Live Streaming Can Cause PTSD in Adults and Children

We are vulnerable to dangers previous generations couldn’t even imagine. We are on-demand, world connected – available to watch any horror from any place. Graphic (meaning vivid or realistic) live stream videos can be found on social media platforms such as Facebook Live, Instagram, TikTok, Snapchat, and YouTube. Children are especially vulnerable to getting upset when viewing violence. Today’s GKIS article covers if the mental illness Post Traumatic Stress Disorder (PTSD) can result from viewing violence on screen.

How Graphic Live Streams Affect Children

Accidentally clicking on a violent video would frighten anybody. Children are particularly vulnerable to trauma, including the development of serious mental illness. PTSD is a mental health disorder in which a person struggles to recover from experiencing or witnessing a traumatic event such as an assault, war, natural disaster, or serious accident. People with PTSD often have severe anxiety and panic attacks when reminded of the traumatic event. They feel stressed and frightened even when there is no danger present.

PTSD symptoms include intense nightmares, difficulty sleeping, and flashbacks of the traumatic event (intrusive images like you’re re-experiencing it). Children younger than six years old show signs of PTSD differently than adults. Their symptoms include behaviors like wetting the bed, being unable to speak, acting out the traumatic event in playtime, and clinging to their caregiver. PTSD is a very serious, debilitating disorder that can leave the individual in a nearly constant state of fear and stress.

Being able to discuss the witnessed traumatic event is a necessary step in treatment. In a study with Danish high school students, subjects who had witnessed a school shooting were assessed for PTSD. It was found that the prevalence of PTSD seven months after the incident was 9.5%. Being unable to talk about the incident was found a predictor of those who developed PTSD.[1]

Studies on Videos and the Onset of PTSD

Because violent videos are relatively new, there is little research on how they affect us. One of the earliest studies was conducted after Americans viewed the television coverage of the 9/11 tragedy.

The researchers interviewed 560 adults three to five days after 9/11. Approximately 90% reported one or more stress symptoms. In contrast, 35% of children had one or more stress symptoms, and 47% were worried about their safety or the safety of loved ones. Ten percent of the children had trouble falling asleep or staying asleep.

In another study, researchers surveyed 4,675 adults who viewed the 2013 Boston Marathon bombings on video. They found that people who had repeatedly watched the tragic footage sustained more trauma and stress than people who had witnessed the events in real life!

Those who watched six or more hours per day of media coverage were nine times more likely to report high acute stress than those who viewed less than one hour a day. Symptoms of acute stress included intrusive or troubling thoughts, feeling hyperaware, avoiding anything that reminds one of the traumatic events, and feelings of detachment.

If your children witnessed a traumatic live stream or Internet video, how would you know if they had PTSD?

Elementary School-Aged Children

“PTSD in children and adolescents requires the presence of re-experiencing and avoidance, numbing, and arousal symptoms. However, PTSD may not present itself in children the same way it does in adults.”[2] For example, young children may not experience flashbacks like adults with PTSD. They are more likely to experience “time skew” and “omen formation,” which are symptoms usually not seen in adults.

Time skew is the mis-sequencing of trauma-related events when remembering the experience.

Omen formation is a belief that there were warning signs that foreshadowed the traumatic event.

Children often believe that if they remain alert, they will recognize the warning signs and avoid another trauma resulting in chronic hypervigilance, anxiety, and sleep disorders.

School-aged children with PTSD often engage in posttraumatic play or reenactment of the trauma in play, drawings, or verbalizations. Post-traumatic play is a literal representation of the traumatic event in which the child repetitively acts out some aspect of the trauma. This often does not relieve anxiety.

An example of post-traumatic play would be a child shaking a playhouse after they’ve experienced an earthquake.

Post-traumatic reenactment, on the other hand, is more flexible and involves behaviorally mimicking some aspects of the trauma. An example would be carrying a toy gun after being exposed to violence.

Adolescents and Teens

PTSD in adolescents more closely resembles symptoms seen in adults. However, some features are unique to teenagers.

As discussed above, children may engage in traumatic play after the onset of trauma. Adolescents are more likely to engage in traumatic reenactment, in which they merge some aspects of the trauma into their lives. Reenactments occur due to psychological vulnerabilities and defensive mechanisms which are characteristic of PTSD survivors. Adolescents tend to engage in impulsive and aggressive behaviors more than younger children and adults do.

What can parents do?

Advocate for better safety protocols including monitoring and filtering with platforms like Facebook, Instagram, Snapchat, TikTok, Periscope, and YouTube.
Filter video access to children by using a child-safe browser, refusing requests to adopt livestream social media apps, and using appropriate child sites like YouTube Kids.
Maintain an ongoing dialogue about content viewed online to optimize the chance your child will go to you if they happen upon inappropriate content.
Let your child know they won’t be in trouble for accidental views.
Be alert for changes in behavior that may be reflective of PTSD like fears, anxiety, bathroom accidents, mutism, sleep problems, appetite problems, substance abuse, or school failure.
Seek the help of a child psychologist if you have concerns.

Thank you to CSUCI Intern, Mara Pober for writing this important series to inform parents and help them keep their kids Internet safe. For more parenting advice on-screen media and trauma in children, pick up your copy of Dr. Bennett’s book, Screen Time in the Mean Time: A Parent Guide to Get Kids and Teens Internet Safe.