Skip to main content

Pediatric Posttraumatic Stress

  • Chapter
  • First Online:
  • 1900 Accesses

Part of the book series: Child Maltreatment Solutions Network ((CMSN))

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

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   139.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  • 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

    Article  Google Scholar 

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC, Author.

    Google Scholar 

  • 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

    Article  PubMed  Google Scholar 

  • 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

    Article  PubMed  Google Scholar 

  • Brofenbrenner, U. (1977). Toward an experimental ecology of human development. American Psychologist, 32(7), 513–531.

    Article  Google Scholar 

  • Carrión, V. G. (2016). Cue-centered therapy for youth experiencing posttraumatic symptoms: A structured, multimodal intervention, therapist guide. New York, NY: Oxford University Press.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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

    Article  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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

    Article  Google Scholar 

  • 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

    Article  PubMed  PubMed Central  Google Scholar 

  • 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

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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

    Article  Google Scholar 

  • 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

    Article  Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Google Scholar 

  • 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

    Article  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    PubMed  Google Scholar 

  • 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

    Article  PubMed  PubMed Central  Google Scholar 

  • 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.

    Google Scholar 

  • 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

    Article  PubMed  Google Scholar 

  • Shimamura, A. P. (2000). The role of the prefrontal cortex in dynamic filtering. Psychobiology, 28(2), 207–218.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Squire, L. R., & Zola-Morgan, S. (1991). The medial temporal lobe memory system. Science, 254, 1091–1099.

    Article  Google Scholar 

  • 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

    Article  PubMed  Google Scholar 

  • Thompson, R. A. (2014). Stress and child development. The Future of Children, 24(1), 41–59. https://doi.org/10.1353/foc.2014.0004

    Article  PubMed  Google Scholar 

  • 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.

    Chapter  Google Scholar 

  • 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

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Victor G. Carrión .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

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

Publish with us

Policies and ethics