A curated collection of Books, Videos, Articles and more to educate consumers, caregivers and professionals about Complex Trauma.

Articles

Guide to Article Galleries

Article

The following is a curated collection of peer-reviewed, scholarly journal articles on complex trauma written by Dr. Joseph Spinazzola and colleagues. These articles span a range of topics relevant to complex trauma, including risk trajectories; symptoms and diagnoses; approaches to assessment and treatment; trauma-informed care and service system transformation; youth violence prevention; and the impact of trauma on mind and body.  

How to Use this Gallery

Articles are listed within topical categories, and you can see all articles in a given topic by using the dropdown menu at the top that lists all the article topics/categories.

All of these files are in PDF format. How you view/download a given article depends on your computer environment.  By clicking the Download Link in the table below, the file will either immediately download or will show you the article to read in place.  Clicking the download icon at the upper right of the (read-in-place) screen, will trigger a download to your computer.

 

Articles were selected with the aim of advancing general understanding of the complexity of human exposure and adaptation to interpersonal trauma, and to inform personal growth, professional development and multidisciplinary response. They by no means constitute an exhaustive list.

To find additional articles on these and other topics related to traumatic stress, explore our links to external resources, or consult with one of the many scholarly search engines available on the internet such as Google Scholar, PsycINFO, PubMed, or EBSCOhost.  

Some of these articles may resonate more with practitioners than consumers, family members, or loved ones of individuals impacted by trauma. Other more technical articles may be of greatest interest to students and researchers.  

Downloadable copies are provided here for non-commercial personal, educational, therapeutic or research use. Not intended for commercial use, reproduction or distribution.   


TitleDownload Linktopic_hfilter
Childhood Emotional & Physical Neglect Shorten Telomeres & Increase Risk for Early Mortality

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assessment physiology-brain-development risk-trajectories
Enduring Neurobiological Effects of Childhood Abuse & Neglect

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developmental-trauma-disorder physiology-brain-development risk-trajectories
Quietly Suffering: Undetected Trauma Responses Associated with Parasympathetic Nervous System Influence on PTSD

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physiology-brain-development
Physical Health Problems after Single Trauma Exposure: When Stress Takes Root in the Body

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physiology-brain-development risk-trajectories
Trauma-Informed Musical Theater Program for Incarcerated Girls

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complementary-integrative-approaches diverse-client-populations youth-violence-prevention
Complex Relationship between Childhood Trauma Exposure & Youth Violence

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risk-trajectories youth-violence-prevention
Incorporating Improv Theater into Classroom Management & Teaching Strategies

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diverse-client-populations youth-violence-prevention
Improv Theater-based Youth Violence Prevention with Elementary School Youth

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diverse-client-populations youth-violence-prevention
DDP: Effects of an Attachment-Focused Family Therapy one-to-four Years Post-treatment

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child-adolescent-family-treatment long-termed-effects-of-treatment
15-Month Outcomes of Trauma Systems Therapy

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child-adolescent-family-treatment long-termed-effects-of-treatment
Effects of Yoga for Women with Chronic PTSD one-to-three years post-treatment

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adult-treatment complementary-integrative-approaches long-termed-effects-of-treatment
Treatment of DESNOS with an Adult Survivor of Domestic Abuse

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adult-treatment case-studies complex-ptsd-disorders-of-extreme-stress
Treatment of a Dissociative Boy Burned at Age 3

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case-studies child-adolescent-family-treatment
EMDR Resource Development & Installation in Phase I Treatment of Complex PTSD

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adult-treatment case-studies
Equine-Facilitated Therapy for Complexly Traumatized Youth

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case-studies child-adolescent-family-treatment complementary-integrative-approaches
Trauma-Informed Yoga for Youth in Residential Treatment

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case-studies child-welfare-initiatives complementary-integrative-approaches
Role of Somatic Regulation in Processing of Preverbal Trauma

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case-studies child-adolescent-family-treatment complementary-integrative-approaches
SPARCS: Manualized Group Treatment for Adolescents

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child-adolescent-family-treatment residential-services
Sports-based Intervention for Girls in Residential Trauma Treatment

