Objective: Birthing trauma (BT) (i.e., complicated birth) is an early life complex trauma for the baby and mother that never been empirically examined or considered within the trauma field as a traumatic stressor for the newborn. The goal of current study is to examine its effects on mental health and neurocognitive functioning and explore its proliferation to other life traumas. Method: Current study utilizes a novel developmental-based trauma framework (DBTF) to empirically test assumptions about some of its negative delayed psychosocial and neurocognitive effects in ado-lescents, and the dynamics of its proliferation to other potentially dependent traumas. A commu-nity sample of 410 African American and Iraqi adolescents have been administered measures of traumas (CTS), birthing trauma, PTSD, complex PTSD (CTD), existential anxiety and WISC IV. We controlled for the numerous cumulative stressors and traumas that could potentially be playing a role. .Results: Correlations and path analyses and multigroup invariance found that BT predicted elevated symptoms of post-trauma spectrum disorders, reduced IQ scores, and increased discre-pancy IQ index. These relationships were strongly invariant across gender and cultural groups. BT directly predicted other early childhood traumas, and indirectly all other life trauma types, which support BT proliferation hypothesis. These relationships were strongly invariant across gender. Conclusion: Screening for Birthing Trauma as one of the serious early childhood trauma is impor-tant. Early intervention with BT victims to provide early psychological and educational help and prevent proliferation dynamics is important.
Arbuckle, J. L. (2006). Amos 7.0 User’s Guide. Chicago: SPSS.
Bailham, D., & Joseph, S. (2003). Post-Traumatic Stress Following Childbirth: A Review of the Emerging Literature and Directions for Research and Practice. Psychology, Health & Medicine, 8, 159-168. http://dx.doi.org/10.1080/1354850031000087537
Beck, C. T. (2010). Subsequent Childbirth after a Previous Traumatic Birth. Nursing Research, 59, 241-249. http://dx.doi.org/10.1097/NNR.0b013e3181e501fd
Beck, C. T., Gable, R. K., Sakala, C., & Declercq, E. R. (2011). Posttraumatic Stress Disorder in New Mothers: Results from a Two-Stage US National Survey. Birth, 38, 216-227. http://dx.doi.org/10.1111/j.1523-536X.2011.00475.x
Binder, L. (1976). Hemispheric Specialization. Journal of Pediatric Psychology, 1, 34-38. http://dx.doi.org/10.1093/jpepsy/1.3.34
Blake, D. D., Weathers, F. W., Nagy, L. M., Kaloupek, D. G., Klauminzer, G., Charney, D. S., & Keane, T. M. (1990). A Clinician Rating Scale for Assessing Current and Lifetime PTSD: The CAPS-1. The Behavior Therapist, 13, 187-188.
Bornstein, R., & Matarazzo, J. (1982). Wechsler VIQ versus PIQ Differences in Cerebral Dysfunction: A Literature Review with Emphasis on Sex Differences. Journal of Clinical Neuropsychology, 4, 319-334. http://dx.doi.org/10.1080/01688638208401140
Bowlby, J. (1988). A Secure Base: Parent Child Attachment and Healthy Human Development. New Work: Basic Books.
