Posttraumatic Stress Disorder in Young Children 3 Years Posttrauma
Autor: | Patrick Smith, William Yule, Richard Meiser-Stedman, Tim Dalgleish, Edward Glucksman |
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Rok vydání: | 2017 |
Předmět: |
medicine.medical_specialty
Cross-sectional study Intellectual ability Traumatic stress Logistic regression behavioral disciplines and activities Mental health 030227 psychiatry 03 medical and health sciences Psychiatry and Mental health Posttraumatic stress 0302 clinical medicine mental disorders Stress disorders medicine Psychology Self report Psychiatry 030217 neurology & neurosurgery Clinical psychology |
Zdroj: | The Journal of Clinical Psychiatry. 78:334-339 |
ISSN: | 0160-6689 |
Popis: | Objective: Age-appropriate criteria for posttraumatic stress disorder (PTSD) in young children have been established. The present study investigated the long-term course of such PTSD and its predictors in young children. Methods: Young children (aged 2–10 years) and parents/caregivers who had attended emergency departments after motor vehicle collisions (MVCs) between May 2004 and November 2005 were assessed at 2 to 4 weeks and 6 months post-MVC; 71 families were re-interviewed 3 years post-MVC. Participants were assessed according to standard DSM-IV criteria for PTSD and a well-validated alternative algorithm for diagnosing PTSD in young children (PTSD-AA). Demographic, trauma-related, and parental mental health variables and intellectual ability were also assessed at baseline. Results: Using an “optimal-report” procedure (a positive diagnosis according to parent or child for older children, or just parent for younger children), 7.0% met criteria for DSM-IV PTSD and 16.9% for PTSD-AA at 3 years. Using parent report alone, these rates were 1.4% and 2.8%, respectively. Parent-child agreement for PTSD and PTSD-AA was no better than chance (Cohen κ = –0.03 and –0.04, respectively). Baseline parent posttraumatic stress relating to the child’s trauma, and not trauma severity, was correlated with optimal-report child PTSD-AA at each assessment (r values = 0.29–0.31) and accounted for unique variance in logistic regression models of this outcome at each assessment. Conclusions: PTSD-AA in young children can persist for years but is underrecognized by parents despite its being shaped to a large extent by parents’ own acute traumatic stress in response to the child’s trauma. |
Databáze: | OpenAIRE |
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