Brief Report: Parent Report About Health Care Use: Relationship To Child's And Parent's Psychosocial Problems
Creator
Kinsman A M; Wildman B G; Smucker W D
Publisher
Journal of Pediatric Psychology
Date
1999
1999-10
Description
Objective: To investigate the potential utility of: asking parents about health care utilization as a means of identifying individuals at risk for psychosocial problems. Method: Parents of 366 children ages 2 to 16 completed questionnaires about their own, their child's, and their family's psychosocial functioning and health care utilization. Results: Children and parents with high health care utilization were more likely to have psychosocial problems than those with low health care utilization. Sensitivity and specificity of health care utilization as a marker for psychosocial problems ranged from 43.8% to 68.8%. Conclusions: Although high rates of child health care utilization are related to the presence of psychosocial problems, use of this measure alone could result in many false-positive and false-negative identifications. Rather, use of health care utilization data in conjunction with other screening measures may be useful for alerting physicians to the possibility of both child and parent psychosocial problems.
Subject
behavior problems; depression; disorder; family assessment device; health care utilization; inventory; management; parent; primary care; Psychology; psychopathology; psychosocial problems; reliability; report; services; validity
The Association Between Parent PTSD/Depression Symptoms and Child PTSD Symptoms: A Meta-Analysis.
Creator
Morris Adam; Gabert-Quillen Crystal; Delahanty Douglas
Publisher
Journal of Pediatric Psychology
Date
2012
2012-11
Description
Objective The present article presents a meta-analysis of studies examining the association between parent posttraumatic stress disorder (PTSD)/depression symptoms and child PTSD symptoms (PTSS) after a child’s exposure to a traumatic event while considering multiple moderating factors to explain heterogeneity of effect sizes. Methods 35 studies were included: 32 involving the association between parent and child PTSS and 9 involving the association between parent depression and child PTSS. Results Across existing studies, both parent and child PTSS (r = 0.31) and parent depression and child PTSS (r = 0.32) yielded significant effect sizes. Parent gender, assessment type (interview vs. questionnaire), differences in assessment type for parents and children, and study design (cross-sectional vs. longitudinal) moderated the relationship between parent and child PTSS. Conclusions The current findings confirm the associations between parental posttraumatic responses and child PTSS and highlight important moderating factors to include in future studies of child PTSS. [ABSTRACT FROM AUTHOR]
Parental Posttraumatic Stress Symptoms as a Moderator of Child's Acute Biological Response and Subsequent Posttraumatic Stress Symptoms in Pediatric Injury Patients.
Creator
Nugent Nicole R; Ostrowski Sarah; Christopher Norman C; Delahanty Douglas L
Publisher
Journal of Pediatric Psychology
Date
2007
2007-04
Description
Objective To examine how parental responses following pediatric injury may influence their child's posttraumatic stress symptoms (PTSS). Methods Heart rate (HR) from 82 pediatric injury patients was measured during emergency medical services (EMSs) transport and following hospital admission. Twelve-hour urinary cortisol levels were assessed upon admission. Child PTSS and parental PTSS and general distress were assessed 6 weeks and 6 months after trauma. Results Six-week parental PTSS predicted 6-month child PTSS even after controlling for demographics and general parent distress (ΔR² = .08, p = .03). Parental PTSS moderated the relationship between (a) child cortisol levels and 6-month child PTSS (ΔR² = .08, p = .03) and between (b) hospital HR and 6-month child PTSS (ΔR² = .09, p = .03). Conclusion The present findings suggest that parental response to trauma may interact with child acute physiological responses to predict persistent child PTSS. [ABSTRACT FROM AUTHOR]
Brief Report: The Impact of Maternal Posttraumatic Stress Disorder Symptoms and Child Gender on Risk for Persistent Posttraumatic Stress Disorder Symptoms in Child Trauma Victims.
Creator
Ostrowski Sarah A; Christopher Norman C; Delahanty Douglas L
Publisher
Journal of Pediatric Psychology
Date
2007
2007-04
Description
Objective To longitudinally examine the impact of maternal posttraumatic stress disorder symptoms (PTSS) on child adjustment following a child's traumatic injury, focusing on child gender differences. Methods Forty-one child traumatic injury victims aged 8-18 years and their biological mothers were interviewed over two follow-ups (6 weeks and 7 months). Children were administered the Clinician-Administered Posttraumatic Stress Disorder (PTSD) Scale for Children and Adolescents (CAPS-CA), whereas mothers completed the CAPS. Results Six weeks post trauma, maternal PTSS were significantly related to PTSS in boys but not in girls. However, at 7 months, maternal PTSS were strongly related to child PTSS in both boys and girls. Significant 6-week maternal distress-child gender interactions suggested that maternal PTSS, especially avoidance, predicted greater 7-month PTSS but that this was primarily because of a significant relationship in females. Conclusions Maternal distress was found to negatively impact subsequent child adjustment, particularly in females. These results underscore the importance of considering family-centered interventions for child PTSD, especially in girls. [ABSTRACT FROM AUTHOR]
The Impact of Caregiver Distress on the Longitudinal Development of Child Acute Post-traumatic Stress Disorder Symptoms in Pediatric Injury Victims.
Creator
Ostrowski Sarah A; Ciesla Jeffrey A; Lee Timothy J; Irish Leah; Christopher Norman C; Delahanty Douglas L
Publisher
Journal of Pediatric Psychology
Date
2011
2011-08
Description
Objective The present study prospectively examined the development of child PTSD symptoms (PTSS) and the impact of caregiver PTSS on child PTSS following injury. Methods One hundred and eighteen ED patients and their caregivers were interviewed in-hospital and 2- and 6-weeks posttrauma. Structural equation modeling and hierarchical linear regressions examined the development of PTSS. Results A model combining child and caregiver 2-week PTSS into one latent family PTSS variable provided the best fit to the data. Child in-hospital avoidance symptoms predicted higher levels of 2-week family PTSS. Two-week family PTSS predicted child 6-week PTSS. Post hoc analyses revealed an interaction between in-hospital caregiver avoidance symptoms and child reexperiencing symptoms in predicting 6-week child PTSS. Conclusions Results highlight the dynamic development of child PTSS. Different symptom clusters may be related to higher PTSS at differing times posttrauma and may inform the development of time-sensitive methods of assessment and intervention for injury victims. [ABSTRACT FROM AUTHOR]
Subject
ANALYSIS of variance; CHILD health services; CHILDREN'S injuries; POST-traumatic stress disorder in children; PSYCHOLOGY; STRUCTURAL equation modeling; VARIATION in child development