Keys to emotional wellbeing and resilience in minors who have suffered trauma

  1. Enrique Echeburúa 1
  2. Pedro Javier Amor 2
  1. 1 Universidad del País Vasco/Euskal Herriko Unibertsitatea
    info

    Universidad del País Vasco/Euskal Herriko Unibertsitatea

    Lejona, España

    ROR https://ror.org/000xsnr85

  2. 2 Universidad Nacional de Educación a Distancia
    info

    Universidad Nacional de Educación a Distancia

    Madrid, España

    ROR https://ror.org/02msb5n36

Aldizkaria:
Ansiedad y estrés

ISSN: 1134-7937

Argitalpen urtea: 2022

Alea: 28

Zenbakia: 3

Orrialdeak: 153-159

Mota: Artikulua

Beste argitalpen batzuk: Ansiedad y estrés

Laburpena

Being a victim of a violent event in childhood carries a higher risk of developing emotional, behavioral and social problems. However, not all minors show serious negative consequences. Their degree of resilience will depend on previous emotional stability, degree of self-esteem, cognitive style and the type of experiences, as well as their ability to solve problems. Protective factors implicated in resilience include a stable family environment, helpful relationships with peers, and community support. There are certain adaptive coping strategies, such as striving to realistically solve everyday problems, adapting to the new reality, and actively forgetting or forgiving what happened. The greater or lesser use of certain cognitive emotional regulation strategies can also condition the recovery process or be linked to different trajectories of the victims in the face of potentially traumatic events. A positive indicator of the victim’s improvement is when the verbal expression of feelings is recovered and order is brought to the chaos of images and memories of the violent event. Further research is required in the near future, such as the influence of the age and gender of minors and the role of coping strategies and emotional regulation.

