Department of Psychiatry and the Behavioral Sciences, Keck School of Medicine, University of Southern California, USA.
Child Abuse Negl. 2013 Nov;37(11):891-8. doi: 10.1016/j.chiabu.2013.04.001. Epub 2013 May 1.
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.
儿童时期经历多次创伤与多种心理症状相关。本研究旨在探究儿童经历的不同类型创伤总数（累积创伤）是否与后续症状的复杂性相关，其中复杂性定义为同时达到临床范围的不同症状群数量。在 318 名儿童的临床样本中，儿童患者及其照顾者分别报告了六个不同创伤相关领域（如抑郁、愤怒、创伤后应激）的症状。路径分析显示，累积暴露于多种不同创伤类型可预测儿童及其照顾者报告的症状复杂性。
