Journal of Child & Adolescent Trauma最新文献_第9页

Anxiety and Depression Among College Students in Taiwan: Testing the Betrayal Trauma Theory on Their Co-occurrence. 台湾大学生焦虑与抑郁：背叛创伤理论对两者共现的检验。

IF 2.2

Journal of Child & Adolescent Trauma Pub Date : 2026-01-12 eCollection Date: 2026-09-01 DOI: 10.1007/s40653-025-00816-9

Chak Hei Ocean Huang, Frederick Siu Sing Mui, Mei Hing Kathy Ngai, Camille Nga Man Chan, Jianlin Liu, Yan Li, Chris Wenze Lu, Stanley Kam Ki Lam, Shan-Yan Huang, Hong Wang Fung

{"title":"Anxiety and Depression Among College Students in Taiwan: Testing the Betrayal Trauma Theory on Their Co-occurrence.","authors":"Chak Hei Ocean Huang, Frederick Siu Sing Mui, Mei Hing Kathy Ngai, Camille Nga Man Chan, Jianlin Liu, Yan Li, Chris Wenze Lu, Stanley Kam Ki Lam, Shan-Yan Huang, Hong Wang Fung","doi":"10.1007/s40653-025-00816-9","DOIUrl":"10.1007/s40653-025-00816-9","url":null,"abstract":"Anxiety and depression among college students is a global mental health concern. Childhood trauma has been identified as an etiological factor that may contribute to their co-occurrence, but how the nature of childhood trauma could lead to different mental health outcomes remains unknown. This study aimed to examine the co-occurrence of probable anxiety and depression in a non-Western sample and whether childhood betrayal trauma (CBT) would be more associated with their co-occurrence. The sample consists of college students (N = 766) in a Taiwan survey project. Participants completed validated screening measures for childhood trauma, anxiety, and depression. Logistic regression analyses were then used to analyze the data. After controlling for demographic variables, the binary logistic regression model was statistically significant, χ2 (6, N = 766) = 97.51, p < .001. Childhood non-betrayal trauma was first found to be associated with the co-occurrence of anxiety and depression, with each unit increase associated with 40.8% increase in its odds. Moreover, each unit increase in CBT was associated with 108.0% increase in the odds of co-occurring anxiety and depression. This study hence provides evidence that CBT was associated with a higher risk of developing anxiety and depression. More proactive screening for anxiety and depression is recommended in the field of mental healthcare and child protection, especially for those with childhood trauma. Further studies are needed to examine the causal relationship between CBT and psychiatric comorbidity.","PeriodicalId":44763,"journal":{"name":"Journal of Child & Adolescent Trauma","volume":"19 3","pages":"1421-1429"},"PeriodicalIF":2.2,"publicationDate":"2026-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13546250/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148901212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Gender Differences in Adverse Childhood Experiences, Psychological Distress, and Substance Use Disorder Among Persons who Inject Drugs in Northeast Georgia, USA: A Moderated Mediation Analysis. 美国乔治亚州东北部注射吸毒者的不良童年经历、心理困扰和物质使用障碍的性别差异：一个有调节的中介分析。

IF 2.2

Journal of Child & Adolescent Trauma Pub Date : 2026-01-10 eCollection Date: 2026-09-01 DOI: 10.1007/s40653-025-00815-w

Samantha Clinton, Deborah Shomuyiwa, Golam Sarwar, Liyuan Wang, Tamora A Callands, Nathan B Hansen, Mohammad Rifat Haider

