Consecuencias del maltrato grave intrafamiliar en la infancia: conceptualización y diagnóstico de las reacciones postraumáticas complejas

• Concepción López Soler ; Castro, M ^[1] ; Lilián Renée Daset Carreto ; María Vicenta Alcántara López ; V. Fernández ; M. Prieto ; Jean Carlos Puerto
  1. [1] Universidad de Murcia

     Universidad de Murcia

     Murcia, España

     
• Localización: Ciencias Psicológicas, ISSN 1688-4094, ISSN-e 1688-4221, Año 2, Nº. 2, 2008, págs. 103-118
• Idioma: español
• DOI: 10.22235/cp.v0i2.643
• Enlaces
  • Texto completo (pdf)
• Dialnet Métricas: 4 Citas
• Resumen
  • español

    El trauma psíquico es una transversalidad en la historia de la humanidad, pero de diagnóstico tardío, especialmente en lo que refi ere a su incorporación a los sistemas de clasifi cación en psicopatología como Trastorno por Estrés Postraumático ( TEPT ). Desde ese momento hasta nuestros días han ido en aumento los estudios sobre TEPT , avanzando primero en las formas de evaluación específi ca y posteriormente en las propuestas de intervención, con énfasis en población adulta. Otros trabajos han evidenciado que, la semiológica del TEPT en niños y adolescentes, no puede ser analizada y abordada de igual manera que en población adulta. En este artículo se presentan los resultados generales de estudios sobre el TEPT en la infancia y adolescencia y los trabajos sobre un Listado de apoyo a los Clínicos para la evalu- ación del TEPT y del TEPTC o DESNOS , con algunos de los resultados preliminares de los estudios realizados con población de menores en situación de abuso y maltrato.

  • English

    Psychic trauma is a transversality in human history. Even though, its late diagnosed has been occurring, especially referring to its incorporation in psychopathological taxonomies as Postraumatic Stress Disorder ( PSD ). Since then, studies on PSD have been increased in quan- tity, fi rstly considering specifi c diagnostic issues, and secondly, tackling treatment proposals, generally with an adult population emphasis. Reports have shown that PSD clinical assessment can not be approached and analyzed in the same way in children and adolescents as it has been in adults. In this paper, general fi ndings are presented about the use of a Supporting List for clinicians, designed to assess DESNOS . Preliminary results of a study on abuse and maltreatment situation are shown.

• Referencias bibliográficas
  • Achenbach, T. M. (1991a). Manual for the Child Behavior Checklist/4–18 and 1991 Profiles Burlington: University of Vermont, Department of...
  • Achenbach, T. M. (1991b). Manual for the Teacher’s Report Form and 1991 Profiles. Burlington: University of Vermont, Department of Psychiatry.
  • Achenbach, T. M. (1991c). Manual for the Youth Self-Report and 1991 Profiles. Burlington: University of Vermont, Department of Psychiatry.
  • Achenbach, T. M., & McConaughy, S. H. (1997). Empirically based assessment of child and adolescent psychopathology (2nd ed., Vol. 13)....
  • Achenbach, T. M., & Rescorla, L. A. (2001a). Manual for ASEBA School-Age Forms & Profiles. Burlington,
  • VT: University of Vermont, Research Center for Children, Youth, & Families.
  • Achenbach, T. M., Conners, C. K., Quay, H. C., Verhulst, F. C. & Howell, C. T. (1989). Replication of empirically derived syndromes as...
  • Achenbach, T. M., Howell, C. T., McConaughy, S. H., & Stanger, C. (1998). Six year predictors of problems in a national sample: IV. Young...
  • Achenbach, T., Dumenci, L. & Rescorla, L.A. (2002). Ten-year comparisons of problems and competencies for national samples of youth: self,...
  • Achenbach, T. M. & Dumenci, L. (2001b). Advances in Empirically Based Assessment: Revised Cross-
  • Informant Syndromes and New DSM –Oriented Scales for the CBCL, YSR, and TRF: Comment on Lengua, Sadowksi, Friedrich, and Fisher. Journal of...
