Trauma-Related Internalizing and Externalizing Behaviors in Adolescence: A Bridge between Psychoanalysis and Neuroscience

Panuccio, Anna; Biondo, Daniele; Picerni, Eleonora; Genovesi, Benedetto; Laricchiuta, Daniela

doi:10.3390/adolescents2040032

Cited by 4 publications

(1 citation statement)

References 91 publications

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“…Continued mobilizing (fight or flight responses) or immobilizing (freeze response) defenses are reflected by physiologic states of autonomic hyper-and hypo-arousal, respectively, very often considered as the hallmark symptoms of trauma (Siegel, 1999). Inflexibility between the defensive systems and their expression in the absence of danger involves chronic dysregulated arousal, contributes to maintain the traumatization, and allows to put into action externalizing and internalizing post-traumatic conducts (Panuccio et al, 2022). Internalizing problems feature mood or emotion as their primary characteristics including symptoms such as anxiety, depression, anhedonia, and withdrawal.…”

Section: Introductionmentioning

confidence: 99%

Trauma-related disorders and the bodily self: current perspectives and future directions

2023

Self Cite

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Trauma-related disorders are debilitating psychiatric conditions that influence people who have directly or indirectly witnessed adversities. Dramatic brain/body transformations and altered person's relationship with self, others, and the world occur when experiencing multiple types of traumas. In turn, these unfortunate modifications may contribute to predisposition to trauma-related vulnerability conditions, such as externalizing (aggression, delinquency, and conduct disorders) problems. This mini-review analyzes the relations between traumatic experiences (encoded as implicit and embodied procedural memories) and bodily self, sense of safety for the own body, and relationship with others, also in the presence of externalizing conducts. Furthermore, an emerging research area is also considered, highlighting principles and techniques of body-oriented and sensorimotor therapies designed to remodel bodily self-aspects in the presence of trauma, discussing their potential application with individuals showing externalizing problems.

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Section: Introductionmentioning

confidence: 99%

Trauma-related disorders and the bodily self: current perspectives and future directions

2023

Self Cite

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The body keeps the score: The neurobiological profile of traumatized adolescents

Laricchiuta

Panuccio

Picerni

et al. 2023

Neuroscience & Biobehavioral Reviews

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Childhood maltreatment and internalizing/externalizing disorders in trauma-exposed adolescents: Does posttraumatic stress disorder (PTSD) severity have a mediating role?

van den Heuvel,

Assim,

Koning

et al. 2023

Dev Psychopathol

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Childhood maltreatment is associated with wide-ranging psychopathology at all stages of life. In the current study, we investigated whether posttraumatic stress disorder (PTSD) severity mediated the association between childhood maltreatment and internalizing and externalizing disorders among 262 South African trauma-exposed adolescents (aged 12–18 years). Childhood maltreatment and PTSD symptom severity were assessed using the Childhood Trauma Questionnaire and the Child PTSD Checklist, respectively. Psychiatric disorders were assessed utilizing the Kiddie-Schedule for Affective Disorders and Schizophrenia-Present and Lifetime version and were grouped into internalizing or externalizing disorders. Hierarchal logistic regression was used to assess the association of childhood maltreatment subtype with internalizing and externalizing disorders, controlling for age and gender, with PTSD symptom severity added to the final model. We found that sexual abuse was significantly associated with internalizing disorders, although this effect was no longer significant when PTSD was added to the model demonstrating that PTSD mediated the association between sexual abuse and internalizing disorders. Physical abuse, but not PTSD, was associated with externalizing disorders. Physical abuse, emotional neglect, and PTSD were associated with comorbid internalizing and externalizing disorders. These findings have implications for intervention and prevention strategies targeted at trauma-exposed adolescents with a history of childhood maltreatment.

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Trauma-Related Internalizing and Externalizing Behaviors in Adolescence: A Bridge between Psychoanalysis and Neuroscience

Cited by 4 publications

References 91 publications

Trauma-related disorders and the bodily self: current perspectives and future directions

Trauma-related disorders and the bodily self: current perspectives and future directions

The body keeps the score: The neurobiological profile of traumatized adolescents

Childhood maltreatment and internalizing/externalizing disorders in trauma-exposed adolescents: Does posttraumatic stress disorder (PTSD) severity have a mediating role?

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