Abstract
Just like adults, but with enhanced vulnerability, children are susceptible to the experience of traumatic events and the development of pediatric Posttraumatic Stress Disorder (PTSD) symptoms and associated functional impairment. Children living in under-resourced communities may be especially vulnerable if they live with multiple stressors, such as community violence and poverty, and if their community lacks resources to aid in these challenges. Studies on pediatric PTSD have shown differences between the aforementioned group and children reporting no trauma, including emotional and behavioral differences. Our research has furthered this line of work by employing a multimethod approach that includes brain anatomy and function and studies of the stress hormone cortisol. In order to equip children with the resources they need to surpass adversity, we have translated research findings into novel compositions of individual therapy and large-scale school-delivered programs. We have also participated in the development of integrative care between primary and mental health service systems and utilized our work to impact policy. It is our goal to further pediatric PTSD treatment through evidence-based research, implementation and dissemination of programs, and policy change. This chapter will elaborate on all of the aforementioned topics.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Aguirre, J., & Carrión, V. G. (2012). Integrated behavioral health services: A collaborative care model for pediatric patients in a low-income setting. Clinical Pediatrics, 52(12), 1178–1180. https://doi.org/10.1177/0009922812470744
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC, Author.
Ansari, A. (2016, October 8). Hurricane Matthew: Death Toll Rising in Haiti. CNN. Retrieved from http://www.cnn.com/2016/10/08/americas/hurricane-matthew-death-toll-haiti/
Bendall, S., Alvarez- Jimenez, M., Hulbert, C. A., McGorry, P. D., & Jackson, H. J. (2012). Childhood trauma increases the risk of post- traumatic stress disorder in response to first- episode psychosis. The Australian and New Zealand Journal of Psychiatry, 46(1), 35–39. https://doi.org/10.1177/0004867411430877
Berger, R., Pat-Horenczyk, R., & Gelkopf, M. (2007). School-based intervention for prevention and treatment of elementary-students’ terror-related distress in Israel: A quasi-randomized controlled trial. Journal of Traumatic Stress, 20, 541–551. https://doi.org/10.1002/jts.20225
Brofenbrenner, U. (1977). Toward an experimental ecology of human development. American Psychologist, 32(7), 513–531.
Carrión, V. G. (2016). Cue-centered therapy for youth experiencing posttraumatic symptoms: A structured, multimodal intervention, therapist guide. New York, NY: Oxford University Press.
Carrión, V. G., Garret, A., Menon, V., Weems, C. F., & Reiss, A. L. (2008). Posttraumatic stress symptoms and brain functioning during a response- inhibition task: An fMRI study in youth. Depression and Anxiety, 25, 514–526.
Carrión, V. G., Haas, B. W., Garret, A. G., Song, S., & Reiss, A. L. (2010). Reduced hippocampal activity in youth with posttraumatic stress symptoms: An fMRI study. Journal of Pediatric Psychology, 35(5), 559–569.
Carrión, V. G., Kletter, H., Weems, C. F., Berry, R. R., & Rettger, J. P. (2013). Cue-centered treatment for youth exposed to interpersonal violence: A randomized controlled trial. Journal of Traumatic Stress, 26, 654–662. https://doi.org/10.1002/jts.21870
Carrión, V. G., Weems, C. F., Ray, R., & Reiss, A. L. (2002). Toward an empirical definition of pediatric PTSD: The phenomenology of PTSD symptoms in youth. Journal of the American Academy of Child and Adolescent Psychiatry, 41(2), 166–173.
