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Characterizing experiential elements of early-life stress to inform resilience: Buffering effects of controllability and predictability and the importance of their timing / Dylan G. GEE ; Taylor J. KEDING ; Jeffrey D. MANDELL ; Madeline E. NOTTI ; Lucinda M. SISK in Development and Psychopathology, 35-5 (December 2023)
[article]
Titre : Characterizing experiential elements of early-life stress to inform resilience: Buffering effects of controllability and predictability and the importance of their timing Type de document : Texte imprimé et/ou numérique Auteurs : Dylan G. GEE, Auteur ; Taylor J. KEDING, Auteur ; Jeffrey D. MANDELL, Auteur ; Madeline E. NOTTI, Auteur ; Lucinda M. SISK, Auteur Article en page(s) : p.2288-2301 Mots-clés : adversity controllability dimensional predictability stress trauma-related symptomatology traumatic stress Index. décimale : PER Périodiques Résumé : Key theoretical frameworks have proposed that examining the impact of exposure to specific dimensions of stress at specific developmental periods is likely to yield important insight into processes of risk and resilience. Utilizing a sample of N = 549 young adults who provided a detailed retrospective history of their lifetime exposure to numerous dimensions of traumatic stress and ratings of their current trauma-related symptomatology via completion of an online survey, here we test whether an individual?s perception of their lifetime stress as either controllable or predictable buffered the impact of exposure on trauma-related symptomatology assessed in adulthood. Further, we tested whether this moderation effect differed when evaluated in the context of early childhood, middle childhood, adolescence, and young adulthood stress. Consistent with hypotheses, results highlight both stressor controllability and stressor predictability as buffering the impact of traumatic stress exposure on trauma-related symptomatology and suggest that the potency of this buffering effect varies across unique developmental periods. Leveraging dimensional ratings of lifetime stress exposure to probe heterogeneity in outcomes following stress ? and, critically, considering interactions between dimensions of exposure and the developmental period when stress occurred ? is likely to yield increased understanding of risk and resilience following traumatic stress. En ligne : https://dx.doi.org/10.1017/S0954579423000822 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=519
in Development and Psychopathology > 35-5 (December 2023) . - p.2288-2301[article] Characterizing experiential elements of early-life stress to inform resilience: Buffering effects of controllability and predictability and the importance of their timing [Texte imprimé et/ou numérique] / Dylan G. GEE, Auteur ; Taylor J. KEDING, Auteur ; Jeffrey D. MANDELL, Auteur ; Madeline E. NOTTI, Auteur ; Lucinda M. SISK, Auteur . - p.2288-2301.
in Development and Psychopathology > 35-5 (December 2023) . - p.2288-2301
Mots-clés : adversity controllability dimensional predictability stress trauma-related symptomatology traumatic stress Index. décimale : PER Périodiques Résumé : Key theoretical frameworks have proposed that examining the impact of exposure to specific dimensions of stress at specific developmental periods is likely to yield important insight into processes of risk and resilience. Utilizing a sample of N = 549 young adults who provided a detailed retrospective history of their lifetime exposure to numerous dimensions of traumatic stress and ratings of their current trauma-related symptomatology via completion of an online survey, here we test whether an individual?s perception of their lifetime stress as either controllable or predictable buffered the impact of exposure on trauma-related symptomatology assessed in adulthood. Further, we tested whether this moderation effect differed when evaluated in the context of early childhood, middle childhood, adolescence, and young adulthood stress. Consistent with hypotheses, results highlight both stressor controllability and stressor predictability as buffering the impact of traumatic stress exposure on trauma-related symptomatology and suggest that the potency of this buffering effect varies across unique developmental periods. Leveraging dimensional ratings of lifetime stress exposure to probe heterogeneity in outcomes following stress ? and, critically, considering interactions between dimensions of exposure and the developmental period when stress occurred ? is likely to yield increased understanding of risk and resilience following traumatic stress. En ligne : https://dx.doi.org/10.1017/S0954579423000822 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=519 Challenging child behaviours positively predict symptoms of posttraumatic stress disorder in parents of children with Autism Spectrum Disorder and Rare Diseases / Michelle STEWART in Research in Autism Spectrum Disorders, 69 (January 2020)
[article]
