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. 2023 May;65(4):e22372.
doi: 10.1002/dev.22372.

Development and validation of the Dimensional Inventory of Stress and Trauma Across the Lifespan (DISTAL): A novel assessment tool to facilitate the dimensional study of psychobiological sequelae of exposure to adversity

Emily M Cohodes  1 , Sarah McCauley  1 , Jasmyne C Pierre  1 , H R Hodges  1 , Jason T Haberman  1 , Isabel Santiuste  1 , Marisa K Rogers  1 , Jenny Wang  1 , Jeffrey D Mandell  2 , Dylan G Gee  1
Affiliations

Development and validation of the Dimensional Inventory of Stress and Trauma Across the Lifespan (DISTAL): A novel assessment tool to facilitate the dimensional study of psychobiological sequelae of exposure to adversity

Emily M Cohodes et al. Dev Psychobiol. 2023 May.

Abstract

Decades of research underscore the profound impact of adversity on brain and behavioral development. Recent theoretical models have highlighted the importance of considering specific features of adversity that may have dissociable effects at distinct developmental timepoints. However, existing measures do not query these dimensions in sufficient detail to support the proliferation of this approach. The Dimensional Inventory of Stress and Trauma Across the Lifespan (DISTAL) was developed with the aim to thoroughly and retrospectively assess the timing, severity (of exposure and reaction), type, persons involved, controllability, predictability, threat, deprivation, proximity, betrayal, and discrimination inherent in an individual's exposure to adversity. Here, we introduce this instrument, present descriptive statistics drawn from a sample of N = 187 adults who completed the DISTAL, and provide initial information about its psychometric properties. This novel measure facilitates the expansion of research focused on assessing the relative impact of exposure to key dimensions of adversity on the brain and behavior across development.

Keywords: adolescence; adversity; childhood; frontolimbic circuitry; infancy; multidimensional; trauma screening; traumatic stress.

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References

REFERENCES

    1. Allen, A. M., Thomas, M. D., Michaels, E. K., Reeves, A. N., Okoye, U., Price, M. M., Hasson, R. E., Syme, S. L., & Chae, D. H. (2019). Racial discrimination, educational attainment, and biological dysregulation among midlife African American women. Psychoneuroendocrinology, 99, 225-235. https://doi.org/10.1016/j.psyneuen.2018.09.001
    1. Amat, J., Aleksejev, R. M., Paul, E., Watkins, L. R., & Maier, S. F. (2010). Behavioral control over shock blocks behavioral and neurochemical effects of later social defeat. Neuroscience, 165(4), 1031-1038. https://doi.org/10.1016/j.neuroscience.2009.11.005
    1. Amat, J., Paul, E., Watkins, L. R., & Maier, S. F. (2008). Activation of the ventral medial prefrontal cortex during an uncontrollable stressor reproduces both the immediate and long-term protective effects of behavioral control. Neuroscience, 154(4), 1178-1186. https://doi.org/10.1016/j.neuroscience.2008.04.005
    1. Anda, R. F., Felitti, V. J., Bremner, J. D., Walker, J. D., Whitfield, C. H., Perry, B. D., Dube, S. R., & Giles, W. H. (2006). The enduring effects of abuse and related adverse experiences in childhood. European Archives of Psychiatry and Clinical Neuroscience, 256(3), 174-186.
    1. Andersen, S. L., Tomada, A., Vincow, E. S., Valente, E., Polcari, A., & Teicher, M. H. (2008). Preliminary evidence for sensitive periods in the effect of childhood sexual abuse on regional brain development. The Journal of Neuropsychiatry and Clinical Neurosciences, 20(3), 292-301. https://doi.org/10.1176/jnp.2008.20.3.292

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