Cruz Daniel, Lichten Matthew, Berg Kevin, George Preethi
Hackensack Meridian Health Mountainside Medical Center, Montclair, NJ, United States.
Independent Private Practice, Clifton, NJ, United States.
Front Psychiatry. 2022 Jul 22;13:800687. doi: 10.3389/fpsyt.2022.800687. eCollection 2022.
Children exposed to adverse childhood experiences (ACEs) and pervasive interpersonal traumas may go on to develop PTSD and, in most cases, will further undergo a significant shift in their developmental trajectory. This paper examines contemporary research on Developmental Trauma (DT), which is inextricably linked to disruptions in social cognition, physiological and behavioral regulation, and parent-child attachments. Developmental trauma associated with early experiences of abuse or neglect leads to multi-faceted and longstanding consequences and underscores critical periods of development, complex stress-mediated adaptations, and multilevel, trans-theoretical influences in the diagnostic formulation and treatment of traumatized children, adolescents, and adults. Psychological and medical correlates of Developmental Trauma Disorder are considered, and directions for future research are discussed.
经历过不良童年经历（ACEs）和普遍人际创伤的儿童可能会患上创伤后应激障碍（PTSD），而且在大多数情况下，他们的发育轨迹会进一步发生重大转变。本文探讨了关于发育性创伤（DT）的当代研究，这与社会认知、生理和行为调节以及亲子依恋的破坏有着千丝万缕的联系。与早期虐待或忽视经历相关的发育性创伤会导致多方面的长期后果，并突显出发育的关键时期、复杂的应激介导适应以及在受创伤儿童、青少年和成人的诊断制定和治疗中的多层次、跨理论影响。本文考虑了发育性创伤障碍的心理和医学关联，并讨论了未来的研究方向。
