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Early stress exposure: Concepts, findings, and implications, with particular emphasis on attachment disturbances
BACKGROUND: Early intervention and preventive interventions are attracting increasing attention in the child and adolescent mental health field because recent research findings offer new insights into risk mechanisms and because of the growing expectation that they may hold clues to reducing sufferi...
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Formato: | Texto |
Lenguaje: | English |
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BioMed Central
2009
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2745367/ https://www.ncbi.nlm.nih.gov/pubmed/19732440 http://dx.doi.org/10.1186/1753-2000-3-24 |
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author | O'Connor, Thomas G Spagnola, Mary E |
author_facet | O'Connor, Thomas G Spagnola, Mary E |
author_sort | O'Connor, Thomas G |
collection | PubMed |
description | BACKGROUND: Early intervention and preventive interventions are attracting increasing attention in the child and adolescent mental health field because recent research findings offer new insights into risk mechanisms and because of the growing expectation that they may hold clues to reducing suffering and health cost burdens for society and the individual. METHODS: A selective review of the literature is provided to examine alternative models for understanding the impact of early risk exposure and how these findings may be translated to intervention and prevention; we pay particular attention to the role of child-parent attachment relationship quality as a major potential source of risk or protection. RESULTS: In this qualitative review, we conclude that sharply contrasting models for understanding early exposure to risk have not been adequately empirically examined in human work. In the case of attachment disturbances, one good context for studying early risk and intervention, sizable questions remain about conceptual models and assessment practices. CONCLUSION: Implications of these findings, and limits of the findings, for existing conceptual models of child and adolescent psychopathology and clinical practice are highlighted. |
format | Text |
id | pubmed-2745367 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2009 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-27453672009-09-17 Early stress exposure: Concepts, findings, and implications, with particular emphasis on attachment disturbances O'Connor, Thomas G Spagnola, Mary E Child Adolesc Psychiatry Ment Health Review BACKGROUND: Early intervention and preventive interventions are attracting increasing attention in the child and adolescent mental health field because recent research findings offer new insights into risk mechanisms and because of the growing expectation that they may hold clues to reducing suffering and health cost burdens for society and the individual. METHODS: A selective review of the literature is provided to examine alternative models for understanding the impact of early risk exposure and how these findings may be translated to intervention and prevention; we pay particular attention to the role of child-parent attachment relationship quality as a major potential source of risk or protection. RESULTS: In this qualitative review, we conclude that sharply contrasting models for understanding early exposure to risk have not been adequately empirically examined in human work. In the case of attachment disturbances, one good context for studying early risk and intervention, sizable questions remain about conceptual models and assessment practices. CONCLUSION: Implications of these findings, and limits of the findings, for existing conceptual models of child and adolescent psychopathology and clinical practice are highlighted. BioMed Central 2009-09-04 /pmc/articles/PMC2745367/ /pubmed/19732440 http://dx.doi.org/10.1186/1753-2000-3-24 Text en Copyright © 2009 O'Connor and Spagnola; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review O'Connor, Thomas G Spagnola, Mary E Early stress exposure: Concepts, findings, and implications, with particular emphasis on attachment disturbances |
title | Early stress exposure: Concepts, findings, and implications, with particular emphasis on attachment disturbances |
title_full | Early stress exposure: Concepts, findings, and implications, with particular emphasis on attachment disturbances |
title_fullStr | Early stress exposure: Concepts, findings, and implications, with particular emphasis on attachment disturbances |
title_full_unstemmed | Early stress exposure: Concepts, findings, and implications, with particular emphasis on attachment disturbances |
title_short | Early stress exposure: Concepts, findings, and implications, with particular emphasis on attachment disturbances |
title_sort | early stress exposure: concepts, findings, and implications, with particular emphasis on attachment disturbances |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2745367/ https://www.ncbi.nlm.nih.gov/pubmed/19732440 http://dx.doi.org/10.1186/1753-2000-3-24 |
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