Literature Review
Literature Review
Literature Review
Introduction:
What is trauma? Cory Turner argues that “trauma is a very heavy and daunting word” in
which many individuals have a variety of perceptions (2018). According to the National Center
of Child Abuse and Neglect, more than 700,000 cases reported in the United States revolved
around physical, sexual, emotional trauma, or a combination of any or every type (Heim &
Nemeroff 2001). The impact of physical childhood trauma on an individual’s lifetime has been
researched and oftentimes regarded as an issue that is chronic in which could greatly effect one’s
future (Gilbert, Widom, Browne, Fergusson, Webb, & Janson 2009). Researchers and child
psychologists have conducted extensive research and studies to evaluate the correlation between
physical childhood trauma and the adverse effects associated with it throughout the lifespan of an
individual.
In order to raise awareness for the betterment of society, there are several warning signs
to look out for. Warning signs of physical childhood trauma include: frequent injuries, expresses
fear of going home, flinches at sudden movements, and wears extra apparel to cover up injuries.
If the parents have a history of traumatic physical abuse as a child, these feelings can be
repressed, but one can learn to break these habits (Smith, Robinson, & Segal 2017). The warning
signs for physical childhood trauma are similar to the plethora of other forms of trauma that are
prevalent today, however, are not exactly the same. Taken as an entirety, trauma itself does not
have one specific cause, although, experiencing physical childhood trauma increases the risk of
disciplinary issues in the future which could potentially result in the abused becoming the abuser
In response to trauma and induced stress, the brain activity has potential to be greatly
altered. Studies have proven that persistent changes in the brain seem to correlate with that of
anxiety and depression disorders (Heim & Nemeroff 2001). Paired with the increased likelihood
of anxiety and depression disorders is the increase of activity in the amygdala. The amygdala is
responsible for detecting fear and preparing the body for emergency and altered perceptions. The
Central Nervous System’s ability to perceive and the recognize stimuli are greatly impaired
autonomic stress responsiveness that would suggest that childhood trauma results in changes at
the root of the neural systems (Heim, Newport, Mletzko, Miller, & Nemeroff 2008). As a result
of physical childhood trauma, our brain activity and bodily responses are heavily impacted,
therefore furthering the potential negative effects physical childhood trauma could have on an
Impact on Children:
The long-term effects of physical childhood trauma in both men and women can carry on
increased likelihood for anxiety, depression, and substance abuse, and could even result in
increased anger, pain, even post-traumatic stress disorder (Briere & Elliot 2003). The severity of
the trauma depends on the individual. Depending on the individual, these effects can be ongoing
and greatly impact the individual’s future (Davies 2003). The negative effects may remain
constant over one’s lifetime negatively effecting development and relationships in the future.
These adverse effects can lead to a plethora of physical, emotional, and mental health related
Physical Childhood Trauma 4
issues (Dube 2017). A child that experiences physical trauma at a young age is more susceptible
In order to assess physical childhood trauma, there are a multitude of tests that have been
created in order to assess trauma exposure throughout the lifetime of an individual. The most
significant and reliable evaluation of trauma is the ACE Test. The ACE Test assess for abuse,
neglect, and household dysfunction. The ACE test helps to further focus on overcoming trauma
for both the child and loved ones involved, in hopes to reduce the amount of stress and risk
factors in the future for everyone (Turner 2018). The ACE Test provides the people with
awareness, particularly those with a high score on the ACE Test in which they would be
provided with guidance in order to evaluate what the next steps would be. The World Health
Organization is another test which assesses the impact of trauma and estimated that 155,000
deaths in children younger than fifteen occur worldwide every year as result of abuse and neglect
(Maercker, Hilpert, & Burri 2015). Both the World Health Organization’s Composite
International Diagnostic Interview Score and the Childhood Trauma Questionnaire are added
together to collect data on trauma exposure throughout a lifetime in thirteen different categories.
