Journals / Psikiyatride Güncel Yaklaşımlar / 2026 / Cilt: 18 Sayı: 4

Effects of Small Traumas on Mental Health and Intervention Approaches

Küçük Travmaların Ruh Sağlığı Üzerindeki Etkileri ve Müdahale Yaklaşımları

Pages
1568–1578
Publication Date
2026-06-29
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

When repeated, these experiences can accumulate, weaken psychological resilience, and negatively affect overall well-being.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:The concept of psychological trauma has changed over time.
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Key Findings & Data:At first, it was used only to describe severe and shocking events.
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Conclusion & Impact:When repeated, these experiences can accumulate, weaken psychological resilience, and negatively affect overall well-being.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Travma · küçük travma · ruh sağlığı

Abstract

The concept of psychological trauma has changed over time. At first, it was used only to describe severe and shocking events. However, less intense experiences that occur in everyday life and build up over time are now called “small traumas.” Small traumas include experiences such as humiliation, exclusion, neglect, constant criticism, emotional deprivation, and other stressful life events. When repeated, these experiences can accumulate, weaken psychological resilience, and negatively affect overall well-being. Like major traumas, small traumas can have lasting effects on self-esteem, emotion regulation, coping skills, and interpersonal relationships. These types of traumas may also contribute to the development of mental health problems such as depression, anxiety, post-traumatic stress symptoms, and psychosomatic complaints. Because they are subtle and low in intensity, small traumas may be overlooked by both individuals and mental health professionals. This can delay recognition and timely support, allowing their negative effects to deepen and persist. Therefore, understanding the impact of small traumas is essential for providing appropriate psychological support and preventing mental health problems which are related to small traumas. This review aims to examine the concept and historical development of small traumas, explore their effects on mental health, and evaluate relevant psychological intervention approaches within a general framework.

Özet

Zaman içerisinde gelişen psikolojik travma kavramı, başlangıçta yalnızca yıkıcı ve sarsıcı olayları tanımlarken; günlük yaşamda daha düşük şiddette olmasına rağmen birey üzerinde birikimli olarak etki eden olaylar “küçük travma” olarak adlandırılmaktadır. Küçük travmalar; aşağılanma, dışlanma, ihmal, sürekli eleştirilme, duygusal yoksunluk ve kronik stres yaratan olumsuz yaşam deneyimleri gibi yaşantıları kapsamaktadır. Bu travmatik deneyimler, süreklilik arz ettiğinde birikimsel bir etkiyle bireyin ruhsal dayanıklılığını zayıflatabilmekte ve psikolojik iyi oluşunu olumsuz yönde etkileyebilmektedir. Bu tür travmalar bireylerin benlik algısı, duygu düzenleme kapasitesi, stresle başa çıkma becerileri ve kişilerarası ilişkileri üzerinde kalıcı izler bırakabilmekte; depresyon, anksiyete, travma sonrası stres belirtileri ve psikosomatik yakınmalar gibi çeşitli ruhsal sorunların gelişiminde rol oynayabilmektedir. Bu travmaların genellikle düşük şiddetli ve örtük biçimde etki etmesi hem deneyimleyen bireyler hem de ruh sağlığı uzmanları tarafından çoğu zaman göz ardı edilmesine neden olmakta, bu nedenle etkilerinin fark edilmesini ve zamanında müdahale edilmesini geciktirerek ruh sağlığı üzerindeki olumsuz etkilerinin derinleşmesine ve kronikleşmesine yol açabilmektedir. Bu tür travmaların ruh sağlığı üzerindeki etkilerini anlamak, etkilenen bireylere uygun ruhsal destek ve müdahale yaklaşımları sunmak ve ortaya çıkabilecek ruhsal bozuklukların önlenmesine katkıda bulunmak açısından büyük önem taşımaktadır. Bu derleme, küçük travma kavramını ve tarihsel gelişimini literatür ışığında incelemeyi, ruh sağlığı üzerindeki etkilerini ortaya koymayı ve bu travmalara yönelik ruhsal müdahale yaklaşımlarını genel bir çerçevede değerlendirmeyi amaçlamaktadır.