Titre : Challenging child behaviours positively predict symptoms of posttraumatic stress disorder in parents of children with Autism Spectrum Disorder and Rare Diseases Type de document : Texte imprimé et/ou numérique Auteurs : Michelle STEWART, Auteur ; Alexandra SCHNABEL, Auteur ; David J. HALLFORD, Auteur ; Jane A. MCGILLIVRAY, Auteur ; David FORBES, Auteur ; Madeline FOSTER, Auteur ; Kerrie SHANDLEY, Auteur ; Madeleine GARDAM, Auteur ; David W. AUSTIN, Auteur Article en page(s) : p.101467 Langues : Anglais (eng) Mots-clés : Autism ASD Rare diseases Traumatic stress Trauma PTSD Index. décimale : PER Périodiques Résumé : Background This study investigated the validity of conceptualising elevated stress in parents of children who exhibit challenging behaviour within the framework of posttraumatic stress disorder (PTSD). It was hypothesised that parents of children with autism spectrum disorder (ASD), and parents of children with a rare disease would endorse greater PTSD symptomatology than parents of typically developing (TD) children, and that challenging child behaviours would positively predict PTSD symptomatology. Method The Life Events Checklist for DSM-5, Developmental Behaviour Checklist (Parent) and PTSD Checklist for DSM-5 were administered to 395 parents. Results Significantly more PTSD symptomatology was reported by parents of children with ASD and parents of children with a rare disease than parents of TD children, and challenging child behaviours positively predicted PTSD symptomatology in both groups. Conclusion A PTSD framework may validly explain elevated stress among some parents of children with ASD and parents of children with a rare disease, and has important implications for support delivered to parents by healthcare providers. En ligne : https://doi.org/10.1016/j.rasd.2019.101467 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=412
in Research in Autism Spectrum Disorders > 69 (January 2020) . - p.101467[article] Challenging child behaviours positively predict symptoms of posttraumatic stress disorder in parents of children with Autism Spectrum Disorder and Rare Diseases [Texte imprimé et/ou numérique] / Michelle STEWART, Auteur ; Alexandra SCHNABEL, Auteur ; David J. HALLFORD, Auteur ; Jane A. MCGILLIVRAY, Auteur ; David FORBES, Auteur ; Madeline FOSTER, Auteur ; Kerrie SHANDLEY, Auteur ; Madeleine GARDAM, Auteur ; David W. AUSTIN, Auteur . - p.101467.
Langues : Anglais (eng)
in Research in Autism Spectrum Disorders > 69 (January 2020) . - p.101467
Mots-clés : Autism ASD Rare diseases Traumatic stress Trauma PTSD Index. décimale : PER Périodiques Résumé : Background This study investigated the validity of conceptualising elevated stress in parents of children who exhibit challenging behaviour within the framework of posttraumatic stress disorder (PTSD). It was hypothesised that parents of children with autism spectrum disorder (ASD), and parents of children with a rare disease would endorse greater PTSD symptomatology than parents of typically developing (TD) children, and that challenging child behaviours would positively predict PTSD symptomatology. Method The Life Events Checklist for DSM-5, Developmental Behaviour Checklist (Parent) and PTSD Checklist for DSM-5 were administered to 395 parents. Results Significantly more PTSD symptomatology was reported by parents of children with ASD and parents of children with a rare disease than parents of TD children, and challenging child behaviours positively predicted PTSD symptomatology in both groups. Conclusion A PTSD framework may validly explain elevated stress among some parents of children with ASD and parents of children with a rare disease, and has important implications for support delivered to parents by healthcare providers. En ligne : https://doi.org/10.1016/j.rasd.2019.101467 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=412 Traumatic Childhood Events and Autism Spectrum Disorder / Connor M. KERNS in Journal of Autism and Developmental Disorders, 45-11 (November 2015)
[article]
Titre : Traumatic Childhood Events and Autism Spectrum Disorder Type de document : Texte imprimé et/ou numérique Auteurs : Connor M. KERNS, Auteur ; Craig J. NEWSCHAFFER, Auteur ; Steven J. BERKOWITZ, Auteur Article en page(s) : p.3475-3486 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder Trauma PTSD Traumatic stress Psychiatric comorbidity Index. décimale : PER Périodiques Résumé : Traumatic childhood events are associated with a wide range of negative physical, psychological and adaptive outcomes over the life course and are one of the few identifiable causes of psychiatric illness. Children with autism spectrum disorder (ASD) may be at increased risk for both encountering traumatic events and developing traumatic sequelae; however, this topic has been understudied. This review considers the rationale for examining traumatic events and related symptomology in individuals with ASD and summarizes the limited research on this topic. A conceptual framework for understanding the interplay of ASD, trauma and traumatic sequelae is proposed and recommendations for future research presented. En ligne : http://dx.doi.org/10.1007/s10803-015-2392-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=270