As expected, the data in the study showed that the more a victim is acknowledged as a victim the
more it is associated with an increase in depression and late life suffering (Maercker, Hilpert, &
Burri 2015). One other assessment is the Traumatic Events Survey that includes questions that
help to assess children physically abused begin with the phrase “before the age of 18” (Briere &
Elliot 2003). One final assessment is the Trauma Symptom Inventory that has the ability to
measure other factors that may be responsive to the specific impacts of physical childhood
The rate in which childhood trauma occurs varies depending on the gender of the
individual and the nation in which the individual resides. Controversy has risen in regards to
male trauma rates in which researchers believe the results of trauma are highly underestimated
and should ultimately be higher (Briere & Elliot 2003). In both high-income and low-income
countries, the rate in which women are sexually abused and are at risk for neglect are higher to
that of men, as expected, while men typically receive harsher physical punishment. Research has
shown that over 80% of physical childhood trauma is perpetrated by adults, more oftentimes
parents. In the United Kingdom, one in thirty children were reported as physically abused by
their parents. Similarly, an additional staggering statistic is that between both the United States
and the United Kingdom only 1.4-10.1% of children or their mothers reported the absence of
care (Gilbert, Widom, Browne, Fergusson, Webb, & Janson 2009). Although there are noticeable
differences between the rates of physical childhood trauma worldwide, the similarities of the
How to Help:
trauma (Gilbert, Widom, Browne, Fergusson, Webb, & Janson 2009). 85% of trauma regardless
of the type goes unreported, while over 800,000 cases have been reported every year just in the
United States (Heim, Newport, Mletzko, Miller, & Nemeroff 2008). With time, reports have
fallen greatly as under-reporting is far more common than over-reporting. Of the children that
had reported previous trauma, only 5% of children had reported these incidences to child
services (Gilbert, Widom, Browne, Fergusson, Webb, & Janson 2009). Those that had
successful treatment looks different to every individual as perceptions vary and are unique to
Conclusion:
Harris provides the people of today’s society with hope and encouragement as she asserts
“the single most important thing that we need today is the courage to look this problem in the
face” (2014). Regardless of the correlation between physical childhood trauma and the negative
effects associated with it, researchers and child psychologists should invest more interest into
this severe traumatic issue. This issue should be brought to worldwide attention in which
researchers and psychologists should be fully aware of and serve to educate the world around
them of the negative effects paired with physical childhood trauma across a lifetime.
Reference List
Briere, J. & D.M. Elliot. (2003). Prevalence and psychological sequelae of self-reported
childhood physical and sexual abuse in a general population same of men and women.
Davies, S. (2003). The late-life psychological effects of childhood abuse Current Medical
http://web.a.ebscohost.com/ehost/detail/detail?vid=3&sid=e329a7cf-
3QtbGl2ZQ%3d%3d#AN=11445242&db=aqh
Dube, K. (2017, May 23). How childhood trauma can affect mental and physical health into
Physical Childhood Trauma 7
childhood-trauma-can-affect-mental-and-physical-health-into-adulthood-77149
Gilbert, R., Widom, C.S., Browne, K., Fergusson, D., Webb, E., & Janson, S. (2009). Burden
Harris, N. (2014). How childhood trauma affects health across a lifetime. [Video File]. Retrieved
from https://www.ted.com/talks/nadine_burke_harris_how_childhood_trauma
_affects_health_across_a_lifetime/up-next#t-64599
Heim, C. & Nemeroff, C. (2001). The role of childhood trauma in the neurobiology of mood and
doi: 10.1016/S006-3223(01)01157-X
Heim, C., Newport, D., Mletzko, T., Miller, A., & Nemeroff, C. (2008). The link between
childhood trauma and depression: insights from HPA axis studies at human.
Maercker, A., Hilpert, P., & Burri, A. (2015). Childhood trauma and resilience in old age:
Smith, M., Robinson, L., & Segal, J. (2017). Child abuse and neglect how to spot the signs and
Physical Childhood Trauma 8
https://www.helpguide.org/articles/abuse/child-abuse-and-neglect.htm
Turner, C. (2018, January 23). What do asthma, heart disease and cancer have in
https://www.npr.org/sections/ed/2018/01/23/578280721/what-do-asthma-heart-disease-
and-cancer-have-in-common-maybe-childhood-trauma