Lecture 24

Child maltreatment 2 + trauma- and stress-related disorders

genetic, psychopathology

The Diathesis-Stress Model claims that ______ predispositions interacting with maltreatment lead to later ______

Ex:

• _____ MAOA activity interacts with maltreatment to predict antisocial behaviour in adulthood

• In adults, having a short allele of the serotonin transporter gene = increased depression only for those who experience significant life stress

• In children, having a short allele of the serotonin transporter gene + poor social support = 2x higher rates of depression

  • Social support = protective factor

  • Long allele = protective factor

Explain the results for serotonin transporter genes 5-HTTLPR and how it relates to the Diathesis-Stress Model?

multifinality

Child maltreatment can lead to different outcomes → exemplifies its ______ nature

stronger

PTSD now includes exposure to discrimination because it has a ______ impact on youth mental health outcomes than traumatic experiences/maltreatment

• behaviourally

• delayed

PTSD in children aged 6 or younger:

• Is more _____ anchored

• Can have a ____ expression where symptoms appear only 6 months later

85%

___% of youth who experienced a significant trauma report at least one symptom of PTSD

5%

What’s the lifetime prevalence of PTSD in adolescents?

Disorganized attachment style

Reactive attachment disorder is linked to which attachment style?

• education

• Cognitive

• Relaxation

Trauma-Focused Cognitive Behavioral Therapy focuses on:

• Psycho______

• ______ techniques

• ______ and safety skills

Making a trauma narrative + getting mentally re-exposed to the trauma in a safe environment

What is graded exposure, a part of Trauma-Focused Cognitive Behavioral Therapy?

• children, parents

• recovery

Trauma-Focused Cognitive Behavioral Therapy for child sexual abuse:

• Improvement for both _______ (fewer PTSD symptoms, less shame/depression, fewer total problems, greater trust) and ______ (less parent depression/self-blame, more support of child, better parenting in general)

• Children demonstrated greater diagnostic ______