Summary of the Practice Parameters for the Assessment and Treatment of Children and Adolescents With Posttraumatic Stress Disorder

Bernet, William; Dunne, John E.; Adair, Maureen; Arnold, Valerie; Benson, R. Scott; Bukstein, Oscar; Kinlan, Joan; McClellan, Jon; Rue, David; Sloan, L. Elizabeth

doi:10.1097/00004583-199809000-00025

Cited by 73 publications

(2 citation statements)

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“…It is a commonly accepted practice among experts to obtain information from multiple informants to generate a comprehensive picture regarding childhood disorders [1, 2]. The relationship between caregiver and child reports of child psychopathology is well studied with regard to other anxiety disorders [3] and child problem behaviours [4, 5], whereas the literature on this topic is scarce for PTSD [6].…”

Section: Introductionmentioning

confidence: 99%

A cross-sectional study of mother-child agreement on PTSD symptoms in a south Indian post-tsunami sample

et al. 2019

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BackgroundFew studies examine caregiver-child agreement on posttraumatic stress disorder (PTSD) symptoms in non-Western cultures. The present study investigated mother-child agreement for PTSD symptoms in a South Indian sample, which was affected by the Indian Ocean Tsunami in 2004.MethodsData was collected four years post-disaster. In total, 80 mothers rated PTSD symptoms for their 164 children and gave information about their own trauma symptoms. In addition, the children aged 8 to 17 reported about their own PTSD symptoms.ResultsResults showed that mother-child agreement on posttraumatic stress symptoms was poor, and a child’s age, gender and living situation (fishing village vs. family-based out-of-home care) did not positively influence this concordance. Moreover, mothers’ own posttraumatic symptoms were strongly related to maternal reports of the child’s PTSD symptoms. Multivariate analyses showed that mothers’ PTSD symptoms were the only significant predictor for discrepancies in the rating of the child’s PTSD symptoms. That means, if mothers reported clinically relevant PTSD symptoms, the likelihood for disagreement on the child’s PTSD ratings more than doubled. Neither age, nor gender nor the living situation had an influence on children’s self-rated posttraumatic stress reactions.ConclusionsIn general, long-term monitoring of posttraumatic stress symptoms of mothers and children should be planned by relief actions as recovery processes are decelerated through lacking resources in developing countries such as India. Specifically, the assessment of mothers’ trauma symptoms is inevitable because the mothers’ own responses to disaster highly influence their assessment of their children’s symptoms. Mother-child agreement is discussed against the background of socio-cultural aspects.

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Section: Introductionmentioning

confidence: 99%

A cross-sectional study of mother-child agreement on PTSD symptoms in a south Indian post-tsunami sample

et al. 2019

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“…In DSM-5 (4), specific clusters were defined according to the age of the child, in particular for young children. The American Academy of Child and Adolescent Psychiatry (5,6) recommends emphasizing the use of different sources of information (children, parents, and/or caregiver) in order to establish the diagnosis of this disorder. Indeed, children may not reveal their traumatic experience to their parents (7) or parents may minimize it.…”

Section: Introductionmentioning

confidence: 99%

Validation of the French Version of the Child Posttraumatic Stress Checklist in French School-Aged Children

et al. 2021

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Background: The child posttraumatic stress disorder checklist (CPC) updated to DSM-5 is a questionnaire aimed to assess posttraumatic stress disorder (PTSD) symptoms in children. It is available in both parents and child versions. The back-translation method has been used for the French translation of the CPC. It has not been yet validated in French-speaking populations. The aim of this study was to assess the psychometric properties and the validity of the CPC in a sample of French-speaking schoolchildren and their parents.Methods: The sample was composed by 176 children outpatients implicated in the Nice terrorist attack (14 July 2016) aged 7–17 (mean = 11.68 years, SD = 2.63 months) and 122 parents. Cronbach's alpha was used to test CPC internal consistency. The Spearman-correlation coefficient was performed between the French version of the CPC and the Kiddie Schedule for Affective Disorders and Schizophrenia Present and Lifetime version (K-SADS-PL) to assess the convergent validity. An ROC curve was constructed to verify the validity of the cutoff scores. An evaluation of the sensitivity and specificity of each score and a comparison with the diagnosis of the K-SADS-PL were made. Finally, a principal component analysis with varimax rotation was computed to analyze the structure of the French version of the CPC.Results: Cronbach's alpha coefficient was 0.90 for child version and 0.91 for parent version of the CPC. There was a statistical correlation between the K-SADS-PL for PTSD and the total score of CPC for the child version (r = 0.62; p < 0.001) and for the parent version (r = 0.55; p < 0.001). The sensitivity and specificity of the children version with a threshold of >20 were 73.1 and 84.7%, respectively, using the K-SADS-PL as the diagnostic reference for PTSD. Concerning the parent version, using the same recommended cutoff score, the sensitivity, and specificity were 77 and 80.5%, respectively.Conclusions: The psychometric properties of the French CPC are good. This questionnaire appears to be valid and should be used in French-speaking children.

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Traumatic Events and Posttraumatic Stress in Childhood

Copeland

Keeler

Angold

et al. 2007

Arch Gen Psychiatry

1,190

807

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In the general population of children, potentially traumatic events are fairly common and do not often result in PTS symptoms, except after multiple traumas or a history of anxiety. The prognosis after the first lifetime trauma exposure was generally favorable. Apart from PTSD, traumatic events are related to many forms of psychopathology, with the strongest links being with anxiety and depressive disorders.

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Summary of the Practice Parameters for the Assessment and Treatment of Children and Adolescents With Posttraumatic Stress Disorder

Cited by 73 publications

References 0 publications

A cross-sectional study of mother-child agreement on PTSD symptoms in a south Indian post-tsunami sample

A cross-sectional study of mother-child agreement on PTSD symptoms in a south Indian post-tsunami sample

Validation of the French Version of the Child Posttraumatic Stress Checklist in French School-Aged Children

Traumatic Events and Posttraumatic Stress in Childhood

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