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Journal of Pediatric Psychology Advance Access published online on May 22, 2006
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsl003
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© The Author 2006. 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
Received October 23, 2005
Revised February 22, 2006
Accepted April 27, 2006

Brief Report

Brief Report: The Impact of Maternal Posttraumatic Stress Disorder Symptoms and Child Gender on Risk for Persistent Posttraumatic Stress Disorder Symptoms in Child Trauma Victims

Sarah A. Ostrowski MA 1, Norman C. Christopher MD 2, and Douglas L. Delahanty PhD 3 *

1 Department of Psychology, Kent State University
2 Akron Children’s Hospital, Emergency/Trauma Services; Department of Emergency Medicine and Pediatrics, Northeastern Ohio Universities College of Medicine (NEOUCOM)
3 Department of Psychology, Kent State University; Department of Psychology in Psychiatry, Northeastern Ohio Universities College of Medicine (NEOUCOM)

* To whom correspondence should be addressed.
Douglas L. Delahanty, E-mail: ddelahan{at}kent.edu


  Abstract

Objective To longitudinally examine the impact of maternal posttraumatic stress disorder symptoms (PTSS) on child adjustment following a child’s traumatic injury, focusing on child gender differences. Methods Forty-one child traumatic injury victims aged 8-18 years and their biological mothers were interviewed over two follow-ups (6 weeks and 7 months). Children were administered the Clinician-Administered Posttraumatic Stress Disorder (PTSD) Scale for Children and Adolescents (CAPS-CA), whereas mothers completed the CAPS. Results Six weeks post trauma, maternal PTSS were significantly related to PTSS in boys but not in girls. However, at 7 months, maternal PTSS were strongly related to child PTSS in both boys and girls. Significant 6-week maternal distress-child gender interactions suggested that maternal PTSS, especially avoidance, predicted greater 7-month PTSS but that this was primarily because of a significant relationship in females. Conclusions Maternal distress was found to negatively impact subsequent child adjustment, particularly in females. These results underscore the importance of considering family-centered interventions for child PTSD, especially in girls.

Keywords: children; maternal posttraumatic stress symptoms; pediatric injury; posttraumatic stress disorder.
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