{"title":"Gender Differences in Adverse Childhood Experiences, Psychological Distress, and Substance Use Disorder Among Persons who Inject Drugs in Northeast Georgia, USA: A Moderated Mediation Analysis.","authors":"Samantha Clinton, Deborah Shomuyiwa, Golam Sarwar, Liyuan Wang, Tamora A Callands, Nathan B Hansen, Mohammad Rifat Haider","doi":"10.1007/s40653-025-00815-w","DOIUrl":"10.1007/s40653-025-00815-w","url":null,"abstract":"Persons who inject drugs (PWID) commonly have adverse childhood experiences (ACEs) as well as substance use disorder (SUD). ACEs have been linked to psychological distress, which might affect the adoption of harmful behaviors like drug addiction. This study aims to determine the potential mediational role of psychological distress between ACEs and SUD moderated by gender among PWID living in Northeast Georgia. Data were collected from adult (≥ 18 years) HIV-negative PWID attending community-based organizations in Athens, Georgia during February-December 2023 (n = 172). Psychological distress was measured using the 6-item Kessler-6 scale, ACEs with the 11-item ACEs scale, and SUD with the 11-item Drug Use Disorder Identification Test. Moderated mediation analysis was performed using R. Mean scores for ACEs, distress, and SUD were 4.0 (Standard deviation (SD): 3.2, range:0-11), 13.0 (SD: 7.1, range: 0-24), and 28.7 (SD; 7.9, range: 7-42), respectively. In the adjusted model, ACEs were positively associated with distress (β = 0.44; p = 0.008), and distress was positively associated with SUD (β = 0.47; p < 0.001). Although the adjusted direct effect of ACEs was not significantly associated with SUD (β = 0.02, p = 0.904), the indirect effect of ACEs on SUD through distress was statistically significant (β = 0.21, p = 0.016). Women had higher distress (β = 5.06, p < 0.001), while among men, the indirect effect of ACEs on SUD through distress was significant (β = 0.28, p < 0.001). These findings indicate that psychological distress mediates the relationship between ACEs and SUD among PWID and highlight gender-specific differences that may require targeted interventions to reduce SUD effectively.","PeriodicalId":44763,"journal":{"name":"Journal of Child & Adolescent Trauma","volume":"19 3","pages":"1411-1419"},"PeriodicalIF":2.2,"publicationDate":"2026-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13546208/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148901279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ghosts from the Nursery: Attachment, Adverse Childhood Experiences, and Maternal Mental Health. 来自托儿所的幽灵：依恋、不良童年经历和母亲心理健康。

IF 2.2

Journal of Child & Adolescent Trauma Pub Date : 2026-01-09 eCollection Date: 2026-06-01 DOI: 10.1007/s40653-025-00803-0

Maria Balaceanu, Amanda Ramos, Mattison Hillin, Ives Hong, Dannelle Larsen-Rife

{"title":"Ghosts from the Nursery: Attachment, Adverse Childhood Experiences, and Maternal Mental Health.","authors":"Maria Balaceanu, Amanda Ramos, Mattison Hillin, Ives Hong, Dannelle Larsen-Rife","doi":"10.1007/s40653-025-00803-0","DOIUrl":"10.1007/s40653-025-00803-0","url":null,"abstract":"Background: Children's attachment is shaped by their mother's mental health and their early life experiences. Motherhood evokes vulnerability, anxiety, anger, and helplessness. Poor maternal mental health may impede mothers from responding to their children's needs.Objective: The study aimed to examine the influence of maternal mental health and adverse childhood experiences (ACEs) on adult attachment anxiety and avoidance.Participants and setting: Adult participants (n = 317) were recruited through a small university in the southwest United States via social media, class announcements, and word of mouth on campus and in the surrounding community.Methods: Participants completed online survey questions assessing their perceptions of their mothers' mental health during childhood, ACEs, and adult attachment anxiety and avoidance. Hierarchical regressions were employed to evaluate the effects of ACEs and maternal mental health on predicting attachment anxiety and avoidance.Results: The presence of ACEs showed a significant positive association with attachment anxiety and avoidance. Furthermore, the findings indicated poor maternal mental health during childhood was linked to higher levels of anxiety and avoidance in adulthood, over and above the presence of ACEs alone.Conclusions: Maternal mental health combined with ACEs is a stronger predictor of insecure adult attachment than ACEs alone. These results underscore the importance of addressing maternal mental health in interventions aimed at promoting secure attachment in children. Early identification and support for mothers experiencing mental health challenges may mitigate the risk of insecure attachment in their children, thereby promoting healthy child development, with benefits that continue into adulthood.","PeriodicalId":44763,"journal":{"name":"Journal of Child & Adolescent Trauma","volume":"19 2","pages":"401-412"},"PeriodicalIF":2.2,"publicationDate":"2026-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13190894/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148017904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Self-Efficacy and Attachment Styles Mediate the Impact of Early Life Trauma on Negative Emotional States in Adults Living in Portugal. 自我效能感和依恋风格在葡萄牙成人早期生活创伤对负性情绪状态的影响中起中介作用。

IF 2.2

Journal of Child & Adolescent Trauma Pub Date : 2026-01-08 eCollection Date: 2026-09-01 DOI: 10.1007/s40653-025-00812-z

Catarina Gomes Coelho, Luíza Cerri, Jorge Leite, Paulo P P Machado, Sandra Carvalho

