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Children Exposed to Community Violence: Issues for Assessment and Treatment

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Abstract

Community violence is increasingly recognized as a risk factor for serious psychological problems with children particularly vulnerable to its effects. This article summarizes the existing knowledge on the effects of chronic exposure to community violence, highlights essential issues in assessing children for both exposure and resulting trauma from community violence, and provides treatment guidelines for those affected children.

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References

  • Aisenberg, E., & Ell, K. (submitted for publication). Traumatic effects of exposure to community violence: A parent-child model of interdependent coping.

  • Allen, S.N. (1994). Psychological assessment of post-traumatic stress disorder: Psychometrics, current trends, and future directions. Psychiatric Clinics of North America, 17, 327-349.

    Google Scholar 

  • Amaya-Jackson, L., & March, J.S. (1995). Posttraumatic stress disorder. In J.S. March (Ed.), Anxiety disorders in children (pp. 276-300). New York: Guilford Press.

    Google Scholar 

  • Aneshensel, C.S. (1996). Consequences of psychosocial stress. In H.B. Kaplan (Ed.), Psychosocial stress (pp. 111-136). New York: Academic Press.

    Google Scholar 

  • Bandura, A. (1977). Social learning theory. Englewood Cliffs, NJ: Prentice Hall.

    Google Scholar 

  • Bell, C.C., & Jenkins, E.J. (1993). Community violence and children on Chicago's Southside. Psychiatry, 56, 46-54.

    Google Scholar 

  • Bell, C.C., Taylor-Crawford, K., Jenkins, E.J., & Chalmers, D. (1988). Need for victimization screening in a black psychiatric population. Journal of the National Medical Association, 80, 41-48.

    Google Scholar 

  • Bird, H.R., Gould, M.S., & Staghezza, B.M. (1993). Patterns of diagnostic comorbidity in a community sample of children aged 9 through 16 years. Journal of the American Academy of Child and Adolescent Psychiatry, 32, 261-368.

    Google Scholar 

  • Bronfenbrenner, U. (1979). The ecology of human development: Experiments by nature and design. Cambridge, MA: Harvard University Press

    Google Scholar 

  • Burton, D., Foy, D., Bwanausi, C., Johnson, J., & Moore, L. (1994). The relationship between traumatic exposure, family dysfunction, and post-traumatic stress symptoms in male juvenile offenders. Journal of Traumatic Stress, 7, 83-93.

    Google Scholar 

  • Caddell, J.M., & Drabman, R.S. (1993). Post-traumatic stress disorder in children In R.T. Ammerman and M. Herson (Eds.), Handbook of behavior therapy with children and adults (pp. 2219-235). Boston: Allyn and Bacon.

    Google Scholar 

  • Calkins, S.B. (1994). Origins and outcomes of individual differences in emotion regulation. In N.A. Fox (Ed.), The development of emotion regulation: Biological and behavioral considerations. Monographs of the Society for Research in Child Development, 59, (pp. 53-72). Chicago: University of Chicago Press.

    Google Scholar 

  • Caplan, G. (1964). Principles of preventive psychiatry. New York: Basic Books.

    Google Scholar 

  • Celano, M., Hazzard, A., Webb, C., & McCall, C. (1996). Treatment of traumagenic beliefs among sexually abused girls and their mothers: An evaluation study. Journal of Abnormal Child Psychology, 24, 1-17.

    Google Scholar 

  • Compas, B.E. (1987). Coping with stress during childhood and adolescence. Psychological Bulletin, 101, 393-405.

    Google Scholar 

  • Cooley, M.R., Turner, S.M., & Beidel, D.C. (1995). Assessing community violence: The children's report of exposure to violence. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 201-208.

    Google Scholar 

  • Costello, E., & Angold, A. (1988). Scales to assess child and adolescent depression: Checklists, screens, and nets. Journal of the American Academy of Child and Adolescent Psychiatry, 27, 357-363.

    Google Scholar 

  • Curle, C.E., & Williams, C. (1996). Posttraumatic stress reactions in children-Gender differences in the incidence of trauma reactions at 2 years and examination of factors influencing adjustment. British Journal of Clinical Psychology, 35, 297-309.

    Google Scholar 

  • Davidson, J.R., & Smith, R. (1990). Traumatic experiences in psychiatric outpatients. Journal of Traumatic Stress, 3, 459-475.