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Cite This Article

Çam, M. O., Sarıkaya, B. (2026). Effects of Small Traumas on Mental Health and Intervention Approaches. Psikiyatride Güncel Yaklaşımlar, Cilt: 18 Sayı: 4, 1568–1578. https://doi.org/10.18863/pgy.1859521

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References (85)

  1. Al Bazzal A, Mtairek MA, Awde MH, Kanso H, Hajj F, Al Amin F et al. (2025) Stress-related psychiatric disorders. Prog Brain Res, 291:161-173.
  2. APA (1952) Diagnostic and Statistical Manual of Mental Disorders, First ed. (DSM-I). Washington DC, American Psychiatric Association.
  3. APA (1966) Diagnostic and Statistical Manual of Mental Disorders, 2nd ed. (DSM-II). Washington, DC, American Psychiatric Association.
  4. APA (1980) Diagnostic and Statistical Manual of Mental Disorders, 3rd ed. (DSM-III). Washington DC, American Psychiatric Association.
  5. APA (2013) Diagnostic and Statistical Manual of Mental Disorders, 5th ed. (DSM-5). Washington DC, American Psychiatric Association.
  6. Avina C ve O’Donohue W (2002) Sexual harassment and PTSD: is sexual harassment diagnosable trauma?. J Trauma Stress, 15:69-75.
  7. Azoulay R, Pinus M, Hay E, Gilboa-Schechtman E (2026) Post-traumatic distress following physical and social stressors: a comparison of symptoms networks. Cognit Ther Res, 50:517-529.
  8. Backholm K, Isomaa R, Birgegård A (2013) The prevalence and impact of trauma history in eating disorder patients. Eur J Psychotraumatol, 4:22482.
  9. Berking M, Ebert D, Cuijpers P, Hofmann SG (2013) Emotion regulation skills training enhances the efficacy of inpatient cognitive behavioral therapy for major depressive disorder: a randomized controlled trial. Psychother Psychosom, 82:234-245.
  10. Boulanger G (2016) (t)rauma with a small t? A review of micro-trauma: A Psychoanalytic Understanding of Cumulative Psychic Injury by Margaret Crastnopol. New York, NY, Routledge, 2015. (s.252). Contemp Psychoanal, 52:143–149.
  11. Bremner JD (2006) Traumatic stress: effects on the brain. Dialogues Clin Neurosci, 8: 445–461.
  12. Brinkborg H, Michanek J, Hesser H, Berglund G (2011) Acceptance and commitment therapy for the treatment of stress among social workers: a randomized controlled trial. Behav Res Ther, 49:389-398.
  13. Bryant RA, Mastrodomenico J, Hopwood S, Kenny L, Cahill C, Kandris E et al. (2013) Augmenting cognitive behaviour therapy for post-traumatic stress disorder with emotion tolerance training: a randomized controlled trial. Psychol Med, 43:2153-2160
  14. Carliner H, Keyes KM, McLaughlin KA, Meyers JL, Dunn EC, Martins SS (2016) Childhood trauma and illicit drug use in adolescence: a population-based national comorbidity survey replication–adolescent supplement study. J Am Acad Child Adolesc Psychiatry, 55:701–708.
  15. Carrion VG, Steiner H (2000) Trauma and dissociation in delinquent adolescents. J Am Acad Child Adolesc Psychiatry, 39:353–359.
  16. Cascardi M, Brown, C (2016) Concept creep or meaningful expansion? Response to Haslam. Psychol Inq, 27:24-28.
  17. Chida Y, Sudo N, Kubo C (2005) Social isolation stress exacerbates autoimmune disease in MRL/lpr mice. J Neuroimmunol, 158:138–144.
  18. Chin B, Lindsay EK, Greco CM, Brown KW, Smyth JM, Wright AG et al. (2019) Psychological mechanisms driving stress resilience in mindfulness training: a randomized controlled trial. Health Psychol, 38:759–768.
  19. Conway PM, Erlangsen A, Grynderup MB, Clausen T, Rugulies R, Bjorner JB et al. (2022) Workplace bullying and risk of suicide and suicide attempts: a register-based prospective cohort study of 98,330 participants in Denmark. Scand J Work Environ Health, 48:425–434.
  20. Cope T (2014) Positive psychotherapy: “Let the truth be told”. International Journal of Psychotherapy, 18:62–71.
