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Constellations of Interpersonal Trauma and Symptoms in Child Welfare: Implications for a Developmental Trauma Framework

  • RESEARCH REGARDING EFFECTS OF CHILDHOOD MALTREATMENT
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An Erratum to this article was published on 30 May 2014

Abstract

Patterns of trauma exposure and symptoms were examined in a sample of 16,212 children in Illinois child welfare. Data were collected on trauma histories, child and caregiver needs and strengths, and analyzed in light of the proposed Developmental Trauma Disorder diagnostic criteria. Youth exposed to both interpersonal violence and attachment-based (“non-violent”) traumas within the caregiving system had significantly higher levels of affective/physiological, attentional/behavioral, and self/relational dysregulation in addition to posttraumatic stress symptoms compared to youth with either type of trauma alone or in relation to other trauma experiences. These complexly traumatized children exhibited higher levels of functional impairment and were more likely to have placement disruptions and psychiatric hospitalizations. Findings suggest a developmental trauma framework can more adequately capture the spectrum of needs of these multiply traumatized youth than existing diagnostic formulations. Utilizing this framework for assessment, treatment planning, and intervention can lead to more targeted and effective services for these children.

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Authors and Affiliations

  1. Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, 710 N. Lake Shore Drive, 12th floor, Chicago, IL, 60611, USA

    Cassandra L. Kisiel, Tracy Fehrenbach, Elizabeth Torgersen, Gary McClelland & Gene Griffin

  2. Department of Pediatrics, The University of Chicago Priztker School of Medicine, Chicago, IL, USA

    Brad Stolbach

  3. Department of Psychology, San Francisco VA Medical Center, San Francisco, CA, USA

    Kristine Burkman

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  1. Cassandra L. Kisiel
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  2. Tracy Fehrenbach
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  3. Elizabeth Torgersen
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  4. Brad Stolbach
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  5. Gary McClelland
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  6. Gene Griffin
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  7. Kristine Burkman
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Correspondence to Cassandra L. Kisiel.

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Kisiel, C.L., Fehrenbach, T., Torgersen, E. et al. Constellations of Interpersonal Trauma and Symptoms in Child Welfare: Implications for a Developmental Trauma Framework. J Fam Viol 29, 1–14 (2014). https://doi.org/10.1007/s10896-013-9559-0

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  • DOI: https://doi.org/10.1007/s10896-013-9559-0

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