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child-adolescent-family-treatment complementary-integrative-approaches residential-services
ARC: Complex Trauma Clincial & Milieu Intervention for Residential Treatment Settings 12

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child-adolescent-family-treatment residential-services
Real Life Heroes: Resiliency-based Residential Treatment for Youth with CPTSD

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child-adolescent-family-treatment residential-services
Trauma-Informed Behavior Management for Youth in Residential Treatment Settings

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child-adolescent-family-treatment residential-services
Traumatized Youth in Residential Treatment: Prevalence, Presentation, Practices & Policy

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residential-services
Complex Trauma Intervention with Transition Age Youth

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child-adolescent-family-treatment diverse-client-populations
Complex Trauma Intervention in Juvenile Justice Programs

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child-adolescent-family-treatment diverse-client-populations
Trauma & Resilience for African-American & Biracial Adults Living with Poverty & Community Violence

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child-adolescent-family-treatment diverse-client-populations
CBP: Integrating Complex Trauma Treatment into Christian Counseling

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adult-treatment diverse-client-populations
RC: Utility of a Complex Trauma Intervention Model within Adoptive Services Programs

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diverse-client-populations
Complex Trauma & Polyvictimization in LGBTQ, CommercIally Exploited & Urban Minority & Urban Minority Youth & Young Adults: Recommendations for Multidisciplinary Responders

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diverse-client-populations
Trauma Systems Therapy in Child Welfare

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child-welfare-initiatives
ARC: Treating Complex Trauma with American Indian, Alaskan Native, Caucasian & African-American Young Children

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child-welfare-initiatives
Impact of a Complex Trauma Child Welfare Initiative on Youth Clinical Outcomes

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child-welfare-initiatives
Impact of a Complex Trauma Child Welfare Initiative on Permanency & Maltreatment

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child-welfare-initiatives
Building Complex Trauma-Informed Child Welfare Systems

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child-welfare-initiatives
Heart Rate Variability Biofeedback in Treatment of Trauma

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biofeedback-neurofeedback
Pilot Study of Neurofeedback for Chronic PTSD

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biofeedback-neurofeedback
RCT of Neurofeedback for Chronic PTSD

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biofeedback-neurofeedback
Meditation for PTSD: Review & Meta-analysis

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complementary-integrative-approaches
RCT of Somatic Experiencing for PTSD in Adults

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complementary-integrative-approaches
Sensorimotor Psychotherapy in Treatment of Complex PTSD

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complementary-integrative-approaches
Somatic Regulation in Treatment of Complex Trauma in Children

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complementary-integrative-approaches
Sensory Integration in Treatment of Complex PTSD with Adults

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complementary-integrative-approaches
Effects of Trauma-Sensitive Yoga on Posttraumatic Growth

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complementary-integrative-approaches
Enhanced Effects of Intensive & Extended Yoga for Women with Chronic PTSD

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complementary-integrative-approaches
RCT of Yoga for Chronic, Treatment-Resistant PTSD

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complementary-integrative-approaches
Balancing Flexibility with Fidelity of Evidence-Based Practices in Real-life Treatment of Youth

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child-adolescent-family-treatment
Adaptation of TF-CBT for Complexly Traumatized Youth

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child-adolescent-family-treatment
DDP: Overview of Dyadic Developmental Psychotherapy

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child-adolescent-family-treatment
RCT of TARGET for Adolescent Girls involved in Delinquency

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child-adolescent-family-treatment
Overview of Real Life Heroes in Treatment of Children Impacted by Complex Trauma

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child-adolescent-family-treatment
Overview of the ARC Complex Trauma Intervention Model for Children & Families

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child-adolescent-family-treatment developmental-trauma-disorder
RCT of MBSR for Women Exposed to Interpersonal Violence

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adult-treatment
Overview of TARGET in use with Complexly Traumatized Adults & Adolescents

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adult-treatment diverse-client-populations
RCT of a Phase-Oriented Treatment of Complex PTSD

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adult-treatment complex-ptsd-disorders-of-extreme-stress
RCT of EMDR in Treatment of Adult-Onset Versus Childhood-Onset Trauma

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adult-treatment complex-ptsd-disorders-of-extreme-stress
CBP: Treating Adult Survivors of Emotional Abuse & Neglect