Bremner, J. D., Vermetten, E., Afzal, N., & Vythilingam, M. (2004). Deficits in Verbal Declarative Memory Functions in Women with Childhood Sexual Abuse-Related Posttraumatic Stress Disorder. Journal of Nervous and Mental Disease, 192, 643-649. http://dx.doi.org/10.1097/01.nmd.0000142027.52893.c8
Breslau, N., Lucia, V., & Alvarado, G. (2006). Intelligence and Other Predisposing Factors in Exposure to Trauma and Posttraumatic Stress Disorder. Archives of General Psychiatry, 63, 1238-1245. http://dx.doi.org/10.1001/archpsyc.63.11.1238
Callahan, J. L., & Hynan, M. T. (2002). Identifying Mothers at Risk for Postnatal Emotional Distress: Further Evidence for the Validity of the Perinatal Posttraumatic Stress Disorder Questionnaire. Journal of Perinatology, 22, 448-454. http://dx.doi.org/10.1038/sj.jp.7210783
Creedy, D. K., Shochet, I. M., & Horsfall, J. (2000). Childbirth and the Development of Acute Trauma Symptoms: Incidence and Contributing Factors. Birth, 27, 104-111. http://dx.doi.org/10.1046/j.1523-536x.2000.00104.x
Daniels, J. K., Lamke, J. P., Gaebler, M., Walter, H., & Scheel, M. (2013). White Matter Integrity and Its Relationship to PTSD and Childhood Trauma—A Systematic Review and Meta-Analysis. Depression & Anxiety, 30, 207-216. http://dx.doi.org/10.1002/da.22044
De Bellis, M. D., & Zisk, A. (2014). The Biological Effects of Childhood Trauma. Child and Adolescent Psychiatric Clinic ofNorth America, 23, 185-222. http://dx.doi.org/10.1016/j.chc.2014.01.002
De Schepper, S., Vercauteren, T., Tersago, J., Jacquemyn, Y., Raes, F., & Franck, E. (2016). Post-Traumatic Stress Disorder after Childbirth and the Influence of Maternity Team Care During Labour and Birth: A Cohort Study. Midwifery, 32, 87-92. http://dx.doi.org/10.1016/j.midw.2015.08.010
Delaney-Black, V., Covington, C., Ondersma, S., Nordstrom-Klee, B., Templin, T., Ager, G. et al. (2002). Violence Exposure, Trauma, and IQ and/or Reading Deficits among Urban Children. Archives of Pediatrics and Adolescent Medicine, 156, 280-285. http://dx.doi.org/10.1001/archpedi.156.3.280
Edworth, Z. Chasey, R., & Williams, H. (2008). The Role of Schema and Appraisals in the Development of Post-Traumatic Stress Symptoms Following Birth. Journal of Reproductive and Infant Psychology, 26, 123-138. http://dx.doi.org/10.1080/02646830801918422
Erceg-Hurn, D., & Mirosevich, V. (2008). Modern Robust Statistical Methods: An Easy Way to Maximize the Accuracy and Power of Your Research. American Psychologist, 63, 591-601. http://dx.doi.org/10.1037/0003-066X.63.7.591
Forcada-Guex, M., Borghini, A., Pierrehumbert, B., Ansermet, F., & Muller-Nix, C. (2011). Prematurity, Maternal Post traumatic Stress and Consequences on the Mother-Infant Relationship. Early Human Development, 87, 21-26. http://dx.doi.org/10.1016/j.earlhumdev.2010.09.006
Ford, E., Ayers, S., & Bradley, R. (2010). Exploration of a Cognitive Model to Predict Post-Traumatic Stress Symptoms Following Childbirth. Journal of Anxiety Disorders, 24, 353-359. http://dx.doi.org/10.1016/j.janxdis.2010.01.008
Gaensbauer, T. (2002). Representations of Trauma in Infancy: Clinical and Theoretic Implications for the Understanding of Early Memory. Infant Mental Health Journal, 23, 259-277. http://dx.doi.org/10.1002/imhj.10020
Grekin, R., & O’Hara, M. W. (2014). Prevalence and Risk Factors of Postpartum Posttraumatic Stress Disorder: A Meta-Analysis. Clinical Psychology Review, 34, 389-401. http://dx.doi.org/10.1016/j.cpr.2014.05.003
Halperin, O., Sarid, O., & Cwikel, J. (2015). The Influence of Childbirth Experiences on Women’s Postpartum Traumatic Stress Symptoms: A Comparison between Israeli Jewish and Arab Women. Midwifery, 31, 625-632. http://dx.doi.org/10.1016/j.midw.2015.02.011
Iles, J., Slade, P., & Spiby, H. (2011). Posttraumatic Stress Symptoms and Postpartum Depression in Couples after Childbirth: The Role of Partner Support and Attachment. Journal of Anxiety Disorders, 25, 520-530. http://dx.doi.org/10.1016/j.janxdis.2010.12.006
Kalton, G., & Anderson, D. (1986). Sampling Rare Populations. Journal of the Royal Statistical Society, 149, 65-82. http://dx.doi.org/10.2307/2981886
Kira, I. (2001). Taxonomy of Trauma and Trauma Assessment. Traumatology, 2, 1-14. http://dx.doi.org/10.1177/153476560100700202
Kira, I. (2004). Secondary Trauma in Treating Refugee Survivors of Torture and Their Families. Torture, 14, 38-44.
