Lecture 7 Flashcards
Components of reliability
- Sensitivity
- Specificity
- Kappa
Sensitivity
Extent to which there is an agreement that the diagnosis is present
Specificity
Agreement that diagnosis is absent
Kappa
Statistic used to measure extent of agreement over and above chance levels
Epidemiology
-numbers we want to know
-studies frequency’s of disorders in population
Prevelance
Proportion of people with diagnosis at any time
-when prevalence rates rise dramatically, there is concern that normal individuals individuals are incorrectly diagnosed
Lifetime prevelance
Proportion of people who have never had a diagnosis in their lifetime
National traumatic stress network
Assessment and treatment of trauma-exposed children in US
Interpersonal trauma within caregiving systems
-abuse
-abandonment
-parent death
-instability
—trauma within these systems statistically likely to reoccur
Domains affected by interpersonal trauma
-affect regulation
-attention and concentration
-negative self-image
-aggression
Complex trauma
-children exposed to multiple traumatic events
-often invasive
—wide-ranging, long-lasting
-Events are severe and pervasive
—often occur in early life
Long term impacts of complex trauma
-social development
-psyc, bio, cog development
-interferes with ability to form Secure attachments
-can disrupt development of sense of self
Treatment resistance
Associated with complex trauma
-as criteria for PTSD is not met, significance of trauma exposure is ignored in treatment
Complex trauma proposed criteria
Criterion A
-traumatic victimization
-attachment disruption
—primary giver loss
—neglect
—emotional abuse
Criterion B
-affective/physiological dysregulation
Criterion C
-avoidance
Criterion D
-self- and relational dysregulation