in Journal of Autism and Developmental Disorders > 45-11 (November 2015) . - p.3475-3486[article] Traumatic Childhood Events and Autism Spectrum Disorder [Texte imprimé et/ou numérique] / Connor M. KERNS, Auteur ; Craig J. NEWSCHAFFER, Auteur ; Steven J. BERKOWITZ, Auteur . - p.3475-3486.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 45-11 (November 2015) . - p.3475-3486
Mots-clés : Autism spectrum disorder Trauma PTSD Traumatic stress Psychiatric comorbidity Index. décimale : PER Périodiques Résumé : Traumatic childhood events are associated with a wide range of negative physical, psychological and adaptive outcomes over the life course and are one of the few identifiable causes of psychiatric illness. Children with autism spectrum disorder (ASD) may be at increased risk for both encountering traumatic events and developing traumatic sequelae; however, this topic has been understudied. This review considers the rationale for examining traumatic events and related symptomology in individuals with ASD and summarizes the limited research on this topic. A conceptual framework for understanding the interplay of ASD, trauma and traumatic sequelae is proposed and recommendations for future research presented. En ligne : http://dx.doi.org/10.1007/s10803-015-2392-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=270 Intergenerational trauma: Parental PTSD and parent-reported child abuse subtypes differentially relate to admission characteristics in the autism inpatient collection / Christina G. MCDONNELL in Autism Research, 15-4 (April 2022)
[article]
Titre : Intergenerational trauma: Parental PTSD and parent-reported child abuse subtypes differentially relate to admission characteristics in the autism inpatient collection Type de document : Texte imprimé et/ou numérique Auteurs : Christina G. MCDONNELL, Auteur ; Theresa M. ANDRZEJEWSKI, Auteur ; Janey DIKE, Auteur Article en page(s) : p.665-676 Langues : Anglais (eng) Mots-clés : Adolescent Autism Spectrum Disorder Autistic Disorder Child Child Abuse/psychology Female Historical Trauma Hospitalization Humans Inpatients Male Parents Stress Disorders, Post-Traumatic/epidemiology autism child abuse intergenerational trauma traumatic stress Index. décimale : PER Périodiques Résumé : Autistic youth experience high rates of maltreatment. Little research has considered how distinct abuse dimensions differentially relate to meaningful outcomes, nor taken an intergenerational approach to consider how caregiver trauma and child maltreatment are related. This study sought to identify how parent-reported child abuse subtypes and parent posttraumatic stress disorder (PTSD) relate to each other and to admission characteristics upon inpatient service entry. Autistic youth (N = 527; 79% White, 21.3% girls, mean age = 12.94?years) participated in the autism inpatient collection. Parents reported on child abuse subtypes (physical, sexual, emotional) and their own PTSD, child behavior and emergency services, and parenting stress. Youth of parents with PTSD were nearly three times more likely to have parent-reported physical and emotional abuse. Autistic girls were more likely to experience parent-reported sexual abuse and a higher number of subtypes. Lower income related to higher rates of parent-reported child emotional abuse and parent PTSD. Emotional abuse associated with child behavior whereas both child physical and emotional abuse related to emergency services. Reported parent PTSD associated with child behavior and parental distress. When considered jointly, parent PTSD and number of parent-reported child abuse subtypes differentially related to child behavior and interacted to predict psychiatric hospitalizations. Intergenerational continuity of trauma is important to consider among autistic youth, and both parent-reported child abuse and parent PTSD relate to admission characteristics. Critical limitations include reliance on binary parent reports of child abuse and parent PTSD and the low representation of youth of minoritized identities. Implications for trauma-informed care are discussed. LAY SUMMARY: Autistic youth whose parents had reported posttraumatic stress disorder (PTSD) were nearly three times more likely to have experienced parent-reported physical and emotional abuse. Parent-reported child emotional abuse uniquely related to child behavioral concerns whereas both physical and emotional abuse related to higher emergency services. Parent PTSD also related to admission characteristics, showing that intergenerational continuity of trauma is critical to consider for understanding child maltreatment among autistic youth. En ligne : https://dx.doi.org/10.1002/aur.2669 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=473
in Autism Research > 15-4 (April 2022) . - p.665-676[article] Intergenerational trauma: Parental PTSD and parent-reported child abuse subtypes differentially relate to admission characteristics in the autism inpatient collection [Texte imprimé et/ou numérique] / Christina G. MCDONNELL, Auteur ; Theresa M. ANDRZEJEWSKI, Auteur ; Janey DIKE, Auteur . - p.665-676.
