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.
POST-traumatic stress disorder; STRESS (Psychology); CHILDREN; NEUROSES; TRAUMATIC neuroses
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]
Ostrowski Sarah A; Christopher Norman C; Delahanty Douglas L
Journal of Pediatric Psychology
2007
2007-04
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1093/jpepsy/jsl003" target="_blank" rel="noreferrer noopener">10.1093/jpepsy/jsl003</a>
Acute child and mother psychophysiological responses and subsequent PTSD symptoms following a child's traumatic event.
MENTAL depression; POST-traumatic stress disorder; RESEARCH; STATISTICAL sampling; HYDROCORTISONE; CHILDREN; MOTHERS; TRAUMA centers; URINE
This study examined the relationship between acute cortisol responses to trauma and subsequent PTSD symptoms (PTSS) in children and their biological mothers. Urinary cortisol levels were assessed in 54 children aged 8–18 upon admission to a level-1 trauma center. Six weeks posttrauma, 15-hour urine samples were collected from children and their mothers. Depression and PTSS were assessed at 6 weeks (N = 44) and 7 months (N = 38) posttrauma. Higher child in-hospital cortisol significantly predicted 6-week child PTSS. This was true only for boys at 7 months. In mothers, lower 6-week cortisol levels significantly predicted 7-month PTSS. Results extend findings of differing directions of acute hormonal predictors of PTSS in adults versus children to a sample of genetically related individuals. [ABSTRACT FROM AUTHOR]
Ostrowski Sarah A; Christopher Norman C; van Dulmen Manfred HM; Delahanty Douglas L
Journal of Traumatic Stress
2007
2007-10
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1002/jts.20286" target="_blank" rel="noreferrer noopener">10.1002/jts.20286</a>
The Impact of Caregiver Distress on the Longitudinal Development of Child Acute Post-traumatic Stress Disorder Symptoms in Pediatric Injury Victims.
ANALYSIS of variance; CHILD health services; CHILDREN'S injuries; POST-traumatic stress disorder in children; PSYCHOLOGY; STRUCTURAL equation modeling; VARIATION in child development
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]
Ostrowski Sarah A; Ciesla Jeffrey A; Lee Timothy J; Irish Leah; Christopher Norman C; Delahanty Douglas L
Journal of Pediatric Psychology
2011
2011-08
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1093/jpepsy/jsq113" target="_blank" rel="noreferrer noopener">10.1093/jpepsy/jsq113</a>