Acute Stress Symptoms in Children: Results From an International Data Archive
Identifieur interne : 001794 ( PascalFrancis/Corpus ); précédent : 001793; suivant : 001795Acute Stress Symptoms in Children: Results From an International Data Archive
Auteurs : Nancy Kassam-Adams ; Patrick A. Palmieri ; Kristine Rork ; Douglas L. Delahanty ; Justin Kenardy ; Kristen L. Kohser ; Markus A. Landolt ; Robyne Le Brocque ; Meghan L. Marsac ; Richard Meiser-Stedman ; Reginald D. V. Nixon ; Eric Bui ; Caitlin McgrathSource :
- Journal of the American Academy of Child and Adolescent Psychiatry [ 0890-8567 ] ; 2012.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
Abstract
Objective: To describe the prevalence of acute stress disorder (ASD) symptoms and to examine proposed DSM-5 symptom criteria in relation to concurrent functional impairment in children and adolescents. Method: From an international archive, datasets were identified that included assessment of acute traumatic stress reactions and concurrent impairment in children and adolescents 5 to 17 years of age. Data came from 15 studies conducted in the United States, United Kingdom, Australia, and Switzerland and included 1,645 children and adolescents. Dichotomized items were created to indicate the presence or absence of each of the 14 proposed ASD symptoms and functional impairment. The performance of a proposed diagnostic criterion (number of ASD symptoms required) was examined as a predictor of concurrent impairment. Results: Each ASD symptom was endorsed by 14% to 51% of children and adolescents; 41% reported clinically relevant impairment. Children and adolescents reported from 0 to 13 symptoms (mean = 3.6). Individual ASD symptoms were associated with greater likelihood of functional impairment. The DSM-5 proposed eight-symptom requirement was met by 202 individuals (12.3%) and had low sensitivity (0.25) in predicting concurrent clinically relevant impairment. Requiring fewer symptoms (three to four) greatly improved sensitivity while maintaining moderate specificity. Conclusions: This group of symptoms appears to capture aspects of traumatic stress reactions that can create distress and interfere with children's and adolescents' ability to function in the acute post-trauma phase. Results provide a benchmark for comparison with adult samples; a smaller proportion of children and adolescents met the eight-symptom criterion than reported for adults. Symptom requirements for the ASD diagnosis may need to be lowered to optimally identify children and adolescents whose acute distress warrants clinical attention. J.
Notice en format standard (ISO 2709)
Pour connaître la documentation sur le format Inist Standard.
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Format Inist (serveur)
NO : | FRANCIS 12-0352687 INIST |
---|---|
ET : | Acute Stress Symptoms in Children: Results From an International Data Archive |
AU : | KASSAM-ADAMS (Nancy); PALMIERI (Patrick A.); RORK (Kristine); DELAHANTY (Douglas L.); KENARDY (Justin); KOHSER (Kristen L.); LANDOLT (Markus A.); LE BROCQUE (Robyne); MARSAC (Meghan L.); MEISER-STEDMAN (Richard); NIXON (Reginald D. V.); BUI (Eric); MCGRATH (Caitlin) |
AF : | Children's Hospital of Philadelphia and the Perelman School of Medicine, University of Pennsylvania/Etats-Unis (1 aut.); Children's Hospital of Philadelphia/Etats-Unis (6 aut., 9 aut.); Summa Health System/Etats-Unis (2 aut.); University Hospitals, Rainbow Babies and Children's Hospitals, Case Western Reserve University/Etats-Unis (3 aut.); Kent State University/Etats-Unis (4 aut.); University of Queensland/Australie (5 aut., 8 aut., 13 aut.); University Children's Hospital Zurich/Suisse (7 aut.); Medical Research Council Cognition and Brain Sciences Unit/Cambridge/Royaume-Uni (10 aut.); Flinders University/Australie (11 aut.); Universite de Toulouse and the Centre Hospitalier Universitaire (CHU) de Toulouse/France (12 aut.); Massachusetts General Hospital, and Harvard Medical School/Etats-Unis (12 aut.) |
DT : | Publication en série; Niveau analytique |
SO : | Journal of the American Academy of Child and Adolescent Psychiatry; ISSN 0890-8567; Coden JAAPEE; Etats-Unis; Da. 2012; Vol. 51; No. 8; Pp. 812-820; Bibl. 33 ref. |
LA : | Anglais |