Erreferentzia bibliografikoak

  • American Psychiatric Association (2022). Diagnostic and Statistical Manual of Mental Disorders (5th ed.- Text Revision). American Psychiatric Publishing. https://doi.org/10.1176/appi.books.9780890425787
  • Amor, P. J., & Echeburúa, E. (2015). Violencia intrafamiliar y resiliencia en niños y adolescentes [Intrafamilial violence and resilience in children and adolescents]. In M. F. Rodríguez, J. M. Morell, & J. Fresneda (Eds.), Manual de promoción de la resiliencia infantil y adolescente [Handbook for promoting child and adolescent resilience] (pp. 205-230). Madrid: Pirámide.
  • Andrades, M., García, F. E., & Kilmer, R. P. (2021). Post-traumatic stress symptoms and post-traumatic growth in children and adolescents 12 months and 24 months after the earthquake and tsunamis in Chile in 2010: A longitudinal study. International Journal of Psychology/Journal International de Psychologie, 56(1), 48–55. https://doi.org/10.1002/ijop.12718.
  • Barudy, J., & Dantagnan, M. (2012). La fiesta mágica y realista de la resiliencia infantil [The magical and realistic party of childhood resilience]. Barcelona: Gedisa.
  • Bonanno, G. A., & Diminich, E. D. (2013). Annual Research Review: Positive Adjustment to Adversity--Trajectories of Minimal-Impact Resilience and Emergent Resilience. Journal of Child Psychology and Psychiatry, 54(4), 378-401. https://doi.org/10.1111/jcpp.12021
  • Bonanno, G. A., & Mancini, A. D. (2012). Beyond resilience and PTSD: Mapping the heterogeneity of responses to potential trauma. Psychological Trauma: Theory, Research, Practice, and Policy, 4, 74-83. https://doi.org/10.1037/a0017829
  • Calhoun, L. G., & Tedeschi, R. G. (2006). The foundations of posttraumatic growth: an expanded framework. In L. G. Calhoun, & R. G. Tedeschi (Eds.), Handbook of posttraumatic growth: Research & practice. (pp. 3–23). Lawrence Erlbaum Associates Publishers.
  • Calhoun, L. G., & Tedeschi, R. G. (2014). Handbook of posttraumatic growth: Research and practice. Psychology Press. https://doi.org/10.4324/9781315805597
  • Crespo, M., & Fernández-Lansac, V. (2016). Memory and narrative of traumatic events: A literature review. Psychological Trauma: Theory, Research, Practice, and Policy, 8(2), 149–156. https://doi.org/10.1037/tra0000041.supp
  • Cyrulnik, B. (2015). Las almas heridas. Las huellas de la infancia, la necesidad del relato y los mecanismos de la memoria [The traces of childhood, the need for storytelling and the mechanisms of memory]. Barcelona: Gedisa.
  • De Young, A. C., Kenardy, J. A. & Cobham, V. E. (2011). Trauma in early childhood: A neglected population. Clinical Child and Family Psychology Review, 14, 231-250. https://doi.org/10.1007/s10567-011-0094-3
  • Echeburúa, E. (2004). Superar un trauma [Overcoming trauma]. Madrid: Pirámide.
  • Echeburúa, E. (2018). Secuelas psicológicas en las víctimas de sucesos traumáticos [Psychological sequelae in the victims of traumatic events]. En G. Varona (Ed.), Victimología: en busca de un enfoque integrador para repensar la intervención con víctimas (pp. 77-98). Pamplona: Thomson Reuters/Aranzadi.
  • Echeburúa, E. (2020). Abusos sexuales en la infancia: ¿por qué se recuerdan o revelan años después? [Childhood sexual abuse: why is it remembered or revealed years later?]. Revista Mexicana de Psicología, 37, 67-76.
  • Echeburúa, E. (2021). De la macrovictimización a la microvictimización. Vulnerabilidad, resiliencia y estrategias de afrontamiento en las víctimas de sucesos traumáticos [From macrovictimization to microvictimization. Vulnerability, resilience and coping strategies in victims of traumatic events]. In G. Varona (Ed.), Macrovictimización, abuso de poder y victimología: impactos intergeneracionales (pp. 551-567). Pamplona: Thomson Reuters/Aranzadi.
  • Echeburúa, E., & Amor, P. J. (2014). Trastorno de estrés postraumático [post-traumatic stress disorder]. In L. Ezpeleta, & J. Toro (Eds.), Psicopatología del desarrollo (pp. 421-439). Madrid: Pirámide.
  • Echeburúa, E., & Amor, P. J. (2019). Memoria traumática: estrategias de afrontamiento adaptativas e inadaptativas [Traumatic memory: adaptive and maladaptive coping strategies]. Terapia Psicológica, 37, 71-80. https://doi.org/10.4067/S0718-48082019000100071