    Google Scholar 

  • Deblinger, E., Lippman, J., & Steer, R. (1996). Sexually abused children suffering posttraumatic stress symptoms: Initial treatment outcome findings. Child Maltreatment, 1, 310-321.

    Google Scholar 

  • Deblinger, E., McLeer, S.V., Atkins, M.S., & Foa, E. (1989). Post-traumatic stress in sexually abused, physically abused, and nonabused children. Child Abuse and Neglect, 13, 403-408.

    Google Scholar 

  • Drell, M.J., Siegel, C.H., & Gaensbauer, T.J. (1993). Post-traumatic stress disorder. In C.H. Zeanah (Ed.), Handbook of infant mental health (pp. 291-304). New York: The Guilford Press.

    Google Scholar 

  • Ell, K. (1996). Social networks, social support and coping with serious illness: The family connection. Social Science Medicine, 42, 173-183.

    Google Scholar 

  • Ell, K., & Aisenberg, E. (1998). Stress-related Disorders. In J.W.B. Williams and K. Ell (Eds.), Advances in Mental Health Research: Implications for Practice (pp. 217-256). Washington, DC: NASW Press.

    Google Scholar 

  • Everson, M.D., Hunter, W.M., Runyan, D.K., Edelsohn, G.A., & Coulter, M.L. (1989). Maternal support following disclosure of incest. American Journal of Orthopsychiatry, 59, 197-207.

    Google Scholar 

  • Famularo, R., Kinscheff, R., & Fenton, T. (1992). Psychiatric diagnoses of maltreated children: Preliminary findings. Journal of the American Academy of Child and Adolescent Psychiatry, 31, 863-867.

    Google Scholar 

  • Finkelhor, D., & Berliner, L. (1995). Research on the treatment of sexually abused children: A review and recommendations. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 1408-1423.

    Google Scholar 

  • Foa, E.B., & Meadows, E.A. (1997). Psychosocial treatments for posttraumatic stress disorder: A critical review. Annual Review of Psychology, 48, 449-480.

    Google Scholar 

  • Foa, E., Rothbaum, B.O., & Molnar, C. (1995). Cognitive-Behavioral Therapy of Post-Traumatic Stress Disorder. In M.J. Friedman, D.S. Charney, and A.Y. Deutch (Eds.), Neurobiological and Clinical Consequences of Stress (pp. 483-494). Philadelphia: Lippincott-Raven.

    Google Scholar 

  • Foy, D., Madvig, B.T., Pynoos, R.S., & Camilleri, A.J. (1996). Etiologic factors in the development of posttraumatic stress disorder in children and adolescents. Journal of School Psychology, 34, 133-145.

    Google Scholar 

  • Foy, D.W., Resnick, H.S., & Lipovsky, J.A. (1993). Post-traumatic stress disorder in adults. In R.T. Ammerman and M. Herson (Eds.), Handbook of behavior therapy with children and adults (pp. 236-247). Boston: Allyn and Bacon.

    Google Scholar 

  • Friedlander, B.Z. (1993). Community violence, children's development, and mass media: In pursuit of new insights, new goals, and new strategies. Psychiatry, 56, 66-81.

    Google Scholar 

  • Gaensbauer, T. (1996). Developmental and therapeutic aspects of treating infants and toddlers who have witnessed violence. In J.D. Osofsky and E. Fenichel (Eds.), Islands of safety (pp. 15-20). Washington, DC: Zero to Three: National Center for Infants, Toddlers, and Families.

    Google Scholar 

  • Garbarino, J., Dubrow, N., Kostelny, K., & Pardo, C. (1992). Children in danger. San Francisco: Jossey-Bass Publishers.

    Google Scholar 

  • Gladstein. J., Rusonia, E.S., & Heald, F.P. (1992). A comparison of inner-city and uppermiddle class youths' exposure to violence. Journal of Adolescent Health, 13, 275-280.

    Google Scholar 

  • Gondoli, D.M., & Silverberg, S.B. (1997). Maternal emotional distress and diminished responsiveness: The mediating role of parenting efficacy and parental perspective taking. Developmental Psychology, 33, 861-868.

    Google Scholar 

  • Green, B.L. (1993). Disasters and posttraumatic stress disorder. In J.R.T. Davidson and E.B. Foa (Eds.), Posttraumatic stress disorder: DSM-IV and beyond (pp. 75-97). Washington, DC: American Psychiatric Association.

