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Journal of Pediatric Psychology Advance Access published online on June 17, 2009

Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsp050
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© The Author 2009. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

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

Robyne M Le Brocque, PhD, Joan Hendrikz, BSc and Justin A. Kenardy, PhD

Centre of National Research on Disability and Rehabilitation Medicine, Mayne Medical School, University of Queensland

All correspondence concerning this article should be addressed to Robyne M. Le Brocque, Centre of National Research on Disability and Rehabilitation, Medical School, The University of Queensland, Herston Road, Herston 4006, Queensland, Australia. E-mail: r.lebrocque{at}uq.edu.au


   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.

Key words: children; posttraumatic stress; statistical applications..

Received August 24, 2008; revision received May 13, 2009; accepted May 13, 2009


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