{"title":"Self-Efficacy and Attachment Styles Mediate the Impact of Early Life Trauma on Negative Emotional States in Adults Living in Portugal.","authors":"Catarina Gomes Coelho, Luíza Cerri, Jorge Leite, Paulo P P Machado, Sandra Carvalho","doi":"10.1007/s40653-025-00812-z","DOIUrl":"10.1007/s40653-025-00812-z","url":null,"abstract":"While early life trauma (ELT) is known to contribute to poor physical and psychological health in adulthood, not all individuals exposed to ELT develop mental illness. This suggests the presence of potential mediating factors that influence this relationship. This study examines the mediating effects of self-efficacy and attachment styles on the relationship between ELT and negative emotional states (NEs) in a large cohort of people in Portugal. A total of 936 participants completed standardized psychological assessments via an online survey. Structural equation modeling (SEM) and mediation analysis were employed to examine the relationships among ELT, self-efficacy, attachment styles, and NEs. The findings indicated a strong correlation between ELT and diminished self-efficacy, as well as elevated levels of anxious and avoidant attachment patterns. These factors mediated the link between ELT and adverse emotional states. The results underscore the significant function of self-efficacy and attachment patterns as primary mediators in the emotional outcomes of ELT. Addressing these aspects via trauma-informed therapies may alleviate the psychological cost of ELT. Future longitudinal research are necessary to establish causal relationships and further examine these pathways.Supplementary information: The online version contains supplementary material available at https://doi.org/10.1007/s40653-025-00812-z.","PeriodicalId":44763,"journal":{"name":"Journal of Child & Adolescent Trauma","volume":"19 3","pages":"1011-1025"},"PeriodicalIF":2.2,"publicationDate":"2026-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13546191/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148901236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Efficacy of the Adapted Integrative Group EMDR Therapy Protocol for Ongoing Traumatic Stress in Adolescents after a Traumatic Event. 适应性综合团体EMDR治疗方案对创伤事件后青少年持续创伤应激的疗效。

IF 2.2

Journal of Child & Adolescent Trauma Pub Date : 2026-01-08 eCollection Date: 2026-09-01 DOI: 10.1007/s40653-025-00808-9

Gloría Sánchez Almarcha, Ana Isabel Peinado, Julio Ibernón de Álvaro, José Luis López-Morales, Mario Reyes-Bossio, Mariel Delgado-Campusano

{"title":"Efficacy of the Adapted Integrative Group EMDR Therapy Protocol for Ongoing Traumatic Stress in Adolescents after a Traumatic Event.","authors":"Gloría Sánchez Almarcha, Ana Isabel Peinado, Julio Ibernón de Álvaro, José Luis López-Morales, Mario Reyes-Bossio, Mariel Delgado-Campusano","doi":"10.1007/s40653-025-00808-9","DOIUrl":"10.1007/s40653-025-00808-9","url":null,"abstract":"Post-Traumatic Stress Disorder (PTSD) is a frequent consequence of traumatic experiences, particularly among adolescents, whose emotional and cognitive immaturity increases their vulnerability. The aim of this study was to evaluate the effectiveness of the Group Integrative Protocol with EMDR Therapy in reducing PTSD symptoms in secondary school students from southeastern Spain. A total of 235 students from a high school in a town in Spain were initially assessed. Only 11 of them met the diagnostic criteria for PTSD according to the Revised PTSD Symptom Severity Scale (EGS-R), and thus were included in the intervention. The intervention consisted of three psychoeducational sessions and several group EMDR therapy sessions led by trained psychologists. PTSD symptoms, dissociative symptoms, and functional impairment were assessed before and after the intervention using validated instruments. A statistically significant reduction in PTSD symptoms was observed following the application of the protocol. These results are consistent with previous studies that have evaluated the use of EMDR in similar populations. Although the sample size was small, the findings suggest that the Group Integrative Protocol with EMDR Therapy may be an effective therapeutic tool for adolescents exposed to severe traumatic events in school settings. Further research with larger samples and control groups is recommended to confirm these findings.","PeriodicalId":44763,"journal":{"name":"Journal of Child & Adolescent Trauma","volume":"19 3","pages":"1027-1033"},"PeriodicalIF":2.2,"publicationDate":"2026-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13546227/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148901209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Parental Self-Efficacy and Child Externalizing and Internalizing Problems during Wartime: the Indirect Effects of Parental Submission and Power Struggles. 战时父母自我效能与儿童外化与内化问题：父母服从与权力斗争的间接影响。

IF 2.2

Journal of Child & Adolescent Trauma Pub Date : 2025-12-29 eCollection Date: 2026-06-01 DOI: 10.1007/s40653-025-00806-x

