Neurobiology of Child Maltreatment and Psychological Trauma

Author(s):  
Nikeea Copeland-Linder ◽  
Edore Onigu-Otite ◽  
Jennifer Serico ◽  
Mariflor Jamora ◽  
Harolyn M.E. Belcher

Trauma is defined as exposure to an event or situation that overwhelms one’s capacity to cope, and threatens or causes harm to mental and physical well-being. This may include direct exposure, witnessing events, or learning about distressing experiences that happened to a loved one. Trauma can have deleterious consequences for children including increased risk for psychopathology, physical health problems, and impairment in several domains of functioning including emotion regulation, academic abilities, and social relationships. Examples of acute or short-lived traumatic experiences include natural disasters, sudden death of a loved one, a terrorist attack, or a number of other one-time occurring distressing events. Children also may experience trauma that is chronic in nature, such as witnessing frequent community violence or exposure to daily war-related violence.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sidsel Karsberg ◽  
Morten Hesse ◽  
Michael Mulbjerg Pedersen ◽  
Ruby Charak ◽  
Mads Uffe Pedersen

Abstract Background It is believed that clients with psychological trauma experiences have a poor prognosis with regard to treatment participation and outcomes for substance use disorders. However, knowledge on the effect of the number of trauma experiences is scarce. Methods Using data from drug use disorder (DUD) treatment in Denmark, we assessed the impact of having experienced multiple potentially traumatic experiences on DUD treatment efficacy. Baseline and follow-up data from 775 young participants (mean age = 20.2 years, standard deviation = 2.6) recruited at nine treatment centers were included in analyses. Results Analyses showed that participants who were exposed multiple trauma experiences also reported a significantly higher intake of cannabis at treatment entry, and a lower well-being score than participants who reported less types or no types of victimization experiences. During treatment, patients with multiple types of trauma experiences showed a slower rate of reduction of cannabis than patients with few or no trauma experiences. The number of trauma types was not associated with number of sessions attended or the development of well-being in treatment. Conclusion Overall, the results show that although traumatized youth in DUD treatment show up for treatment, helping them to reduce substance use during treatment is uniquely challenging. Trial registration ISRCTN88025085, date of registration: 29.08.2016, retrospectively registered.


Psychology ◽  
2019 ◽  
Author(s):  
Aparna Shankar

In January 2018, the UK became the first country in the world to appoint a Minister for Loneliness. This highlights growing concerns about loneliness in societies, and its deleterious effects on individual health and well-being. Loneliness or perceived social isolation is a subjective experience relating to dissatisfaction with one’s social relationships. Most research has focused on the experience of loneliness in old age, but levels of loneliness are also known to be high among teenagers and young adults. While poor health may be associated with increased feelings of loneliness, there is now considerable evidence on the role of loneliness as a risk factor for poor mental and physical health. Studies suggest that loneliness is associated with an increased risk of developing dementia and chronic diseases, and also with a higher rate of Mortality. Risky Health Behaviors, a poor cardiovascular profile, and compromised immune functioning have all been proposed as potential pathways through which loneliness may affect health. However, much still remains to be understood about these Mechanisms. This bibliography starts with a section on chapters and reviews that provide a theoretical basis for understanding the associations between social relationships and health, as well as some reviews of the Health Effects of loneliness. This is followed by sections that focus on specific outcomes, health effects (mortality, general health and physical function, cognitive function and Mental Health), and Healthcare Utilization. The subsequent section examines research into the pathways through which loneliness affects health. The final section examines interventions to reduce loneliness and the associated effects on health outcomes.


Author(s):  
Catherine Mogil ◽  
Heather Bemis ◽  
Jena Lee ◽  
Brenda Bursch

The chapter on psychosocial issues reviews the impact of the family environment, medical illness, and societal stressors on child well-being. The chapter incorporates clinical scenarios in vignettes that are followed by a question-and-answer format to support clinical application of the material. The psychosocial issues that are presented include different family presentations (e.g., divorce, death of a loved one, adoption, foster care); educational issues (e.g., giftedness); and societal factors (e.g., socioeconomic status, community violence, impact of media). In addition, attention is paid to how these factors have an impact on medical conditions, chronic illness, and other childhood psychological/behavioral challenges (e.g., enuresis, vulnerable child syndrome, pain).


