Early Relational Trauma and the Development of Internalizing Symptoms in Females with Postural Orthostatic Tachycardia Syndrome

Postural orthostatic tachycardia syndrome (POTS) is a disorder of the autonomic nervous system (ANS) that primarily impacts females. This study explored the relationship between early relational trauma, internalizing symptoms, and autonomic dysfunction in females with POTS. Previous research has established a link between childhood trauma and long-term health outcomes, but the specific impacts of relational trauma, particularly its physical and emotional manifestations, are less understood. Our findings revealed statistically significant correlations between childhood relational trauma, POTS-related symptoms, and internalizing symptoms (e.g. depression, anxiety, stress), suggesting a new perspective on autonomic dysfunction and potential treatment.