Journal of Abnormal Child Psychology

, Volume 41, Issue 6, pp 983–992 | Cite as

Behavioral Inhibition and Risk for Posttraumatic Stress Symptoms in Latino Children Exposed to Violence



Latino children in urban contexts marked by poverty are at high risk of being exposed to violence and developing posttraumatic stress disorder (PTSD). Nonetheless, there is great variability in individual responses to violence exposure. This study examines risk for developing re-experiencing, avoidance, and arousal symptoms of PTSD as a function of individual differences in behavioral inhibition and exposure to community violence. Participants were 148 Latino students (M age =11.43 years, SD = 0.69; 55 % girls) living in an area marked by poverty and crime. Children completed self-report measures of behavioral inhibition and posttraumatic stress symptoms during a baseline assessment. During a follow-up interview 6 months later, children completed self-report measures of exposure to community violence since the baseline assessment and posttraumatic stress symptoms. Structural equation models revealed that behavioral inhibition at baseline was positively associated with PTSD avoidance and arousal symptoms at follow-up, after controlling for symptoms at baseline. Furthermore, behavioral inhibition moderated the association between violence exposure and symptoms such that violence was more strongly associated with the development of PTSD avoidance symptoms as behavioral inhibition increased. Results suggest that individual differences in behavioral inhibition contribute to risk for specific PTSD symptoms and are important for understanding variation in responses to trauma exposure. By examining diathesis-­stress models within a disorder, we may be better able to elucidate the etiology of a disorder and translate this improved understanding into personalized intervention approaches that maximize effectiveness.


