Bbr. Rossman et al., SYMPTOMATOLOGY AND ADAPTIVE FUNCTIONING FOR CHILDREN EXPOSED TO NORMATIVE STRESSORS, DOG ATTACK, AND PARENTAL VIOLENCE, Journal of the American Academy of Child and Adolescent Psychiatry, 36(8), 1997, pp. 1089-1097
Objective: To examine and identify predictors of posttraumatic symptom
atology and adaptive functioning of children exposed to single and rep
etitive adverse events that varied in severity. Method: A sample of 86
parents and their children, aged 4 to 9 years, were interviewed after
three types of adverse experiences: repetitive exposure to parental v
iolence, a dog attack, or a milder stressor. The PTSD Reaction Index,
Child Dissociative Checklist, and Child Behavior Checklist were used.
Results: Trauma symptoms were greater for the first two groups, younge
r children, and girls. Gender effects were most evident in the dog att
ack group and depended on type of symptoms and informant. Supportivene
ss in the parenting relationship aided prediction of both trauma sympt
oms and adjustment, Conclusions: Children appear to experience elevate
d posttraumatic stress disorder symptomatology after both single and r
epetitive adverse events that are potentially life-threatening A posit
ive parental relationship is associated with fewer symptoms and better
adaptive functioning. The mechanisms through which this support inter
acts with behavioral and physiological systems to facilitate better re
gulation await further research.