    Google Scholar 

  • Green, B.L., Korol, M., Grace, M.C., Vary, M.G., Leonard, A.C., Gleser, G.C., & Smitson-Cohen, S. (1991). Children and disaster: Age, gender, and parental effects on PTSD symptoms. Journal of the American Academy of Child and Adolescent Psychiatry, 30, 945-951.

    Google Scholar 

  • Groves, B. M., Zuckerman, B., Marans, S., & Cohen, D.J. (1993). Silent victims: Children who witness violence. Journal of the American Medical Association, 269, 262-264.

    Google Scholar 

  • Heflinger, C.A., & Nixon, C.T. (1996). Families and the mental health system for children and adolescents: Policy, services, and research. Thousand Oaks, CA: Sage Publications.

    Google Scholar 

  • Herzog, D.B., Keller, M.B., Sacks, N.R., Yeh, C.J., & Lavor, P.W. (1992). Psychiatric comorbidity in treatment-seeking anorexics and bulimics. Journal of the American Academy of Child and Adolescent Psychiatry, 31, 810-818.

    Google Scholar 

  • Hill, H.M., & Madhere, S. (1996). Exposure to community violence and African-American children: A multidimensional model of risks and resources. Journal of Community Psychology, 24, 26-43.

    Google Scholar 

  • Horn, J.L., & Trickett, P.K. (1998). Community violence and child development: A review of research. In P.K. Trickett and C. Schellenbach (Eds.), Violence against children in the family and community (pp. 103-138). Washington, DC: APA Books.

    Google Scholar 

  • James, B. (1994). Handbook for treatment of attachment-trauma problems in children. New York: Lexington Books.

    Google Scholar 

  • Jenkins, E.J., & Bell, C.C. (1997). Exposure and response to community violence among children and adolescents. In J.D. Osofsky (Ed.), Children in a violent society (pp. 9-31). New York: The Guildford Press.

    Google Scholar 

  • Kashani, J.H., Daniel, A.E., Dandoy, A.C., & Holcomb, W.R. (1992). Family violence: Impact on children. Journal of the American Academy of Child and Adolescent Psychiatry, 31, 181-189.

    Google Scholar 

  • Keane, T.M. (1996). Clinical perspectives on stress, traumatic stress, and PTSD in children and adolescents. Journal of School Psychology, 34, 193-197.

    Google Scholar 

  • Kendall, P.C., Chansky, T.E., Friedman, M., Kim, R., Kortlander, E., Sessa, F.M., & Siqueland, L. (1991). In P.C. Kendall (Ed.), Child and adolescent therapy: Cognitive-behavioral Procedures (pp. 131-164). New York: Guilford Press.

    Google Scholar 

  • Kendall, P.C., & Lochman, J. (1994). Cognitive-Behavioural Therapies. In M. Rutter, E. Taylor, & L. Hersov, (Eds.), Child and adolescent psychiatry, 3rd ed. (pp. 844-857). Cambridge, MA: Blackwell Science.

    Google Scholar 

  • Kendall-Tackett, K.A., Williams, L.M., & Finkelhor, D. (1993). Impact of sexual abuse on children: A review and synthesis of recent empirical studies. Psychological Bulletin, 164-180.

  • Kolko, D. M. (1996) Individual cognitive behavioral treatment and family therapy for physically abused children and their offending parents: A comparison of clinical outcomes. Child Maltreatment, 1, 322-342.

    Google Scholar 

  • Lochman, J.E., White, K.J., & Wayland, K.K. (1991). Cognitive-behavioral assessment and treatment with aggressive children. In P.C. Kendall (Ed.), Child and adolescent therapy (pp. 25-65). New York: The Guilford Press.

    Google Scholar 

  • Lorion, R.P., & Saltzman, W. (1993). Children's exposure to community violence: Following a path from concern to research to action. Psychiatry, 56, 55-65.

    Google Scholar 

  • Lundin, T. (1994). The treatment of acute trauma: Post-traumatic stress disorder prevention. Psychiatric Clinics of North America, 17, 385-391.

    Google Scholar 

  • McFarlane, A.C. (1994). Individual psychotherapy for post-traumatic stress disorder. Psychiatric Clinics of North America, 17, 393-408.

    Google Scholar 

  • McLeer, S.L., Callaghan, M., Henry, D., & Wallen, J. (1994). Psychiatric disorders in sexually-abused children. Journal of the American Academy of Child and Adolescent Psychiatry, 33, 313-319.