  • Achenbach, T. M. (1995). Empirically Based Assessment and Taxonomy: Applications to Clinical Research. Psychological Assessment: 7 (3), 261-274.
  • American Academy of Child and Adolescent Psychiatry (1998). Practice parameters for the assessment and treatment of children and adolescents...
  • American Psychiatric Association (APA). (1987). Diagnostic and statistical manual of mental disorders (DSM-III-R.) Washington, DC: APA.
  • American Psychiatric Association (APA). (2000). Diagnostic and statistical manual of mental disorders:
  • DSM-IV-TR. (1º Ed.). Washington, DC: APA.
  • Asociación Americana de Psiquiatría. Manual diagnóstico y estadístico de los trastornos mentales, cuarta edición (DSM-IV). Barcelona, Masson...
  • Atkinson, R.M., Sparr, L.F.y Sheff, A.G. (1984). Diagnosis of posttraumatic stress disorder in Vietnam veterans: preliminary findings. American...
  • Balaban V. (2006). Psychological assessments of children in disasters and emergencies. Disasters,
  • , 178-198.
  • Ballenger, J., Davidson, J., Lecrubier, Y., Nutt, D. J., Marshall, R.D., Nemeroff, C.B., Shalev, A.Y. y
  • Yehuda, R. (2000). Consensus statement on posttraumatic stress disorder from the inter-national consensus group on depression and anxiety....
  • Bandura, A. (1990). Multidimensional Scales of Perceived Self-efficacy. Stanford University, Stanford, C.A.
  • Bernstein, E.M. y Putnam, F.W. (1986). Development, reliability, and validity of a dissociation scale. Journal of Nervous and Mental Disease,...
  • Blaustein, M.E., Spinazzola, J., Simpson, W. y van der Kolk, B.A. (2000). Psychological sequelae of early trauma: Comorbid diagnoses or diagnostic...
  • Bremner, J.D., Southwick, S.M., Jonson, D.R., Yehuda, R. y Charney, D.S. (1993). Childhood physical abuse and combat-related PTSD in Vietnam...
  • Breslau, N., Davis, G.C. y Andreski, P. (1991). Traumatic events and post-traumatic stress disorder in an urban population of young adults....
  • Breslau, N., Davis, G.C., Andreski, P., Peterson, E.L. y Schultz, L.R. (1997). Sex differences in posttraumatic stress disorder. Archives...
  • Briere, J. (1987). Post-sexual abuse trauma: Data and implications for clinical practice. Journal of Interpersonal Violence, 2, 367-379.
  • Briere, J. (1992). Child abuse trauma: theory and treatment of the lasting effects. Newbury Park, CA: Sage.
  • Briere, J. y Spinazzola, J. (2005). Phenomenology and Psycho-logical Assessment of Complex Posttraumatic States. Journal of Traumatic Stress,...
  • Briere, J., Woo, R. y McRae, B. Foltz, J. y Sitzman, R. (1997). Lifetime victimization history, demographics, clinical status in female psychiatric...
  • Brown, E.J. (2003). Child physical abuse: Risk for psychopathology and efficacy of interventions.
  • Current Psychiatry Reports, 5 (2), 87-94.
  • Bryer, J., Nelson, B., Millar, J.B. y Krol, P. (1987). Childhood sexual and physical factors in adult psychiatric illness. American Journal...
  • Buka, S.L., Stichick, T.L., Birdthistle, I. y Earls, F.J. (2001). Youth exposure to violence: prevalence, risks, and consequences. American...
  • Cazabat, E. (2001). Trastorno por estrés postraumático. Criterios diagnósticos. Psicología online, 2.
  • Chiape V. (2000). Clínica de los trastornos por ansiedad: estrés postraumático y trastorno de pánico.
  • En: Grau A. y Meneghello J. (eds). Psiquiatría y Psicología de la Infancia y Adolescencia. Buenos
  • Aires, Editorial Médica Panamericana, 334-346.
