Caregiver and child agreement on traumatic events, PTSD, internalizing, externalizing, and ADHD problems in a child welfare population

Anh, Thao; Scheeringa, Michael S.

doi:10.1080/15548732.2019.1701612

Cited by 6 publications

(5 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Categorical determinations for the presence or absence of symptoms were based on scoring at least 1 or higher on frequency or problem intensity ratings. This low threshold was based on empirical findings from prior studies that caregivers tend to underestimate the presence of both internalizing and externalizing symptoms in children (Mai and Scheeringa 2019). To examine attenuation from Time 1 to Time 2, the proportion of children diagnosed at Time 1 were compared to the proportion at Time 2 with binomial distribution tests.…”

Section: Discussionmentioning

confidence: 99%

The Diagnostic Infant Preschool Assessment-Likert Version: Preparation, Concurrent Construct Validation, and Test–Retest Reliability

Scheeringa

2020

Journal of Child and Adolescent Psychopharmacology

Self Cite

View full text Add to dashboard Cite

Objective: The Diagnostic Infant and Preschool Assessment was revised to include Likert ratings (DIPA-L) to give a broader range of severity ratings that may have greater utility for clinical and research purposes. In addition, the instrument was updated for Diagnostic and Statistical Manual of Mental Disorders, 5th ed. (DSM-5), and two types of Likert ratingsfrequency versus problem intensity-were explored for posttraumatic stress disorder (PTSD) symptoms. Concurrent construct validation and test-retest reliability were examined for the five most common disorders seen in very young children in outpatient clinics: PTSD, attention-deficit/hyperactivity disorder, oppositional defiant disorder, separation anxiety disorder, and generalized anxiety disorder (GAD). A sixth disorder, disruptive mood dysregulation disorder (DMDD), which was created in DSM-5, was tested for the first time. Functional impairment was also examined. Methods: The caregivers of 58 two-through six-year-old children (57 mothers and 1 father) were recruited from an outpatient clinic. They were interviewed at Time 1, and 52 were reinterviewed at Time 2 by research assistants (children's age M 4.7 years, standard deviation 1.2). Results: Few differences were found between the ratings of frequency versus problem intensity for PTSD symptoms. Tests of concurrent criterion validation were acceptable for all disorders when compared against disorder-specific questionnaires; the range of Pearson correlation coefficients was 0.56-0.94. A trend for attenuation of diagnoses from Time 1 to Time 2 was evident, but not statistically significant. Test-retest reliabilities were strong when examined with continuous Likert scores, except for GAD (the range of intraclass correlation coefficients values was 0.29-0.91, but were less consistent for categorical disorder-level status [the range of Cohen's js was 0.35-0.79]). The range of internal consistencies was 0.78-0.95, excluding DMDD, which could not be calculated. Conclusions: The updated and revised DIPA-L demonstrated many acceptable features of a valid and reliable instrument for the assessment of very young children. While the findings are tentative given the small sample size, the DIPA-L is the only diagnostic instrument for young children with a replication, tested in clinic populations, updated for DSM-5, with psychometrics for functional impairment, and has Likert ratings.

show abstract

Section: Discussionmentioning

confidence: 99%

The Diagnostic Infant Preschool Assessment-Likert Version: Preparation, Concurrent Construct Validation, and Test–Retest Reliability

Scheeringa

2020

Journal of Child and Adolescent Psychopharmacology

Self Cite

View full text Add to dashboard Cite

show abstract

“…It is an adaptation of the Young Child PTSD Checklist which has been shown to be a sensitive screen of PTSD symptoms. The TBH has excellent face validity, covering the range of possible symptoms [19].…”

Section: Measures Of Demographics Physical and Psychiatric Morbiditymentioning

confidence: 99%

Risk factors for PTSD symptoms following PICU admission for childhood septic shock

