Papers: National Child Traumatic Stress Network by Joseph Spinazzola
Full citation:
Kisiel, C., Fehrenbach, T., Liang, Li-Jung, Stolbach, B., McClelland, G., Grif... more Full citation:
Kisiel, C., Fehrenbach, T., Liang, Li-Jung, Stolbach, B., McClelland, G., Griffin, G., Maj, N., Briggs, E.C., Vivrette, R.L., Layne, C.M., & Spinazzola, J. (2014). Examining Child Sexual Abuse in relation to Complex Patterns of Trauma Exposure: Findings from the National Child Traumatic Stress Network. Psychological Trauma: Theory, Research, Practice, and Policy, 6(Suppl 1), 2014, S29-S39. http://dx.doi.org/10.1037/a0037812
Abstract:
Chronic, interpersonal traumas within the caregiving system are associated with a range of symptoms, functional impairments, and trauma history profiles. This study utilized data from the National Child Traumatic Stress Network (NCTSN) Core Data Set (CDS) to examine the role of child sexual abuse in combination with other types of caregiver-related trauma (physical abuse, domestic violence, emotional abuse, neglect, and impaired caregiving). These trauma composites were assessed in relation to clinical profiles, including mental health symptoms, risk behaviors, and functional difficulties. Groups included multiply traumatized youth with a documented history of: (a) 3 or more caregiver-related traumas with co-occurring sexual abuse (CR CSA group, N 501); (b) 3 or more caregiver-related traumas without co-occurring sexual abuse (CR group, N 1,108); and (c) 3 or more noncaregiver-related traumas (e.g., medical trauma, natural disaster, physical/sexual assault; non-CR group, N 142). Youth with caregiver related traumas had significantly earlier onset and longer duration of traumas compared to other traumatized youth. Child sexual abuse had an additive and potent predictive effect on clinical profiles, even in combination with other caregiver-related traumas. Although youth with caregiver-related traumas exhibited significant attachment problems, youth with sexual abuse in particular had higher levels of posttraumatic stress disorder (PTSD), and received higher ratings for symptoms of depression, suicidality, and sexualized behaviors in comparison with the other 2 groups. Findings suggest that careful mapping of trauma history, including age of onset, duration, and co-occurrence of trauma exposure in childhood, can provide a foundation for a more refined developmental approach to the scientific investigation, clinical assessment, and treatment of children with complex histories of trauma in childhood.
Keywords: child sexual abuse, complex trauma, complex PTSD, clinical profiles
Papers by Joseph Spinazzola
The Journal of Clinical Psychiatry, 2013
Journal of School Violence, 2010
This study replicated and extended our previous evaluation of Urban Improv (UI), a theater-based ... more This study replicated and extended our previous evaluation of Urban Improv (UI), a theater-based youth violence prevention (YVP) program developed for urban youth. It assessed the replicability of positive program impacts when implemented by nonprogram originators, as well as the utility of a comprehensive version of the UI program that included a classroom-based teacher curriculum (TC). Outcomes compared 260 elementary school students in classrooms that received basic UI, the TC, or the comprehensive program (UI + TC), or to serve as matched control classrooms. Findings revealed that UI can be generalized to new troupes, the comprehensive program demonstrates an additive effect over UI alone, and the TC shows some promise as an easily disseminated, stand-alone YVP program.
The Journal of Clinical Psychiatry, 2007
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Papers: National Child Traumatic Stress Network by Joseph Spinazzola
Kisiel, C., Fehrenbach, T., Liang, Li-Jung, Stolbach, B., McClelland, G., Griffin, G., Maj, N., Briggs, E.C., Vivrette, R.L., Layne, C.M., & Spinazzola, J. (2014). Examining Child Sexual Abuse in relation to Complex Patterns of Trauma Exposure: Findings from the National Child Traumatic Stress Network. Psychological Trauma: Theory, Research, Practice, and Policy, 6(Suppl 1), 2014, S29-S39. http://dx.doi.org/10.1037/a0037812
Abstract:
Chronic, interpersonal traumas within the caregiving system are associated with a range of symptoms, functional impairments, and trauma history profiles. This study utilized data from the National Child Traumatic Stress Network (NCTSN) Core Data Set (CDS) to examine the role of child sexual abuse in combination with other types of caregiver-related trauma (physical abuse, domestic violence, emotional abuse, neglect, and impaired caregiving). These trauma composites were assessed in relation to clinical profiles, including mental health symptoms, risk behaviors, and functional difficulties. Groups included multiply traumatized youth with a documented history of: (a) 3 or more caregiver-related traumas with co-occurring sexual abuse (CR CSA group, N 501); (b) 3 or more caregiver-related traumas without co-occurring sexual abuse (CR group, N 1,108); and (c) 3 or more noncaregiver-related traumas (e.g., medical trauma, natural disaster, physical/sexual assault; non-CR group, N 142). Youth with caregiver related traumas had significantly earlier onset and longer duration of traumas compared to other traumatized youth. Child sexual abuse had an additive and potent predictive effect on clinical profiles, even in combination with other caregiver-related traumas. Although youth with caregiver-related traumas exhibited significant attachment problems, youth with sexual abuse in particular had higher levels of posttraumatic stress disorder (PTSD), and received higher ratings for symptoms of depression, suicidality, and sexualized behaviors in comparison with the other 2 groups. Findings suggest that careful mapping of trauma history, including age of onset, duration, and co-occurrence of trauma exposure in childhood, can provide a foundation for a more refined developmental approach to the scientific investigation, clinical assessment, and treatment of children with complex histories of trauma in childhood.
Keywords: child sexual abuse, complex trauma, complex PTSD, clinical profiles
Papers by Joseph Spinazzola