  • Cloitre, M., Tardiff, K., Marzuk, P.M., Leon, A.C. y Portera, L. (2001). Consequences of childhood abuse among male psychiatric inpatients:...
  • Cohen, J.A., Berliner, L. y Mannarino, A.P. (2000). Treating traumatizing children: A research review and synthesis. Trauma, Violence y Abuse,...
  • Cole, P. y Putnam, F.W. (1992). Effect of incest on self and social functioning: a developmental psychopathology perspective. Journal of Consulting...
  • Cook, A., Spinazzola, J., Ford, J., Landtree, Ch., Blaustein, M., Cloitre, M., DeRosa, R., Hubbard, R., Kagan, R., Liataud, J., Mallah, K.,...
  • Courtois, C. (2004). Complex Trauma, Complex Reactions: Assessment and Treatment. Psychotherapy: Theory, Research, Practice, Training, 41...
  • Courtois, C.A. (1988). Healing the incest wound: Adult survivors in therapy. New York: Norton.
  • Creamer M. Bell R. Failla S. (2003). Psychometric properties of the Impact of Event Scale – Revised. Behavior Research & Therapy. 41(12):1489-96.
  • Daset, L. R. (1999). Aproximación a una taxonomía empírica: estudio en jóvenes de Uruguay. Comunicación.
  • II Congreso de la Asociación española de Psicología Clínica y Psicopatología. Libro de Resúmenes: 83-84. Murcia.
  • Daset, L.R. (2002). Depresión en la Adolescencia: una aproximación desde la evaluación empírica. Prisma, 18: 25-32.
  • Davidson, J.R.T., Swartz, M., Stork, M., Krishnan R.R., Hammett E. (1985). A diagnostic and family study of posttraumatic stress disorder....
  • Davidson, J.R.T., Hughes, D. y Blazer, D. y George, L.K. (1991). Posttraumatic stress disorder in the community; an epidemiological study....
  • Del Barrio, V., Spielberger, C.D. y Aluja, A. (2005). Inventario de expresión de ira estado-rasgo en niños y adolescentes, STAXI-NA. TEA Ediciones,...
  • Dietrich, A. (2000). As the Pendulum Swings: The Etiology of PTSD, Complex PTSD, and Revictimization. Traumatology, 6 (1), 41-59.
  • Dube, S.R., Anda, R.F., Felitti, V.J. y Chapman, D.P., Williamson, D.F. y Giles, W.H. (2001). Childhood abuse, household dysfunction, and...
  • Feeny, N.C., Treadwell, K.R.H., Foa, E.B. y March, J. (2004). Posttraumatic stress disorder in youth: a critical review of the cognitive and...
  • Research and Practice, 35 (5), 466-476.
  • Felitti, V., Anda, R., Nordernbeg, D., Willianson, D.F., Spitz, A.M., Edwards, V., Koss, M.P. y Marks, J.S. (1998). Relationship of childhood...
  • Finkelhor, D. y Kendall-Tackett, K. (1997). A developmental perspective on the childhood impact of crime, abuse and violent victimization....
  • Finklehor, D. (1984). Child sexual abuse: New theory and research. New York: Free Press.
  • Fleming, J., Mullen, P.E., Sibthrope, B. y Bammer, G. (1999). The long-term impact of childhood sexual abuse in Australian women. Child Abuse...
  • Fletcher, K.E. (2003). Childhood posttraumatic stress disorder. En E.J. Mash y R.A. Barkley. Child Psychopathology. New Cork: The Guildford...
  • 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...
  • Foa, E.B. (2002). The Child PTSD Symptom Scale (CPSS). Available from Edna Foa, PhD, Center for treatment Study of Anxiety, University of...
  • Ford, J.D. et al (2006). Disorders of Extreme Stress (DESNOS) Symptoms Are Associated With Type and Severity of Interpersonal Trauma Exposure...