  • Echeburúa, E., & Amor, P. J. (2020). Trastornos asociados a traumas y estresores [Disorders associated with traumas and stressors]. In A. Belloch, B. Sandín, & F. Ramos (Eds.), Manual de psicopatología (Vol. 2) (3rd ed.) (pp. 109-133). Madrid: McGraw-Hill.
  • Echeburúa, E., & Guerricaechevarría, C. (2021). Abuso sexual en la infancia [childhood sexual abuse]. Implicaciones clínicas y forenses [Sexual abuse in childhood. Clinical and forensic implications]. Barcelona: Ariel.
  • Echeburúa, E., & Corral, P. (2009). ¿Por qué las víctimas no reaccionan de la misma manera ante un mismo suceso traumático? Factores de protección y factores de vulnerabilidad [Why don’t victims react in the same way to the same traumatic event? Protective factors and vulnerability factors]. In A. Medina, M. J. Moreno, R. Lillo, & J. A. Guija (Eds.), El sufrimiento de la víctima (Psiquiatría y Ley) (pp. 161-184). Madrid: Triacastela.
  • Enright, R. D., & Fitzigibbons, R. P. (2000). Helping clients forgive: An empirical guide for resolving anger and restoring hope. APA. https://doi.org/10.1037/10381-000
  • Esbec, E. (2000). Evaluación psicológica de la víctima [Psychological evaluation of the victim]. In E. Esbec, & G. Gómez-Jarabo. Psicología forense y tratamiento jurídico-legal de la discapacidad (pp. 153-190). Madrid: Edisófer.
  • Fergusson, D. M., McLeod, G. F. H., & Horwood, L. J. (2013). Childhood sexual abuse and adult developmental outcomes: Findings from a 30-year longitudinal study in New Zealand. Child Abuse & Neglect, 37(9), 664–674. https://doi.org/10.1016/j.chiabu.2013.03.013
  • Frankl, V. (2016). Lo que no está escrito en mis libros: Memorias [What is not written in my books: Memoirs]. Barcelona: Herder
  • García, F. E., Vega Rojas, N., Briones Araya, F., & Bulnes Gallegos, Y. (2018). Rumiación, crecimiento y sintomatología postraumática en personas que han vivido experiencias altamente estresantes [Rumination, posttraumatic growth and posttraumatic symptoms in people who have lived highly stressful experiences]. Avances en Psicología Latinoamericana, 36(3), 443–457. https://doi.org/10.12804/revistas.urosario.edu.co/apl/a.4983
  • Grych, J., Hamby, S., & Banyard, V. (2015). The resilience portfolio model: Understanding healthy adaptation in victims of violence. Psychology of Violence, 5(4), 343-354. https://doi.org/10.1037/a0039671
  • Houshyar, S., & Kaufman, J. (2005). Resiliency in maltreated children. In S. Goldstein, & R. B. Brooks (Eds.). Handbook of resilience in children (pp. 181-200). Springer. https://doi.org/10.1007/0-306-48572-9_12
  • Howell, K. H. (2011). Resilience and psychopathology in children exposed to family violence. Aggression and Violent Behavior, 16(6), 562-569. https://doi.org/10.1016/j.avb.2011.09.001
  • Kaleta, K., & Mróz, J. (2018). Forgiveness and life satisfaction across different age groups in adults. Personality and Individual Differences, 120, 17–23. https://doi.org/10.1016/j.paid.2017.08.008
  • Kaplan, R. L., Levine, L. J., Lench, H. C., & Safer, M. A. (2016). Forgetting feelings: Opposite biases in reports of the intensity of past emotion and mood. Emotion, 16, 309–319. https://doi.org/10.1037/emo0000127
  • Kevers, R., Rober, P., Derluyn, I. & De Haene, L. (2016). Remembering collective violence: Broadening the notion of traumatic memory in post-conflict rehabilitation. Culture, Medicine and Psychiatry, 40, 620–640. https://doi.org/10.1007/s11013-016-9490-y
  • Levine, S. Z., Laufer, A., Stein, E., Hamama-Raz, Y., & Solomon, Z. (2009). Examining the relationship between resilience and posttraumatic growth. Journal of Traumatic Stress, 22(4), 282–286. https://doi.org/10.1002/jts.20409
  • Masten, A. S., & Narayan, A. J. (2012). Child development in the context of disaster, war, and terrorism: Pathways of risk and resilience. Annual Review of Psychology, 63, 227–257. https://doi.org/10.1146/annurev-psych-120710-100356
  • Matsui, T., & Taku, K. (2016). A review of posttraumatic growth and help-seeking behavior in cancer survivors: Effects of distal and proximate culture. Japanese Psychological Research, 58(1), 142-162. https://doi.org/10.1111/jpr.12105