Behavioral inhibition Violence exposure Latino Posttraumatic stress Avoidance 


  1. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders, 4th ed, text revision. Washington, DC: American Psychiatric Association.Google Scholar
  2. Biederman, J., Rosenbaum, J. F., Bolduc-Murphy, E. A., Faraone, S. V., Chaloff, J., Hirshfeld, D. R., et al. (1993). A 3-year follow-up of children with and without behavioral inhibition. Journal of the American Academy of Child and Adolescent Psychiatry, 32, 814–821.Google Scholar
  3. Bloom-Hoffman, J., Leff, S. S., Franko, D. L., Weinstein, E., Beakley, K., & Power, T. J. (2009). Consent procedures and participation rates in school-based intervention and prevention research: using a multi-component, partnership-based approach to recruit participants. School Mental Health, 1, 3–15.CrossRefGoogle Scholar
  4. Bureau of Justice Statistics. (1997). Age patterns of victims of serious violent crime (Publication NCJ-162031). Washington, DC: US Department of Justice.
  5. Carver, C. S., & White, T. L. (1994). Behavioral inhibition, behavioral activation, and affective responses to impending reward and punishment: the BIS/BAS scales. Journal of Personality and Social Psychology, 67, 319–333.CrossRefGoogle Scholar
  6. Cloninger, C. R., Svrakic, D. M., & Przybeck, T. R. (1993). A psychobiological model of temperament and character. Archives of General Psychiatry, 50, 975–990.PubMedCrossRefGoogle Scholar
  7. Colder, C. R., & O’Connor, R. M. (2004). Gray’s reinforcement sensitivity model and child psychopathology: laboratory and questionnaire assessment of the BAS and BIS. Journal of Abnormal Child Psychology, 32, 435–451.PubMedCrossRefGoogle Scholar
  8. Cooley-Quille, M. R., Turner, S. M., & Beidel, D. C. (1995). The emotional impact of children’s exposure to community violence: a preliminary study. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 1362–1368.PubMedCrossRefGoogle Scholar
  9. Cooley-Strickland, M., Quille, T. J., Griffin, R. S., Stuart, E. A., Bradshaw, C. P., & Furr-Holden, D. (2009). Community violence and youth: affect, behavior, substance use and academics. Clinical Child and Family Psychology Review, 12, 127–156.PubMedCrossRefGoogle Scholar
  10. Copeland, W. E., Keeler, G., Angold, A., & Costello, E. J. (2007). Traumatic events and posttraumatic stress in childhood. Archives of General Psychiatry, 64, 577–584.PubMedCrossRefGoogle Scholar
  11. Crouch, J. L., Hanson, R. F., Saunders, B. E., Kilpatrick, D. G., & Resnick, H. S. (2000). Income, race/ethnicity, and exposure to violence in youth: Results from the National Survey of Adolescents. Journal of Community Psychology, 28, 625–641.CrossRefGoogle Scholar
  12. Cuffe, S. P., Addy, C. L., Garrison, C. Z., Waller, J. L., Jackson, K. L., McKeown, R. E., et al. (1998). Prevalence of PTSD in a community sample of older adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 147–154.Google Scholar
  13. Foa, E. B. (2011). Prolonged exposure therapy: past, present, and future. Depression and Anxiety, 28, 1043–1047. doi:10.1002/da.20907.PubMedCrossRefGoogle Scholar
  14. Foa, E. B., Johnson, K. M., Feeny, N. C., & Treadwell, K. R. H. (2001). The child PTSD symptom scale: a preliminary examination of its psychometric properties. Journal of Clinical Child Psychology, 30, 376–384.PubMedCrossRefGoogle Scholar
  15. Fowler, P. J., Tompsett, C. J., Braciszewski, J. M., Jacques-Tiura, A. J., & Baltes, B. B. (2009). Community violence: a meta-analysis on the effect of exposure and mental health outcomes of children and adolescents. Development and Psychopathology, 21, 227–259.PubMedCrossRefGoogle Scholar
  16. Gil, S., & Caspi, Y. (2006). Personality traits, coping style, and perceived threat as predictors of posttraumatic stress disorder after exposure to a terrorist attack: a prospective study. Psychosomatic Medicine, 68, 904–909.PubMedCrossRefGoogle Scholar
  17. Gorman-Smith, D., & Tolan, P. (1998). The role of exposure to community violence and developmental problems among inner-city youth. Development and Psychopathology, 10, 101–116.PubMedCrossRefGoogle Scholar
  18. Gray, J. A. (1987). The psychology of fear and stress. New York: Cambridge University Press.Google Scholar
  19. Gray, J. A. (1991). The neuropsychology of temperament. In J. Stelau & A. Angleiter (Eds.), Explorations in temperament (pp. 105–128). New York: Plenum.CrossRefGoogle Scholar
  20. Gray, J. A., & McNaughton, N. (2000). The neuropsychology of anxiety. Oxford, England: Oxford University Press.Google Scholar
  21. Gudiño, O. G., & Lau, A. S. (2010). Parental culture, shyness, and anxiety in Hispanic children: an exploratory study. Journal of Applied Developmental Psychology, 31, 202–210.CrossRefGoogle Scholar
  22. Gudiño, O. G., Nadeem, E., Kataoka, S. H., & Lau, A. S. (2011). Relative impact of violence exposure and immigrant stressors on Latino youth psychopathology. Journal of Community Psychology, 39, 316–335.CrossRefGoogle Scholar
  23. Gudiño, O. G., Nadeem, E., Kataoka, S. H., & Lau, A. S. (2012). Reinforcement sensitivity and risk for psychopathology following exposure to violence: a vulnerability-specificity model in Latino youth. Child Psychiatry and Human Development, 43, 306–321.PubMedCrossRefGoogle Scholar
  24. Heym, N., Ferguson, E., & Lawrence, C. (2008). An evaluation of the relationship between Gray’s revised RST and Eysenck’s PEN: distinguishing BIS and FFFS in Carver and White’s BIS/BAS scales. Personality and Individual Differences, 45, 709–715.CrossRefGoogle Scholar
  25. Jaccard, J., & Wan, C. K. (1996). LISREL approaches to interaction effects in multiple regression. Thousand Oaks, CA: Sage Publications, Inc.Google Scholar
  26. Jaycox, L. H., Stein, B. D., Kataoka, S. H., Wong, M., Fink, A., Escudero, P., et al. (2002). Violence exposure, posttraumatic stress disorder, and depressive symptoms among recent immigrant schoolchildren. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 1104–1110.Google Scholar
  27. Johnson, S. L., Turner, R. J., & Iwata, N. (2003). BIS/BAS levels and psychiatric disorder: an epidemiological study. Journal of Psychopathology and Behavioral Assessment, 25, 25–36.CrossRefGoogle Scholar