  • Ford, J.D. y Kidd, T.P. (1998). Early childhood trauma and disorders of extreme stress as predictors of treatment outcome with chronic posttraumatic...
  • Fremont, W.P. (2004). Childhood reactions to terrorism induced trauma: a review of the past 10 years. Journal of American Academy of Child...
  • Friedman, M. (1996). PTSD Diagnosis and treatment for mental health clinicians. Community Mental Health Journal 32 (2), 173-189.
  • Frydenberg, E. y Lewis, R. (1996). Escalas de afrontamiento para adolescentes. ACS. TEA Ediciones, S.A., Madrid.
  • García Montalvo, C., López-Soler, C., Martínez, A. y Garriga, A. (2007). Diferencial semántico maltrato infantil. Documento no publicado.
  • Garriga, A., López-Soler, C., Martínez, A., Fernández, V., Castro, M. y Puerto, J.C. (2007). Escala de maltrato psicológico, adaptación de...
  • Giaconia, R.M., Reinherz, H.Z., Silverman, A.B., Pakiz, B., Frost, A.K. y Cohen, E. (1995). Traumas and posttraumatic stress disorder in a...
  • Golden, C.J. (2007). Test de colores y palabras, STROOP. TEA Ediciones, S.A., Madrid. (5ª edición).
  • Green, B.L., Lindy, J.D., Grace, M.C. y Leonard, A.C. (1992). Chronic posttraumatic stress disorder and diagnostic comorbidity in a disaster...
  • Gurwitch, R., Sullivan, M. y Long, P. (1998). The impact of trauma and disaster on young children. Child and Adolescent Psychiatric Clinics...
  • Helzer, J.E., Robins, L.N. y McEvoy, L. (1987). Posttraumatic stress disorder in the general population. New England Journal of Medicine,...
  • Herman, J.L, Perry, J.C. y van der Kolk, B.A. (1989). Childhood trauma in borderline personality disorder. American Journal of Psychiatry,...
  • Herman, J.L. (1992a).Complex PTSD: A syndrome in survivors of prolonged and repeated trauma. Journal of Traumatic Stress, 5, 377-391.
  • Herman, J.L. (1992b). Trauma and recovery: The aftermath of violence-From domestic to political terror. New York: Basic Books.
  • Hernández, P. (2004). Test Autoevaluativo Multifactorial de Adaptación Infantil (TAMAI). TEA Ediciones, S.A., Madrid (5ª edición, revisada).
  • Hidalgo, R. y Davidson, J. (2000). Posttraumatic stress disorder: Epidemiology and health related considerations. Journal of Clinical Psychiatry,...
  • Horowitz, M., Wilner, N., & Alvarez, W. (1979). Impact of Events Scale: a measure of subjective stress.
  • Psychosomatic Medicine, 41, 209-218.
  • Jenkins, E.J. y Bell, C.C. (1994). Violence among inner city high school students and posttraumatic stress disorder. En S. Friedman (ed.)....
  • Kessler, R.C., Borges, B. y Walters, E.E. (1999). Prevalence and risk factors of lifetime suicide attempts in the National Comorbidity Survey....
  • Kessler, R.C., Sonnega, A., Bromet, E., Hughes, M. y Nelson, C.B. (1995). Posttraumatic stress disorder. National Comorbidity Survey. Archives...
  • Kilpatrick, D.G., Acierno, R., Saunder, B.E., Resnick, H.S., Best, C.L, y Schnurr, P.P. (2000). Risk factors for adolescent substance abuse...
  • Kilpatrick, D.G., Ruggeiro, K.J, Acierno, R., Saunder, B.E., Resnick, H.S. y Best, C.L, (2003). Violence and risk of PTSD, major depression,...
  • Kovacs, M. (2004). Inventario de Depresión Infantil (CDI). TEA ediciones, S.A., Madrid.
  • Lerer, B., Bleich, A., Kotler, M. Garb, R., Hertzberg, M. y Levin, B. (1987). Posttraumatic stress disorder in Israeli combat veterans: Effect...
