These children have experienced
chronic early maltreatment within a caregiving relationship.
This article describes the effects on the brain and later child development of
chronic early maltreatment.
Children who have experienced
chronic early maltreatment that results in Complex Post Traumatic Stress Disorder or reactive attachment disorder can be effectively treated with Dyadic Developmental Psychotherapy [2][3][4], which is an evidence - based family - based treatment approach.
Not exact matches
Prior work has shown that family support and problem - solving skills delivered during later childhood and
early adolescence can help protect youth from adverse physiological stress reactions (Chen et al., 2011; Brody et al., 2014) whereas parental
maltreatment or other adverse events in childhood contribute to vulnerability to
chronic diseases later in life (Repetti et al., 2002; Shonkoff et al., 2009).
Extended longitudinal research provides evidence that children who,
early in life, contend with
chronic adversities, such as family poverty, inappropriate care and child
maltreatment are more likely to experience a broad range of impairments later in life (3).
Treatment for those experiencing Complex post-traumatic stress disorder, which is caused by
early chronic maltreatment, should address each dimension.
In humans, the end product of the HPA axis is cortisol, a steroid hormone that follows a diurnal rhythm — increasing
early in the morning, peaking approximately 30 minutes after waking, and declining throughout the day, reaching near - zero levels at night.14 This diurnal pattern is not present at birth but begins to emerge around 3 months of age15, 16 and is fully entrained to daylight cycles by age 2 years.17 Children experiencing social deprivation or
maltreatment show departures from this typical profile of diurnal HPA activity, suggestive of
chronic stress.