Meneses Veronica, Cruz Natalie
Pediatric Developmental Disabilities, Texas Scottish Rite Hospital for Children, Dallas, TX, USA.
Division of Developmental-Behavioral Pediatrics, University of Texas Southwestern Medical Center, Dallas, TX, USA.
J Pediatr Rehabil Med. 2017 Dec 11;10(3-4):195-199. doi: 10.3233/PRM-170457.
Children with developmental disabilities may be at greater risk for experiencing maltreatment and traumatic events, threats to their physical and psychological safety and well-being. Young children and youth with spina bifida benefit from being considered in light of this risk, and may be especially vulnerable given the complexity of their neurodevelopmental condition. A trauma-informed approach brings together evidence from the neurosciences, epidemiology and psychology to promote improved developmental, behavioral, physical and mental health status. Incorporating a trauma-informed approach strengthens a longitudinal, interdisciplinary and developmentally-oriented care model for children and youth with spina bifida. A case example further illustrates how using a trauma-informed approach and evidence-based interventions can foster the development and well-being of youth with spina bifida who have been impacted by a traumatic event.
发育障碍儿童遭受虐待和创伤性事件、其身体和心理安全及福祉受到威胁的风险可能更高。鉴于脊柱裂幼儿和青少年神经发育状况的复杂性,考虑到这种风险对他们有益,而且他们可能特别脆弱。一种创伤知情方法整合了神经科学、流行病学和心理学的证据,以促进改善发育、行为、身体和心理健康状况。采用创伤知情方法可加强针对脊柱裂儿童和青少年的纵向、跨学科且以发育为导向的护理模式。一个案例进一步说明了采用创伤知情方法和循证干预措施如何能够促进受创伤事件影响的脊柱裂青少年的成长和福祉。