  • Linehan, M.N., Tutdk, D.A., Heard, H.L. y Armstrong, H.E. (1994). Interpersonal outcome of cognitive behavioral treatment for chronically...
  • Lipschitz, D.S., Winegar, R.K. Hartnick, E., Foote, B. y Southwick, S.M. (1999). Posttraumatic stress disorder in hospitalized adolescents:...
  • Lisak, D., Koper, J. y Song, P. (1996). Factors in the cycle of violence: gender rigidity and emotional constriction. Journal of Trauma Stress,...
  • López Soler, C., García Montalvo, C., Murcia, L., Martín, C., Cortegano, C., López Mora I y López
  • García, G. (1995). Problemas psicopatológicos en una muestra clínica de niños-niñas: taxonomías empíricas. Anales de Psicología, 11(2) ,129-142.
  • López Soler, C. (1999). Aportaciones del modelo de taxonomías empíricas al diagnóstico psicopatológico en infancia y adolescencia. Comunicación....
  • López Soler, C. (2006). Escala de situaciones traumáticas intrafamiliares. Universidad de Murcia. Documento no publicado.
  • López-Soler, C. (2008). Las reacciones postraumáticas en infancia y adolescencia maltratada: el trauma complejo. Revista de Psicopatología...
  • Luxenberg, T., Spinazzola, J. y van der Kolk, B. (2001). Complex Trauma and Disorders of Extreme Stress (DESNOS) Diagnosis, Part One: Assessment....
  • March J., Amaya L., Pynoos R. (1997). Pediatric posttraumatic stress disorder. En: Wiener J. (ed). Text book of Child and Adolescent Psychiatry....
  • Margolin, G. y Gordis, E.B. (2000). The effects of family and community violence on children. Annual Review of Psychology, 51, 445-479.
  • Márquez, M. (2000). Los trastornos por estrés: del trauma a la disociación. En: Grau, A. y Meneghello, J. (eds). Psiquiatría y Psicología...
  • Martínez, A., López-Soler, C., García Montalvo, C., Garriga, A., Alcántara, M.V. y Prieto, M. (2006). Entrevista Semiestructurada de maltrato...
  • McCloskey, L. (2000). Posttraumatic stress in children exposed to family violence and single event trauma. Journal of the American Academy...
  • McFarlane, A. (1988). The phenomenology of posttraumatic stress disorders following a natural disaster. Journal of Nervous and Mental Disease,...
  • Milgram N. (1993). Los niños y el estrés. En: Ollendick T, Hersen M (eds). Psicopatología Infantil. Barcelona, Martínez Roca, 464-483.
  • Montt, M. E. y Hermosilla, W. (2001). Trastorno de estrés post-traumático en niños. Revista Chilena de Neuropsiquiatría, 39 (2), 110-120.
  • Moran, M. (2007). Developmental Trauma Merits DSM Diagnosis, Experts Say. Psychiatry News February 2, 42 (3), 20.
  • Muris, P. (1997). The Screen for Child Anxiety Related Emotional Disorders (revised version). Maastricht: Maastrict University, Department...
  • Muris, P. et al (1999). The revised version of the screen for child anxiety related emotional disorders (SCARED-R): Further evidence for its...
  • National Center for PTSD. Fact Sheet and Child measures (2006). http://www.ncptsd.vagov/fact/
  • specific/fs_children.html
  • Neumann, D.A., Houskamp, B.M., Pollock, V.E. y Briere, J. (1996). The long-term sequelae of childhood sexual abuse in women: A meta-analytic...
  • Norris, F.H. (1992). Epidemiology of trauma: frequency and impact of different potentially traumatic events on different demographic groups....
  • Norris, F.H., Foster, J.D., & Weisshaar, D.L. (2002). The epidemiology of sex differences in PTSD. Across developmental, societal and...
  • Ohan, J.L., Myers, K., & Collett, B.R. (2002). Ten year review of rating scales IV: scales assessing trauma and its effects. Journal of...