Burcher,

Lancaster,

McCutcheon

et al. 2024

Preprint

View full text Add to dashboard Cite

Objective Paediatric intensive care unit (PICU) admission represents a traumatic event for many children. Follow-up studies have found post-traumatic stress disorder (PTSD) rates of 10-30%, with a particular prevalence following admission for sepsis. Dysregulated inflammatory responses are associated with PTSD. Sepsis involves a marked inflammatory response but the relationship between this and PTSD have not been clearly established. In this study we investigate associations between the inflammatory response, psychosocial risk factors, and PTSD symptoms following PICU admission for septic shock. Setting Children aged >3 years, discharged from PICU following admission for septic shock between 2010 and 2017. Design The study was a retrospective analysis of PICU-specific PTSD symptoms reported by parents at any time since discharge via the Trauma and Behavior health screen. Demographics, pre-morbid health characteristics, and exposure to other traumatic events were assessed. Clinical characteristics and blood test results at admission and at 48 hours were recorded from clinical records. Multiple linear regression was used to investigate relationships between PTSD symptom scores and predictor variables. Results Data for 65 participants (48% male, median assessment age 8.0 years) was available. Median time since admission was 5.1 years. 30.8% children scored at risk of PTSD at any time since discharge. Symptoms were significantly associated with acute CRP rise (p=0.03), other trauma exposures (p=0.01), and female gender (p=0.04). Conclusion PTSD symptoms in children who have survived septic shock are prevalent. These findings support a possible contribution of acute inflammatory changes, cumulative traumatic exposure, and female gender in post-PICU PTSD development.

show abstract

“…It is an adaptation of the Young Child PTSD Checklist which has been shown to be a sensitive screen of PTS symptoms. The TBH has excellent face validity, covering the range of possible symptoms [20].…”

Section: Measures Of Demographics Physical and Psychiatric Morbiditymentioning

confidence: 99%

Risk factors for PTSD symptoms following PICU admission for childhood septic shock

Corbet Burcher,

O’Dea,

Cooper

et al. 2024

Eur Child Adolesc Psychiatry

View full text Add to dashboard Cite

ObjectivePaediatric intensive care unit (PICU) admission represents a traumatic event for many children. Follow-up studies have found post-traumatic stress disorder (PTSD) rates of 10–30%, with a particular prevalence following admission for sepsis. Dysregulated inflammatory responses are associated with PTSD. Sepsis involves a marked inflammatory response but the relationship between this and PTSD have not been clearly established. In this study we investigate associations between the inflammatory response, psychosocial risk factors, and PTS symptoms following PICU admission for septic shock.We investigate the outcomes for children aged > 3 years, discharged from one PICU following admission for septic shock between 2010 and 2017. The study was a retrospective analysis of PICU-specific PTS symptoms reported by parents at any time since discharge via the Trauma and Behavior Health screen. Demographics, pre-morbid health characteristics, and exposure to other traumatic events were assessed. Clinical characteristics and blood test results at admission and at 48 h were recorded from clinical records. Multiple linear regression was used to investigate relationships between PTS symptom scores and predictor variables.Data for 65 participants (48% male, median assessment age 8.0 years) was available. Median time since admission was 5.1 years. 30.8% children scored at risk of PTSD at any time since discharge Symptoms were significantly associated with acute CRP rise (p 0.03), other trauma exposures (p = 0.01), and female gender (p =0.04).PTS symptoms in children who have survived septic shock are prevalent. These findings support a possible contribution of acute inflammatory changes, cumulative traumatic exposure, and female gender in post-PICU PTSD development.

show abstract

Caregiver and child agreement on traumatic events, PTSD, internalizing, externalizing, and ADHD problems in a child welfare population

Cited by 6 publications

References 31 publications

The Diagnostic Infant Preschool Assessment-Likert Version: Preparation, Concurrent Construct Validation, and Test–Retest Reliability

The Diagnostic Infant Preschool Assessment-Likert Version: Preparation, Concurrent Construct Validation, and Test–Retest Reliability

Risk factors for PTSD symptoms following PICU admission for childhood septic shock

Risk factors for PTSD symptoms following PICU admission for childhood septic shock

Contact Info

Product

Resources

About