    Google Scholar 

  • McLeer, S.V., Deblinger, E., Atkins, M.S., Foa, E.B., & Ralphe, D. (1988). Post-traumatic stress disorder in sexually abused children. Journal of the American Academy of Child and Adolescent Psychiatry, 27, 650-654.

    Google Scholar 

  • McNally, R.J. (1996). Assessment of posttraumatic stress disorder in children and adolescents. Journal of School Psychology, 34, 147-161.

    Google Scholar 

  • March, J.S., Amaya-Jackson, L., & Pynoos, R.S. (1997). Pediatric posttraumatic stress disorder. In J.M. Wiener (Ed.), Textbook of child and adolescent psychiatry, 2nd edition, (pp. 507-524). Washington, DC: American Psychiatric Press.

    Google Scholar 

  • Miller, T.W. (1995). Stress adaptation in children: Theoretical models. Journal of Contemporary Psychotherapy, 25, 5-14.

    Google Scholar 

  • Nader, K., Pynoos, R., Fairbanks, L., & Frederick, C. (1990). Children's PTSD reactions one year after a sniper attack at their school. American Journal of Psychiatry, 147, 1526-1530.

    Google Scholar 

  • Newberger, C.M., Geremy, I.M., Waternaux, C.M., & Newberger, E.H. (1993). Mothers of sexually abused children: Trauma and repair in longitudinal perspective. American Journal of Orthopsychiatry, 63, 92-102.

    Google Scholar 

  • Newman, E., Kaloupek, D.G., & Keane, T.M. (1996). Assessment of post-traumatic stress disorder in clinical and research settings. In B.A. van der Kolk, A.C. McFarlane, and L. Weisaeth (Eds.), Traumatic stress: The effects of overwhelming experience on mind, body, and society (pp. 242-278). New York: Guilford Press.

    Google Scholar 

  • Osofsky, J.D. (1995). The effects of exposure to violence on young children. American Psychologist, 50, 782-785.

    Google Scholar 

  • Osofsky, J.D., Wewers, S., Hann, D.M., & Fick, A.C. (1993). Chronic community violence: What is happening to our children. Psychiatry, 56, 36-45.

    Google Scholar 

  • Parker, J., & Randall, P. (1996). Post-traumatic stress disorder in children: The social work challenge. Journal of Social Work Practice, 10, 71-81.

    Google Scholar 

  • Perry, B.D. (1994). Neurobiological sequelae of childhood trauma: Post-traumatic stress disorders in children. In M. Murburg (Ed.), Catecholamine function in post-traumatic stress disorder: Emerging concepts (pp. 233-255). Washington, DC: American Psychiatric Press.

    Google Scholar 

  • Pynoos, R.S. (1990). Posttraumatic stress disorder in children and adolescents. In B.D. Garfinkel, G.A. Carlson, and E.B. Weller (Eds.), Psychiatric disorders in children and adolescents (pp. 48-63). Philadelphia: W.B. Saunders.

    Google Scholar 

  • Pynoos, R.S. (1996). Exposure to catastrophic violence and disaster in children. In C.R. Pfeffer (Ed.), Severe stress and mental disturbance in children (pp. 181-208). Washington, DC: American Psychiatric Press, pp. 181-208.

    Google Scholar 

  • Pynoos, R.S., & Nader, K. (1993). Issues in the treatment of post-traumatic stress in children and adolescents. In J. Wilson and B. Raphael (Eds.), The international handbook of traumatic stress syndromes (pp. 535-549). New York: Plenum Press.

    Google Scholar 

  • Pynoos, R.S., Steinberg, A.M., & Wraith, R. (1995). A developmental model of childhood traumatic stress. In D. Cicchetti and D.J. Cohen (Eds.), Developmental psychopathology, vol. 2, (pp. 72-95). New York: Wiley.

    Google Scholar 

  • Reinecke, M.A., Dattilio, F.M., & Freeman, A. (1996). General Issues. In M.A. Reineke, F.M. Dattilio, and A. Freeman (Eds.), Cognitive therapy with children and adolescents (pp. 1-9). New York: The Guilford Press.

    Google Scholar 

  • Ribbe, D.P., Lipovsky, J.A., & Freedy, J.R. (1995). Posttraumatic stress. In A.R. Eisen, C.A. Kearney, and C.E. Schaefer (Eds.), Clinical handbook of disorders in children and adolescents. Northvale, NJ: Jason Aronson Inc.

