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A comprehensive review of the litera- ture on complex trauma suggests seven primary domains of impairment ob- served in exposed children: attachment, biology, affect regulation, dissociation (ie, alterations in consciousness), behav- ioral regulation, cognition, and self-con- cept.
Complex trauma describes both childrens exposure to multiple traumatic eventsoften of an invasive, interpersonal natureand the wide-ranging, long-term effects of this exposure. These events are severe and pervasive, such as abuse or profound neglect.
A cutoff value 35 for total CTQ scores indicates a significant history of childhood trauma [58] .
Childhood Trauma QuestionnaireShort Form (CTQ-SF; Bernstein Fink, 1998) consists of 28 items, of which 25 measure childhood maltreatment (total), including five subscales of five items each, i.e., Emotional Abuse (EA), Physical Abuse (PA), Sexual Abuse (SA), Emotional Neglect (EN) and Physical Neglect (PN).
Healing from complex trauma looks different for everyone and can take a while. Some people start feeling better after a few months of therapy, while others might need years to really recover. Its a process that takes time and support, and there are often ups and downs along the way.
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