  • McElheran, M., Briscoe-Smith, A., Khaylis, A., Westrup, D., Hayward, C., & Gore-Felton, C. (2012). A conceptual model of post-traumatic growth among children and adolescents in the aftermath of sexual abuse. Counselling Psychology Quarterly, 25(1), 73–82. https://doi.org/10.1080/09515070.2012.665225
  • Medina, J. L. (2015). Trauma psíquico [Psychological trauma]. Madrid: Paraninfo.
  • Morelato, G. (2011). Maltrato infantil y desarrollo: hacia una revisión de los factores de resiliencia [Child maltreatment and development: towards a review of resilience factors]. Pensamiento Psicológico, 9 (17), 83-96.
  • Muela, A., Balluerka, N., Torres-Gómez, B., & Gorostiaga, A. (2016). Apego romántico en adolescentes maltratados en su niñez [Romantic attachment in adolescents abused in childhood]. International Journal of Psychology and Pyschological Therapy, 16, 61-72.
  • Mullet, E. (2012). Perdón y terapia [Forgiveness and therapy]. In: F. J. Labrador, & M. Crespo (Eds.), Psicología clínica basada en la evidencia (pp. 137-152). Madrid: Pirámide.
  • O’Dougherty, M., Masten, A., & Narayan, A. (2013). Resilience Processes in Development: Four Waves of Research on Positive Adaptation in the Context of Adversity. In S. Goldstein, & R. Brooks (Eds.), Handbook of resilience in children (pp. 15-38). Springer. https://doi.org/10.1007/978-1-4614-3661-4_2
  • Pereda, N., Abad, J., & Guilera, G. (2015). Victimization and polyvictimization among Spanish adolescent outpatients. Journal of Aggression, Maltreatment, & Trauma, 24(9), 1044-1066. https://doi.org/10.1080/10926771.2015.1072121
  • Perry, B. D., & Azad, I. (1999). Posttraumatic stress disorders in children and adolescents. Current Opinion in Pediatrics, 11(4), 310-316. https://doi.org/10.1097/00008480-199908000-00008
  • Rocha, A., Amarís, M., & López-López, W. (2017). El perdón como estrategia de afrontamiento. Una mirada desde el modelo de la complejidad del afrontamiento [Forgiveness as a coping strategy. A view from the complexity model of coping]. Terapia Psicológica, 35, 271-281. https://doi.org/10.4067/S0718-48082017000300271
  • Rojas Marcos, L. (2010). Superar la adversidad. El poder de la resiliencia [Overcoming adversity. The power of resilience]. Barcelona: Espasa.
  • Rutter, M. (2007). Resilience, competence, and coping. Child Abuse & Neglect, 31, 205-209. https://doi.org/10.1016/j.chiabu.2007.02.001
  • Schaefer, L. M., Howell, K. H., Schwartz, L. E., Bottomley, J. S., & Crossnine, C. B. (2018). A concurrent examination of protective factors associated with resilience and posttraumatic growth following childhood victimization. Child Abuse & Neglect, 85, 17–27. https://doi.org/10.1016/j.chiabu.2018.08.019
  • Tielman, M. L., Neerincx, M. A., Bidarra, R., Kybartas, B., & Brinkman, W. (2017). A therapy system for post-traumatic stress disorder using a virtual agent and virtual storytelling to reconstruct traumatic memories. Journal of Medical Systems, 41, 125. https://doi.org/10.1007/s10916-017-0771-y
  • Trujillo, M. (2002). Psicología para después de una crisis [Psychology after a crisis]. Madrid: Aguilar.
  • Vloet, T. D., Vloet, A., Bürger, A., Romanos, M. (2017). Post-Traumatic Growth in Children and Adolescents. Journal of Traumatic Stress Disorders & Treatment, 6(4), 1-7. https://doi.org/10.4172/2324-8947.1000178
  • Yuan, G., Park, C. L., Birkeland, S. R., Yip, P. S. Y., & Hall, B. J. (2021). A Network Analysis of the Associations Between Posttraumatic Stress Symptoms and Posttraumatic Growth Among Disaster-Exposed Chinese Young Adults. Journal of Traumatic Stress, 34(4), 786–798. https://doi.org/10.1002/jts.22673
  • Zhen, R., & Zhou, X. (2022). Latent Patterns of Posttraumatic Stress Symptoms, Depression, and Posttraumatic Growth Among Adolescents During the COVID-19 Pandemic. Journal of Traumatic Stress, 35(1), 197–209. https://doi.org/10.1002/jts.22720
  • Zhou, X., Wu, X., & Zhen, R. (2018). Patterns of Posttraumatic Stress Disorder and Posttraumatic Growth Among Adolescents After the Wenchuan Earthquake in China: A Latent Profile Analysis. Journal of Traumatic Stress, 31(1), 57–63. https://doi.org/10.1002/jts.22246
  • Zolkoski, S. M., & Bullock, L. M. (2012). Resilience in children and youth: A review. Children and Youth Services Review, 34, 2295–2303. https://doi.org/10.1016/j.childyouth.2012.08.009