Predicting Posttraumatic Stress Symptoms Longitudinally in a Representative Sample of Hospitalized Injured Adolescents
Adolescents constitute a high-risk population for traumatic physical injury, yet few longitudinal investigations have assessed the development of posttraumatic stress disorder (PTSD) symptoms over time in representative samples. Between July 2002 and August 2003, 108 randomly selected injured adoles...
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| Veröffentlicht in: | Journal of the American Academy of Child and Adolescent Psychiatry 2006-10, Vol.45 (10), p.1188-1195 |
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| creator | ZATZICK, DOUGLAS F. GROSSMAN, DAVID C. RUSSO, JOAN PYNOOS, ROBERT BERLINER, LUCY JURKOVICH, GREGORY SABIN, JANICE A. KATON, WAYNE GHESQUIERE, ANGELA McCAULEY, ELIZABETH RIVARA, FREDERICK P. |
| description | Adolescents constitute a high-risk population for traumatic physical injury, yet few longitudinal investigations have assessed the development of posttraumatic stress disorder (PTSD) symptoms over time in representative samples.
Between July 2002 and August 2003, 108 randomly selected injured adolescent patients ages 12 to 18 and their parents were interviewed at baseline and again 2, 5, and 12 months postinjury. Initially, participants were screened for PTSD symptoms with the PTSD Reaction Index (PTSD-RI) and depressive symptoms with the Center for Epidemiologic Studies Depression Scale, as well as preinjury trauma. Random-coefficient regression was used to assess the association between baseline clinical, injury, and demographic characteristics and the development and maintenance of PTSD symptoms longitudinally.
Between 19% and 32% of adolescents screened positive for PTSD (i.e., had PTSD-RI scores of ≥38) during the course of the 12 months after the injury. Higher initial adolescent PTSD and depressive symptoms, higher emergency department heart rate, greater objective event severity, and greater parental preinjury trauma were significant independent predictors of higher adolescent PTSD symptoms.
For a substantive minority of hospitalized adolescents, high PTSD symptom levels persist during the 12 months after injury. Clinical characteristics readily identifiable after the acute injury predict the development of PTSD symptoms over time. Real-world clinical trials that test screening and intervention procedures for representative samples of at-risk youths are warranted. J. Am. Acad. Child Adolesc. Psychiatry, 2006;45(10):1188-1195. |
| doi_str_mv | 10.1097/01.chi.0000231975.21096.45 |
| format | Article |
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Between July 2002 and August 2003, 108 randomly selected injured adolescent patients ages 12 to 18 and their parents were interviewed at baseline and again 2, 5, and 12 months postinjury. Initially, participants were screened for PTSD symptoms with the PTSD Reaction Index (PTSD-RI) and depressive symptoms with the Center for Epidemiologic Studies Depression Scale, as well as preinjury trauma. Random-coefficient regression was used to assess the association between baseline clinical, injury, and demographic characteristics and the development and maintenance of PTSD symptoms longitudinally.
Between 19% and 32% of adolescents screened positive for PTSD (i.e., had PTSD-RI scores of ≥38) during the course of the 12 months after the injury. Higher initial adolescent PTSD and depressive symptoms, higher emergency department heart rate, greater objective event severity, and greater parental preinjury trauma were significant independent predictors of higher adolescent PTSD symptoms.
