Abstract
The phenomenon of a Trauma-and Stressor Related Disorder masquerading as an Autism Spectrum Disorder seems poorly understood by the majority of primary caregivers, teachers, doctors, and therapists, who are the very persons responsible for identifying kids at risk for ASDs and TSRDs. There is a sense of urgency instilled in pediatricians to provide early detection of children at risk for an Autism Spectrum Disorder, and therefore early diagnosis to ensure rapid acquisition of appropriate therapies, and thus potentially optimized developmental outcomes. However, there does not appear to be an equal sense of urgency assigned to the early identification of TSRDs, despite the growing body of evidence substantiating the biological changes that occur in pathologically stressed children, and the evidence-based therapies available to help steer their developmental trajectories towards that of typicality and health. In this chapter, we will explore the components of effective trauma treatment as well as specific interventions that have demonstrated promising results in preschool populations. Where applicable, we will review the evidence regarding the impacts of early trauma and how these evidence-based treatments were designed to address them.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Yoches M, Summers SJ, Beeber LS, Harden BJ, Malik NM. Exposure to direct and indirect trauma. In: Summer SJ, Chazan-Cohen R, editors. Understanding early childhood mental health: a practical guide for professionals. Baltimore, MD: Brookes; 2012. p. 79–98.
MacNamara D. Rest play grow. Vancouver: Aona; 2016.
Cross DR, Purvis, KB. Lectures on TBRI® and attachment. Fort Worth, TX; 2014.
Lieberman AF, van Horn P. Psychotherapy with infants and young children: repairing the effects of stress and trauma on early attachment. New York: Guilford; 2008.
Ogden P, Goldstein B, Fisher J. Brain-to-brain, body-to-body: a sensorimotor psychotherapy perspective on the treatment of children and adolescents. In: Longo RE, Prescott DS, Bergman J, Creeden K, editors. Current perspectives and applications in neurobiology: working with young persons who are victims and perpetrators of sexual abuse. Holyoke: NEARI Press; 2012.
Odom SL, Wolery M. A unified theory of practice in early intervention/early childhood special education: evidence-based practices. J Spec Educ. 2013;37(3):164–73.
Division of Early Childhood (DEC) Recommended Practices Commission. DEC recommended practices. 2014. https://divisionearlychildhood.egnyte.com/dl/tgv6GUXhVo.
Diaz MA, Lieberman AF. Use of play in child-parent psychotherapy with preschoolers traumatized by domestic violence. In: Schaefer CE, editor. Play therapy for preschool children. Washington, DC: APA; 2010. p. 131–56.
Purvis KB, Cross DR, Dansereau DF, Parris SR. Trust-based relational intervention (TBRI): a systematic approach to complex developmental trauma. Child Youth Serv. 2013;34(4):360–86.
The Theraplay Institute. How theraplay differs from other child therapies. https://www.Theraplay.org/index.php/how-Theraplay-differs. Accessed 16 Nov 2017.
Cozolino L. The neuroscience of human relationships. New York: WW Norton; 2006.
van der Kolk B. The body keeps the score: brain, mind, and body in the healing of trauma. New York: Penguin; 2014.
Cohen JA, Mannarino AP, Deblinger E. Treating trauma and traumatic grief in children and adolescents. New York: Guilford; 2006.
van der Kolk BA, Roth S, Pelcovitz D, Sunday S, Spinazzola J. Disorders of extreme stress: the empirical foundation of a complex adaptation to trauma. J Trauma Stress. 2015;18(5):389–99.
van der Kolk BA. The neurobiology of childhood trauma and abuse. Child Adolesc Psychiatr Clin N Am. 2003;12:293–317.
Ramirez de Arellano MA, Lyman DR, Jobe-Shields L, George P, Dougherty RH, Daniels AS, Ghose SS, Huang L, Delphin-Rittmon ME. Trauma-focused cognitive-behavioral therapy for children and adolescents: assessing the evidence. Psychiatr Serv. 2014;65(3):1–12.
Scheeringa MS, Weems CF, Cohen JA, Amaya-Jackson L, Guthrie D. Trauma-focused cognitive-behavioral therapy for posttraumatic stress disorder in three-through six year-old children: a randomized clinical trial. J Child Psychol Psychiatry Allied Discip. 2017;52(8):853–60.
National Child Traumatic Stress Network. Trauma-informed interventions: CPP. 2012. http://nctsn.org/sites/default/files/assets/pdfs/cpp_general.pdf. Accessed 1 Nov 2017.
University of California San Francisco. Child trauma research program. https://childtrauma.ucsf.edu/. Accessed 16 Nov 2017.
Lieberman AF, van Horn P, Ippen CG. Toward evidence-based treatment: child-parent psychotherapy with preschoolers exposed to marital violence. J Am Acad Child Adolesc Psychiatry. 2005;44(12):1241–8.
Ippen CG, Harris WW, van Horn P, Lieberman AF. Traumatic and stressful events in early childhood: can treatment help those at highest risk? Child Abuse Negl. 2011;35:504–13.
Cicchetti D, Rogosch FA, Toth SL. Fostering secure attachment in infant in maltreating families through preventive interventions. Dev Psychopathol. 2006;18:623–50.
PCIT International. Parent-child interaction therapy. 2015. http://www.pcit.org/. Accessed 16 Nov 2017.
National Child Traumatic Stress Network. Trauma-informed interventions: PCIT. 2008. http://www.nctsn.org/sites/default/files/assets/pdfs/pcit_general.pdf. Accessed 16 Nov 2017.
Thomas R, Zimmer-Gembeck MJ. Behavioral outcomes of parent-child interaction therapy and triple P-positive parenting program: a review and meta-analysis. J Abnorm Child Psychol. 2007;35(3):475–95.
