30 Questions
Which diagnostic manual introduced the diagnosis of PTSD in young children?
DSM-5
What is the key feature required for a traumatic event to be considered as trauma according to the DSM-5?
Perception of threat to physical integrity or life
What percentage of young people have experienced trauma by the age of 18, according to a UK epidemiological study?
31%
Which type of trauma is most commonly associated with PTSD?
Interpersonal trauma
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
What is the age range for young children with PTSD?
3-6 years old
Which criteria for PTSD is poorly identified in young children?
Traditional criteria
What is a key consideration when identifying PTSD in young children?
Behaviour symptoms
According to the text, what is a key domain implicated in the development of PTSD?
Memory systems
According to the text, what is a risk factor for developing PTSD?
All of the above
According to the text, what is a key feature of trauma-focused CBT?
Focus on distorted memories
According to the text, what is the recommended frontline treatment for children with PTSD?
Psychological intervention
Which of the following is a symptom of PTSDYC in young children?
Avoidance of trauma-related thoughts or feelings
What is the main focus of the CBT-3M treatment for young children with PTSD?
Updating the meaning attributed to the traumatic event
According to the text, why is memory-focused exposure work important in treating PTSD?
It helps put the traumatic event into the past
What is one key distinction of complex PTSD compared to ordinary PTSD?
Experience of repeated or varied trauma types
Which of the following is a common symptom of posttraumatic stress reactions?
Hyperarousal
When do most reactions to a traumatic event subside?
Within one month
What is a durable, chronic condition that may result from untreated posttraumatic stress?
PTSD
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
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
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
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
According to the text, what can childhood trauma create, increasing the risk of later mental health problems like anxiety and depression?
Latent vulnerability
Which of the following statements is supported by the text?
Complex PTSD requires further evaluation
What is the recommended treatment for PTSD and Complex PTS in children of all ages?
Trauma-focused CBT
What makes an event traumatic for a child, according to the text?
The perception of threat
What is a key task for clinicians when treating someone with difficulties caused by trauma?
Identifying the cognitions driving the behaviors
What might get in the way of completing exposure-based treatment with children, according to the text?
Parental fear and guilt
What clinician-based factors might influence treatment delivery, according to the text?
Concerns about voyeurism
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.
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.
Make Your Own Quizzes and Flashcards
Convert your notes into interactive study material.
Get started for free