Langues : Anglais (eng)
in Autism Research > 15-4 (April 2022) . - p.665-676
Mots-clés : Adolescent Autism Spectrum Disorder Autistic Disorder Child Child Abuse/psychology Female Historical Trauma Hospitalization Humans Inpatients Male Parents Stress Disorders, Post-Traumatic/epidemiology autism child abuse intergenerational trauma traumatic stress Index. décimale : PER Périodiques Résumé : Autistic youth experience high rates of maltreatment. Little research has considered how distinct abuse dimensions differentially relate to meaningful outcomes, nor taken an intergenerational approach to consider how caregiver trauma and child maltreatment are related. This study sought to identify how parent-reported child abuse subtypes and parent posttraumatic stress disorder (PTSD) relate to each other and to admission characteristics upon inpatient service entry. Autistic youth (N = 527; 79% White, 21.3% girls, mean age = 12.94?years) participated in the autism inpatient collection. Parents reported on child abuse subtypes (physical, sexual, emotional) and their own PTSD, child behavior and emergency services, and parenting stress. Youth of parents with PTSD were nearly three times more likely to have parent-reported physical and emotional abuse. Autistic girls were more likely to experience parent-reported sexual abuse and a higher number of subtypes. Lower income related to higher rates of parent-reported child emotional abuse and parent PTSD. Emotional abuse associated with child behavior whereas both child physical and emotional abuse related to emergency services. Reported parent PTSD associated with child behavior and parental distress. When considered jointly, parent PTSD and number of parent-reported child abuse subtypes differentially related to child behavior and interacted to predict psychiatric hospitalizations. Intergenerational continuity of trauma is important to consider among autistic youth, and both parent-reported child abuse and parent PTSD relate to admission characteristics. Critical limitations include reliance on binary parent reports of child abuse and parent PTSD and the low representation of youth of minoritized identities. Implications for trauma-informed care are discussed. LAY SUMMARY: Autistic youth whose parents had reported posttraumatic stress disorder (PTSD) were nearly three times more likely to have experienced parent-reported physical and emotional abuse. Parent-reported child emotional abuse uniquely related to child behavioral concerns whereas both physical and emotional abuse related to higher emergency services. Parent PTSD also related to admission characteristics, showing that intergenerational continuity of trauma is critical to consider for understanding child maltreatment among autistic youth. En ligne : https://dx.doi.org/10.1002/aur.2669 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=473 Preventive intervention for trauma reactions in young injured children: results of a multi-site randomised controlled trial / Ann-Christin HAAG in Journal of Child Psychology and Psychiatry, 61-9 (September 2020)
[article]
Titre : Preventive intervention for trauma reactions in young injured children: results of a multi-site randomised controlled trial Type de document : Texte imprimé et/ou numérique Auteurs : Ann-Christin HAAG, Auteur ; Markus A. LANDOLT, Auteur ; Justin A. KENARDY, Auteur ; Clemens M. SCHIESTL, Auteur ; Roy M. KIMBLE, Auteur ; Alexandra C. DE YOUNG, Auteur Article en page(s) : p.988-997 Langues : Anglais (eng) Mots-clés : Preventive intervention injury traumatic stress young children Index. décimale : PER Périodiques Résumé : BACKGROUND: Young children are at particular risk for injury. Ten per cent to twenty-five per cent develop posttraumatic stress disorder (PTSD). However, no empirically supported preventive interventions exist. Therefore, this study evaluated the efficacy of a standardised targeted preventive intervention for PTSD in young injured children. METHODS: Injured children (1-6 years) were enrolled in a multi-site parallel-group superiority prospective randomised controlled trial (RCT) in Australia and Switzerland. Screening for PTSD risk occurred 6-8 days postaccident. Parents of children who screened 'high-risk' were randomised to a 2-session CBT-based intervention or treatment-as-usual (TAU). Primary outcomes