Trauma-symptom profiles of adolescents in child welfare

Gallitto, Elena; Lyons, Jennifer; Weegar, Kelly; Romano, Elisa

doi:10.1016/j.chiabu.2017.03.011

Cited by 19 publications

(24 citation statements)

References 43 publications

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“…It was the only class comprised of participants without diagnoses. This is similar to classes identified in previous person-centered study investigating community-based samples of traumaexposed youth (53-58%, Ayer et al, 2011;Gallitto et al, 2017) and congruent with current literature on resilience following trauma and CSA among welfare involved youth (Collin-Vézina et al, 2011). Indeed, although CSA's potential to have a devastating impact on psychological health has repeatedly been demonstrated, a growing field of research also reveals that some individuals showing little negative outcomes or even positive outcomes following trauma may be considered resilient (Marriott et al, 2014).…”

Section: Discussionsupporting

confidence: 88%

“…The use of person-centered analytic techniques, such as latent class analysis, is gaining interest in determining whether there are distinct mutually exclusive groups of individuals based on reported experiences of maltreatment (Rivera et al, 2018), reported psychiatric diagnoses in CSA victims (Brodbeck et al, 2018) or trauma symptoms (Gallitto et al, 2017). Indeed, some studies have tried to better understand how CSA victims can be distinguished among themselves and compared to non-sexually abused individuals.…”

Section: Symptom Comorbiditymentioning

confidence: 99%

See 1 more Smart Citation

Mental health Profiles of Sexually Abused Youth: Comorbidity, Resilience and Complex Trauma

Alie-Poirier

Hébert

McDuff

et al. 2020

IJCAR

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Objectives: The current study’s objectives were to 1) determine if sexually abused youth in child protective agencies (CPA) were given more psychiatric diagnoses and exhibited more comorbidity than youth from the general population, 2) examine the comorbidity profiles of sexually abused youth over 10 years of medical consultations and hospitalizations. Method: Diagnoses of 882 youth with a substantiated sexual abuse report between 2001 and 2010 at a participating CPA were compared to those of 882 matched controls (n = 1764). Results: Results of generalized linear mixed models showed that sexually abused youth presented higher rates of all diagnostic categories and were up to four times more likely to present comorbid diagnoses. Latent class analyses among abused youth revealed four different comorbidity profiles; two more severe groups named complex trauma (11%) and dissociation (14%); and two less severe groups named depression (10%) and low or no comorbidity/resilience (65%). Youth with more cumulative maltreatment and greater number of years of data following CSA report were more at risk of presenting a comorbidity profile, while females were more likely to present a depression profile. Profiles of youth in the highest comorbidity class were similar to what is defined as complex trauma or complex post-traumatic stress disorder. Implications: Sexually abused youth's varied profiles warrant varied interventions. Integrated trauma informed interventions are needed to address the cumulative maltreatment experienced and the psychiatric comorbidity some youth exhibit.

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Section: Discussionsupporting

confidence: 88%

Section: Symptom Comorbiditymentioning

confidence: 99%

Mental health Profiles of Sexually Abused Youth: Comorbidity, Resilience and Complex Trauma

Alie-Poirier

Hébert

McDuff

et al. 2020

IJCAR

View full text Add to dashboard Cite

show abstract

“…A trauma can be defined as an experience that surpasses what a human manages to handle and integrate in a coherent meaningful story of themselves. Repeated experiences of this nature in the child's care system create a highly increased risk for developing relational traumas, which can develop into psychological and physical health issues (Bath, 2015;Blindheim, 2012;Gallitto, Lyons, Weegar & Romano, 2017). The window of tolerance is helpful as a model of understanding the range of activation in which an individual function optimally (Siegel, 2012).…”

Section: Relational Approaches In Child Welfarementioning

confidence: 99%

Reflections on Practice

Wilhelmsen¹,

Fuhr

2018

Voices

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Abstr Abstract actThis article presents and discusses three examples of relational processes in music therapy collaborations with adolescents in care of child welfare services. Theory on relational work in psychology, child welfare, and music therapy will be presented in order to describe the theoretical foundation of our approach. We reflect on different aspects of the therapeutic relationship, such as the distribution of roles and responsibilities between the therapist and adolescent, the need for patience, and the value of the musical cooperation in the relationship. Bordin's theory on the therapeutic alliance functions as a framework for the discussion. We conclude that music activities can be a beneficial approach for giving adolescent in child welfare positive relational experiences with adult caregivers.

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“…Studies show that the prevalence of different traumatic childhood experiences among children in the Child Welfare System (CWS) is quite high, between 18 and 80% [ 7 , 8 , 11 , 12 , 13 , 14 , 15 , 16 ]. The broad distribution of results is due to differences in trauma definitions and classifications, the variety of used measurement tools, and the age differences between the studied samples [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

Can the Cumulative Adverse Childhood Experiences (ACE) Score Actually Identify the Victims of Intrafamilial Childhood Maltreatment? Findings from a Study in the Child Welfare System

Kovács-Tóth

Oláh

Szabó

2021

IJERPH

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Studies show that a significant proportion of children in the Child Welfare System (CWS) have suffered adverse childhood experiences (ACEs), which have led to well documented serious consequences. This study assessed and compared the ACE status of adolescents aged 12 to 17 placed in a family style group care (FGC) setting (n = 240) to the ACE status of adolescents living with their biological parents (n = 516). The ACE Score Calculator was employed. The populational differences in ACE scores and in the prevalence of ACEs were assessed using generalized linear and logistic regression models. Adolescents living in FGC settings reported more than five times as many multiple adverse experiences (≥4 types of ACEs) as those living with their biological parents. Adolescents living in FGC settings seem to be more willing to report family dysfunction rather than their maltreatment history and are less willing to report maltreatment. In the FGC group, a surprisingly high proportion of adolescents reported having experienced no maltreatment, which is probably highly underreported and/or unrecognised in the CWS. In fact, a high ACE score will not identify the children who have experienced direct maltreatment but will highlight the consequences of the unfavourable factors inherent in disadvantaged social situation instead.

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Trauma-symptom profiles of adolescents in child welfare

Cited by 19 publications

References 43 publications

Mental health Profiles of Sexually Abused Youth: Comorbidity, Resilience and Complex Trauma

Mental health Profiles of Sexually Abused Youth: Comorbidity, Resilience and Complex Trauma

Reflections on Practice

Can the Cumulative Adverse Childhood Experiences (ACE) Score Actually Identify the Victims of Intrafamilial Childhood Maltreatment? Findings from a Study in the Child Welfare System

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