Different clinical courses of children exposed to a single incident of psychological trauma: a 30-month prospective follow-up study.
Background We investigated the distinct longitudinal trajectories of posttraumatic stress symptoms in a sample of 167 children, who witnessed death of two mothers of their schoolmates. Methods The cohort was followed-up at 2 days (T1), 2 months (T2), 6 months (T3), and 30 months (T4) after the traum...
| Publicado en: | Journal of Child Psychology & Psychiatry Vol. 55; no. 11; pp. 1226 - 1234 |
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| Autores principales: | , , , , , , , , , , , , |
| Formato: | Artículo |
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Wiley-Blackwell
Nov2014
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=98835854&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 98835854 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00219630 JYY jtl: Journal of Child Psychology & Psychiatry issn: 00219630 maglogo: Y pubinfo: dt: Nov2014 vid: 55 iid: 11 pid: 480 pub: Wiley-Blackwell artinfo: ui: 98835854 10.1111/jcpp.12241 ppf: 1226 ppct: 8 formats: tig: atl: Different clinical courses of children exposed to a single incident of psychological trauma: a 30-month prospective follow-up study. aug: au: Hong, Soon‐Beom Youssef, George J. Song, Sook‐Hyung Choi, Nam‐Hee Ryu, Jeong McDermott, Brett Cobham, Vanessa Park, Subin Kim, Jae‐Won Shin, Min‐Sup Yoo, Hee‐Jeong Cho, Soo‐Churl Kim, Bung‐Nyun affil: Division of Child and Adolescent Psychiatry, Department of Psychiatry, Seoul National University Hospital, Seoul Korea Melbourne Neuropsychiatry Centre, Department of Psychiatry, University of Melbourne, Melbourne Vic., Australia Florey Institute of Neuroscience and Mental Health, Parkville Vic., Australia Monash Clinical and Imaging Neuroscience, School of Psychological Sciences and Monash Biomedical Imaging, Monash University, Clayton Vic., Australia Seoul Institute for Narrative Studies, Seoul Korea Seoul Women's College of Nursing, Seoul Korea Cognitive Science Program, Graduate School, Yonsei University, Seoul Korea Department of Pediatrics, Kids in Mind Research Centre, Mater Children's Hospital, South Brisbane Qld, Australia School of Psychology, University of Queensland, Brisbane Qld, Australia su: Australia Anxiety Child development Death Mental depression Psychological tests Quality of life Algorithms Chi-squared test Confidence intervals Convalescence Latent structure analysis Longitudinal method Post-traumatic stress disorder in children Research funding Psychological resilience Data analysis software Descriptive statistics Odds ratio sug: subj: Anxiety Child development Death Mental depression Psychological tests Quality of life Australia Algorithms Chi-squared test Confidence intervals Convalescence Latent structure analysis Longitudinal method Post-traumatic stress disorder in children Research funding Psychological resilience Data analysis software Descriptive statistics Odds ratio keyword: Children growth mixture modeling PTSD resilience Children growth mixture modeling PTSD resilience ab: Background We investigated the distinct longitudinal trajectories of posttraumatic stress symptoms in a sample of 167 children, who witnessed death of two mothers of their schoolmates. Methods The cohort was followed-up at 2 days (T1), 2 months (T2), 6 months (T3), and 30 months (T4) after the traumatic event. The children's posttraumatic stress symptoms (T1-T4), depression (T1, T3 and T4), state anxiety (T1, T3 and T4), and quality of life (T4) were assessed, along with parental stress related to child rearing (T4). Different trajectory patterns of the children's posttraumatic stress symptoms were identified using growth mixture modeling ( GMM). Results Four different patterns of symptom change were identified, which were consistent with the prototypical model, and were named Recovery (19.9%), Resilience (72.7%), Chronic Dysfunction (1.8%), and Delayed Reactions (5.6%). Significant differences were found in depression and anxiety scores, children's quality of life, and parental rearing stress according to the distinct longitudinal trajectories of posttraumatic stress symptoms. Conclusions The present study suggests that individual differences should be taken into account in the clinical course and outcome of children exposed to psychological trauma. The two most common trajectories were the Resilience and the Recovery types, together suggesting that over 90% of children were evidenced with a favorable 30-month outcome. The latent classes were associated with significant mean differences in depression and anxiety scores, supporting the clinical validity of the distinct trajectories. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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