Articlehybrid1996

Twenty-One—Month Follow-up Study of School-Age Children Exposed to Hurricane Andrew

Jon A. Shaw · Brooks E. Applegate · CARYN SCHORR

177 citations0/0 files storedJournal of the American Academy of Child & Adolescent Psychiatry

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Posttraumatic Stress Disorder Research Child and Adolescent Psychosocial and Emotional Development Child Abuse and Trauma

Abstract

OBJECTIVE: To explore the 21-month course of posttraumatic stress symptomatology (PTSS) and psychological morbidity in 30 school-age children (7 to 13 years) after exposure to Hurricane Andrew. METHOD: Pynoos' Posttraumatic Stress Disorder Reaction Index and Achenbach's Teacher's Report Form were administered at 8 and 21 months after Hurricane Andrew. RESULTS: At 21 months 70% of the children endorsed moderate-severe PTSS. The reduction in PTSS was greater for boys than girls. Psychopathology as measured by the Teacher's Report Form increased over the 19-month period. Boys demonstrated significant increases in internalizing symptoms and in Withdrawn, Anxious/Depressed, Social Problems, and Attention Problems scales, and girls showed a significant increase in the Anxious/Depressed scale. CONCLUSIONS: Twenty-one months after exposure to Hurricane Andrew, there were continuing high levels of PTSS and evidence of increasing emotional and behavioral problems. While girls sustained higher levels of PTSS, boys demonstrated higher indices of other psychopathology. The enduring effects of disaster associated with secondary stressors and "traumatic reminders" continue to be etiologically important for continuing psychological morbidity.

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References

1991Traumatic Events and Posttraumatic Stress Disorder in an Urban Population of Young Adults 1991Manual for the Teacher's Report Form and 1991 Profile 1987Life Threat and Posttraumatic Stress in School-age Children 1991Children and Disaster: Age, Gender, and Parental Effects on PTSD Symptoms 1983Chowchilla revisited: the effects of psychic trauma four years after a school-bus kidnapping 1993Post-traumatic Stress Reactions in Children After the 1988 Armenian Earthquake 1994Children Exposed to Disaster: I. Epidemiology of Post-Traumatic Symptoms and Symptom Profiles 2016Review of Psychiatry

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