EA : | Objective: To describe the prevalence of acute stress disorder (ASD) symptoms and to examine proposed DSM-5 symptom criteria in relation to concurrent functional impairment in children and adolescents. Method: From an international archive, datasets were identified that included assessment of acute traumatic stress reactions and concurrent impairment in children and adolescents 5 to 17 years of age. Data came from 15 studies conducted in the United States, United Kingdom, Australia, and Switzerland and included 1,645 children and adolescents. Dichotomized items were created to indicate the presence or absence of each of the 14 proposed ASD symptoms and functional impairment. The performance of a proposed diagnostic criterion (number of ASD symptoms required) was examined as a predictor of concurrent impairment. Results: Each ASD symptom was endorsed by 14% to 51% of children and adolescents; 41% reported clinically relevant impairment. Children and adolescents reported from 0 to 13 symptoms (mean = 3.6). Individual ASD symptoms were associated with greater likelihood of functional impairment. The DSM-5 proposed eight-symptom requirement was met by 202 individuals (12.3%) and had low sensitivity (0.25) in predicting concurrent clinically relevant impairment. Requiring fewer symptoms (three to four) greatly improved sensitivity while maintaining moderate specificity. Conclusions: This group of symptoms appears to capture aspects of traumatic stress reactions that can create distress and interfere with children's and adolescents' ability to function in the acute post-trauma phase. Results provide a benchmark for comparison with adult samples; a smaller proportion of children and adolescents met the eight-symptom criterion than reported for adults. Symptom requirements for the ASD diagnosis may need to be lowered to optimally identify children and adolescents whose acute distress warrants clinical attention. J. |
CC : | 770D04 |
FD : | Symptomatologie; Etat de stress aigu; International; Critère; Enfant; Diagnostic and Statistical Manual V |
FG : | Homme; Trouble anxieux |
ED : | Symptomatology; Acute stress disorder; International; Criterion; Child; Diagnostic and Statistical Manual V |
EG : | Human; Anxiety disorder |
SD : | Sintomatología; Trastorno de estrés agudo; Internacional; Criterio; Niño; Diagnostic and Statistical Manual V |
LO : | INIST-2261.354000504063550090 |
ID : | 12-0352687 |
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<front><div type="abstract" xml:lang="en">Objective: To describe the prevalence of acute stress disorder (ASD) symptoms and to examine proposed DSM-5 symptom criteria in relation to concurrent functional impairment in children and adolescents. Method: From an international archive, datasets were identified that included assessment of acute traumatic stress reactions and concurrent impairment in children and adolescents 5 to 17 years of age. Data came from 15 studies conducted in the United States, United Kingdom, Australia, and Switzerland and included 1,645 children and adolescents. Dichotomized items were created to indicate the presence or absence of each of the 14 proposed ASD symptoms and functional impairment. The performance of a proposed diagnostic criterion (number of ASD symptoms required) was examined as a predictor of concurrent impairment. Results: Each ASD symptom was endorsed by 14% to 51% of children and adolescents; 41% reported clinically relevant impairment. Children and adolescents reported from 0 to 13 symptoms (mean = 3.6). Individual ASD symptoms were associated with greater likelihood of functional impairment. The DSM-5 proposed eight-symptom requirement was met by 202 individuals (12.3%) and had low sensitivity (0.25) in predicting concurrent clinically relevant impairment. Requiring fewer symptoms (three to four) greatly improved sensitivity while maintaining moderate specificity. Conclusions: This group of symptoms appears to capture aspects of traumatic stress reactions that can create distress and interfere with children's and adolescents' ability to function in the acute post-trauma phase. Results provide a benchmark for comparison with adult samples; a smaller proportion of children and adolescents met the eight-symptom criterion than reported for adults. Symptom requirements for the ASD diagnosis may need to be lowered to optimally identify children and adolescents whose acute distress warrants clinical attention. J.</div>
