Skip Navigation


Journal of Pediatric Psychology Advance Access originally published online on August 10, 2005
Journal of Pediatric Psychology 2006 31(4):377-387; doi:10.1093/jpepsy/jsj056
This Article
Right arrow Full Text Freely available
Right arrow FREE Full Text (PDF) Freely available
Right arrow An erratum has been published
Right arrow All Versions of this Article:
31/4/377    most recent
jsj056v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Search for citing articles in:
ISI Web of Science (4)
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Zatzick, D.
Right arrow Articles by Rivara, F.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Zatzick, D.
Right arrow Articles by Rivara, F.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© The Author 2005. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oupjournals.org

Posttraumatic Stress and Depressive Symptoms, Alcohol Use, and Recurrent Traumatic Life Events in a Representative Sample of Hospitalized Injured Adolescents and Their Parents

Douglas Zatzick, MD1,2,3, Joan Russo, PhD1, David C. Grossman, MD, MPH2, Gregory Jurkovich, MD2,4, Janice Sabin, MSW2, Lucy Berliner, MSW3 and Frederick Rivara, MD, MPH2,5

1 Department of Psychiatry and Behavioral Sciences, Harborview Medical Center, 2 Harborview Injury Prevention and Research Center, 3 National Child Traumatic Stress Network, Washington State Site at Harborview Medical Center, 4 Department of Surgery, University of Washington School of Medicine, and 5 Department of Pediatrics, University of Washington School of Medicine

All correspondence concerning this article should be addressed to Doug Zatzick, MD, Associate Professor, Department of Psychiatry and Behavioral Sciences, Harborview Medical Center, University of Washington, PO Box 359896, 325 Ninth Avenue, Seattle, Washington 98104-02499. E-mail: dzatzick{at}u.washington.edu.

Received June 30, 2004; revisions received November 5, 2004 and February 25, 2005; accepted February 27, 2005

Objective Few investigations have comprehensively assessed the scope of impairment of injured adolescents presenting to acute care inpatient settings. Methods Randomly sampled injured adolescent inpatients and their parents were screened for posttraumatic stress (PTS) and depressive symptoms, preinjury alcohol use, and preinjury trauma. Linear regression was used to assess which clinical, demographic, and injury characteristics were independently associated with increased levels of adolescent PTS and depressive symptoms. Results Seventy percent of adolescent–parent dyads endorsed high levels of PTS or depressive symptoms and/or high preinjury alcohol use. Adolescent female gender, greater levels of preinjury trauma, greater subjective distress at the time of the injury, and greater parental depressive symptoms were independently associated with increased levels of adolescent PTS and depressive symptoms. Conclusions The adoption of early screening and intervention procedures that broadly consider the scope of impairment of injured adolescents and their family members could enhance the quality of acute care mental health service delivery.

Key words: adolescents; alcohol; depression; injury; posttraumatic stress; trauma history.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 Arch Pediatr Adolesc MedHome page
D. F. Zatzick, G. J. Jurkovich, M.-Y. Fan, D. Grossman, J. Russo, W. Katon, and F. P. Rivara
Association Between Posttraumatic Stress and Depressive Symptoms and Functional Outcomes in Adolescents Followed Up Longitudinally After Injury Hospitalization
Arch Pediatr Adolesc Med, July 1, 2008; 162(7): 642 - 648.
[Abstract] [Full Text] [PDF]

Home page
 Arch. Dis. Child.Home page
P McArdle
Alcohol abuse in adolescents
Arch. Dis. Child., June 1, 2008; 93(6): 524 - 527.
[Abstract] [Full Text] [PDF]

Home page
 Psychiatr. Serv.Home page
D. Zatzick and P. P. Roy-Byrne
From Bedside to Bench: How the Epidemiology of Clinical Practice Can Inform the Secondary Prevention of PTSD
Psychiatr Serv, December 1, 2006; 57(12): 1726 - 1730.
[Abstract] [Full Text] [PDF]


Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.