title: Cumulative trauma and symptom complexity in children: a path analysis.
abstract: Multiple trauma exposures during childhood are associated with a range of psychological symptoms later in life. In this study, we examined whether the total number of different types of trauma experienced by children (cumulative trauma) is associated with the complexity of their subsequent symptomatology, where complexity is defined as the number of different symptom clusters simultaneously elevated into the clinical range. Children's symptoms in six different trauma-related areas (e.g., depression, anger, posttraumatic stress) were reported both by child clients and their caretakers in a clinical sample of 318 children. Path analysis revealed that accumulated exposure to multiple different trauma types predicts symptom complexity as reported by both children and their caretakers.
authors: Department of Psychiatry and the Behavioral Sciences, Keck School of Medicine, University of Southern California, USA.
authors: Monica
authors: M
authors: Hodges
authors: Natacha
authors: N
authors: Godbout
authors: John
authors: J
authors: Briere
authors: Cheryl
authors: C
authors: Lanktree
authors: Alicia
authors: A
authors: Gilbert
authors: Nicole Taylor
authors: NT
authors: Kletzka
mesh_terms: D002140:California / Q000453:epidemiology; D017028:Caregivers; D057189:Checklist; D002648:Child; D002649:Child Abuse / Q000145:classification / Q000523:psychology*; D002675:Child, Preschool; D012090:Cumulative Trauma Disorders / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008485:Medical Audit; D001523:Mental Disorders / Q000523:psychology*; D011795:Surveys and Questionnaires; D063189:Symptom Assessment
keywords: Children; Complex trauma; Cumulative trauma; Symptom complexity