The Course of Posttraumatic Stress in Children: Examination of Recovery Trajectories Following Traumatic Injury

Robyne M. Le Brocque · Joan Katherine Hendrikz · Justin A. Kenardy

126 citations0/0 files storedJournal of Pediatric Psychology

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Posttraumatic Stress Disorder Research Child Abuse and Trauma Traumatic Brain Injury Research

Abstract

OBJECTIVE: Group-based trajectory modeling was used to identify patterns of posttraumatic stress symptom (PTSS) in children 6-16 years following accidental injury. The aims were to: (a) identify probable groups of children following distinct trajectories, and (b) identify risk factors affecting the probability of group membership. METHOD: Children's Impact of Events Scale (n = 190) was used to assess PTSS up to 2 years post injury. Age, gender, type of injury, and preinjury behavior were assessed as risk factors. RESULTS: Three distinct trajectory groups were identified: resilient (57%), elevated stress symptoms which recovered quickly (33%), and chronic (10%). Younger children were more likely to be in the recovery group. Those with serious injuries were more likely to be in the chronic group. Preinjury child behavior problems were predictive of recovery and high chronic symptoms. CONCLUSION: Identification of distinct PTSS trajectory groups has implications for understanding the course and treatment of PTSS in children.

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References

2005Resilience in the Face of Potential Trauma 2005The Children's Revised Impact of Event Scale (CRIES): Validity as a Screening Instrument for PTSD 2000The Long-term Psychological Effects of a Disaster Experienced in Adolescence: I: The Incidence and Course of PTSD 2003Incidence and associations of parental and child posttraumatic stress symptoms in pediatric patients 2000Predicting Posttraumatic Stress After Hospitalization for Pediatric Injury 1999Looking Beyond the Physical Injury: Posttraumatic Stress Disorder in Children and Parents After Pediatric Traffic Injury 2000Risk Factors for Long-term Psychological Effects of a Disaster Experienced in Adolescence: Predictors of Post Traumatic Stress Disorder 2004Predicting Child PTSD: The Relationship Between Acute Stress Disorder and PTSD in Injured Children

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