For a substantive minority of hospitalized adolescents, high PTSD symptom levels persist during the 12 months after injury. Clinical characteristics readily identifiable after the acute injury predict the development of PTSD symptoms over time. Real-world clinical trials that test screening and intervention procedures for representative samples of at-risk youths are warranted. J. Am. Acad. Child Adolesc. Psychiatry, 2006;45(10):1188-1195.</description><identifier>ISSN: 0890-8567</identifier><identifier>EISSN: 1527-5418</identifier><identifier>DOI: 10.1097/01.chi.0000231975.21096.45</identifier><identifier>PMID: 17003664</identifier><identifier>CODEN: JAAPEE</identifier><language>eng</language><publisher>Hagerstown, MD: Elsevier Inc</publisher><subject>acute care ; Acute Disease ; Adolescent ; Adolescents ; Adult and adolescent clinical studies ; Anxiety disorders. Neuroses ; At Risk Persons ; Biological and medical sciences ; Center for Epidemiologic Studies Depression Scale ; Child ; Child clinical studies ; Child psychology ; Depression (Psychology) ; Diagnostic and Statistical Manual of Mental Disorders ; Emotional Response ; Female ; Follow-Up Studies ; Hospitalization ; Hospitalized Children ; Humans ; Injuries ; Length of Stay ; Longitudinal Studies ; Male ; Medical sciences ; Metabolism ; Patients ; Physical trauma ; Post traumatic stress disorder ; Posttraumatic Stress Disorder ; Posttraumatic Stress Disorder Reaction Index ; Predictive Value of Tests ; Predictor Variables ; Predictors ; Psychological Patterns ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Severity of Illness Index ; Stress Disorders, Post-Traumatic - diagnosis ; Stress Disorders, Post-Traumatic - epidemiology ; Stress Disorders, Post-Traumatic - psychology ; Surveys and Questionnaires ; Teenagers ; Trauma ; traumatic injury ; Wounds and Injuries - epidemiology ; Wounds and Injuries - psychology ; Wounds and Injuries - rehabilitation</subject><ispartof>Journal of the American Academy of Child and Adolescent Psychiatry, 2006-10, Vol.45 (10), p.1188-1195</ispartof><rights>2006 The American Academy of Child and Adolescent Psychiatry</rights><rights>2007 INIST-CNRS</rights><rights>Copyright Lippincott Williams & Wilkins Oct 2006</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c518t-786b41e222650ff31f54f10443837f9063457de551d52234930a2b5ac9127dda3</citedby><cites>FETCH-LOGICAL-c518t-786b41e222650ff31f54f10443837f9063457de551d52234930a2b5ac9127dda3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1097/01.chi.0000231975.21096.45$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,30999,31000,45995</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ754433$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18164977$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17003664$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>ZATZICK, DOUGLAS F.</creatorcontrib><creatorcontrib>GROSSMAN, DAVID C.</creatorcontrib><creatorcontrib>RUSSO, JOAN</creatorcontrib><creatorcontrib>PYNOOS, ROBERT</creatorcontrib><creatorcontrib>BERLINER, LUCY</creatorcontrib><creatorcontrib>JURKOVICH, GREGORY</creatorcontrib><creatorcontrib>SABIN, JANICE A.</creatorcontrib><creatorcontrib>KATON, WAYNE</creatorcontrib><creatorcontrib>GHESQUIERE, ANGELA</creatorcontrib><creatorcontrib>McCAULEY, ELIZABETH</creatorcontrib><creatorcontrib>RIVARA, FREDERICK P.</creatorcontrib><title>Predicting Posttraumatic Stress Symptoms Longitudinally in a Representative Sample of Hospitalized Injured Adolescents</title><title>Journal of the American Academy of Child and Adolescent Psychiatry</title><addtitle>J Am Acad Child Adolesc Psychiatry</addtitle><description>Adolescents constitute a high-risk population for traumatic physical injury, yet few longitudinal investigations have assessed the development of posttraumatic stress disorder (PTSD) symptoms over time in representative samples.
Between July 2002 and August 2003, 108 randomly selected injured adolescent patients ages 12 to 18 and their parents were interviewed at baseline and again 2, 5, and 12 months postinjury. Initially, participants were screened for PTSD symptoms with the PTSD Reaction Index (PTSD-RI) and depressive symptoms with the Center for Epidemiologic Studies Depression Scale, as well as preinjury trauma. Random-coefficient regression was used to assess the association between baseline clinical, injury, and demographic characteristics and the development and maintenance of PTSD symptoms longitudinally.
Between 19% and 32% of adolescents screened positive for PTSD (i.e., had PTSD-RI scores of ≥38) during the course of the 12 months after the injury. Higher initial adolescent PTSD and depressive symptoms, higher emergency department heart rate, greater objective event severity, and greater parental preinjury trauma were significant independent predictors of higher adolescent PTSD symptoms.
