TY - JOUR
T1 - Traumatic Childhood Experiences in the 21st Century
T2 - Broadening and Building on the ACE Studies With Data From the National Child Traumatic Stress Network
AU - Greeson, Johanna K.P.
AU - Briggs, Ernestine C.
AU - Layne, Christopher M.
AU - Belcher, Harolyn M.E.
AU - Ostrowski, Sarah A.
AU - Kim, Soeun
AU - Lee, Robert C.
AU - Vivrette, Rebecca L.
AU - Pynoos, Robert S.
AU - Fairbank, John A.
N1 - Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The work described in this study is funded through the Center for Mental Health Services (CMHS), Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. Department of Health and Human Services (USDHHS) through a cooperative agreement (SM 3530249) with and a supplemental grant (#3U79SM054284-10S) to the UCLA–Duke University National Center for Child Traumatic Stress.
PY - 2014/2
Y1 - 2014/2
N2 - The study objectives were to (a) examine the association between total number of trauma types experienced and child/adolescent behavioral problems and (b) determine whether the number of trauma types experienced predicted youth behavioral problems above and beyond demographic characteristics, using a diverse set of 20 types of trauma. Data came from the National Child Traumatic Stress Network's (NCTSN) Core Data Set (CDS), which includes youth assessed and treated for trauma across the United States. Participants who experienced at least one type of trauma were included in the sample (N = 11,028; age = 11/2-18 years; 52.3% girls). Random effects models were used to account for possible intraclass correlations given treatment services were provided at different NCTSN centers. Logistic regression analyses were used to investigate associations among demographic characteristics, trauma, and emotional and behavioral problems as measured by the Child Behavior Checklist (CBCL). Significant dose-response relations were found between total number of trauma types and behavior problems for all CBCL scales, except Sleep, one of the subscales only administered to 11/2- to 5-year-olds. Thus, each additional trauma type endorsed significantly increased the odds for scoring above the clinical threshold. Results provide further evidence of strong associations between diverse traumatic childhood experiences and a diverse range of behavior problems, and underscore the need for a trauma-informed public health and social welfare approach to prevention, risk reduction, and early intervention for traumatized youth.
AB - The study objectives were to (a) examine the association between total number of trauma types experienced and child/adolescent behavioral problems and (b) determine whether the number of trauma types experienced predicted youth behavioral problems above and beyond demographic characteristics, using a diverse set of 20 types of trauma. Data came from the National Child Traumatic Stress Network's (NCTSN) Core Data Set (CDS), which includes youth assessed and treated for trauma across the United States. Participants who experienced at least one type of trauma were included in the sample (N = 11,028; age = 11/2-18 years; 52.3% girls). Random effects models were used to account for possible intraclass correlations given treatment services were provided at different NCTSN centers. Logistic regression analyses were used to investigate associations among demographic characteristics, trauma, and emotional and behavioral problems as measured by the Child Behavior Checklist (CBCL). Significant dose-response relations were found between total number of trauma types and behavior problems for all CBCL scales, except Sleep, one of the subscales only administered to 11/2- to 5-year-olds. Thus, each additional trauma type endorsed significantly increased the odds for scoring above the clinical threshold. Results provide further evidence of strong associations between diverse traumatic childhood experiences and a diverse range of behavior problems, and underscore the need for a trauma-informed public health and social welfare approach to prevention, risk reduction, and early intervention for traumatized youth.
KW - Child Behavior Checklist
KW - National Child Traumatic Stress Network
KW - behavior problems
KW - child traumatic stress (CTS)
KW - traumatic childhood experiences
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U2 - 10.1177/0886260513505217
DO - 10.1177/0886260513505217
M3 - Article
C2 - 24144720
AN - SCOPUS:84891537501
SN - 0886-2605
VL - 29
SP - 536
EP - 556
JO - Journal of Interpersonal Violence
JF - Journal of Interpersonal Violence
IS - 3
ER -