  21. Crastnopol M (2015) Micro-trauma: A Psychoanalytic Understanding of Cumulative Psychic Injury. New York, Routledge.
  22. Creamer M, Forbes D (2004) Treatment of posttraumatic stress disorder in military and veteran populations. Psychotherapy (Chic), 41:388–398.
  23. Çoban Y (2021) Romantik ilişkisi olan bireylerin çocukluk çağı küçük travmaları ile yakın ilişkileri arasındaki ilişkide çocukluk çağı küçük travma etkilerinin aracı rolü (Yüksek lisans tezi). İstanbul, Üsküdar Üniversitesi.
  24. Davidson J, Swartz M, Storck M, Krishnan RR, Hammett E (1985) A diagnostic and family study of posttraumatic stress disorder. Am J Psychiatry, 142:90–93.
  25. Dereboy Ç, Şahin Demirkapı E, Şakiroğlu M, Şafak Öztürk C (2018) Çocukluk çağı travmalarının, kimlik gelişimi, duygu düzenleme güçlüğü ve psikopatoloji ile ilişkisi. Turk Psikiyatri Derg, 29:269–278.
  26. Ehlers A, Clark DM (2000) A cognitive model of posttraumatic stress disorder. Behav Res Ther, 38:319–345.
  27. Ekinci S, Kandemir H (2015) Childhood trauma in the lives of substance-dependent patients: the relationship between depression, anxiety and self-esteem. Nord J Psychiatry, 69:249–253.
  28. ElKholy SEHAE, Dawood SS, AbdElsalam RMM (2024) Effect of emotion regulation nursing intervention on emotional regulation difficulties and peace of mind among older adults. Egyptian Journal of Health Care, 15:753–769.
  29. Gallo LC, Roesch SC, Fortmann AL, Carnethon MR, Penedo FJ, Perreira K et al. (2014) Associations of chronic stress burden, perceived stress, and traumatic stress with cardiovascular disease prevalence and risk factors in the Hispanic Community Health Study/Study of Latinos Sociocultural Ancillary Study. Biopsychosoc Sci Med, 76:468–475.
  30. Gardner B, Rose J, Mason O, Tyler P, Cushway D (2005) Cognitive therapy and behavioural coping in the management of work-related stress: An intervention study. Work Stress, 19:137–152.
  31. Gartland D, Riggs E, Muyeen S, Giallo R, Afifi TO, MacMillan H et al. (2019) What factors are associated with resilient outcomes in children exposed to social adversity? A systematic review. BMJ Open, 9:e024870.
  32. Gawande R, Smith L, Comeau A, Creedon TB, Wilson CL, Griswold T et al. 2023) Impact of warm mindfulness on emotion regulation: a randomized controlled effectiveness trial. Health Psychol, 42:699–711.
  33. Gençdoğan B (2020) Pozitif psikoloji ve pozitif psikoterapi. In Pozitif Psikoloji (Ed S Bulut):17–44. Ankara, Nobel Yayıncılık.
  34. Gerson B (1992) Post-traumatic stress disorder: the history of a recent concept. Br J Psychiatry, 161:742–748.
  35. Gratz KL, Roemer L (2004) Multidimensional assessment of emotion regulation and dysregulation: development, factor structure, and initial validation of the Difficulties in Emotion Regulation Scale. J Psychopathol Behav Assess, 26:41–54.
  36. Hagenaars MA, Van Minnen A (2010) Posttraumatic growth in exposure therapy for PTSD. J Trauma Stress, 23:504–508.
  37. Harris DA (2007) Dance/movement therapy approaches to fostering resilience and recovery among African adolescent torture survivors. Torture, 17:134–155.
  38. Haslam N (2016) Concept creep: psychology's expanding concepts of harm and pathology. Psychol Inq, 27:1-17.
  39. Horowitz MJ (1989) Posttraumatic stress disorder. In Treatments of Psychiatric Disorders: A Task Force Report of the American Psychiatric Association (Ed American Psychiatric Association Task Force):2065–2082. Washington, DC, American Psychiatric Association.
  40. Hovens JGFM (2009) Emotional scars: impact of childhood trauma on depressive and anxiety disorders. J Clin Psychiatry, 70:983–989.
  41. Idsoe T, Dyregrov A, Idsoe EC (2012) Bullying and PTSD symptoms. J Abnorm Child Psychol, 40:901–911.
