OBJECTIVE: The present study prospectively examined the development of child PTSD symptoms (PTSS) and the impact of caregiver PTSS on child PTSS following injury. METHODS: One hundred and eighteen ED patients and their caregivers were interviewed in-hospital and 2- and 6-weeks posttrauma. Structural equation modeling and hierarchical linear regressions examined the development of PTSS. RESULTS: A model combining child and caregiver 2-week PTSS into one latent family PTSS variable provided the best fit to the data. Child in-hospital avoidance symptoms predicted higher levels of 2-week family PTSS. Two-week family PTSS predicted child 6-week PTSS. Post hoc analyses revealed an interaction between in-hospital caregiver avoidance symptoms and child reexperiencing symptoms in predicting 6-week child PTSS. CONCLUSIONS: Results highlight the dynamic development of child PTSS. Different symptom clusters may be related to higher PTSS at differing times posttrauma and may inform the development of time-sensitive methods of assessment and intervention for injury victims.
OBJECTIVE: The present study prospectively examined the development of childPTSD symptoms (PTSS) and the impact of caregiver PTSS on child PTSS following injury. METHODS: One hundred and eighteen ED patients and their caregivers were interviewed in-hospital and 2- and 6-weeks posttrauma. Structural equation modeling and hierarchical linear regressions examined the development of PTSS. RESULTS: A model combining child and caregiver 2-week PTSS into one latent family PTSS variable provided the best fit to the data. Child in-hospital avoidance symptoms predicted higher levels of 2-week family PTSS. Two-week family PTSS predicted child 6-week PTSS. Post hoc analyses revealed an interaction between in-hospital caregiver avoidance symptoms and child reexperiencing symptoms in predicting 6-week child PTSS. CONCLUSIONS: Results highlight the dynamic development of child PTSS. Different symptom clusters may be related to higher PTSS at differing times posttrauma and may inform the development of time-sensitive methods of assessment and intervention for injury victims.
Authors: Markus A Landolt; Margarete Vollrath; Karin Ribi; Hanspeter E Gnehm; Felix H Sennhauser Journal: J Child Psychol Psychiatry Date: 2003-11 Impact factor: 8.982
Authors: Carly Yasinski; Adele M Hayes; C Beth Ready; Jorden A Cummings; Ilana S Berman; Thomas McCauley; Charles Webb; Esther Deblinger Journal: J Consult Clin Psychol Date: 2016-09-12
Authors: Carly Yasinski; Adele M Hayes; Elizabeth Alpert; Thomas McCauley; C Beth Ready; Charles Webb; Esther Deblinger Journal: Behav Res Ther Date: 2018-05-23