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adult-treatment diverse-client-populations
Limited Generalizability of Findings from PTSD Treatment Studies to Real-Life Clinical Practice

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adult-treatment complex-ptsd-disorders-of-extreme-stress
Assessment of Complex Trauma Exposure, Responses, & Service Needs in Child Welfare-involved Youth

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assessment child-welfare-initiatives child-adolescent-family-treatment
Validation of a Revised Clinician Interview Tool for DESNOS

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adult-treatment assessment complex-ptsd-disorders-of-extreme-stress
Neuropsychological Assessment of Complex Adaptation to Trauma in Children & Adolescents 5

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assessment
Screening for Trauma Symptoms in Child Welfare-involved Young Children

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assessment child-welfare-initiatives
Assessment of Complex Posstraumatic States in Children & Adults

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assessment
Pros & Cons of Establishing a DTD Diagnosis

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developmental-trauma-disorder
DTD in Urban Children & Adolescents

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developmental-trauma-disorder diverse-client-populations youth-violence-prevention
Psychiatric Comorbidity of DTD & PTSD

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child-adolescent-family-treatment developmental-trauma-disorder
Effects of Impaired Caregiving, Family & Community Violence on Emergence of DTD

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child-adolescent-family-treatment developmental-trauma-disorder
Validation of the DTD Diagnosis & Clinical Interview Tool

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assessment child-adolescent-family-treatment developmental-trauma-disorder
Clinical Significance of a DTD Diagnosis: International Clinician Survey

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assessment child-adolescent-family-treatment developmental-trauma-disorder
Why We Need a DTD Diagnosis

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assessment child-adolescent-family-treatment developmental-trauma-disorder
Evidence for including CPTSD as a Diagnosis in ICD-11

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assessment complex-ptsd-disorders-of-extreme-stress
Distinguishing PTSD, CPTSD & Borderline Personality Disorder

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assessment complex-ptsd-disorders-of-extreme-stress
Childhood Versus Adult Traumatic Experiences as Predictors of Symptom Complexity

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assessment complex-ptsd-disorders-of-extreme-stress risk-trajectories
“DESNOS in Algeria, Ethiopia & Gaza”

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assessment complex-ptsd-disorders-of-extreme-stress diverse-client-populations foundational-articles
Dissociative Symptoms in Adults with DESNOS Versus PTSD

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adult-treatment assessment complex-ptsd-disorders-of-extreme-stress
DESNOS: The Empirical Foundation of Complex Adaptation to Trauma

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assessment complex-ptsd-disorders-of-extreme-stress
Assessment & Treatment of Complex Trauma in Adults: DESNOS

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adult-treatment assessment complex-ptsd-disorders-of-extreme-stress
Adverse Childhood Experiences (ACES) Increase Risk of Leading Causes of Early Death in Adults

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adult-treatment assessment physiology-brain-development risk-trajectories
Effects of Sexual Abuse on Complex Adaptation to Childhood Trauma

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risk-trajectories
Effects of Trauma Type & Executive Dysfunction on Polyvictimized Youth in Residential Treatment

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child-adolescent-family-treatment residential-services risk-trajectories
Effects of Trauma Type & Characteristics in a National Sample of Children & Adolescents

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developmental-trauma-disorder risk-trajectories
Unseen Wounds: Effects of Childhood Psychological Maltreatment on Complex Trauma Outcomes

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child-adolescent-family-treatment developmental-trauma-disorder risk-trajectories
Complex Trauma in Children & Adolescents: Update & Review

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foundational-articles
Complex Trauma in Children & Adolescents: Update & Review

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foundational-articles
Empirical Support for Complex Trauma

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assessment foundational-articles
Complex Trauma, Complex Reactions: Assessment & Treatment

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adult-treatment assessment foundational-articles
Complex Trauma: The Heart of the Matter

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child-welfare-initiatives foundational-articles
National Survey on Complex Trauma Exposure, Outcomes & Intervention

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assessment child-adolescent-family-treatment foundational-articles
Complex Trauma in Children & Adolescents: Focal Point

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assessment child-adolescent-family-treatment foundational-articles
Complex Trauma in Children & Adolescents: Psychiatric Annals

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assessment foundational-articles