  42. İşçimen HB (2024) Beliren yetişkinlik dönemindeki bireylerde duygusal yeme davranışının küçük ‘t’ travma, sıkıntıya dayanma kapasitesi ve yaşantısal kaçınma açısından incelenmesi (Yüksek lisans tezi). İzmir, Bakırçay Üniversitesi.
  43. Jaffee SR, Caspi A, Moffitt TE, Polo-Tomas M, Taylor A (2007) Individual, family, and neighborhood factors distinguish resilient from non-resilient maltreated children: a cumulative stressors model. Child Abuse & Neglect, 31:231–253.
  44. Juster RP, McEwen BS, Lupien SJ (2010) Allostatic load biomarkers of chronic stress and impact on health and cognition. Neurosci Biobehav Rev, 35:2–16.
  45. Kardiner A (1959) The Traumatic Neuroses of War, 1st ed. New York, Basic Books.
  46. Kavanagh DJ, Freese S, Andrade J, May J (2001) Effects of visuospatial tasks on desensitization to emotive memories. Br J Clin Psychol, 40:267–280.
  47. Kaveh MH, Mehrazin F, Cousins R, Mokarami H (2023) Effectiveness of a transactional model-based education programme for enhancing stress-coping skills in industrial workers: a randomized controlled trial. Sci Rep, 13:5076.
  48. Khan MMR (1963) The concept of cumulative trauma. Psychoanal Study Child, 18:286–306.
  49. Kris E (1956) The recovery of childhood memories in psychoanalysis. Psychoanal Study Child, 11:54–88.
  50. Liang L, Bonanno GA, Hougen C, Hobfoll SE, Hou WK (2023) Everyday life experiences for evaluating post-traumatic stress disorder symptoms. Eur J Psychotraumatol, 14:2238584.
  51. Malykhin N, Serrano J, Pietrasik W, Hegadoren K (2025) Effects of duration and intensity of psychological stressors on mental health outcomes. J Psychiatr Res, 187:211–222.
  52. Mariotti A (2015) The effects of chronic stress on health: new insights into the molecular mechanisms of brain–body communication. Future Sci OA, 1:FSO23.
  53. McCullough L (2002) Exploring change mechanisms in EMDR applied to “small-t trauma” in short-term dynamic psychotherapy: research questions and speculations. J Clin Psychol, 58:1531–1544.
  54. McEwen B S (2007) Physiology and neurobiology of stress and adaptation. Physiol Rev, 87:873–904.
  55. Mennin DS, Heimberg RG, Turk CL, Fresco DM (2005) Preliminary evidence for an emotion dysregulation model of generalized anxiety disorder. Behav Res Ther, 43:1281–1310.
  56. Miller RL, Shomaker LB, Prince MA, Haddock S, Rzonca A, Krause JT et al. (2024) Momentary effects of life stressors on mindfulness and emotion regulation difficulties among adolescents exposed to chronic stressors. Stress Health, 40:e3414.
  57. Misiak B, Kotowicz K, Loska O, Stramecki F, Beszłej JA, Samochowiec J et al. (2018) Decreased use of active coping styles contributes to elevated allostatic load index in first-episode psychosis. Psychoneuroendocrinology, 96:166–172.
  58. Miu AC, Szentágotai-Tătar A, Balazsi R, Nechita D, Bunea I, Pollak SD (2022) Emotion regulation as mediator between childhood adversity and psychopathology: a meta-analysis. Clin Psychol Rev, 93:102141.
  59. Mlostek T (2022) Microtrauma, microtraumatic relational patterns in our lives. Does constant dripping wear away the stone? Psychiatria i Psychologia Kliniczna, 22:253–260.
  60. Norman M (1989) These Good Men: Friendships Forged from War. New York, Crown.
  61. Ochoa C, Casellas-Grau A, Vives J, Font A, Borràs JM (2017) Positive psychotherapy for distressed cancer survivors: posttraumatic growth facilitation reduces posttraumatic stress. Int J Clin Health Psychol, 17:28–37.
  62. Özadmaca K (2023) Çocukluk çağı travmasının duygu düzenleme ve psikopatoloji ile ilişkisinin incelenmesi. 21. Yüzyılda Eğitim ve Toplum, 12:105–121.
