A longitudinal study of cognitive predictors of (complex) post‐traumatic stress in young people in out‐of‐home care

Matt Kempen
Marketing Manager for ACAMH

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Dr. Rachel Hiller gives a video abstract of her paper ‘A longitudinal study of cognitive predictors of (complex) post‐traumatic stress in young people in out‐of‐home care’ first published in Journal of Child Psychology & Psychiatry (JCPP) 20 March 2020. Read the paper doi.org/10.1111/jcpp.13232

Full authors: Rachel M. Hiller, Richard Meiser‐Stedman, Elizabeth Elliott, Rosie Banting, Sarah L. Halligan

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Young people in out‐of‐home care are substantially more likely to meet criteria for PTSD than their peers, while their early maltreatment exposure may also place them at greater risk of developing the newly proposed complex PTSD. Yet, there remains limited empirical evidence for the mechanisms that might drive either PTSD or complex features in this group, and ongoing debate about the suitability of existing cognitive behavioural models and their related NICE‐recommended treatments. In a prospective study of young people in out‐of‐home care, we sought to identify demographic and cognitive processes that may contribute to the maintenance of both PTSD symptom and complex features.

Dr. Rachel Hiller
Dr. Rachel Hiller

Dr. Rachel Hiller is a lecturer in child and adolescent clinical psychology in the Department of Psychology, University of Bath. Her research examines cognitive-behavioural processes that link the experience of child trauma or maltreatment to psychological outcomes, with a focus on posttraumatic stress disorder (PTSD). It is focused on high-risk groups, including those exposed to multiple traumas or maltreatment and where trauma is experienced in the context of ongoing adversity. Rachel is particularly interested in exploring ways to improve access to evidence-based trauma-focussed psychological interventions for vulnerable groups of youth and in how different services (e.g., social-care, mental health, education) understand and respond to the needs of trauma-exposed young people.

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