For a substantive minority of hospitalized adolescents, high PTSD symptom levels persist during the 12 months after injury. Clinical characteristics readily identifiable after the acute injury predict the development of PTSD symptoms over time. Real-world clinical trials that test screening and intervention procedures for representative samples of at-risk youths are warranted. J. Am. Acad. Child Adolesc. Psychiatry, 2006;45(10):1188-1195.</description><subject>acute care</subject><subject>Acute Disease</subject><subject>Adolescent</subject><subject>Adolescents</subject><subject>Adult and adolescent clinical studies</subject><subject>Anxiety disorders. Neuroses</subject><subject>At Risk Persons</subject><subject>Biological and medical sciences</subject><subject>Center for Epidemiologic Studies Depression Scale</subject><subject>Child</subject><subject>Child clinical studies</subject><subject>Child psychology</subject><subject>Depression (Psychology)</subject><subject>Diagnostic and Statistical Manual of Mental Disorders</subject><subject>Emotional Response</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hospitalization</subject><subject>Hospitalized Children</subject><subject>Humans</subject><subject>Injuries</subject><subject>Length of Stay</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Metabolism</subject><subject>Patients</subject><subject>Physical trauma</subject><subject>Post traumatic stress disorder</subject><subject>Posttraumatic Stress Disorder</subject><subject>Posttraumatic Stress Disorder Reaction Index</subject><subject>Predictive Value of Tests</subject><subject>Predictor Variables</subject><subject>Predictors</subject><subject>Psychological Patterns</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. 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Neuroses</topic><topic>At Risk Persons</topic><topic>Biological and medical sciences</topic><topic>Center for Epidemiologic Studies Depression Scale</topic><topic>Child</topic><topic>Child clinical studies</topic><topic>Child psychology</topic><topic>Depression (Psychology)</topic><topic>Diagnostic and Statistical Manual of Mental Disorders</topic><topic>Emotional Response</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Hospitalization</topic><topic>Hospitalized Children</topic><topic>Humans</topic><topic>Injuries</topic><topic>Length of Stay</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Metabolism</topic><topic>Patients</topic><topic>Physical trauma</topic><topic>Post traumatic stress disorder</topic><topic>Posttraumatic Stress Disorder</topic><topic>Posttraumatic Stress Disorder Reaction Index</topic><topic>Predictive Value of Tests</topic><topic>Predictor Variables</topic><topic>Predictors</topic><topic>Psychological Patterns</topic><topic>Psychology. 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Between July 2002 and August 2003, 108 randomly selected injured adolescent patients ages 12 to 18 and their parents were interviewed at baseline and again 2, 5, and 12 months postinjury. Initially, participants were screened for PTSD symptoms with the PTSD Reaction Index (PTSD-RI) and depressive symptoms with the Center for Epidemiologic Studies Depression Scale, as well as preinjury trauma. Random-coefficient regression was used to assess the association between baseline clinical, injury, and demographic characteristics and the development and maintenance of PTSD symptoms longitudinally.
Between 19% and 32% of adolescents screened positive for PTSD (i.e., had PTSD-RI scores of ≥38) during the course of the 12 months after the injury. Higher initial adolescent PTSD and depressive symptoms, higher emergency department heart rate, greater objective event severity, and greater parental preinjury trauma were significant independent predictors of higher adolescent PTSD symptoms.
For a substantive minority of hospitalized adolescents, high PTSD symptom levels persist during the 12 months after injury. Clinical characteristics readily identifiable after the acute injury predict the development of PTSD symptoms over time. Real-world clinical trials that test screening and intervention procedures for representative samples of at-risk youths are warranted. J. Am. Acad. Child Adolesc. Psychiatry, 2006;45(10):1188-1195.</abstract><cop>Hagerstown, MD</cop><pub>Elsevier Inc</pub><pmid>17003664</pmid><doi>10.1097/01.chi.0000231975.21096.45</doi><tpages>8</tpages></addata></record> |
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| subjects | acute care Acute Disease Adolescent Adolescents Adult and adolescent clinical studies Anxiety disorders. Neuroses At Risk Persons Biological and medical sciences Center for Epidemiologic Studies Depression Scale Child Child clinical studies Child psychology Depression (Psychology) Diagnostic and Statistical Manual of Mental Disorders Emotional Response Female Follow-Up Studies Hospitalization Hospitalized Children Humans Injuries Length of Stay Longitudinal Studies Male Medical sciences Metabolism Patients Physical trauma Post traumatic stress disorder Posttraumatic Stress Disorder Posttraumatic Stress Disorder Reaction Index Predictive Value of Tests Predictor Variables Predictors Psychological Patterns Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Severity of Illness Index Stress Disorders, Post-Traumatic - diagnosis Stress Disorders, Post-Traumatic - epidemiology Stress Disorders, Post-Traumatic - psychology Surveys and Questionnaires Teenagers Trauma traumatic injury Wounds and Injuries - epidemiology Wounds and Injuries - psychology Wounds and Injuries - rehabilitation |
| title | Predicting Posttraumatic Stress Symptoms Longitudinally in a Representative Sample of Hospitalized Injured Adolescents |
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