were PTSD symptom (PTSS) severity, and secondary outcomes were PTSD diagnosis, functional impairment and behavioural difficulties at 3 and 6 months postinjury using blinded assessments. Trials were registered with the Australian New Zealand Clinical Trials Registry (ACTRN12614000325606) and ClinicalTrials.gov (NCT02088814). Trial status is complete. RESULTS: One hundred and thirty-three children screened 'high-risk' were assigned to intervention (n = 62) or TAU (n = 71). Multilevel intention-to-treat analyses revealed a significant intervention effect on PTSS severity over time (b = 60.06, 95% CI: 21.30-98.56). At 3 months, intervention children (M = 11.02, SD = 10.42, range 0-47) showed an accelerated reduction in PTSS severity scores compared to control children (M = 17.30, SD = 13.94, range 0-52; mean difference -6.97, 95% CI: -14.02 to 0.08, p adj. = .055, d = 0.51). On secondary outcomes, multilevel analyses revealed significant treatment effects for PTSD diagnosis, functional impairment and behavioural difficulties. CONCLUSIONS: This multi-site RCT provides promising preliminary evidence for the efficacy of a targeted preventive intervention for accelerating recovery from PTSS in young injured children. This has important clinical implications for the psychological support provided to young children and parents during the acute period following a single-event trauma. En ligne : http://dx.doi.org/10.1111/jcpp.13193 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=430
in Journal of Child Psychology and Psychiatry > 61-9 (September 2020) . - p.988-997[article] Preventive intervention for trauma reactions in young injured children: results of a multi-site randomised controlled trial [Texte imprimé et/ou numérique] / Ann-Christin HAAG, Auteur ; Markus A. LANDOLT, Auteur ; Justin A. KENARDY, Auteur ; Clemens M. SCHIESTL, Auteur ; Roy M. KIMBLE, Auteur ; Alexandra C. DE YOUNG, Auteur . - p.988-997.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 61-9 (September 2020) . - p.988-997
Mots-clés : Preventive intervention injury traumatic stress young children Index. décimale : PER Périodiques Résumé : BACKGROUND: Young children are at particular risk for injury. Ten per cent to twenty-five per cent develop posttraumatic stress disorder (PTSD). However, no empirically supported preventive interventions exist. Therefore, this study evaluated the efficacy of a standardised targeted preventive intervention for PTSD in young injured children. METHODS: Injured children (1-6 years) were enrolled in a multi-site parallel-group superiority prospective randomised controlled trial (RCT) in Australia and Switzerland. Screening for PTSD risk occurred 6-8 days postaccident. Parents of children who screened 'high-risk' were randomised to a 2-session CBT-based intervention or treatment-as-usual (TAU). Primary outcomes were PTSD symptom (PTSS) severity, and secondary outcomes were PTSD diagnosis, functional impairment and behavioural difficulties at 3 and 6 months postinjury using blinded assessments. Trials were registered with the Australian New Zealand Clinical Trials Registry (ACTRN12614000325606) and ClinicalTrials.gov (NCT02088814). Trial status is complete. RESULTS: One hundred and thirty-three children screened 'high-risk' were assigned to intervention (n = 62) or TAU (n = 71). Multilevel intention-to-treat analyses revealed a significant intervention effect on PTSS severity over time (b = 60.06, 95% CI: 21.30-98.56). At 3 months, intervention children (M = 11.02, SD = 10.42, range 0-47) showed an accelerated reduction in PTSS severity scores compared to control children (M = 17.30, SD = 13.94, range 0-52; mean difference -6.97, 95% CI: -14.02 to 0.08, p adj. = .055, d = 0.51). On secondary outcomes, multilevel analyses revealed significant treatment effects for PTSD diagnosis, functional impairment and behavioural difficulties. CONCLUSIONS: This multi-site RCT provides promising preliminary evidence for the efficacy of a targeted preventive intervention for accelerating recovery from PTSS in young injured children. This has important clinical implications for the psychological support provided to young children and parents during the acute period following a single-event trauma. En ligne : http://dx.doi.org/10.1111/jcpp.13193 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=430