Artiklar om Trauma och traumatisering


Kunskapsöversikt sammanställd av Barnafrid 2018 (Doris Nilsson och Car-Göran Svedin):

KUNSKAPSÖVERSIKT SÖ+Fys misshandel. 2018

Tidningsartikel 28 okt 2015 i ECT:  debattartikel Trauma och traumatisering ur ett samhällsperspektiv

Långtidseffekter av olika barndomstrauman:

Nyttig information om hur tidiga trauman kan påverka under olika faser i livet

  1. The impact of sexual abuse on female development- Lessons from a multigenerational, longitudinal research study

Trickett et al

Development and Psychopathology, Vol 23(2), May, 2011. pp. 453-476.

ABSTRACT:  This is a report on the research design and findings of a 23-year longitudinal study of the impact of intrafamilial sexualabuse on female development. The conceptual framework integrated concepts of psychological adjustment with theory regarding how psychobiological factors might impact development. Participants included 6- to 16-year-old females with substantiated sexual abuse and a demographically similar comparison group. A cross-sequential design was used and six assessments have taken place, with participants at median age 11 at the first assessment and median age 25 at the sixth assessment. Mothers of participants took part in the early assessments and offspring took part at the sixth assessment. Results of many analyses, both within circumscribed developmental stages and across development, indicated that sexually abused females (on average) showed deleterious sequelae across a host of biopsychosocial domains including: earlier onsets of puberty, cognitive deficits, depression, dissociative symptoms, maladaptive sexual development, hypothalamic-pituitary-adrenal attenuation, asymmetrical stress responses, high rates of obesity, more major illnesses and healthcare utilization, dropping out of high school, persistent posttraumatic stress disorder, self-mutilation, Diagnostic and Statistical Manual of Mental Disorders diagnoses, physical and sexual revictimization, premature deliveries, teen motherhood, drug and alcohol abuse, and domestic violence. Offspring born to abused mothers were at increased risk for child maltreatment and overall maldevelopment. There was also a pattern of considerable within group variability. Based on this complex network of findings, implications for optimal treatments are elucidated. Translational aspects of extending observational research into clinical practice are discussed in terms that will likely have a sustained impact on several major public health initiatives. (PsycINFO Database Record (c) 2014 APA, all rights reserved) (journal abstract)

2. Evidence-based treatments for children with trauma-related psychopathology as a result of childhood maltreatment- a systematic review

Leenarts et al

European Child & Adolescent Psychiatry, Vol 22(5), May, 2013. pp. 269-283.

Metastudie om Evidensbaserad behandling av traumatiserade barn och ungdomar 6-16 år. TF-KBT är enligt denna studie den som har mest evidens. ” However, as three relatively high-quality randomized controlled clinical trials [e.g., 13 , 14 , 16 ] provided support for TF-CBT, this method is, in line with findings of previous research [19 ], the best-supported treatment for such children. In addition, the results of one study [24 ] indicated that TF-CBT, regardless of the length of treatment and the inclusion of a TN component, is effective in improving children’s symptomatology and safety skills, and parenting skills”.

ABSTRACT:  This is a systematic review of evidencebased treatments for children exposed to childhood maltreatment. Because exposure to childhood maltreatment has been associated with a broad range of traumarelated psychopathology (e.g., PTSD, anxiety, suicidal ideation, substance abuse) and with aggressive and violent behavior, this review describes psychotherapeutic treatments which focus on former broad range of psychopathological outcomes. A total of 26 randomized controlled clinical trials and seven non-randomized controlled clinical trials published between 2000 and 2012 satisfied the inclusionary criteria and were included. These studies dealt with various kinds of samples, from sexually abused and maltreated children in child psychiatric outpatient clinics or in foster care to traumatized incarcerated boys. A total of 27 studies evaluated psychotherapeutic treatments which used trauma-focused cognitive, behavioral or cognitive-behavioral techniques; only two studies evaluated trauma-specific treatments for children and adolescents with comorbid aggressive or violent behavior; and four studies evaluated psychotherapeutic treatments that predominantly focused on other mental health problems than PTSD and used non-trauma focused cognitive, behavioral or cognitive-behavioral techniques. The results of this review suggest that trauma-focused cognitive-behavioral therapy (TF-CBT) is the best-supported treatment for children following childhood maltreatment. However, in line with increased interest in the diagnosis of complex PTSD and given the likely relationship between childhood maltreatment and aggressive and violent behavior, the authors suggest that clinical practice should address a phase-oriented approach. This review concludes with a discussion of future research directions and limitations. (PsycINFO Database Record (c) 2013 APA, all rights reserved) (journal abstract)