Author(s):  
Aiste Dirzyte ◽  
Aleksandras Patapas ◽  
Žilvinas Židonis ◽  
Antanas Valantinas ◽  
Šarune Dubauskiene

The links between emotional intelligence and loss are under-researched, even though a lot of studies have investigated the psychological outcomes of traumatic experiences. Many people suffered multiple losses during the COVID-19 pandemic, including a loss of job, money, support services, or loved ones. The loss of a loved one might result in severe psychological trauma, and research suggests that early-life trauma relates to numerous forms of emotion dysregulation, including stress-reactivity. The consequences of loss for people with special needs deserve special attention since it often means not only the loss of a loved one but also the usual way of life. Thus, it is essential to analyze various aspects of loss experience, including the impact on emotional regulation, to reduce the harmful consequences of the COVID-19 pandemic. The purpose of this research was to examine emotional intelligence in groups of those who have a recent experience of loss and those who have not and to establish the impact of the experience of loss on the human psyche and mental health. We have analyzed the results of a simple random sample of gymnasium students (n=362). We hypothesized that the recent loss of a loved one diminishes the ability to understand self and other focused emotions as well as situational emotions. The survey has revealed that respondents who experienced the loss of a loved one understood better how individuals felt in the presented situations than those who did not have such experience. The premise that people who have experienced the loss of a loved one have a lower understanding of emotions than their peers who did not have such an experience has not been confirmed.


2017 ◽  
Vol 76 (4) ◽  
pp. 145-153 ◽  
Author(s):  
Jana Nikitin ◽  
Alexandra M. Freund

Abstract. Establishing new social relationships is important for mastering developmental transitions in young adulthood. In a 2-year longitudinal study with four measurement occasions (T1: n = 245, T2: n = 96, T3: n = 103, T4: n = 85), we investigated the role of social motives in college students’ mastery of the transition of moving out of the parental home, using loneliness as an indicator of poor adjustment to the transition. Students with strong social approach motivation reported stable and low levels of loneliness. In contrast, students with strong social avoidance motivation reported high levels of loneliness. However, this effect dissipated relatively quickly as most of the young adults adapted to the transition over a period of several weeks. The present study also provides evidence for an interaction between social approach and social avoidance motives: Social approach motives buffered the negative effect on social well-being of social avoidance motives. These results illustrate the importance of social approach and social avoidance motives and their interplay during developmental transitions.


2021 ◽  
pp. 030573562110194
Author(s):  
Amy Visser ◽  
Megan Lee ◽  
Timothy Barringham ◽  
Nasim Salehi

Professional popular musicians are at increased risk of psychological distress, substance use problems, and suicide, yet little evidence is available on effective psychotherapeutic practices to address these issues. This scoping review aims to understand how professional popular musicians perceive, engage with, and respond to mental health interventions. Four databases were searched, garnering a total of 310 articles. Of these, six met inclusion criteria. Four thematic categories were explored: (1) amenability of professional popular musicians to particular therapeutic approaches; (2) attribution of treatment outcomes to tailored approaches; (3) professional popular musicians’ perceived barriers to treatment; and (4) recommendations for treatment approaches. The scoping review supports the importance of considering the characteristics of professional popular musicians as a distinct group with unique well-being needs, challenges, and strengths. There is a clear preference for tailored, affordable, and accessible approaches that consider the uniquities of musicianship and the need to explore the role of nonclinical support, such as friends, family, and industry peers.