Kira, I. (2010). Etiology and Treatments of Post-Cumulative Traumatic Stress Disorders in Different Cultures. Traumatology: An International Journal, 16, 128-141. http://dx.doi.org/10.1177/1534765610365914
Kira, I. A., Lewandowski, L., Ashby, J. S., & Omidy, A. Z. (2015). Development and Piloting the MMMM Ecological Interactive Open Systems Model: A Prospective One-Year Treatment Outcome of Children of Tortured Refugees. Psychology, 6, 1277-1296. http://dx.doi.org/10.4236/psych.2015.610125
Kira, I. A., Omidy, A. Z., & Ashby, J. S. (2014). Cumulative Trauma, Appraisal and Coping in Palestinian and American Indian Adults: Two Cross-Cultural Studies. Traumatology: An International Journal, 20, 119-133. http://dx.doi.org/10.1037/h0099397
Kira, I. A., Omidy, A. Z., Fawzi, M., Rice, K. G., Fawzi, M., Lewandowski, L., & Bujold-Bugeaud, M. (2015). Are the Negative Mental Health Effects of Gender Discrimination (GD) Salient across Cultures? Does Self-Esteem Mediate These Effects: GD as a Continuous Traumatic Stress and the Pathways to Its Negative Dynamics? Psychology, 6, 93-116. http://dx.doi.org/10.4236/psych.2015.61009
Kira, I., Alawneh, A., Aboumediene, S., Lewandowski, L., & Laddis, A. (2014). Dynamics of Oppression and Coping from Traumatology Perspective: The Example of Palestinian Youth. Peace and Conflict: Journal of Peace Psychology, 20, 385-411. http://dx.doi.org/10.1037/pac0000053
Kira, I., Ashby, J. S., Lewandowski, L., Alawneh, A.N., Mohanesh, J., & Odenat, L. (2013). Advances in Continuous Traumatic Stress Theory: Traumatogenic Dynamics and Consequences of Intergroup Conflict: The Palestinian Adolescents Case. Psychology, 4, 396-409. http://dx.doi.org/10.4236/psych.2013.44057
Kira, I., Fawzi, M., & Fawzi, M. (2013). The Dynamics of Cumulative Trauma and Trauma Types in Adults Patients with Psychiatric Disorders: Two Cross-Cultural Studies. Traumatology: An International Journal, 19, 179-195. http://dx.doi.org/10.4236/psych.2013.44057
Kira, I., Hammad, A., Lewandowski, L., Templin, T., Ramswamy, V., Ozkan, B., & Mohanesh, J. (2007). The Health and Mental Status of Iraqi Refugees and Their Etiology. Ethnicity & Disease, 17, 79-82.
