Abstract
The purpose of this study was to examine predictors of risk for and the transition between acute stress disorder (ASD) and posttraumatic stress disorder (PTSD) in a longitudinal sample of youth with severe injuries admitted to the hospital. These data would assist with treatment and discharge planning. Youth were assessed for ASD during the initial hospital stay and were followed-up over an 18-month period for PTSD (n = 151). Youth were classified into four groups, including Resilient (ASD-, PTSD-), ASD Only (ASD+, PTSD-), PTSD Only (ASD-, PTSD+), and Chronic (ASD+, PTSD+). Demographic, psychiatric, social context, and injury-related factors were examined as predictors of diagnostic transition. The results of multivariate analysis of variance and pairwise comparisons found that peritraumatic dissociation, gender, and socioeconomic status were significant predictors after controlling for multiple testing. Results suggest that both within-child and contextual factors contribute to the longitudinal response to trauma in children. Clinicians should consider early screening and discharge planning, particularly for children most at risk.
References
Jun 1, 1972·Journal of Psychosomatic Research·R D Coddington
Aug 1, 1967·Journal of Psychosomatic Research·T H Holmes, R H Rahe
Jan 1, 1995·Journal of Traumatic Stress·D D BlakeT M Keane
Mar 1, 1996·Pain·P A McGrathM C Gibson
Aug 1, 1996·Behaviour Research and Therapy·E B BlanchardC A Forneris
Feb 26, 1999·Annals of Emergency Medicine·J A Gordon
Jan 19, 2000·Journal of the American Academy of Child and Adolescent Psychiatry·W Reich
Mar 7, 2001·Pediatrics·D A ChristakisF A Connell
Jun 4, 2002·Pediatrics·Flaura Koplin WinstonAvital Cnaan
Mar 4, 2003·Pediatrics·Joseph J ZorcUNKNOWN Randomized trial
Apr 30, 2003·Social Psychiatry and Psychiatric Epidemiology·Tom FryersRachel Jenkins
Jun 10, 2004·Journal of the American Academy of Child and Adolescent Psychiatry·Nancy Kassam-Adams, Flaura Koplin Winston
Mar 9, 2005·Archives of General Psychiatry·Nancy Kassam-AdamsFlaura Koplin Winston
Mar 25, 2005·Journal of Pediatric Psychology·Erin HallDaniel King
Jul 5, 2005·The American Journal of Psychiatry·Axel PerkoniggHans-Ulrich Wittchen
Jul 5, 2005·The American Journal of Psychiatry·Richard Meiser-StedmanTim Dalgleish
Dec 24, 2005·The Journal of Trauma·Glenn N SaxeSteve Moulton
Dec 31, 2005·The Journal of Trauma·Troy L HolbrookJohn P Anderson
Aug 26, 2006·Journal of Child Psychology and Psychiatry, and Allied Disciplines·Nicole R NugentDouglas L Delahanty
Sep 28, 2006·Journal of the American Academy of Child and Adolescent Psychiatry·Douglas F ZatzickFrederick P Rivara
Feb 28, 2007·Journal of Abnormal Psychology·Richard Meiser-StedmanEdward Glucksman
Oct 24, 2007·Journal of Traumatic Stress·Alexandra C De YoungSusan H Spence
Dec 7, 2007·Archives of General Psychiatry·Sandro GaleaRonald C Kessler
Dec 25, 2007·Journal of Traumatic Stress·Richard A BryantPatricia Davidson
Jan 1, 1991·IEEE Transactions on Ultrasonics, Ferroelectrics, and Frequency Control·J D AchenbachJ G Harris
Jul 30, 2008·Pediatrics·Patricia J O'MalleyUNKNOWN Committee on Pediatric Emergency Medicine
May 1, 2009·Social Science & Medicine·Fran H NorrisSandro Galea
Sep 1, 2009·Journal of Traumatic Stress·Nicole R NugentMonica M Fitzgerald
Nov 11, 2009·Journal of Traumatic Stress·Alisa MillerGlenn Saxe
Feb 12, 2010·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Alexander C McFarlane
Jan 26, 2011·Journal of Pediatric Psychology·Micah S BrosbeJan Faust
Jun 16, 2011·Journal of Child Psychology and Psychiatry, and Allied Disciplines·Alexandra C De YoungRoy Kimble
Sep 13, 2011·Annual Review of Sociology·Fred C PampelJustin T Denney
Jul 10, 2013·Journal of Pediatric Psychology·Todd D LittleE Whitney G Moore