2021 ◽  
pp. 003022282110244
Author(s):  
Júlia Camargo Contessa ◽  
Carolina Stopinski Padoan ◽  
Jéssica Leandra Gonçalves da Silva ◽  
Pedro V. S. Magalhães

The suicide of a loved one can be a traumatic experience. The objective of this study was to investigate trauma-related experiences of suicide survivors. This is a qualitative study with people who had recently lost a family member or a close one to suicide, conducted at least two months after the event. Forty-one participants agreed to take part in the study and were interviewed. The interviewees' perception was that suicide brought harm, symptoms, and suffering. Traumatic experiences can begin immediately after the event, with many reporting symptoms lasting many months and persistent impact, both personal and to the family. Postvention models after suicide should incorporate such findings, and investigate trauma consistently.


2021 ◽  
pp. 205015792110286
Author(s):  
Theda Radtke ◽  
Theresa Apel ◽  
Konstantin Schenkel ◽  
Jan Keller ◽  
Eike von Lindern

Smartphone use, e.g., on social network sites or instant messaging, can impair well-being and is related to clinical phenomena, like depression. Digital detox interventions have been suggested as a solution to reduce negative impacts from smartphone use on outcomes like well-being or social relationships. Digital detox is defined as timeouts from using electronic devices (e.g., smartphones), either completely or for specific subsets of smartphone use. However, until now, it has been unclear whether digital detox interventions are effective at promoting a healthy way of life in the digital era. This systematic literature review aimed to answer the question of whether digital detox interventions are effective at improving outcomes like health and well-being, social relationships, self-control or performance. Systematic searches of seven databases were carried out according to PRISMA guidelines, and intervention studies were extracted that examined timeouts from smartphone use and/or smartphone-related use of social network sites and instant messaging. The review yielded k = 21 extracted studies (total N = 3,625 participants). The studies included interventions in the field, from which 12 were identified as randomized controlled trials. The results showed that the effects from digital detox interventions varied across studies on health and well-being, social relationships, self-control, or performance. For example, some studies found positive intervention effects, whereas others found no effect or even negative consequences for well-being. Reasons for these mixed findings are discussed. Research is needed to examine mechanisms of change to derive implications for the development of successful digital detox interventions.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
T. Muhammad ◽  
Shobhit Srivastava ◽  
T. V. Sekher

Abstract Background Greater cognitive performance has been shown to be associated with better mental and physical health and lower mortality. The present study contributes to the existing literature on the linkages of self-perceived income sufficiency and cognitive impairment. Study also provides additional insights on other socioeconomic and health-related variables that are associated with cognitive impairment in older ages. Methods Data for this study is derived from the 'Building Knowledge Base on Population Ageing in India'. The final sample size for the analysis after removing missing cases was 9176 older adults. Descriptive along with bivariate analyses were presented to show the plausible associations of cognitive impairment with potential risk factors using the chi-square test. Also, binary logistic regression analysis was performed to provide the relationship between cognitive impairment and risk factors. The software used was STATA 14. Results About 43% of older adults reported that they had no source of income and 7.2% had income but not sufficient to fulfil their basic needs. Older adults with income but partially sufficient to fulfil their basic needs had 39% significantly higher likelihood to suffer from cognitive impairment than older adults who had sufficient income [OR: 1.39; OR: 1.21–1.59]. Likelihood of cognitive impairment was low among older adults with asset ownership than older adults with no asset ownership [OR: 0.83; CI: 0.72–0.95]. Again, older adults who work by compulsion (73.3%) or felt mental or physical stress due to work (57.6%) had highest percentage of cognitive impairment. Moreover, older adults with poor self-rated health, low instrumental activities of daily living, low activities of daily living, low subjective well-being and low psychological health were at increased risk for cognitive impairment. Conclusion The study highlights the pressing need for care and support and especially financial incentives in the old age to preserve cognitive health. Further, while planning geriatric health care for older adults in India, priority must be given to financially backward, with no asset ownership, with poor health status, older-older, widowed, and illiterate older individuals, as they are more vulnerable to cognitive impairment.


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