Kira, I., Lewandowski, L., Chiodo, L., & Ibrahim, A. (2014). Advances in Systemic Trauma Theory: Traumatogenic Dynamics and Consequences of Backlash as a Multi-Systemic Trauma on Iraqi Refugee Muslim Adolescents. Psychology, 5, 389-412. http://dx.doi.org/10.4236/psych.2014.55050
Kira, I., Lewandowski, L., Somers, C., Yoon, J., & Chiodo, L. (2012) PTSD, Trauma Types, Cumulative Trauma, and IQ: The Case of African American and Iraqi Refugee Adolescents. Psychological Trauma: Theory, Research, Practice, and Policy, 4, 128-139. http://dx.doi.org/10.1037/a0022121
Kira, I., Lewandowski, L., Templin, T., Ramaswamy, V., Ozkan, B., & Mohanesh, J. (2008). Measuring Cumulative Trauma Dose, Types and Profiles Using a Development-Based Taxonomy of Trauma. Traumatology: International Journal, 14, 62-87. http://dx.doi.org/10.1177/1534765608319324
Kira, I., Somers, C., Lewandowski, L., & Chiodo, L. (2012). Attachment Disruptions, IQ and PTSD in African American Adolescents (AAA): A Traumatology Perspective. Journal of Aggression, Maltreatment, and Trauma, 21, 665-690. http://dx.doi.org/10.1080/10926771.2012.698377
Kira, I., Templin, T., Lewandowski, L., Ashby, J. S., Oladele, A., & Odenat, L. (2012). Cumulative Trauma Disorder Scale: Two Studies. Psychology, 3, 643-656. http://dx.doi.org/10.4236/psych.2012.39099
Kira, I., Templin, T., Lewandowski, L., Clifford, D., Wiencek, E., Hammad, A., Al-Haidar, A., & Mohanesh, J. (2006). The Effects of Torture: Two Community Studies. Peace and Conflict: Journal of Peace Psychology, 12, 205-228. http://dx.doi.org/10.1207/s15327949pac1203_1
Kira, I., Templin, T., Lewandowski, L., Ramaswamy, V., Bulent, O., Abu-Mediane, S., Mohanesh, J., & Alamia, H. (2011). Cumulative Tertiary Appraisal of Traumatic Events across Cultures: Two Studies. Journal of Loss and Trauma: International Perspectives on Stress & Coping, 16, 43-66. http://dx.doi.org/10.1080/15325024.2010.519288
Kira, I., Templin, T., Lewandowski, L., Ramaswamy, V., Bulent, O., Mohanesh, J., & Abdulkhaleq, H. (2012). Collective and Personal Annihilation Anxiety: Measuring Annihilation Anxiety AA. Psychology, 3, 90-99. http://dx.doi.org/10.4236/psych.2012.31015
Kuhlman, K. R., Vargas, I., Geiss, E., & Lopez-Duran, N. (2015). Age of Trauma Onset and HPA Axis Dysregulation among Trauma-Exposed Youth. Journal of Traumatic Stress, 28, 572-579. http://dx.doi.org/10.1002/jts.22054
Labonte, B., Suderman, M., Maussion, G., Navaro, L., Yerko, V., & Mahar, I. (2012) Genome-Wide Epigenetic Regulation by Early-Life Trauma. Archives of General Psychiatry, 69, 722-731. http://dx.doi.org/10.1001/archgenpsychiatry.2011.2287
Li, S., Callaghan, B. L., & Richardson, R. (2014). Infantile Amnesia: Forgotten but Not Gone. Learning & Memory, 21, 135-139. http://dx.doi.org/10.1101/lm.031096.113
Liu, R. T. (2013). Stress Generation: Future Directions and Clinical Implications. Clinical Psychology Review, 33, 406-416. http://dx.doi.org/10.1016/j.cpr.2013.01.005
Ludington-Hoe, S. M., Morgan, K., & Abouelfettoh, A. (2008). A Clinical Guideline for Implementation of Kangaroo Care with Premature Infants of 30 or More Weeks’ Postmenstrual Age. Advances in Neonatal Care, 8, S3-S23. http://dx.doi.org/10.1097/01.ANC.0000324330.25734.b6
Lupien, S. J., McEwen, B. S., Gunnar, M. R., & Heim, C. (2009). Effects of Stress throughout the Lifespan on the Brain, Behaviour and Cognition. Nature Reviews Neurosciences, 10, 434-445. http://dx.doi.org/10.1038/nrn2639
McGowan, P. O. (2013). Epigenomic Mechanisms of Early Adversity and HPA Dysfunction: Considerations for PTSD Research. Frontiers in Psychiatry, 4, 110. http://dx.doi.org/10.3389/fpsyt.2013.00110
