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Protective Factors in Childhood Posttraumatic Stress Disorder

Most people will likely experience at least one traumatic event (witnessing, exposure to, or incurring a severe injury, natural disaster, neglect, violence, or abuse) during their lives. For millions of individuals around the world, this often occurs at some point during childhood. The potential psychological effects of these adverse events can cause far-ranging complications in many aspects of one's functioning throughout one's life span (social, cognitive, physical, and psychological). Children can be particularly vulnerable to such negative effects because they may lack the appropriate coping resources needed to successfully process and recover from these situations. Despite the increased risk, some children are able to effectively negate some or all of these potential consequences or not be as adversely affected. For example, it has been estimated that because of various protective factors 10% to 20% of children exposed to a traumatic event do not experience the strong negative and adverse effects that can hinder functioning. It has been estimated, however, that 5% to 18% (depending on type, duration, and frequency of trauma) of children exposed to a traumatic event develop actual posttraumatic stress disorder (PTSD). The children who are able to bypass PTSD and other negative side effects of trauma are labeled as resilient because they seem to be able to cope with the stress and adapt to the adverse events.

Resiliency is an outgrowth of protective factors, which are characteristics that promote the development of healthy outcomes and personality traits. Understanding the protective factors that construct resiliency is crucial for the future growth of trauma treatment. By exploring how children cope and thrive in the face of adversity, we can develop more effective prevention and treatment strategies for PTSD. This entry explores some well-known protective factors according to two different groupings: internal (individual characteristics) and external (environmental or contextual characteristics) factors.

Internal Factors

Children react to their environments in many different ways. Gender, age, race, sexuality, ethnicity, values, and religion are just some of the variables that contribute to these individual differences. Research has shown that those children who have more positive outlooks and are able to interpret their traumatic experience as something they can overcome and successfully traverse will be less likely to have future adverse effects. Also, children who experience more positive emotions and laugh more often are better able to cope with their circumstances and foster favorable relationships and responses in others.

Similarly, the way children view themselves and their ability to cope with a traumatic experience is important. Children who have high self-esteem are more likely to see themselves as survivors and not as victims. Because of this, they have a more hopeful outlook of the future in realizing that they can get through their experience and have a better tomorrow. In addition, children who believe that they can control events that affect them (i.e., internal locus of control) feel as though they have command over their lives and can create their own path. This is important for warding off feelings of helplessness and hopelessness that challenge protective factors.

It is important for the child only to have healthy beliefs, and to have healthy standards of behavior. Children with these characteristics are able to look at their situations in a constructive manner and behave in socially appropriate ways. This can help circumvent the acting out behaviors that some children experience after a painful incident.

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