  63. Özkan E, Altuntaş O (2024) Effects of online coping skills training on stress, anxiety and social problem solving in young people: a randomised controlled study. Int J Soc Psychiatry, 70:888–898.
  64. Reisner SL, White Hughto JM, Gamarel KE, Keuroghlian AS, Mizock L, Pachankis JE (2016) Discriminatory experiences associated with posttraumatic stress disorder symptoms among transgender adults. J Couns Psychol, 63:509–519.
  65. Rose S (1995) Traumatic stress: nurse therapist role? RCN Nurs Stand, 9:32–34.
  66. SAMHSA (2014) Trauma-Informed Care in Behavioral Health Services. Rockville, MD, Substance Abuse and Mental Health Services Administration.
  67. Schenker MT, Cherian D, Felmingham KL, Jordan AS (2024) The relationship between sleep disturbances and post-traumatic stress disorder symptomatology in university students. Eur J Psychotraumatol, 15:2434314.
  68. Schimmenti A (2018) The trauma factor: examining the relationships among different types of trauma, dissociation, and psychopathology. J Trauma Dissociation,19:552–571.
  69. Seligman ME, Steen TA, Park N, Peterson C (2005) Positive psychology progress: empirical validation of interventions. Am Psychol, 60:410–421.
  70. Shapiro F (1995) Eye Movement Desensitization and Reprocessing. New York, Guilford Press.
  71. Shepherd L, Wild J (2014) Emotion regulation, physiological arousal and PTSD symptoms in trauma-exposed individuals. J Behav Ther Exp Psychiatry, 45:360–367.
  72. Soyer MK, Şekerci Ş, Tonğuç G (2025) Küçük travma yaşantılarının psikolojik belirtileri yordama gücü. İstanbul Gelişim Üniversitesi Sosyal Bilimler Dergisi, 12:230–244.
  73. Straussner SLA, Calnan AJ (2014) Trauma through the life cycle: a review of current literature. Clin Soc Work J, 42:323–335.
  74. Terr LC (2003) Childhood traumas: an outline and overview. Focus, 1:322-334.
  75. Thomaes K, Dorrepaal E, van Balkom AJ, Veltman DJ, Smit JH, Hoogendoorn AW et al. (2015) Complex PTSD following early-childhood trauma: emotion-regulation training as addition to the PTSD guideline. Tijdschr Psychiatr, 57:171–182.
  76. Thongrakyoo K, Laurujisawat P, Chandarasiri P (2024) Prevalence of small t trauma in depressed adolescent and early adulthood patients in King Chulalongkorn Memorial Hospital. Chulalongkorn Wetchasan, 67:2.
  77. Turnbull GJ (1998) A review of post-traumatic stress disorder; part I: historical development and classification. Injury, 29:87–91.
  78. Türksoy N (2003) Psikolojik travma ve tanım sorunları. In Psikolojik Travma ve Sonuçları (Eds. T Aker, ME Önder):9–21. İstanbul, 5US Yayınları.
  79. Van Den Hout M, Muris P, Salemink E, Kindt M (2001) Autobiographical memories become less vivid and emotional after eye movements. Br J Clin Psychol, 40:121–130.
  80. Van der Kolk BA, Pelcovitz D, Roth S, Mandel FS, McFarlane A, Herman JL (1996) Dissociation, somatization, and affect dysregulation: the complexity of adaptation to trauma. Am J Psychiatry, 153(Suppl 7):83–93.
  81. Veith I (1977) Four thousand years of hysteria. In Hysterical Personality. (Ed. MJ Horowitz):7–93. New York, Jason Aronson.
  82. Wesselmann ED (2026) Social exclusion, social support, and trauma. J Soc Psychol, 166:116-124.
  83. Wilson SA, Becker LA, Tinker RH (1995) Eye movement desensitization and reprocessing (EMDR) treatment for psychologically traumatized individuals. J Consult Clin Psychol, 63:928–937.
  84. Yılmaz Dinç S, Sapmaz F (2023) The effect of eye movement desensitization and reprocessing-based online group counseling for university students: Psychological need satisfaction, psychological resilience, psychological well-being, and small ‘t’ traumaPsychol Trauma, 16:641–649.
  85. Yuan J, Zheng M, Liu D, Wang L (2024) Effect of acceptance and commitment therapy on emotion regulation in adolescent patients with nonsuicidal self-injury. Alpha Psychiatry, 25:47–53.