Misund, A. R., Nerdrum, P., Br?ten, S., Pripp, A. H., & Diseth, T. H. (2013). Long-Term Risk of Mental Health Problems in Women Experiencing Preterm Birth: A Longitudinal Study of 29 Mothers. Annals of General Psychiatry, 12, 33. http://dx.doi.org/10.1186/1744-859X-12-33
National Scientific Council on the Developing Child (2005/2014). Excessive Stress Disrupts the Architecture of the Developing Brain. Working Paper 3. Updated Edition. www.developingchild.harvard.edu
Nyqvist, K. H., Anderson, G. C., Bergman, N., Cattaneo, A., Charpak, N., Davanzo, R., et al. (2010). Towards Universal Kangaroo Mother Care: Recommendations and Report from the First European Conference and Seventh International Workshop on Kangaroo Mother Care. Acta Paediatrica, 99, 820-826. http://dx.doi.org/10.1111/j.1651-2227.2010.01787.x
Ogle, C. M., Rubin, D. C., Berntsen, D., & Siegler, I. C. (2013). The Frequency and Impact of Exposure to Potentially Traumatic Events over the Life Course. Clinical Psychological Science, 1, 426-434. http://dx.doi.org/10.1177/2167702613485076
Ogle, C. M., Rubin, D., & Siegler, I. C. (2013). The Impact of the Developmental Timing of Trauma Exposure on PTSD Symptoms and Psychosocial Functioning among Older Adults. Developmental Psychology, 49, 2191-2200. http://dx.doi.org/10.1037/a0031985
Onoye, J. M., Goebert, D., Morland, L., Matsu, C., & Wright, T. (2009). PTSD and Postpartum Mental Health in a Sample of Caucasian, Asian, and Pacific Islander Women. Archives of Women’s Mental Health, 12, 393-400. http://dx.doi.org/10.1007/s00737-009-0087-0
Palmieri, P., Weathers, F., Difede, J., & King, D. (2007). Confirmatory Factor Analysis of the PTSD Checklist and the Clinician-Administered PTSD Scale in Disaster Workers Exposed to the World Trade Center Ground Zero. Journal of Abnormal Psychology, 116, 329-341. http://dx.doi.org/10.1037/0021-843X.116.2.329
Parfitt, Y. M., & Ayers, S. (2009). The Effect of Post-Natal Symptoms of Post-Traumatic Stress and Depression on the Couple’s Relationship and Parent-Baby Bond. Journal of Reproductive and Infant Psychology, 27, 127-142. http://dx.doi.org/10.1080/02646830802350831
Pearlin, L. I., Aneshensel, C. S., & Leblanc, A. J. (1997). The Forms and Mechanisms of Stress Proliferation: The Case of AIDS Caregivers. Journal of Health and Social Behavior, 38, 223-236. http://dx.doi.org/10.2307/2955368
Phillips, R. (2013). The Sacred Hour: Uninterrupted Skin-to-Skin Contact Immediately after Birth. Newborn and Infant Nursing Reviews, 13, 67-72. http://dx.doi.org/10.1053/j.nainr.2013.04.001
Quinn, J. J., Skipper, R. A., & Claflin, D. I. (2013). Infant Stress Exposure Produces Persistent Enhancement of Fear Learning across Development. Developmental Psychobiology, 56, 1008-1016. http://dx.doi.org/10.1002/dev.21181
Rank, O. (1924). Das Trauma der Geburt [The Trauma of Birth]. Translated into English 1929, Mineola, NY: Dover, 1994.
Richardson, R., & Hayne, H. (2007). You Can’t Take It with You: The Translation of Memory across Development. Current Directions in Psychological Science, 16, 223-227. http://dx.doi.org/10.1111/j.1467-8721.2007.00508.x
Simcock, G., & Hayne, H. (2002). Children Fail to Translate Their Preverbal Memories into Language. American Psychological Society, 13, 225-231.
Soet, J. E., Brack, G. A., & DiIorio, C. (2003). Prevalence and Predictors of Women’s Experience of Psychological Trauma during Childbirth. Birth, 30, 36-46. http://dx.doi.org/10.1046/j.1523-536X.2003.00215.x
Wechsler, D. (2003). Wechsler Intelligence Scale for Children-Fourth Edition: Technical and Interpretive Manual. San Antonio, TX: The Psychological Corporation.
White, T., Matthey, S., Boyd, K., & Barnett, B. (2006). Postnatal Depression and Post-Traumatic Stress after Childbirth: Prevalence, Course and Co-Occurrence. Journal of Reproductive and Infant Psychology, 24, 107-120. http://dx.doi.org/10.1080/02646830600643874