  • Palacios, L. y Heinze, G. (2002). Trastorno por Estrés Postraumático: una revisión del tema (primera parte). Salud mental, 25 (3), 19-26.
  • Pelcovitz, D., van der Kolk, B.A., Roth, S., Mandel, F, Kaplan, S. y Resick, P. (1997). Development of a criteria set and a structured interview...
  • Perrin, S., Smith, P., & Yule, W. (2000). Practitioner review: The assessment and treatment of posttraumatic stress disorder in children...
  • Pfefferbaum B. (1997). Posttraumatic Stress Disorder in children: a review of the past 10 years. Journal of American Academy of Child and...
  • Pitman, R.K., Orr, S.P., Forgue, D.F., de Jong, J. y Claiborn, J.M. (1987). Psychophysiologic assessment of posttraumatic stress disorder...
  • Putnam, F. y Trickett, P.K. (1997). The psychobiological effects of sexual abuse, a longitudinal study. Annals of the New York Academy of...
  • Roth, S., Newman, E., Pelcovitz, D., van der Kolk, B.A. y Mandel, F. (1997). Complex PTSD in victims exposed to sexual and physical abuse:...
  • Saigh, P.A. (2004). Assessment of PTSD in children and adolescents. En R. Silva (ed.). Posttraumatic stress disorders in children and adolescents....
  • Sandín, B. y Chorot, P. (1997). Versión española del Índice de Sensibilidad a la Ansiedad (CASI). En B. Sandín, Ansiedad, Miedos y Fobias...
  • Sandín, B., Chorot, P., Lostao, L, Joiner, T.E., Santed, M.A. y Valiente, R.M. (1999a). Escalas PANAS de afecto positivo y negativo. Validación...
  • Sarmiento, P., Fernández Gutiérrez, M. y Barbacil, A. (2006). Perspectivas actuales en el tratamiento del trastorno de estrés postraumático...
  • Sauter, J. y Franklin, C. (1998). Assessing posttraumatic stress disorder in children: diagnostic and measurement strategies. Research on...
  • Saylor, C.F., Cupit, C., Stokes, S. y Taylor, M. (1999). The Pediatric Emotional Distress Scale: a brief screening measure for young children...
  • Scheeringa, M.S., Zeanah, C.H., Drell, M.J. y Larrieu, J. (1995). Two approaches to the diagnosis of posttraumatic stress disorder in infancy...
  • Scheeringa, M.S., Zeanah, C.H., Meyeres, L. y Putnam, F.W. (2003). New findings on alternative criteria for PTSD in preschool children. Journal...
  • Shalev, A.Y. y Rogel-Fuchs, Y. (1993). Psychophysiology of PTSD: From sulphur fumes to behavioral genetics. Journal of Nervous Mental Disease,...
  • Shannon, M., Lunigan, C., Finch, A. y Taylor, C. (1994). Children exposed to disaster: I. Epidemiology of post-traumatic symptoms and symptom...
  • Shore, J.H., Vollmer, W.M. y Tatum, E.I. (1989). Community patterns of posttraumatic stress disorders. Journal of Nervous and Mental Disease,...
  • Sierles, F.S., Chen, J., McFarland, R.E. y Taylor, M.A. (1983). Posttraumatic stress disorder and concurrent psychiatric illness: a preliminary...
  • Silva, F. y Martorell, M.C. (2001). Batería de Socialización. Autoevaluación (BAS-3). TEA Ediciones, S.A., Madrid. (3ª edición).
  • Spielberger, C. D. (1973). Inventario de Ansiedad Estado - Rasgo para niños, STAIC. Palo Alto, CA. Consulting Psychologists Press.
  • Spielberger, C. D., Goursch, R. L. & Lushene, R. E. (1982). Cuestionario de Ansiedad Estado - Rasgo, STAI. Madrid. TEA Ediciones.
  • Spinazzola, J., Blaustein, M., Kisiel, C. y van der Kolk, B. (2001). Beyond PTSD: Further evidence for a complex adaptational response to...
