Links between posttrauma appraisals and trauma-related distress in adolescent females from the child welfare system.

Research on predictors of trauma-related distress in youth has tended to focus on trauma exposure and individual difference characteristics. This study extends previous research by examining the role of posttrauma appraisals in predicting trauma-related distress in a sample of female adolescents with current or prior involvement in the child welfare system and a history of maltreatment. Participants' posttrauma appraisals accounted for unique variance in trauma-related distress, above and beyond key trauma exposure and individual difference variables. Further, posttrauma appraisals of alienation accounted for unique variance in posttraumatic stress, dissociation, and depression symptom severity, and posttrauma appraisals of shame accounted for unique variance in posttraumatic stress symptom severity. These results suggest that posttrauma appraisals may represent an important predictor of trauma-related distress for youth with current or prior involvement in the child welfare system. They also replicate findings in youth and adult literature on interpersonal trauma, lending further support to the existence of specific pathways between certain appraisals and various forms of trauma-related distress. We discuss the implications of our study for trauma-informed practice within the child welfare system.