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A potential pathway to PTSD

by Universalwellnesssystems

Recent research published in psychiatry Researchers have found that childhood trauma can change the way children respond to fear, which may contribute to the development of post-traumatic stress disorder (PTSD) in adolescence. Suggests. Researchers found that children who had experienced trauma had heightened physiological responses to threatening stimuli during fear learning tasks. This heightened response led to an increase in PTSD symptoms over time.

Unfortunately, childhood trauma is common, with nearly half of children in the United States experiencing some form of adversity. These experiences, including physical abuse, sexual abuse, domestic violence, and community violence, are associated with a wide range of mental health problems, including depression, anxiety, and PTSD. Given the widespread impact of early trauma, researchers are studying how these experiences contribute to the development of mental health problems, with the ultimate goal of developing interventions to prevent these problems. I’ve been working to understand how.

“Previous research has shown that adolescents who have had more traumatic experiences in childhood (such as experiences of abuse or violence) respond differently to fearful stimuli through a process of fear learning; “There has been little consensus so far in this direction,” the study authors said. Laura MaclinHe conducted the research while a postdoctoral fellow at Harvard University.

“Using a large longitudinal sample of children with a variety of early life experiences, including traumatic experiences, I found that while controlling for other experiences, children with greater trauma-related experiences We were interested in directly addressing whether differences in the way young people learn about novel feared stimuli are associated with increased risk of psychopathological symptoms over time. I was also interested in whether

The study was based on a sample of 215 children aged 10 to 13, all of whom were part of a larger longitudinal study. The researchers were particularly interested in children who had experienced varying levels of adversity, including both trauma (such as abuse or exposure to violence) and deprivation (such as neglect or lack of emotional support). The goal was to determine whether trauma and deprivation are associated with changes in fear learning and track how these changes relate to the development of mental health problems over time.

At the beginning of the study, both children and their parents completed questionnaires and interviews about the child’s experiences of trauma and deprivation and current mental health symptoms. A few weeks later, the children participated in a fear conditioning task. This is a widely used psychological test designed to measure how well participants can distinguish between threatening and non-threatening stimuli.

In this task, children were exposed to two different stimuli. One is a continuous unpleasant stimulus (for example, a mild shock or loud noise), and the other is not. The children’s physiological responses, particularly skin conductance (a measurement of sweat gland activity often used as an indicator of fear or excitement), were recorded during the task.

Two years after the initial test, children’s mental health symptoms were reassessed, and children’s fear learning responses predicted changes in symptoms of PTSD, anxiety, or externalizing behaviors (such as aggression and rule-breaking). It was confirmed whether it was.

The findings provided important insights into the relationship between childhood trauma, fear learning, and mental health. Researchers found that children who had experienced more trauma had heightened skin conductance responses to threat cues during fear conditioning tasks. This means that these children are more physiologically responsive to dangerous stimuli, suggesting an increased sensitivity to potential threats. These heightened responses were not observed in children who experienced non-traumatic deprivation, suggesting that trauma specifically causes these changes in fear learning.

The researchers also found that these children’s heightened fear responses were associated with increased PTSD symptoms over a two-year follow-up period. In other words, children who have experienced more trauma and have stronger physiological responses to fear are more likely to develop or worsen PTSD symptoms as they grow up.

Interestingly, this study did not find similar associations between altered fear learning and other types of mental health problems, such as anxiety or externalizing behaviors. This suggests that the changes in fear learning observed in traumatized children may be specifically related to PTSD rather than psychopathology more generally.

“Young people with more trauma-related experiences are able to distinguish between fearful stimuli and safe stimuli, while passively learning about these stimuli as measured by differences in skin conductance responses, an indirect measure of the level of arousal evoked by the stimuli. “We found that we could distinguish the stimuli more easily,” Maclin told PsyPost. “Increased arousal to novel feared stimuli was associated with greater PTSD symptoms over time in early adolescence in youth with more trauma-related experiences.” Our findings suggest that differences in how novel feared stimuli are learned may be one mechanism by which increasing trauma-related experiences in childhood may put adolescents at risk for PTSD symptoms. Masu.”

Although this study provides important new insights, there are also some caveats. First, the sample was not a clinical sample. That is, the children reported symptoms of PTSD and other mental health problems, but were not formally diagnosed with these disorders. Future research may benefit from examining children clinically diagnosed with PTSD to see if the results also apply to more severely affected populations.

“This sample includes children aged 10 to 13 drawn from a longitudinal study and is not a clinical sample diagnosed with a specific disease,” Maclin said. “This study should be replicated in clinical samples.”

Despite these limitations, this study provides important evidence that changes in fear learning may be one of the pathways by which childhood trauma leads to the development of PTSD. This finding could inform interventions aimed at reducing trauma-related mental health problems in adolescents.

the study, “Changes in fear learning as a mechanism linking childhood violence exposure and PTSD symptoms: A longitudinal study” authors are Laura Machlin, Margaret A. Sheridan, Lucy A. Lurie, Steven W. Kasparek, Stephanie Gyuri Kim, Matthew Peverill, John McClellan France, Madeline M. Robertson, Tanja Jovanovic, Liliana J. Lengua, and Katie A. . McLaughlin.

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