSM-5 for Children Age 6 and Younger and reported on their own posttraumatic symptoms on the PTSD Diagnostic Scale for DSM-5 (PDS-5). Of 116 racially and ethnically diverse infants, 96 (82.8%) were exposed to at least one traumatic event (M = 1.6; SD = 1.2; range = 0-7). Infant trauma exposure and caregiver symptoms were significant predictors of the number and severity of caregiver-endorsed infant symptoms. These findings indicate that infants as young as 3 months of age may manifest posttraumatic stress symptoms after trauma exposure. Developmental context and caregiver functioning should be considered when assessing for posttraumatic stress symptoms in infants.
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