    Google Scholar 

  • Richters, J.E., & Martinez, P. (1993). The NIMH Community Violence Project: I. Children as victims and witnesses to violence. Psychiatry, 56, 7-21.

    Google Scholar 

  • Ring-Kurtz, S.E., Sonnichsen, S., & Hoover-Dempsey, K.V. (1995). School-based mental health services for children. In L. Bickman and D.J. Rog (Eds.), Children's mental health services: Research, policy, and evaluation (pp. 117-144). Thousand Oaks, CA: Sage Publications.

    Google Scholar 

  • Robinson, N.S., & Garber, J. (1995). Social support and psychopathology across the life span. In: D. Cicchetti and D.J. Cohen (Eds.), Developmental psychopathology, vol. 2. New York: Wiley.

    Google Scholar 

  • Saigh, P.A., Green, B.L., & Korol, M. (1996). The history and prevalence of posttraumatic stress disorder with special reference to children and adolescents. Journal of School Psychology, 34, 107-131.

    Google Scholar 

  • Schwab-Stone, M.E., Shaffer, D., Dulcan, M.K., Jensen, P.S., Fisher, P., Bird, H.R., Goodman, S.H., Lahey, B.B., Lichtman, J.H., Canino, G., Rubio-Stipec, M., & Rae, D.S. (1996). Criterion validity of the NIMH diagnostic interview schedule for children version 2.3 (DISC-2.3). Journal of the American Academy of Child and Adolescent Psychiatry, 35, 878-888.

    Google Scholar 

  • Shakoor, B.H., & Chalmers, D. (1991). Co-victimization of African-American children who witness violence: Effects on cognitive, emotional and behavioral development. Journal of the National Medical Association, 83, 233-238.

    Google Scholar 

  • Speier, P.L., Sherak, D.L., Hirsch, S., Cantwell, D.P. (1995). Depression in Children and Adolescents. In E.E. Beckham and W.R. Leberwaltz (Eds.), Handbook of depression, 2nd edition, (pp. 467-493). New York: Guilford Press.

    Google Scholar 

  • Sutherland, S.M., & Davidson, J.R. (1994). Pharmacotherapy for post-traumatic stress disorder. Psychiatric Clinics of North America, 17, 409-423.

    Google Scholar 

  • Taylor, S.E., Helgeson, V.S., Reed, G.M., & Skokan, L.A. (1991). Self-generated feelings of control and adjustment to physical illness. Journal of Social Issues, 47, 91-109.

    Google Scholar 

  • Tyano, S., Iancu, J., Solomon, Z., Sever, J., Goldstein, I., Touviana, Y., & Bleich, A. (1996). Seven-year follow-up of child survivors of a bus-train collision. Journal of the American Academy of Child and Adolescent Psychiatry, 365-373.

  • Vernberg, E.M., LaGreca, A.M., Silverman, W.K., & Prinstein, M.J. (1996). Prediction of posttraumatic stress symptoms in children after Hurricane Andrew. Journal of Social Issues, 105, 237-248.

    Google Scholar 

  • Wallach, L.B. (1993). Helping children cope with violence. Young Children, 48, 4-11.

    Google Scholar 

  • Wallen, J., & Rubin, R.H. (1997). The role of the family in mediating the effects of community violence on children. Aggression and Violent Behavior, 2, 33-41.

    Google Scholar 

  • Walsh, F. (1996). The concept of family resilience: crisis and challenge. Family Process, 35, 261-281.

    Google Scholar 

  • Yule, W., & Canterbury, R. (1994). The treatment of post traumatic stress disorder in children and adolescents. International Review of Psychiatry, 6, 141-151.

    Google Scholar 

  • Zeanah, C.H., & Scheeringa, M. (1996). Evaluation of posttraumatic symptomatology. In J.D. Osofsky and E. Fenichel (Eds.), Islands of safety: Assessing and treating young victims of violence (pp. 9-14). Washington, DC: Zero to Three/National Center for Clinical Infant Programs.

    Google Scholar 

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  1. Eugene Aisenberg
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  2. Ferol E. Mennen
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Aisenberg, E., Mennen, F.E. Children Exposed to Community Violence: Issues for Assessment and Treatment. Child and Adolescent Social Work Journal 17, 341–360 (2000). https://doi.org/10.1023/A:1007503030327

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