Cumulative trauma and symptom complexity in children: a path analysis

Child Abuse Negl. 2013 Nov;37(11):891-8. doi: 10.1016/j.chiabu.2013.04.001. Epub 2013 May 1.

Abstract

Multiple trauma exposures during childhood are associated with a range of psychological symptoms later in life. In this study, we examined whether the total number of different types of trauma experienced by children (cumulative trauma) is associated with the complexity of their subsequent symptomatology, where complexity is defined as the number of different symptom clusters simultaneously elevated into the clinical range. Children's symptoms in six different trauma-related areas (e.g., depression, anger, posttraumatic stress) were reported both by child clients and their caretakers in a clinical sample of 318 children. Path analysis revealed that accumulated exposure to multiple different trauma types predicts symptom complexity as reported by both children and their caretakers.

Keywords: Children; Complex trauma; Cumulative trauma; Symptom complexity.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • California / epidemiology
  • Caregivers
  • Checklist
  • Child
  • Child Abuse / classification
  • Child Abuse / psychology*
  • Child, Preschool
  • Cumulative Trauma Disorders / psychology*
  • Female
  • Humans
  • Male
  • Medical Audit
  • Mental Disorders / psychology*
  • Surveys and Questionnaires
  • Symptom Assessment