  28. Kagan, J., Snidman, N., Zentner, M., & Peterson, E. (1999). Infant temperament and anxious symptoms in school age children. Development and Psychopathology, 11, 209–224.PubMedCrossRefGoogle Scholar
  29. Kataoka, S. H., Stein, B. D., Jaycox, L. H., Wong, M., Escudero, P., Tu, W., et al. (2003). A school-based mental health program for traumatized Latino immigrant children. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 311–318.Google Scholar
  30. Kataoka, S. H., Langley, A., Stein, B., Jaycox, L., Zhang, L., Sanchez, N., et al. (2009). Violence exposure and PTSD: the role of English language fluency in Latino youth. Journal of Child and Family Studies, 18, 334–341. doi:10.1007/s10826-008-9235-9.Google Scholar
  31. Koop, C. E., & Lundberg, G. B. (1992). Violence in America: a public health emergency. Time to bite the bullet back. Journal of the American Medical Association, 267, 3075–3076.PubMedCrossRefGoogle Scholar
  32. Leyendecker, B., Harwood, R. L., Lamb, M. E., & Schölmerich, A. (2002). Mothers’ socialisation goals and evaluations of desirable and undesirable everyday situations in two diverse cultural groups. International Journal of Behavioral Development, 26, 248–258.CrossRefGoogle Scholar
  33. Marín, G., & Marín, B. V. (1991). Research with Hispanic populations. Newbury Park, CA: Sage.Google Scholar
  34. Muris, P., Meesters, C., de Kanter, E., & Timmerman, P. E. (2005). Behavioural inhibition and behavioural activation system scales for children: relationships with Eysenck’s personality traits and psychopathological symptoms. Personality and Individual Differences, 38, 831–841.CrossRefGoogle Scholar
  35. Muthén, L. K., & Muthén, B. O. (1998–2010). Mplus user’s guide. Los Angeles, CA: Muthén & Muthén.Google Scholar
  36. Myers, C. E., VanMeenen, K. M., & Servatius, R. J. (2012). Behavioral inhibition and PTSD symptoms in veterans. Psychiatry Research, 196, 271–276.PubMedCrossRefGoogle Scholar
  37. North, C. S., Nixon, S. J., Shariat, S., Mallonee, S., McMillen, J. C., Spitznagel, E. L., et al. (1999). Psychiatric disorders among survivors of the Oklahoma City bombing. Journal of the American Medical Association, 282, 755–762.Google Scholar
  38. Pew Research Center. (2011). Census 2010: 50 million Latinos; Hispanics account for more than half of Nation’s growth in past decade. Retrieved December 20, 2012 from
  39. Poythress, N. G., Skeem, J. L., Weir, J., Lilienfeld, S. O., Douglas, K. S., Edens, J. F., et al. (2008). Psychometric properties of Carver and White’s (1994) BIS/BAS scales in a large sample of offenders. Personality and Individual Differences, 45, 732–737.Google Scholar
  40. Reeb-Sutherland, B. C., Vanderwert, R. E., Degnan, K. A., Marshall, P. J., Pérez-Edgar, K., Chronis-Tuscano, A., et al. (2009). Attention to novelty in behaviorally inhibited adolescents moderates risk for anxiety. Journal of Child Psychology and Psychiatry, 50, 1365–1372.Google Scholar
  41. Ruchkin, V. V., Schwab-Stone, M., Koposov, R., Vermeiren, R., & Steiner, H. (2002). Violence exposure, posttraumatic stress, and personality in juvenile delinquents. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 322–329.PubMedCrossRefGoogle Scholar
  42. Satorra, A., & Bentler, P. M. (2001). A scaled difference chi-square test statistic for moment structure analysis. Psychometrika, 66, 507–514.CrossRefGoogle Scholar
  43. Scholten, M. R., van Honk, J., Aleman, A., & Kahn, R. S. (2006). Behavioral inhibition system (BIS), behavioral activation system (BAS) and schizophrenia: relationship with psychopathology and physiology. Journal of Psychiatric Research, 40, 638–645.PubMedCrossRefGoogle Scholar
  44. Shenk, C. E., Putnam, F. W., & Noll, J. G. (2012). Experiential avoidance and the relationship between child maltreatment and PTSD symptoms: preliminary evidence. Child Abuse & Neglect, 26, 118–126.CrossRefGoogle Scholar
  45. Silverman, W. K., Ortiz, C. D., Viswesvaran, C., Burns, B. J., Kolko, D. J., Putnam, F. W., et al. (2008). Evidence-based psychosocial treatments for children and adolescents exposed to traumatic events. Journal of Clinical Child and Adolescent Psychology, 37, 156–183.Google Scholar
  46. Singer, M. I., Anglin, T. M., Song, L. Y., & Lunghofer, L. (1995). Adolescents’ exposure to violence and associated symptoms of psychological trauma. Journal of the American Medical Association, 273, 477–482.PubMedCrossRefGoogle Scholar
  47. Singer, M. I., Flannery, D. J., Guo, S., Miller, D., & Leibbrandt, S. (2004). Exposure to violence, parental monitoring, and television viewing as contributors to children’s psychological trauma. Journal of Community Psychology, 32, 489–504.CrossRefGoogle Scholar
  48. Smillie, L. D., Pickering, A. D., & Jackson, C. J. (2006). The new Reinforcement Sensitivity Theory: implications for psychometric measurement. Personality and Social Psychology Review, 10, 320–335.PubMedCrossRefGoogle Scholar
  49. Stein, B. D., Jaycox, L. H., Kataoka, S., Rhodes, H. J., & Vestal, K. D. (2003). Prevalence of child and adolescent exposure to community violence. Clinical Child and Family Psychology Review, 6, 247–264.PubMedCrossRefGoogle Scholar
  50. Stein, B. D., Jaycox, L. H., Langley, A., Kataoka, S. H., Wilkins, W. S., & Wong, M. (2007). Active parental consent for a school-based community violence screening: comparing distribution methods. Journal of School Health, 77, 116–120.PubMedCrossRefGoogle Scholar
  51. U.S. Census Bureau. (2009). Poverty status in the past 12 months of families: 2005–2009 American Community Survey 5-Year Estimates. Retrieved December 20, 2012, from
  52. Vervoort, L., Wolters, L. H., Hogendoorn, S. M., de Haan, E., Boer, F., & Prins, P. J. M. (2010). Sensitivity of Gray’s behavioral inhibition system in clinically anxious and non-anxious children and adolescents. Personality and Individual Differences, 48, 629–633.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Department of PsychologyUniversity of DenverDenverUSA

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