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Childhood Adversity and Reactive Attachment Disorder in Adolescents: A Systematic Review
Florencia Talmón-Knuser1, Lidia Flores-Cantos2, Alba Espuig2
1Department of Developmental Psychology and Education, Faculty of Health Science, Catholic University of Uruguay, Montevideo, 11600 Uruguay.
Adverse Childhood Experiences (ACEs) negatively impact secure attachment, increasing Reactive Attachment Disorder (RAD) symptoms in adolescents. Early life adversity is linked to more RAD symptoms, even with protective measures.
Area of Science:
- Child Psychology
- Developmental Psychology
- Mental Health Research
Background:
- Adverse Childhood Experiences (ACEs) can disrupt early caregiver-child attachment bonds.
- Reactive Attachment Disorder (RAD) is a serious condition affecting children's emotional development.
- Understanding the link between early adversity and adolescent RAD is crucial for intervention.
Purpose of the Study:
- To systematically review the relationship between early-life ACEs and adolescent RAD symptoms.
- To explore how protective measures influence this relationship.
Main Methods:
- Systematic review adhering to PRISMA methodology.
- Searched Web of Science, ProQuest Central, PubMed, and Scopus.
- Included studies meeting specific inclusion criteria from 1,443 initial results.
Main Results:
- A significant relationship exists between ACEs and increased RAD symptoms in adolescents.
- ACEs are also associated with other adolescent mental health issues.
- Adolescents under protective measures who experienced ACEs showed more RAD symptoms.
Conclusions:
- ACEs negatively affect secure bond formation, contributing to RAD development and persistence in adolescence.
- Findings support the need for targeted prevention and intervention strategies for vulnerable youth.
- Early intervention for ACEs may mitigate long-term mental health consequences.
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