Predicting Posttraumatic Stress Symptoms Longitudinally in a Representative Sample of Hospitalized Injured Adolescents

Zatzick, Douglas; Grossman, David C.; Russo, Joan; Pynoos, Robert S.; Berliner, Lucy; Jurkovich, Gregory; Sabin, Janice A.; Katon, Wayne; Ghesquiere, Angela; McCauley, Elizabeth; Rivara, Frederick P.

doi:10.1097/01.chi.0000231975.21096.45

Journal of the American Academy of Child & Adolescent Psych

2006

DOI: 10.1097/01.chi.0000231975.21096.45

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Predicting Posttraumatic Stress Symptoms Longitudinally in a Representative Sample of Hospitalized Injured Adolescents

Douglas Zatzick

David C. Grossman

Joan Russo

et al.

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Cited by 74 publications

(61 citation statements)

References 38 publications

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“…Consistent with research suggesting physical and mental incapacitation concerns are most consistently linked to symptoms of PTSD among traumatized adults (e.g., Feldner et al, 2006;Lang et al, 2002), the disease, unsteady, and mental incapacitation concerns factors, along with the global index of AS, were expected to relate positively to posttraumatic stress levels in the current sample of youth. Finally, in an effort to examine the unique association between AS and trauma symptoms, the incremental predictive validity (Haynes & Lench, 2003) of AS was examined relative to several factors associated with posttraumatic stress levels among youth, including gender (Kilpatrick et al, 2003), age (Kilpatrick et al, 2003), and time since traumatic event exposure (Zatzick et al, 2006). Further, in light of empirical evidence linking negative affectivity, or the temperamentally-based proclivity for experiencing negatively valenced affective states (e.g., anger; sadness; anxiety), to trauma symptoms among youth (e.g., Weems et al, 2007), this factor also was included as a covariate.…”

mentioning

confidence: 99%

Anxiety sensitivity and posttraumatic stress among traumatic event-exposed youth

Leen‐Feldner

Feldner

Reardon

et al. 2008

Behaviour Research and Therapy

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Total and factor scores of the Childhood Anxiety Sensitivity Index (CASI) were examined in relation to posttraumatic stress symptom levels within a community-based sample of 68 (43 females) traumatic event-exposed youth between the ages of 10 and 17 years (M age = 14.74 years). Findings were consistent with hypotheses; global AS levels, as well as disease, unsteady, and mental incapacitation concerns related positively to posttraumatic stress levels, whereas social concerns were unrelated to symptom levels. These results suggest that fears of the physical and mental consequences of anxiety are associated with relatively higher levels of posttraumatic stress subsequent to traumatic event exposure. Findings are discussed in terms of potential implications for the role of AS in developmentally-sensitive etiological models of PTSD.

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confidence: 99%

Anxiety sensitivity and posttraumatic stress among traumatic event-exposed youth

Leen‐Feldner

Feldner

Reardon

et al. 2008

Behaviour Research and Therapy

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“…5 PTSD is found among those who have experienced all levels of TBI severity. 2 However, higher rates occur in individuals with mild TBI (mTBI), compared with those in a general trauma population 3,[6][7][8][9] or among those with severe head injury. 2 It has been hypothesized that greater cognitive deficits associated with severe TBI protect against development of subsequent PTSD symptoms.…”

mentioning

confidence: 99%

Screening for Post-Traumatic Stress Disorder in a Civilian Emergency Department Population with Traumatic Brain Injury

