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RE: Physiological growth of abused children



Lane--
     I thought your paper was terrific, especially in the concrete 
physical correlation between cognitive/neurological and simple 
measurement of head circumference--echoes the work of many studying 
childhood and adult PTSD who have found decreased brain volume 
generally, and specifically in hypocampus and anterior cinguate. I 
look forward to further research from your team.--Doug Waite, MD


ing "Strathearn, Lane" <lxstrath@TexasChildrensHospital.org>:

> We demonstrated a significantly smaller head circumference in
> prem infants
> with substantiated neglect, independent of other growth
> parameters or
> complications of prematurity. This was evident ot 2 and 4
> years of age, but
> not at birth, and was associated with a progressive drop off
> in cognitive
> scores over time.
>  
> Ref:
> Strathearn L, Gray PH, O'Callaghen MJ, Wood DO. Childhood
> neglect and
> cognitive development in extremely low birth weight infants: A
> prospective
> study. Pediatrics 2001:108:142-151. 
> http://ezproxy2.library.tmc.edu:2124/cgi/content/abstract/108/1/142?
maxtosho
> w=
> 
<http://ezproxy2.library.tmc.edu:2124/cgi/content/abstract/108/1/142?
maxtosh
> 
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> &FIRSTINDEX=0&volume=108&firstpage=142&journalcode=pediatrics>
> 
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> RSTINDEX=0&volume=108&firstpage=142&journalcode=pediatrics
> ============================================ 
> Dr Lane Strathearn 
> Clinical Postdoctoral Fellow 
> Department of Pediatrics, Baylor College of Medicine 
> Meyer Center for Developmental Pediatrics 
> Texas Children's Hospital 
> Clinical Care Center, Suite 1530 
> 6621 Fannin St. CC1530 
> Houston, Texas. 77030-2399 
> Tel: 832/822-3422; Fax: 832/825-3399 
> Email: lxstrath@texaschildrenshospital.org 
> 
> -----Original Message-----
> From: Stephanie Dallam [mailto:sjd.scout@worldnet.att.net]
> Sent: Tuesday, June 11, 2002 3:05 PM
> To: Child Maltreatment Researchers
> Subject: Re: Physiological growth of abused children
> 
> 
> 
> >I am looking for recent studies dealing with the impact of
> deferent types
> of >abuse on  physiological parameters such as: height,
> weight, blood
> pressure, heart rate, B.M.I. and sexual development status.
> 
> Bruce Perry has looked at some of these variables. A list of
> articles of his
> which can be found online are  below. There was also a good
> article by
> Michael Teicher recently in Scientific American. In the
> article, Dr. Teicher
> provides an overview of research showing that early
> maltreatment can have
> enduring and measurable effects on a child's developing brain,
> diminishing
> growth and reducing activity in key areas.
> 
> Teicher, M. H. (2002). Scars that Won't Heal: The Neurobiology
> of Child
> Abuse. Scientific American, 286(3), 68-75. 
> 
> Stephanie Dallam
> 
> Articles by Bruce D. Perry,  M.D., Ph.D.
> 
> *	Perry, B. D. (1997). Incubated in Terror: Neurodevelopmental
> Factors
> in the "Cycle of Violence." In J. Osofsky (Ed.). Children,
> Youth and
> Violence: The Search for Solutions. (pp. 124-148). New York:
> Guilford Press.
> http://www.childtrauma.org/incubated1.htm
> <http://www.childtrauma.org/incubated1.htm>  How violence
> alters the brain
> and nervous system of the developing child. 
> 
> *	Perry, B. D. (1997). Altered Brain Development
> <http://www.bcm.tmc.edu/cta/neuros~1.htm> Following Global
> Neglect in Early
> Childhood. (1997). Academy version of a paper presented at the
> Society for
> Neuroscience Annual Meeting, New Orleans. 
> 
> *	Perry, B. D., & Marcellus, J. (1997). The Impact of Abuse
> <http://www.bcm.tmc.edu/civitas/AbuseBrain.htm> and  Neglect