Carrión, V. G., Weems, C. F., & Reiss, A. L. (2007). Stress predicts brain changes in children: A pilot longitudinal study on youth stress, posttraumatic stress disorder, and the hippocampus. Pediatrics, 19(3), 509–516. https://doi.org/10.1542/peds.2006-2028
Carrión, V. G., Weems, C. F., Richert, K. A., Hoffman, B. C., & Reiss, A. L. (2010). Decreased prefrontal cortical volume associated with increased bedtime cortisol in traumatized youth. Biological Psychiatry, 68(5), 491–493. https://doi.org/10.1016/j.biopsych.2010.05.010
Cohen, J., Perel, J. M., De Bellis, M. D., Friedman, M. J., & Putnam, F. W. (2002). Treating traumatized children: Clinical implications of the psychobiology of posttraumatic stress disorder. Trauma, Violence, and Abuse: A Review Journal, 3(2), 91–108. https://doi.org/10.1177/15248380020032001
Cohen, J. A., Mannarino, A. P., Berliner, L., & Deblinger, E. (2000). Trauma-focused cognitive behavioral therapy for children and adolescents: An empirical update. Journal of Interpersonal Violence, 15(11), 1202–1223.
Cuffe, S. P., Addy, C. L., Garrison, C. Z., Waller, J. L., Jackson, K. L., McKeown, R. E., & Chilappagari, S. (1998). Prevelance of PTSD in a community sample of older adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 37(2), 147–154.
Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., … Marks, J. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The Adverse Childhood Experiences (ACE) study. American Journal of Preventive Medicine, 14(4), 245–258.
Flook, L., Smalley, S. L., Kitil, M. J., Galla, B. M., Kaiser-Greenland, S., Locke, J., … Kasari, C. (2010). Effects of mindful awareness practices on executive functions in elementary school children. Journal of Applied School Psychology, 26(1), 70–95. https://doi.org/10.1080/15377900903379125
Garret, A. S., Carrión, V. G., Kletter, H., Karchemskiy, A., Weems, C. F., & Reiss, A. (2012). Brain activation to facial expressions in youth with PTSD symptoms. Depression and Anxiety, 29, 449–459. https://doi.org/10.1002/da.21892
Hauser, C., & O’Connor, A. (2007, April 16). Virginia Tech shooting leaves 33 dead. The New York Times. Retrieved from http://www.nytimes.com/2007/04/16/us/16cnd-shooting.html?_r=0
History.com Staff. (2009). 1989 San Francisco earthquake. History. Retrieved from http://www.history.com/topics/1989-san-francisco-earthquake
Jaycox, L. H., Stein, B. D., & Amaya-Jackson, L. (2009). School-based treatment for children and adolescents. In E. B. Foa, T. M. Keane, M. J. Friedman, & J. A. Cohen (Eds.), Effective treatments for PTSD: Practice guidelines from the international society for traumatic stress studies (2nd ed., pp. 327–345). New York, NY: Guilford Press.
Katz, M. H. (2006). Health programs in Bayview Hunter’s Point and recommendations for improving the health of Bayview Hunter’s point residents. San Francisco, CA: San Francisco Department of Public Health, Office of Policy and Planning.
Kletter, H., Weems, C. F., & Carrión, V. G. (2009). Guilt and posttraumatic stress symptoms in child victims of interpersonal violence. Clinical Child Psychology and Psychiatry, 14(1), 71–83. https://doi.org/10.1177/1359104508100137
Lansford, J. E., Dodge, K. A., Pettit, G. S., Bates, J. E., Crozier, J., & Kaplow, J. (2002). A 12-year prospective study of the long term effects of early child physical maltreatment on psychological, behavioral, and academic problems in adolescence. Archives of Pediatrics and Adolescent Medicine, 156(8), 824–830.
Manjunath, N. K., & Telles, S. (2001). Improved performance in the tower of London test following yoga. Indian Journal of Physiology and Pharmacology, 45(3), 351–354.
McEwen, B. S., & Tucker, P. (2011, September 1). Critical biological pathways for chronic psychosocial stress and research opportunities to advance the consideration of stress in chemical risk assessment. American Journal of Public Health, 101, S131–S139. https://doi.org/10.2105/AJPH.2011.300270
Pfefferbaum, B. (1997). Posttraumatic stress disorder in children: A review of the past 10 years. Journal of the American Academy of Child & Adolescent Psychiatry, 36, 1503–1511.