Haarbauer‐Krupa

Taylor

Yue

et al. 2017

Journal of Neurotrauma

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Post-traumatic stress disorder (PTSD) is a condition associated with traumatic brain injury (TBI). While the importance of PTSD and TBI among military personnel is widely recognized, there is less awareness of PTSD associated with civilian TBI. We examined the incidence and factors associated with PTSD 6 months post-injury in a civilian emergency department population using measures from the National Institute of Neurological Disorders and Stroke TBI Common Data Elements Outcome Battery. Participants with mild TBI (mTBI) from the Transforming Research and Clinical Knowledge in Traumatic Brain Injury Pilot study with complete 6-month outcome batteries (n = 280) were analyzed. Screening for PTSD symptoms was conducted using the PTSD Checklist-Civilian Version. Descriptive measures are summarized and predictors for PTSD were examined using logistic regression. Incidence of screening positive for PTSD was 26.8% at 6 months following mTBI. Screening positive for PTSD was significantly associated with concurrent functional disability, post-concussive and psychiatric symptomatology, decreased satisfaction with life, and decreased performance in visual processing and mental flexibility. Multi-variable regression showed injury mechanism of assault (odds ratio [OR] 3.59; 95% confidence interval [CI] 1.69-7.63; p = 0.001) and prior psychiatric history (OR 2.56; 95% CI 1.42-4.61; p = 0.002) remained significant predictors of screening positive for PTSD, while education (per year OR 0.88; 95% CI 0.79-0.98; p = 0.021) was associated with decreased odds of PTSD. Standardized data collection and review of pre-injury education, psychiatric history, and injury mechanism during initial hospital presentation can aid in identifying patients with mTBI at risk for developing PTSD symptoms who may benefit from closer follow-up after initial injury care.

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“…5 Greater numbers of previous traumatic life events are associated with substance use and the development of PTSD after admission for injury. 6,7 There is also evidence that injury increases the likelihood for the subsequent development of other comorbid issues such as mood, anxiety, conduct, and school problems. [8][9][10][11] The risk of posttraumatic stress symptoms among adolescents after injury is increased by the previous parental traumatic life-event burden.…”

mentioning

confidence: 99%

“…[8][9][10][11] The risk of posttraumatic stress symptoms among adolescents after injury is increased by the previous parental traumatic life-event burden. 6 The effect of injury to a parent on recovery from injury in children and adolescents warrants further attention. Research on parental medical illness such as HIV and cancer documents the increased risk of their children for substance abuse, risky sexual behavior, emotional distress, 12 and increased prevalence of somatic symptoms.…”

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confidence: 99%

Parental Injury and Psychological Health of Children

Rivara

McCarty

Shandro³

et al. 2014

Pediatrics

Self Cite

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WHAT'S KNOWN ON THIS SUBJECT:Injuries sustained by parents in combat can also have a variety of psychological effects on children in the family. However, there has been little research on the effect of parental injury on children in the civilian setting. WHAT THIS STUDY ADDS:The effects of injury of parents impacted children' s functioning by negatively affecting the healthrelated quality of life of the injured children, over and above the effect of any injury itself to the child. Injury to the parent also increased the likelihood of his or her uninjured children having PTSD symptoms 5 months after the parent' s injury. abstract OBJECTIVE: To determine how parental injury affects the psychological health and functioning of injured as well as uninjured children. METHODS:We recruited 175 parent-child dyads treated at a regional trauma center in 4 groups: parent and child both injured in the same event, child-only injured, parent-only injured, and neither parent nor child met criteria for significant injury. The preinjury health and functioning of parents and children were assessed with follow-up at 5 and 12 months. RESULTS:Parents who were injured themselves showed higher levels of impairment in activities of daily living, quality of life, and depression at both follow-up assessments than parents who were not injured. Children in dyads with both parent and child injured had the highest proportion of posttraumatic stress disorder (PTSD) symptoms at both 5 and 12 months. In addition, children with an injured parent but who were not injured themselves were more likely to report PTSD symptoms at 5 months.CONCLUSIONS: There were bidirectional effects of parental and child injury on the outcomes of each other. Injuries to the parent negatively affected the health-related quality of life of the injured children, over and above the effect of the injury itself on the child. Of great concern is the effect of parental injury on risk of stress and PTSD among uninjured children in the home. Pediatrics 2014;134:e88-e97 AUTHORS:

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Predicting Posttraumatic Stress Symptoms Longitudinally in a Representative Sample of Hospitalized Injured Adolescents

Cited by 74 publications

References 38 publications

Anxiety sensitivity and posttraumatic stress among traumatic event-exposed youth

Anxiety sensitivity and posttraumatic stress among traumatic event-exposed youth

Screening for Post-Traumatic Stress Disorder in a Civilian Emergency Department Population with Traumatic Brain Injury

Parental Injury and Psychological Health of Children

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