Chaffin M, Silovsky JF, Funderburk B, Valle LA, Brestan EV, Balachova T, Jackson S, Lensgraf J, Bonner BL. Parent-child interaction therapy with physically abusive parents: efficacy for reducing future abuse reports. J Consult Clin Psychol. 2014;72(3):500–10.
Circle of Security International. https://www.circleofsecurityinternational.com/. Accessed 16 Nov 2017.
Powell B, Cooper G, Hoffman K, Marvin B. The circle of security intervention: enhancing attachment in early parent-child relationships. New York: Guilford; 2014.
Berlin LJ, Zeanah CH, Lieberman AF. Prevention and intervention programs to support early attachment security. In: Cassidy J, Shaver PR, editors. Handbook of attachment: theory, research, and clinical applications. New York: Guilford; 2016. p. 739–58.
Purvis KB, Razuri EB, Howard AR, Call C, DeLuna J, Hall JS, Cross DR. Decrease in behavioral problems and trauma symptoms among at-risk adopted children following trauma-informed parent training intervention. J Child Adolesc Trauma. 2015;8(3):201–10.
Purvis KB, Cross DR. Improvements in salivary cortisol, depression, and representations of family relationships in at-risk adopted children utilizing a short-term therapeutic intervention. Adopt Q. 2006;10(1):25–43.
Purvis KB, Cross DR, Federici R, Johnson D, McKenzie LB. The hope connection: a therapeutic summer day camp for adopted and at-risk children with special socio-emotional needs. Adopt Foster. 2007;31(4):38–48.
The Theraplay Institute. Building better relationships. 2017. https://www.Theraplay.org/. Accessed 16 Nov 2017.
Siu AFY. Theraplay in the Chinese world: an intervention program for Hong Kong children with internalizing problems. Int J Play Therapy. 2009;18(1):1–12.
Fisher PA, Stoolmiller M, Gunnar MR, Burraston BO. Effects of a therapeutic intervention for foster preschoolers on diurnal cortisol activity. Psychoneuroendocrinology. 2007;32(8–10):892–905.
Tottenham N, Hare TA, Quinn BT, et al. Prolonged institutional rearing is associated with atypically large amygdala volume and difficulties in emotion regulation. Dev Sci. 2010;13(1):46–61.
Hodel AS, Hunt RH, Cowell RA, van den Heuvel SE, Gunnar MR, Thomas KM. Duration of early adversity and structural brain development in post-institutionalized adolescents. NeuroImage. 2015;105:112–9.
Demir-Lira ÖE, Voss JL, O’Neil JT, Briggs-Gowan MJ, Wakschlag LS, Booth JR. Early-life stress exposure associated with altered prefrontal resting-state fMRI connectivity in young children. Dev Cogn Neurosci. 2016;19:107–14.
Curtis WJ, Cicchetti D. Emotion and resilience: a multilevel investigation of hemispheric electroencephalogram asymmetry and emotion regulation in maltreated and nonmaltreated children. Dev Psychopathol. 2007;19(3):811–40.
Bruce J, Fisher PA, Pears KC, Levine S. Morning cortisol Levels in preschool-aged foster children: differential effects of maltreatment type. Dev Psychobiol. 2009;51(1):14–23.
Cutuli JJ, Wiik KL, Herbers JE, Gunnar MR, Masten AS. Cortisol function among early school-aged homeless children. Psychoneuroendocrinology. 2010;35(6):833–45.
Cicchetti D, Rogosch FA, Gunnar MR, Toth SL. The differential impacts of early physical and sexual abuse and internalizing problems on daytime cortisol rhythm in school-aged children. Child Dev. 2010;81(1):252–69.
Davies PT, Sturge-Apple ML, Cicchetti D, Cummings EM. Adrenocortical underpinnings of children’s psychological reactivity to interparental conflict. Child Dev. 2008;79(6):1693–706.
Gunnar MR, Frenn K, Wewerka SS, van Ryzin MJ. Moderate versus severe early life stress: associations with stress reactivity and regulation in 10–12-year-old children. Psychoneuroendocrinology. 2009;34(1):62–75.
Asok A, Bernard K, Roth TL, Rosen JB, Dozier M. Parental responsiveness moderates the association between early-life stress and reduced telomere length. Dev Psychopathol. 2013;25(3):577–85.
Troller-Renfree S, Zeanah CH, Nelson CA, Fox NA. Neural and cognitive factors influencing the emergence of psychopathology: insights from the Bucharest Early Intervention Project. Child Dev Perspect. 2017;12:28–33.
Tyrka AR, Parade SH, Valentine TR, Eslinger NM, Seifer R. Adversity in preschool-aged children: effects on salivary interleukin-1β. Dev Psychopathol. 2015;27(2):567–76.
Cain BS, Meldrum DR, Dinarello CA, et al. Tumor necrosis factor-alpha and interleukin-1beta synergistically depress human myocardial function. Crit Care Med. 1999;27(7):1309–18.
Fearon WF, Fearon DT. Inflammation and cardiovascular disease: role of the interleukin-1 receptor antagonist. Circulation. 2008;117(20):2577–9.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Munger, K., Loi, E.C., Roth, A. (2018). Interventions for Trauma- and Stressor-Related Disorders in Preschool-Aged Children. In: Fogler, J., Phelps, R. (eds) Trauma, Autism, and Neurodevelopmental Disorders. Springer, Cham. https://doi.org/10.1007/978-3-030-00503-0_7
Download citation
DOI: https://doi.org/10.1007/978-3-030-00503-0_7
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-00502-3
Online ISBN: 978-3-030-00503-0
eBook Packages: Behavioral Science and PsychologyBehavioral Science and Psychology (R0)