Posttraumatic stress in children following acute physical injury

Jeffrey Aaron

162 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: To prospectively assess the presence of posttraumatic stress disorder (PTSD) in children hospitalized following acute physical injury. The focus was identification of the incidence of PTSD, PTSD symptoms, and exploration of factors associated with development of PTSD symptoms and disorder. METHOD: Forty children ages 8-17 were interviewed approximately 1 month following a serious injury and assessed for PTSD, pretrauma behavior problems, levels of peritraumatic fear, and posttraumatic thought suppression. RESULTS: Twenty-two and a half percent of participants met DSM-IV diagnostic criteria for PTSD; 47.5% met criteria for at least two of the three PTSD symptom clusters. Greater thought suppression was associated with increased symptoms of PTSD, as were the child's peritraumatic fear response and pretrauma internalizing behaviors. CONCLUSIONS: Results suggest that many children who have been hospitalized for physical trauma may be experiencing clinically significant PTSD symptomatology and may benefit from psychological as well as medical intervention.

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References

2013Diagnostic and Statistical Manual of Mental Disorders 1979Impact of Event Scale: A Measure of Subjective Stress 1991Treatment of posttraumatic stress disorder in rape victims: A comparison between cognitive-behavioral procedures and counseling.1987Life Threat and Posttraumatic Stress in School-age Children 1987Post-Traumatic Stress Disorder in the General Population 2000Chronic Thought Suppression 1993Psychiatric consequences of road traffic accidents.1983Chowchilla revisited: the effects of psychic trauma four years after a school-bus kidnapping

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