Potentially traumatic events in foster youth, and association with DSM-5 trauma- and stressor related symptoms

In DSM 5, three disorders are related to trauma and/or maltreatment: Post-traumatic Stress Disorder (PTSD), Reactive Attachment Disorder (RAD) and Disinhibited Social Engagement Disorder (DSED) but how these disorders relate to each other and to traumatic events is unknown. We examined 1. Prevalence...

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Bibliographic Details
Published in:Child abuse & neglect 2020-03, Vol.101, p.104374-104374, Article 104374
Main Authors: Lehmann, Stine, Breivik, Kyrre, Monette, Sebastien, Minnis, Helen
Format: Article
Language:English
Subjects:
Adolescent
Adolescents
Adverse Childhood Experiences - psychology
Attachment
Child
Child, Foster - psychology
Comfort
Diagnostic and Statistical Manual of Mental Disorders
DSED
Emotional disorders
Emotional regulation
Emotions
Female
Foster care
Foster carers
Foster children
Foster youth
Humans
Male
Needs assessment
Norway - epidemiology
Post traumatic stress disorder
Posttraumatic Stress Disorder
Potentially traumatic events
Problem Behavior - psychology
Psychological trauma
PTSD
RAD
Reactive Attachment Disorder - epidemiology
Responsiveness
Stress
Stress Disorders, Post-Traumatic - epidemiology
Symptoms
Trauma
Traumatic life events
Victimization
Youth
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Summary:In DSM 5, three disorders are related to trauma and/or maltreatment: Post-traumatic Stress Disorder (PTSD), Reactive Attachment Disorder (RAD) and Disinhibited Social Engagement Disorder (DSED) but how these disorders relate to each other and to traumatic events is unknown. We examined 1. Prevalence of Potentially Traumatic Events (PTEs) and poly-victimization for youths in foster care. 2. Associations between single/multiple PTEs and PTSD, DSED, and the two symptom-clusters that constitute RAD: Failure to seek/accept comfort (RAD A), and Low social-emotional responsiveness/ emotion dysregulation (RAD B). Foster youth 11–17 years (N = 303) in Norway completed The Child and Adolescent Trauma Screen. Foster parents completed the RAD and DSED Assessment interview. Foster youth reported experiencing, on average, 3.44 PTEs each (range 0–15, SD 3.33), and 52.9 % reported PTSD symptoms at or above clinical cut off. The PTE sum score was associated with the latent factors PTSD (r = .66, p 
ISSN:0145-2134
1873-7757
DOI:10.1016/j.chiabu.2020.104374