Commentary: Key Issues, Concluding Thoughts, and Future Directions for the Study of Trauma and Child Health

摘要: Although the majority of children experience at leastone potentially traumatic event (PTE) by adolescence(Copeland, Keeler, Angold, & Costello, 2007;Costello, Erkanli, Fairbank, 2002), previ-ous research offered little empirical foundation or con-ceptual guidance regarding relationships betweentrauma and child health. The papers included in thisSpecial Issue collectively offer informed directions andillustrate excellent examples programs researchseeking to elucidate complex associations betweenchild stress physical Preliminaryfindings theoretical advances presented through-out this Special underscore importance ofcontinued efforts on front.In sections below, we consider each group ofstudies Issue, highlighting their key con-tributions. We also reflect of-fer recommendations for advancing science andpractice important area health.Maltreatment VictimizationThe consequences maltreatment victimiza-tion are a serious public health concern. Millions ofchildren victimization ev-ery year. Over 679,000 cases abuse were confirmedin United States 2013 alone (U.S. Department ofHealth Human Services Children, 2013), androughly 15–30% youth report experiencing peer vic-timization (i.e., receiving psychologicalharm from peers; Dinkes, Cataldi, Lin-Kelly, S Luxenberg, Limber, Olweus, 2014).The considerable negative mental consequencesof well documented(Banyard, Williams Siegel, 2001; De Bellis et al.,2002; Landoll al., 2015; Widom, Czaja, Wilson,Allwood, Chauhan, but impact mal-treatment only be-ginning be understood (Sachs-Ericsson, Blazer, Plant,A Springer, Sheridan, Kuo, Carnes,2007). Several articles build thisimportant literature progress inunderstanding between maltreatmentand health.Importantly, it is currently unclear when adversephysical effects childhood andvictimization emerge. Research has primarily focusedon relationship victimi-zation adult conditions (Afifi, Mota,MacMillan, Sareen, 2013, Goodwin, Hoven,Murison, Hotopf, 2003; Springer 2007;seeArias, 2004 review). In rare exception, is-sue, Gooding, Milliren, Austin, andMcLaughlin (2015) compared arterial pressure cir-culation adolescents who reported with thosewho did not, found that abused had higherresting diastolic blood blunted diastolicand systolic reactivity laboratorystressors. This study contributes growing body ofliterature documenting evident childhood(McLaughlin, Alves, Mendes, 2014).An next step understand whetherspecific types placeyouth differential risk adverse outcomes.Past largely focused general