A multi-method and multi-informant approach to assessing post-traumatic stress disorder (PTSD) in children
| Autor: | James J. Hudziak, Kerry O'Loughlin, Joan Kaufman, Catherine Kearney, Francheska Perepletchikova, Hannah Holbrook, Bradley R. Grant, Robert R. Althoff, Damion J. Grasso |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Parents Multi informant Article Cohort Studies Stress Disorders Post-Traumatic Multiple informants 03 medical and health sciences 0302 clinical medicine Interview Psychological Humans Medicine Child Abuse Child Post-traumatic stress disorder (PTSD) business.industry medicine.disease 030227 psychiatry Connecticut Psychiatry and Mental health Behavior Rating Scale Female Self Report Multi method School Teachers business 030217 neurology & neurosurgery Vermont Clinical psychology |
| Zdroj: | Int Rev Psychiatry |
| ISSN: | 1369-1627 0954-0261 |
| DOI: | 10.1080/09540261.2019.1697212 |
| Popis: | Trauma exposure is highly prevalent among children globally, and is associated with elevated rates of PTSD. The goal of this study was to systematically evaluate the effects of multiple informants and multiple screening measures on the identification of specific PTSD symptoms and rates of PTSD diagnoses. Participants in this study included 350 maltreated children from two cohorts, one recruited from Connecticut (N=130), and the other from Vermont (N=220). Both cohorts completed the Screen for Child Anxiety-Related Emotional Disorders (SCARED) before a PTSD self-report measure. The KSADS psychiatric interview was also completed with the Connecticut cohort, with best-estimate ratings generated using parent and child interview, child self-report, and teacher questionnaire data. In addition to the SCARED and PTSD self-report scale, parents of the Vermont cohort completed the Child Behavioral Checklist. Significant differences emerged between parent and child report of sleep, nightmares, concentration, and irritability problems, suggesting the need for multiple informants in PTSD screening. Children also under-reported nightmares when asked in the context of a trauma-specific screening tool. As child trauma is associated with a broad range of psychiatric sequelae, comprehensive assessment using both general symptomatology and trauma-specific measures is recommended, since children often shut down when completing trauma measures. |
| Databáze: | OpenAIRE |
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