  • Stuber, M., Nader, K., Yasuda, P., Pynoos, R. y Cohen, S. (1991). Stress responses alter pediatric home marrow transplantation: Preliminary...
  • Summit, R. (1983). The child sexual abuse accommodation syndrome. Child Abuse & Neglect, 7 (2), 177-193.
  • Terr L.C. (1983). Chowchilla revisited: the effects of psychic trauma four years after a schoolbus kidnapping. American Journal of Psychiatry...
  • Terr, L. (1985). Psychic trauma in children and adolescents. Psychiatric Clinical of North America, 8, 815-835.
  • Terr, L.C. (1979). Children of Chowchilla: a study of psychic trauma. The Psychoanalytic Study of the Child, 34, 552-623.
  • Terr, L.C. (1981). Psychic trauma in children: observations following the Chochilla school-bus kidnapping. American Journal of Psychiatry,...
  • Tierney, J.A. (2000). Post-traumatic stress disorder in children: controversies and unresolved issues. Journal of Child and Adolescent Psychiatric...
  • Valdivia, M. (2002). Trastorno por estrés postraumático en la niñez. Revista Chilena de NeuroPsiquiatría, 40 (2), 76-85.
  • Van der Kolk, B. (2001). The Assessment and Treatment of Complex PTSD. In Rachel Yehuda (ed.). Traumatic Stress. American Psychiatric Press.
  • Van der Kolk, B. (2005). Child Abuse & Victimization. Psychiatric Annals, 374-378.
  • Van der Kolk, B., Roth, S., Pelcovitz, D., Sunday, S. y Spinazzola, J. (2005). Disorders of Extreme Stress: The Empirical Foundation of a...
  • Van der Kolk, B.A. (1985). Adolescent vulnerability to posttraumatic stress. Psychiatry, 48, 365-370.
  • Van der Kolk, B.A. (1996). The complexity of adaptation to trauma: Self-regulation, stimulus discrimination, and characterological development....
  • Van der Kolk, B.A., Pelcovitz, D., Roth, S.H., Mandel, F., McFarlane, A., y Herman, J.L. (1996). Dissociation,
  • somatization, and affect dysregulation: The complexity of adaptation to trauma. American Journal of Psychiatry, 153, 83-93.
  • Van der Kolk, B.A., Perry, J.C. y Herman, J.L. (1991). Childhood origins of self-destructive behavior. American Journal of Psychiatry, 148,...
  • Van Kampen, M., Watson, C.G. y Tilleskjor, C. (1986). The definition of posttraumatic stress disorder in alcoholic Vietnam veterans. Are the...
  • Wagnild, G. y Young, H.M. (1993). Development and psychometrics evaluation of the Resilience Scale. Journal of Nursing Measurement, 1, 165-177.
  • Walker, L. (1984). The battered woman syndrome. USA, Spring Publishing Company.
  • Wang, C.T. y Daro, D. (1997). Current trends in child abuse reporting and fatalities: The results of the 1997 annual fifty state survey. Chicago:...
  • Wilson, S.N., van der Kolk, B.A., Burbridge, J.A., Filser, R.E. y Kradin, R. (1999). Phenotype of blood lymphocytes in PTSD suggests chronic...
  • Wolfe, V.V., Gentile, C., Michienzi, T., Sas, L., & Wolfe, D. (1991). The Children’s Impact of Traumatic
  • Events Scale: A measure of post-sexual-abuse PTSD symptoms. Behavioral Assessment, 13, 359-383.
  • Yehuda, R. (1999). Linking the neuroendocrinology of post-traumatic stress disorder with recent neuroanatomic findings. Seminars in Clinical...
  • Zlotnick, C. y Pearlstein, T. (1997). Validation of the structured interview for Disorders of Extreme Stress. Comprehensive Psychiatry, 38,...
  • Zlotnitk, C., Zakriski, A.L., Shea, M.T., Costello, E., Begin, A., Pearlstein, T. y Simpson, E. (1996). The long-term sequelae of sexual abuse:...