The differential impact of the DSM-5 post-traumatic stress symptoms on functional impairment in traumatized children and adolescents.

Background: This study aims to provide a better understanding of the individual impact of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) post-traumatic stress symptoms (PTSS) on functional impairment in trauma-exposed children and adolescents. Identifying PTSS that...

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Publicado en:European Child & Adolescent Psychiatry Vol. 33; no. 5; pp. 1573 - 1582
Autores principales: Bartels, Lasse, Skar, Ane-Marthe Solheim, Birkeland, Marianne Skogbrott, Ormhaug, Silje Mørup, Berliner, Lucy, Jensen, Tine K.
Formato: research tables/charts Journal Article
Publicado: Springer Nature May2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2024
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00787-023-02266-w
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        atl: The differential impact of the DSM-5 post-traumatic stress symptoms on functional impairment in traumatized children and adolescents.
      aug:
        au:
          Bartels, Lasse
          Skar, Ane-Marthe Solheim
          Birkeland, Marianne Skogbrott
          Ormhaug, Silje Mørup
          Berliner, Lucy
          Jensen, Tine K.
        affil: https://ror.org/035vb3h42 Department of Psychosomatics and Psychiatry, and Children's Research Center, University Children's Hospital Zurich, Steinwiesstrasse 75, 8032, Zurich, Switzerland
      sug:
        subj:
          Trauma In Infancy and Childhood
          Trauma In Adolescence
          Stress Disorders, Post-Traumatic Symptoms
          DSM Methods
          Functional Status
          Diagnosis, Differential
          Health Knowledge
          Human
          Child, Preschool
          Child
          Adolescence
          Functional Assessment
          Descriptive Statistics
          Health Beliefs
          Social Behavior
          Emotions
          Cognition
          Affect
          Hypesthesia Symptoms
          Attention
          Recovery, Exercise
          Funding Source
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Adolescent: 13-18 years
      ab: Background: This study aims to provide a better understanding of the individual impact of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) post-traumatic stress symptoms (PTSS) on functional impairment in trauma-exposed children and adolescents. Identifying PTSS that have the most impact on functional impairment can broaden our understanding of post-trauma reactions and guide the selection of treatment components and techniques required to help patients to restore functioning following trauma exposure. Method: Utilizing relative importance analyses, unique shared variance of each DSM-5 PTSS with functional impairment were estimated in clinical samples of 3400 Norwegian (Mage = 14.18, SDage = 2.49, rangeage = 7–17) and 747 US (Mage = 10.76, SDage = 3.10, rangeage = 7–17) children and adolescents from naturalistic settings. Results: Negative beliefs, detachment from others, inability to experience positive emotions, and diminished interest in activities within the symptom cluster negative alterations in cognitions and mood, and the hyperarousal symptom concentration problems accounted for the largest proportions of unique variance explained in functional impairment in both samples. Further, the hyperarousal symptom irritability showed a unique high association with functional impairment in the US sample. Conclusion: As negative beliefs, emotional numbing symptoms, concentration problems and irritability may be especially related to functional impairment in traumatized children and adolescents, monitoring and targeting these symptoms throughout therapy might be of particular importance to restore functioning as early as possible and to facilitate overall recovery.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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