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Primary and secondary trauma in adoptive parents

Duncan, Morvwen; Fearon, Pasco; Woolgar, Matt; (2025) Primary and secondary trauma in adoptive parents. Clinical Child Psychology and Psychiatry , 30 (1) 127 -141. 10.1177/13591045241287563. Green open access

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Abstract

Aims: Secondary trauma is recognised as one of the negative effects for professionals working with people that have experienced trauma. Research has demonstrated secondary trauma in foster carers but little research has explored trauma symptoms within adoptive parents, facing the emotional impact of parenting a child with adverse early experiences. This study aimed to document the rates of primary and secondary trauma symptoms in adoptive parents. It further explores the association between the extent of current behavioural and emotional challenges and the extent of the child’s pre-adoption adverse experiences in predicting parental trauma responses. // Method: 190 adoptive parents completed an online survey including self-report measures of primary and secondary trauma. // Results: Almost one fifth of adoptive parents exhibited primary trauma scores of clinical concern; with 10% reaching the threshold for a probable diagnosis of PTSD. Participants also reported significantly higher levels of secondary trauma and burnout, and significantly lower levels of compassion satisfaction than population norms. The current behavioural and emotional challenges, including child-to-parent violence, predicted higher trauma scores more so than the extent of their child’s past adverse experiences. // Conclusions: The findings have clinical implications for identifying trauma symptoms within adoptive parents and wider implications for how we understand secondary and primary trauma. They further highlight the importance of firstly addressing current child behaviour, including child-to-parent violence when treating trauma symptoms. Limitations of this study and recommendations for further research are discussed.

Type: Article
Title: Primary and secondary trauma in adoptive parents
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1177/13591045241287563
Publisher version: https://doi.org/10.1177/13591045241287563
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Adoption; secondary trauma; post traumatic stress disorder; parent; adoptive parents
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: https://discovery.ucl.ac.uk/id/eprint/10205536
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