INTRODUCTION: 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. METHODS: 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. RESULTS: 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. DISCUSSION: 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.
INTRODUCTION: 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. METHODS: 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. RESULTS: 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. DISCUSSION: 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.
Authors: Joseph J Zorc; Richard J Scarfone; Yuelin Li; Travis Hong; Melina Harmelin; Lev Grunstein; Jalal B Andre Journal: Pediatrics Date: 2003-03 Impact factor: 7.124
Authors: Nicole R Nugent; Benjamin E Saunders; Linda M Williams; Rochelle Hanson; Daniel W Smith; Monica M Fitzgerald Journal: J Trauma Stress Date: 2009-10
Authors: Patricia A McGrath; Cheryl E Seifert; Kathy N Speechley; John C Booth; Larry Stitt; Margaret C Gibson Journal: Pain Date: 1996-03 Impact factor: 6.961
Authors: Allan Kalungi; Jacqueline S Womersley; Eugene Kinyanda; Moses L Joloba; Wilber Ssembajjwe; Rebecca N Nsubuga; Soraya Seedat; Sian M J Hemmings Journal: Front Genet Date: 2021-04-23 Impact factor: 4.599