Rushton, C. (2015, August 28). Timeline: Hurricane Katrina and the aftermath. USA Today. Retrieved from http://www.usatoday.com/story/news/nation/2015/08/24/timeline-hurricane-katrina-and-aftermath/32003013/
Sapolsky, R. M., Krey, L. C., & McEwen, B. S. (1986). The neuroendocrinology of stress and aging: The glucorticoid cascade hypothesis. Endocrine Reviews, 7(3), 284–301. https://doi.org/10.1210/edrv-7-3-284
Shimamura, A. P. (2000). The role of the prefrontal cortex in dynamic filtering. Psychobiology, 28(2), 207–218.
Silva, R. R., Cloitra, M., Davis, L., Levitt, J., Gomez, S., Ngai, I., & Brown, E. (2003). Early intervention with traumatized children. Psychiatric Quarterly, 74(4), 333–347.
Silverman, W. K., Ortiz, C. D., Viswesvaran, C., Burns, B. J., Kolko, D. J., Putnam, F. W., & Amaya-Jackson, L. (2008). Evidence-based psychosocial treatments for children and adolescents exposed to traumatic events. Journal of Clinical Child and Adolescent Psychology, 37(1), 156–183.
Smith, P., Perrin, S., Dalgleish, T., Meiser-Stedman, R., Clark, D. M., & Yule, W. (2013). Treatment of posttraumatic stress disorder in children and adolescents. Current Opinion in Psychiatry, 26(1), 66–72.
Squire, L. R., & Zola-Morgan, S. (1991). The medial temporal lobe memory system. Science, 254, 1091–1099.
Thompson, R., Proctor, L. J., English, D. J., Dubowitz, H., Narasimhan, S., & Everson, M. D. (2012). Suicidal ideation in adolescence: Examining the role of recent adverse experiences. Journal of Adolescence, 35, 175–186. https://doi.org/10.1016/j.adolescence,2011.03.003
Thompson, R. A. (2014). Stress and child development. The Future of Children, 24(1), 41–59. https://doi.org/10.1353/foc.2014.0004
Vanderhart, D., Johnson, K., & Turkewitz, J. (2015, October 1). Oregon shooting at Umpqua College kills 10, sheriff says. The New York Times. Retrieved from http://www.nytimes.com/2015/10/02/us/oregon-shooting-umpqua-community-college.html
Vogel, S., Horwitz, S., & Fahrenthold, D. A. (2012, December 14). Sandy hook elementary shooting leaves 28 dead, law enforcement sources say. The Washington Post. Retrieved from https://www.washingtonpost.com/politics/sandy-hook-elementary-school-shooting-leaves-students-staff-dead/2012/12/14/24334570-461e-11e2-8e70-e1993528222d_story.html
Walker, S. E., & Carrión, V. G. (2015). Narrative 3: The center for youth wellness: A community-based approach to holistic health care in San Francisco. In L. W. Roberts, D. Reicherter, S. Adelsheim, & S. Joshi (Eds.), Partnerships for mental health: Narratives of community and academic collaboration (pp. 37–51). Cham: Springer International.
Warren, J. (1993, January 05). E. Palo Alto murder rate worst in U.S.; Drug wars blamed. Los Angeles Times. Retrieved from: http://articles.latimes.com/1993-01-05/local/me-833_1_east-palo-alto
Weems, C. F., & Carrión, V. G. (2009). Brief report: Diurnal salivary cortisol in youth—clarifying the nature of posttraumatic stress dysregulation. Journal of Pediatric Psychology, 34(4), 389–395. https://doi.org/10.1093/jpepsy/jsn087
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG, part of Springer Nature
About this chapter
Cite this chapter
Altamirano, O., Carrión, V.G. (2018). Pediatric Posttraumatic Stress. In: Noll, J., Shalev, I. (eds) The Biology of Early Life Stress. Child Maltreatment Solutions Network. Springer, Cham. https://doi.org/10.1007/978-3-319-72589-5_6
Download citation
DOI: https://doi.org/10.1007/978-3-319-72589-5_6
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-72588-8
Online ISBN: 978-3-319-72589-5
eBook Packages: Behavioral Science and PsychologyBehavioral Science and Psychology (R0)