> on the
> Developing Brain. (1997) 
> 
> *	Perry, B.D. Neurobiological
> <http://www.bcm.tmc.edu/civitas/ptsd_child.htm> sequelae of 
> Childhood
> Trauma: Post-traumatic Stress Disorders in Children. 
> 
> *	Perry, B.D. (1998). Anxiety Disorders. In C.E. Coffey  &
> R.A.
> Brumback (Eds.), Textbook of Pediatric Neuropsychiatry. (pp.
> 579-594).
> Washington, D.C: American Psychiatric Press, Inc.
> <http://www.childtrauma.org/anxiety_disorder.htm>
> http://www.childtrauma.org/anxiety_disorder.htm 
> 
> *	Perry, B.D. (1999). The memories of states: How the brain
> stores and
> retrieves traumatic experience. In J.M. Goodwin & R. Attias 
> (Eds.),
> Splintered Reflections: Images of the Body In Trauma. (pp.
> 9-38).  New York:
> Basic Books. http://www.childtrauma.org/Memories.htm
> <http://www.childtrauma.org/Memories.htm>  
> 
> *	Perry, B.D. (1999). 
> <http://www.bcm.tmc.edu/cta/Vio_child.htm>
> Violence and Childhood:  How Persisting Fear Can Alter the
> Developing
> Child's Brain. 
> 
> *	Perry, B.D. (2000). The neurodevelopmental impact of
> violence in
> childhood. In D. Schetky & E. Benedek (Eds.), Textbook of 
> Child and
> Adolescent Forensic Psychiatry. Washington, D.C.: American
> Psychiatric
> Press, Inc. 
> 
> *	Perry, B.D. (2001) The neuroarcheology of  childhood
> maltreatment:
> the neurodevelopmental costs of adverse childhood  events. In
> B. Geffner
> (Ed.), The Cost of Child Maltreatment: Who Pays? We All Do.
> San Diego, CA:
> Family Violence & Sexual Assault Institute.
> <http://www.childtrauma.org/Neuroarcheology.htm>
> http://www.childtrauma.org/Neuroarcheology.htm 
> 
> *	Perry, B.D. (2001). Trauma and Terror in Childhood: The
> Neuropsychiatric Impact of Childhood Trauma. In Ed., I.
> Schulz, S. Carella &
> D.O. Brady (Eds.). Handbook of Psychological Injuries:
> Evaluation, Treatment
> and Compensable  Damages. American Bar Association Publishing.
> http://www.childtrauma.org/trauma_and_terror.htm
> <http://www.childtrauma.org/trauma_and_terror.htm>  
> 
> *	Perry, B.D. (in press). Sexual Abuse of
> <http://www.childtrauma.org/infant_abuse.htm> Infants. A
> five-part question
> focusing on sexual abuse during infancy 
> 
> *	Perry, BD, Conroy, L and Ravitz, A Persisting
> psychophysiological
> effects of traumatic stress: The memory of "states".Violence
> Update 1:(8),
> 1-11, 1991. http://www.childtrauma.org/memory_states.htm
> <http://www.childtrauma.org/memory_states.htm>  
> 
> *	Perry, B.D., & Pollard, R. (1998). Homeostasis,  stress,
> trauma, and
> adaptation: A neurodevelopmental view of childhood trauma.
> Child and
> Adolescent Psychiatric Clinics of North America, 7, 33-51.
> http://www.childtrauma.org/pollard.htm
> <http://www.childtrauma.org/pollard.htm>  
> 
> 
> 	This chapter discusses the impact of traumatic experiences on
> the
> development and functioning of children as viewed through the
> lens of
> developmental neurobiology. The recurring theme  in a
> neurodevelopmental
> view is the remarkable malleability of the developing brain.
> Dr. Perry shows
> how the brain's exquisite sensitivity to experience in early
> childhood
> allows traumatic experiences during infancy and childhood to
> impact all
> future emotional, behavioral, cognitive, social and
> physiological
> functioning. 
> 
> *	Perry, B.D., Pollard, R.A., Blakley, T.L., Baker,  W.L., &
> Vigilante, D. (1995). Childhood trauma, the neurobiology of 
> adaptation and
> use-dependent development of the brain: How states become
> traits. Infant
> Mental Health Journal, 16, 271-291.
> http://www.childtrauma.org/states_traits.htm
> <http://www.childtrauma.org/states_traits.htm>  
> 
> 
> 
> 
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Doug Waite, MD
New York City