Muriel Balkanyi-Nehora, Merav Jedwab

{"title":"Parental Self-Efficacy and Child Externalizing and Internalizing Problems during Wartime: the Indirect Effects of Parental Submission and Power Struggles.","authors":"Muriel Balkanyi-Nehora, Merav Jedwab","doi":"10.1007/s40653-025-00806-x","DOIUrl":"10.1007/s40653-025-00806-x","url":null,"abstract":"This study explored the indirect effects of negative parental practices, specifically parental submission and power struggles, in the associations between parental self-efficacy (PSE) and children's internalizing and externalizing problems. Data were collected through an online survey conducted three months after the outbreak of the Israel-Hamas War, from 226 Israeli mothers of children aged 6-18. A parallel indirect effects model was employed to analyze the data. Findings revealed that PSE was significantly associated with children's internalizing problems, but not with externalizing problems. Furthermore, both parental submission and power struggles showed significant indirect effects linking PSE to externalizing problems, whereas only parental submission showed an indirect effect linking PSE to internalizing problems. The practical implications of the results are discussed, emphasizing the importance of PSE as a cognitive framework shaping parenting practices. Wartime Interventions should focus on enhancing PSE and reducing negative practices, particularly parental submission and power struggles, in order to reduce child internalizing and externalizing problems.","PeriodicalId":44763,"journal":{"name":"Journal of Child & Adolescent Trauma","volume":"19 2","pages":"341-353"},"PeriodicalIF":2.2,"publicationDate":"2025-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13191008/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148017949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Adverse Childhood Experiences and Mortality at Old Age: A Longitudinal Study from the Japan Gerontological Evaluation Study. 童年不良经历与老年死亡率：来自日本老年学评价研究的纵向研究。

IF 2.2

Journal of Child & Adolescent Trauma Pub Date : 2025-12-20 eCollection Date: 2026-03-01 DOI: 10.1007/s40653-025-00732-y

Iwao Chishima, Chie Koga, Kazushige Ide, Katsunori Kondo

{"title":"Adverse Childhood Experiences and Mortality at Old Age: A Longitudinal Study from the Japan Gerontological Evaluation Study.","authors":"Iwao Chishima, Chie Koga, Kazushige Ide, Katsunori Kondo","doi":"10.1007/s40653-025-00732-y","DOIUrl":"10.1007/s40653-025-00732-y","url":null,"abstract":"Adverse childhood experiences (ACEs) are associated with undesirable adulthood health outcomes. However, studies investigating the effect of ACE components and cumulative number of ACEs on mortality in older adults are scarce. To examine the association between ACE components or cumulative number of ACEs and mortality in physically and cognitively independent older adults, separately by sex. We conducted a longitudinal study on 11,734 older adults aged ≥ 65 years who responded to the self-administered mail survey of the Japan Gerontological Evaluation Study in 2013. We adjusted for 20 confounders, including demographic and psychosocial factors. Modified Poisson regression models were used for calculating the risk ratio (RR), 95% confidence interval (CI), and p-value for mortality approximately 6 years later, separately by sex. A total of 1,498 (12.8%) participants died during the observation period. Parental mental illness (RR, 1.84; 95% CI: 1.08-3.12; p = 0.024) and physical abuse (RR, 1.60; 95% CI: 1.13-2.26; p = 0.008) in men and parental loss (RR, 1.24; 95% CI: 1.03-1.49; p = 0.021) or cumulative number of ACEs (RR, 1.21; 95% CI: 1.01-1.44; p = 0.035) in women were associated with higher RR for mortality. Men who had experienced physical abuse or parental mental illness and women who had lost their parents or experienced one ACE had a higher RR for mortality than those who had not. Further efforts to accumulate prospective studies and implement interventions are warranted.Supplementary information: The online version contains supplementary material available at 10.1007/s40653-025-00732-y.","PeriodicalId":44763,"journal":{"name":"Journal of Child & Adolescent Trauma","volume":"19 1","pages":"259-272"},"PeriodicalIF":2.2,"publicationDate":"2025-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13004767/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147500209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Envisioning the Future of the Journal of Child & Adolescent Trauma. 展望儿童与青少年创伤杂志的未来。

IF 2

Journal of Child & Adolescent Trauma Pub Date : 2025-12-20 eCollection Date: 2026-03-01 DOI: 10.1007/s40653-025-00807-w

Patricia K Kerig

引用次数: 0

Who Protects Youth from Suicide After Bullying? Comparative Effects of Family, Peer and Teacher Support in Spanish Adolescents. 谁保护青少年不受欺凌后自杀？西班牙青少年家庭、同伴和教师支持的比较效果。

