Talk:Childhood trauma

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This article was the subject of a Wiki Education Foundation-supported course assignment, between 30 August 2021 and 21 September 2021. Further details are available on the course page. Student editor(s): PeteWheeler33, Syang39.

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This article was the subject of a Wiki Education Foundation-supported course assignment, between 9 September 2021 and 18 November 2021. Further details are available on the course page. Student editor(s): AdrianaRuiz921, TaylorShort13.

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Parenthetical citations in final section not included in reference list
The parenthetical citations in the section on treatment do not correspond to any of the listed references. Flyingwithtime (talk) 20:32, 7 February 2019 (UTC)

Planned Edits
Planning on removing a line from the treatment section "Reducing stress hormones (cortisol, adrenaline, testosterone) is a vital early step for effective treatment of complex childhood trauma.[87]" as it's not expanded upon and does not add much to the article.

Planning on revamping and editing the treatment section of the article, adding citations, and new information. Jadoerr (talk) 16:25, 2 April 2021 (UTC)

Workplan for Wikipedia improvement school project
My medical school classmate and I will be trying to improve this article as part of a school assignment. We chose this topic because childhood trauma is an important topic that impacts so many individuals and can have major health implications. We hope that our improvements to this article will help Wikipedia readers have a better understanding of childhood trauma, its health effects, protective factors, and available interventions.

After reviewing the article, we think that the article can be improved in a handful of ways, including sections which have been flagged by Wikipedia as lacking key citations or being too detailed for readers. The ways in which we will aim to improve the article are outlined below and we plan to complete these changes within the next 2-3 weeks:

PeteWheeler: Will reorganize and add citations to the treatments section. Bolster first paragraph of treatments section with context of access to treatments and efficacy.

SY: Will reorganize, shorten, and add citations to the epigenetics section, and link to the Epigenetics article on Wikipedia. Will move the intergenerational trauma and epigenetics sections closer together.

Thank you and we look forward to working with you all. PeteWheeler33 (talk) 00:24, 4 September 2021 (UTC) PeteWheeler33 (talk) 20:47, 8 September 2021 (UTC)

Peer-Review Comments
The Treatments section seems to be more streamlined and readable. I like the short, brief introductory paragraph summarizing the magnitude of the currently available evidence on effective treatments. One recommendation for the pharmaceutical treatments subsection is to speak to the pharmaceutical treatments that have been directly studied in the setting of childhood trauma, and if there aren't any studies or systematic reviews that have looked at this directly, mentioning it in this subsection. Right now it looks like you're referring to treatments for PTSD, but it's unclear if this is PTSD associated with childhood trauma or just PTSD in general. Are there any other pharmacological interventions that have been shown not to improve or even worsen symptoms related to childhood trauma? Are there any issues/controversies/challenges/structural impediments that hamper the identification and systematic evaluation of new interventions to lessen the psychological burden of childhood trauma? I do think that it's best to prioritize the inclusion of proven effective interventions, but sometimes mentioning why there are very few effective interventions may provide some noteworthy context to readers searching for treatment options.

UCSF Med Peer Review
I think what you both have done is great so far. The sections you edited are more readable and organized.

For the Treatment section, I like the many treatments you discuss. A few thoughts for changes include removing repeated hyperlinks (once you add a link for CBT once, the next occurrence of the phrase doesn't need to link to the same page) and removing study design jargon - the average Wikipedia reader does not necessarily appreciate the difference between an RCT and a systematic review, and it might make the article more accessible by using phrases such as, "some studies indicate that xx is a successful treatment."

For the Epigenetics section, my main impression is that there is a lot of scientific jargon and detail regarding studies - for example, I don't think it helps to say "rhesus macaques," and instead you could simply say, "animal studies have suggested a link between..." I also think the overall organization of this section could be improved by structuring as follows: brief introductory paragraph about epigenetics and its link to trauma; subsection going into a (very brief and accessible) overview of epigenetics; subsection describing the evidence for a link between epigenetic changes and trauma; and a subsection on the long-term impacts of trauma-related epigenetic changes on behavior and health; and maybe a subsection on treatment or reversal if there is any evidence for it?

I also think that if you can figure out how to remove the flags on those sections now that they have been updated, it would make readers more confident in the information and the article more readable overall.

Hmkucsf (talk) 04:03, 16 September 2021 (UTC)

Remaining edits that were not able to be completed
I think there still remains a need for many improvements.

We think a global reorganization of the page could really improve it. We recommend organization the article in the following format: introduction, types of childhood trauma, health effects, and then treatments.

In the treatments section: I think that we need to improve the pharmaceuticals section by expanding it and adding more specifics about different types of pharmaceuticals and their efficacies.

I think that one could improve the Dialectical Behavior Therapy, Real Life Heroes (RLH) Treatment, Narrative-Emotion Process Coding System (NEPCS).

Thank you PeteWheeler33 (talk) 18:41, 20 September 2021 (UTC)

Wiki Education assignment: Foundations of Clinical Trauma Psychology Fall Quarter2022
— Assignment last updated by ShaferR (talk) 21:22, 6 October 2022 (UTC)

"Too technical"
Which concepts in this section are "too technical" for readers to understand? Jarble (talk) 00:59, 5 June 2024 (UTC)


 * While it has passing explanations for some, the text assumes a familiarity with terms such as "epigenetic marks," "DNA methylation," and "neuropathology," "neuroendocrine [system]," "hypothalamus–pituitary–adrenal axis," and more. The section is written at a college reading level. Per MOS:ACCESS, Wikipedia aims to adhere to WCAG 2.1 standards, which defines a junior high school reading level as accessible. –  Primium  (talk) 19:26, 7 June 2024 (UTC)