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Journal of Pediatric Psychology Advance Access published online on August 10, 2005
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsj056
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Journal of Pediatric Psychology © 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
Received June 30, 2004
Revised February 25, 2005
Accepted February 27, 2005

Article

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*, Joan Russo PhD2, David C. Grossman MD, MPH3, Gregory Jurkovich MD4, Janice Sabin MSW3, Lucy Berliner MSW5, and Frederick Rivara MD, MPH6

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

* To whom correspondence should be addressed.
Douglas Zatzick, E-mail: dzatzick{at}u.washington.edu


  Abstract

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.

Keywords: adolescents; alcohol; depression; injury; posttraumatic stress; trauma history..
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