Trauma Hard Quiz One

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Questions and Answers

Which diagnostic manual introduced the diagnosis of PTSD in young children?

DSM-4

ICD-11

ICD-10

DSM-5 (correct)

What is the key feature required for a traumatic event to be considered as trauma according to the DSM-5?

Experiencing a physical injury

Experiencing sexual violence

Experiencing a life-threatening event

Perception of threat to physical integrity or life (correct)

What percentage of young people have experienced trauma by the age of 18, according to a UK epidemiological study?

31% (correct)

20%

10%

50%

Which type of trauma is most commonly associated with PTSD?

Interpersonal trauma Signup and view all the answers

Which therapy is suggested as a second line treatment for PTSD in children who do not respond to trauma-focused CBT?

Eye Movement Desensitization and Reprocessing (EMDR) Therapy Signup and view all the answers

What is the age range for young children with PTSD?

3-6 years old Signup and view all the answers

Which criteria for PTSD is poorly identified in young children?

Traditional criteria Signup and view all the answers

What is a key consideration when identifying PTSD in young children?

Behaviour symptoms Signup and view all the answers

According to the text, what is a key domain implicated in the development of PTSD?

Memory systems Signup and view all the answers

According to the text, what is a risk factor for developing PTSD?

All of the above Signup and view all the answers

According to the text, what is a key feature of trauma-focused CBT?

Focus on distorted memories Signup and view all the answers

According to the text, what is the recommended frontline treatment for children with PTSD?

Psychological intervention Signup and view all the answers

Which of the following is a symptom of PTSDYC in young children?

Avoidance of trauma-related thoughts or feelings Signup and view all the answers

What is the main focus of the CBT-3M treatment for young children with PTSD?

Updating the meaning attributed to the traumatic event Signup and view all the answers

According to the text, why is memory-focused exposure work important in treating PTSD?

It helps put the traumatic event into the past Signup and view all the answers

What is one key distinction of complex PTSD compared to ordinary PTSD?

Experience of repeated or varied trauma types Signup and view all the answers

Which of the following is a common symptom of posttraumatic stress reactions?

Hyperarousal Signup and view all the answers

When do most reactions to a traumatic event subside?

Within one month Signup and view all the answers

What is a durable, chronic condition that may result from untreated posttraumatic stress?

PTSD Signup and view all the answers

Which of the following is a difference between the ICD-11 and DSM-5 in the diagnosis of PTSD?

Changes in negative cognitions and mood are required in DSM-5 but not in ICD-11 Signup and view all the answers

According to the text, which of the following is a long-term impact of early abusive or neglectful experiences on children's brain development?

Missing out on positive social cues Signup and view all the answers

According to the text, what is the term used to describe the increased likelihood of generating new, stressful events due to an overreaction caused by an overfocus on potential threat cues?

Hyper vigilance Signup and view all the answers

According to the text, what brain system can be affected by experiences of domestic violence or physical abuse, leading to a heightened reaction to threat?

Threat system Signup and view all the answers

According to the text, what can childhood trauma create, increasing the risk of later mental health problems like anxiety and depression?

Latent vulnerability Signup and view all the answers

Which of the following statements is supported by the text?

Complex PTSD requires further evaluation Signup and view all the answers

What is the recommended treatment for PTSD and Complex PTS in children of all ages?

Trauma-focused CBT Signup and view all the answers

What makes an event traumatic for a child, according to the text?

The perception of threat Signup and view all the answers

What is a key task for clinicians when treating someone with difficulties caused by trauma?

Identifying the cognitions driving the behaviors Signup and view all the answers

What might get in the way of completing exposure-based treatment with children, according to the text?

Parental fear and guilt Signup and view all the answers

What clinician-based factors might influence treatment delivery, according to the text?

Concerns about voyeurism Signup and view all the answers

Study Notes

PTSD Diagnosis and Features

The diagnosis of PTSD in young children was introduced in the DSM-5.
A traumatic event must involve actual or threatened death, serious injury, or sexual violence to be considered as trauma according to the DSM-5.
According to a UK epidemiological study, approximately 25% of young people have experienced trauma by the age of 18.

Trauma and PTSD

Interpersonal trauma, such as physical or sexual abuse, is most commonly associated with PTSD.
PTSD can result in a durable, chronic condition if left untreated.

Treatment of PTSD

Trauma-focused CBT is the recommended frontline treatment for children with PTSD.
As a second-line treatment, the therapy suggested for children who do not respond to trauma-focused CBT is eye movement desensitization and reprocessing (EMDR).
The main focus of the CBT-3M treatment for young children with PTSD is to reduce symptoms and improve functioning.

Young Children with PTSD

The age range for young children with PTSD is typically under 6 years old.
The criteria for PTSD that is poorly identified in young children is the awareness of their own thoughts and feelings.
A key consideration when identifying PTSD in young children is their developmental level.

Key Features and Impacts

A key domain implicated in the development of PTSD is the amygdala-based fear response system.
A risk factor for developing PTSD is a history of childhood trauma.
Early abusive or neglectful experiences can have a long-term impact on children's brain development, especially in the context of emotional regulation.
Childhood trauma can create a sense of mistrust, increasing the risk of later mental health problems like anxiety and depression.

Complex PTSD

A key distinction of complex PTSD compared to ordinary PTSD is the presence of disturbances in self-organization, such as emotional dysregulation and dissociation.
Complex PTSD can result from prolonged, repeated trauma, such as childhood abuse.

Clinician-Based Factors

Clinician-based factors, such as the therapeutic relationship and the clinician's experience, can influence treatment delivery.
A key task for clinicians when treating someone with difficulties caused by trauma is to create a sense of safety and trust.
What might get in the way of completing exposure-based treatment with children is the risk of overwhelming them, leading to a decrease in motivation.

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Description

Test your knowledge on DSM-5 PTSD in Young Children (≦6yo) subtype (PTSDYC) and improve your understanding of re-experiencing, avoidance, negative self-concept, and arousal symptoms. Assess your understanding of emotional distress, physical reactivity, and avoidance of trauma-related thoughts and reminders.