Background: Research suggests that young childhood is a dynamic developmental phase during which risks to attachment figures as well as traumatic events may be particularly important. The loss and disruption associated with Hurricane Katrina highlighted the vulnerabilities and special needs of young children exposed to natural disaster. Objective: The current study explored ways in which multiple stressors associated with Hurricane Katrina contributed to adverse outcomes. We hypothesize overall decreases in trauma symptoms over time. We further hypothesize that increased attachment and hurricane related risk factors will negatively influence longitudinal symptom patterns. Methods: Data was collected from families of preschool-aged children (ages 3-5) during the school year following Hurricane Katrina (2005-2006) and each subsequent school year (2006-2007, 2007-2008, and 2008-2009). Latent growth curve modeling was used to assess trauma symptoms overtime and the effect of risk indices on these trauma symptoms. Results: Results suggest an overall decrease in trauma distress symptoms over time and further indicate that attachment and trauma related risks of caregiver disruption, other non-human losses, trauma prior to and subsequent to the storm, as well as Katrina exposure are significant predictors of symptoms over time. Conclusions: Given the rapid physical, cognitive, and emotional development that occurs in early childhood, these findings support the importance of providing intervention with preschool age children post-disaster. Further, the findings also suggest that a relationship based treatment including both caregiver and child is most likely to be effective.