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Journal of Pediatric Psychology Advance Access published online on March 3, 2005
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsj005
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Journal of Pediatric Psychology © The Author 2005. Published by Oxford University Press on behalf of the Society of Pediatric Psychology.
Received June 30, 2004
Revised December 30, 2004
Accepted January 24, 2005

Article

The Role of the Family in Child and Adolescent Posttraumatic Stress Following Attendance at an Emergency Department

Richard A. Meiser-Stedman PhD1*, William Yule PhD1, Tim Dalgleish PhD2, Patrick Smith PhD1, and Edward Glucksman FFAEM3

1 Department of Psychology, Institute of Psychiatry
2 MRC Cognition and Brain Sciences Unit, and
3 Accident and Emergency Department, King’s College Hospital

* To whom correspondence should be addressed.
Richard A. Meiser-Stedman, E-mail: r.meiser-stedman{at}iop.kcl.ac.uk


  Abstract

Objective To evaluate the role of family factors in posttraumatic stress symptomatology (PTSS) in children and adolescents who have attended an emergency department following assaults or motor vehicle accident. Methods Children and their parents completed selfreport questionnaires and semistructured interviews relating to their psychopathology and cognitive styles at 2-4 weeks and 6 months after trauma. Results Parental depression was correlated with child PTSS at each assessment point. Less consistent findings were observed for family functioning. Parental endorsement of worry was a correlate of child PTSS at each assessment and a mediator between parental depression and child PTSS. Conclusions A role for family factors, in particular parental depression and parental endorsement of worry, in the development of child PTSS is supported. Weaknesses of the study are discussed, and suggestions for future research are given.

Keywords: children; parents; PTSD.
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