IF 2.2

Journal of Child & Adolescent Trauma Pub Date : 2025-12-18 eCollection Date: 2026-06-01 DOI: 10.1007/s40653-025-00801-2

Héctor Galindo-Domínguez, Daniel Losada Iglesias

{"title":"Who Protects Youth from Suicide After Bullying? Comparative Effects of Family, Peer and Teacher Support in Spanish Adolescents.","authors":"Héctor Galindo-Domínguez, Daniel Losada Iglesias","doi":"10.1007/s40653-025-00801-2","DOIUrl":"10.1007/s40653-025-00801-2","url":null,"abstract":"This study analyzed the moderating role of different sources of social support in the association between bullying victimization and suicidal ideation among adolescents. Participants were 898 Spanish adolescents, who completed validated measures of school victimization, perceived family, peer, and teacher support, school environment, and suicidal risk. The findings indicated that the link between bullying victimization and suicidal ideation was stronger in females than in males. Family support generally showed a protective function for females; however, under high victimization, it exerted a comparatively stronger protective effect for males. Peer support was more effective in reducing suicidal ideation among females and among students who had not repeated a grade. Teacher support emerged as a consistent protective factor across sex, age, and grade-retention status, contributing to lower suicidal ideation regardless of individual characteristics. Overall, the results underscore the importance of considering the differentiated contributions of family, peers, and teachers when addressing the psychological impact of bullying. They also highlight the need to reinforce supportive interpersonal contexts in educational settings to mitigate suicidal ideation, one of the leading causes of mortality in adolescence.","PeriodicalId":44763,"journal":{"name":"Journal of Child & Adolescent Trauma","volume":"19 2","pages":"765-778"},"PeriodicalIF":2.2,"publicationDate":"2025-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13190924/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Beyond Post-traumatic Stress Disorder: Multiple Exposures to Traumatic Experiences are Associated with Increased Symptoms of a Variety of Psychiatric Disorders in Adolescents. 超越创伤后应激障碍：多次暴露于创伤经历与青少年各种精神障碍症状的增加有关

IF 2.2

Journal of Child & Adolescent Trauma Pub Date : 2025-12-05 eCollection Date: 2026-09-01 DOI: 10.1007/s40653-025-00799-7

Alexander Pütz, Gerhard Hapfelmeier, Alexandra Martin, Stephan Bender, Marco Walg

{"title":"Beyond Post-traumatic Stress Disorder: Multiple Exposures to Traumatic Experiences are Associated with Increased Symptoms of a Variety of Psychiatric Disorders in Adolescents.","authors":"Alexander Pütz, Gerhard Hapfelmeier, Alexandra Martin, Stephan Bender, Marco Walg","doi":"10.1007/s40653-025-00799-7","DOIUrl":"10.1007/s40653-025-00799-7","url":null,"abstract":"Adolescents may show non-specific emotional and behavioral problems after exposure to potentially traumatic experiences (PTE). Interpersonal traumatic experiences such as physical sexual abuse (PSA) seem to be associated with higher symptom severity than non-interpersonal experiences. This study assessed the number and nature of PTE in a clinical sample of 105 adolescents between 14 and 20 years of age and examined their associations with the symptom severity of post-traumatic stress disorder (PTSD), depression, attention-deficit/ hyperactivity disorder (ADHD), general anxiety, and symptoms of borderline personality disorder. 94% of the adolescents who consulted a child and adolescent psychiatric outpatient clinic experienced at least one PTE, while on average, four PTEs were experienced. Higher numbers of PTEs were associated with more PTSD symptoms, but also with more symptoms of depression, anxiety, ADHD, and borderline personality disorder. Participants who had experienced PSA had a 9-folded risk for clinically significant PTSD symptoms than participants who had experienced other PTE but no PSA. Participants who identified as transgender or gender diverse (TGD) as well as cis-female adolescents reported higher rates of PSA than individuals who identified as cisgender males. The results underscore that adolescents with psychiatric disorders regularly experienced multiple PTE. Adolescents who were exposed to PSA are at particularly high risk of developing severe psychiatric disorders. Cis-female and TGD adolescents seem to be at a higher risk for PSA than cisgender males. The co-occurrence of a variety of symptoms of different psychiatric disorders poses the challenge of not overlooking relevant traumatic experiences during the diagnostic process.","PeriodicalId":44763,"journal":{"name":"Journal of Child & Adolescent Trauma","volume":"19 3","pages":"1399-1410"},"PeriodicalIF":2.2,"publicationDate":"2025-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13546269/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148901241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0