The Impact of Childhood Trauma on Adulthood

According to the American Psychological Association (2018), trauma refers to “any  disturbing experience that results in significant fear, helplessness, dissociation, confusion,  or other disruptive feelings intense enough to have a long-lasting negative eCect on a  person’s attitudes, behaviour, and other aspects of functioning.” Childhood trauma refers to  events such as abuse, violence, neglect, and other incidents that occur before the age of  18 years and create an emotional disturbance (Kuzminskaite et al., 2022).  

Understanding the impact of childhood trauma on adulthood is an important topic, not  merely as an academic interest but also as an essential component of healthier and more  resilient individuals and communities. Childhood trauma poses lasting consequences,  both psychologically and physically, that endure throughout the lifespan. Psychological  conditions, such as depression, anxiety, ADHD, personality disorders, and PTSD, are more  prevalent. There is an increased risk of chronic diseases related to the increased cortisol  produced by the stress response system, which invokes changes in metabolic,  cardiovascular, respiratory, and inflammatory conditions. Other physical health concerns  include chronic pain syndromes, fibromyalgia, chronic fatigue syndrome, and irritable  bowel. Emotion dysregulation, impulsivity, and attachment issues lead to diCiculties in  intrapersonal and interpersonal functioning and quality of life. Physicians, other healthcare  workers, and the community at large must be more educated about the eCects of  childhood trauma on adulthood and trauma in general. Trauma is a public health issue, and  as such, awareness is vital. Recognition of the connection between childhood trauma and  adult psychopathology and physical illness will lead to improved treatment outcomes, reduced stigma, increased disclosure, and a better quality of life.

Adopting a trauma informed approach to healthcare is one possible solution to this problem and will impact  social change on an individual, community, and societal level. 

References

American Psychological Association (2018). Trauma. https://dictionary.apa.org/trauma

Dye, H. (2018). The impact and long-term eCects of childhood trauma. Journal of Human  Behavior in the Social Environment, 28(3), 381-392. 

Kuzminskaite, E., Vinkers, C. H., Milaneschi, Y., Giltay, E., & Penninx, B. (2022). Childhood  trauma and its impact on depressive and anxiety symptomology in adulthood: A 6- year longitudinal study. Journal of A;ective Disorders, 312, 322-330. 

Springer, K. W., Sheridan, J., Kuo, D., & Carnes, M. (2003). The Long-term Health Outcomes  of Childhood Abuse: An Overview and Call to Action. Journal of General Internal  Medicine, 18, 864-870. 

Lori McGrinder RN, BA, BSN, MS, ADHD (CCSP)

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