Journal of Pediatric Psychiatry, Vol 24, 335-343, Copyright © 1999 by Society of Pediatric Psychology
J Aaron, H Zaglul and RE Emery
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.
ARTICLE
Posttraumatic stress in children following acute physical injury
Children's Medical Center, University of Virginia Health Sciences Center, Charlottesville 22903, USA. jda4e@virginia.edu
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