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<fC01 i1="01" l="ENG"><s0>Objective: To describe the prevalence of acute stress disorder (ASD) symptoms and to examine proposed DSM-5 symptom criteria in relation to concurrent functional impairment in children and adolescents. Method: From an international archive, datasets were identified that included assessment of acute traumatic stress reactions and concurrent impairment in children and adolescents 5 to 17 years of age. Data came from 15 studies conducted in the United States, United Kingdom, Australia, and Switzerland and included 1,645 children and adolescents. Dichotomized items were created to indicate the presence or absence of each of the 14 proposed ASD symptoms and functional impairment. The performance of a proposed diagnostic criterion (number of ASD symptoms required) was examined as a predictor of concurrent impairment. Results: Each ASD symptom was endorsed by 14% to 51% of children and adolescents; 41% reported clinically relevant impairment. Children and adolescents reported from 0 to 13 symptoms (mean = 3.6). Individual ASD symptoms were associated with greater likelihood of functional impairment. The DSM-5 proposed eight-symptom requirement was met by 202 individuals (12.3%) and had low sensitivity (0.25) in predicting concurrent clinically relevant impairment. Requiring fewer symptoms (three to four) greatly improved sensitivity while maintaining moderate specificity. Conclusions: This group of symptoms appears to capture aspects of traumatic stress reactions that can create distress and interfere with children's and adolescents' ability to function in the acute post-trauma phase. Results provide a benchmark for comparison with adult samples; a smaller proportion of children and adolescents met the eight-symptom criterion than reported for adults. Symptom requirements for the ASD diagnosis may need to be lowered to optimally identify children and adolescents whose acute distress warrants clinical attention. J.</s0>
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<fC03 i1="06" i2="X" l="ENG"><s0>Diagnostic and Statistical Manual V</s0>
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<s5>96</s5>
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<fC07 i1="01" i2="X" l="SPA"><s0>Hombre</s0>
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<fC07 i1="02" i2="X" l="FRE"><s0>Trouble anxieux</s0>
<s5>37</s5>
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<fC07 i1="02" i2="X" l="ENG"><s0>Anxiety disorder</s0>
<s5>37</s5>
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<server><NO>FRANCIS 12-0352687 INIST</NO>
<ET>Acute Stress Symptoms in Children: Results From an International Data Archive</ET>
<AU>KASSAM-ADAMS (Nancy); PALMIERI (Patrick A.); RORK (Kristine); DELAHANTY (Douglas L.); KENARDY (Justin); KOHSER (Kristen L.); LANDOLT (Markus A.); LE BROCQUE (Robyne); MARSAC (Meghan L.); MEISER-STEDMAN (Richard); NIXON (Reginald D. V.); BUI (Eric); MCGRATH (Caitlin)</AU>
<AF>Children's Hospital of Philadelphia and the Perelman School of Medicine, University of Pennsylvania/Etats-Unis (1 aut.); Children's Hospital of Philadelphia/Etats-Unis (6 aut., 9 aut.); Summa Health System/Etats-Unis (2 aut.); University Hospitals, Rainbow Babies and Children's Hospitals, Case Western Reserve University/Etats-Unis (3 aut.); Kent State University/Etats-Unis (4 aut.); University of Queensland/Australie (5 aut., 8 aut., 13 aut.); University Children's Hospital Zurich/Suisse (7 aut.); Medical Research Council Cognition and Brain Sciences Unit/Cambridge/Royaume-Uni (10 aut.); Flinders University/Australie (11 aut.); Universite de Toulouse and the Centre Hospitalier Universitaire (CHU) de Toulouse/France (12 aut.); Massachusetts General Hospital, and Harvard Medical School/Etats-Unis (12 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Journal of the American Academy of Child and Adolescent Psychiatry; ISSN 0890-8567; Coden JAAPEE; Etats-Unis; Da. 2012; Vol. 51; No. 8; Pp. 812-820; Bibl. 33 ref.</SO>
<LA>Anglais</LA>
<EA>Objective: To describe the prevalence of acute stress disorder (ASD) symptoms and to examine proposed DSM-5 symptom criteria in relation to concurrent functional impairment in children and adolescents. Method: From an international archive, datasets were identified that included assessment of acute traumatic stress reactions and concurrent impairment in children and adolescents 5 to 17 years of age. Data came from 15 studies conducted in the United States, United Kingdom, Australia, and Switzerland and included 1,645 children and adolescents. Dichotomized items were created to indicate the presence or absence of each of the 14 proposed ASD symptoms and functional impairment. The performance of a proposed diagnostic criterion (number of ASD symptoms required) was examined as a predictor of concurrent impairment. Results: Each ASD symptom was endorsed by 14% to 51% of children and adolescents; 41% reported clinically relevant impairment. Children and adolescents reported from 0 to 13 symptoms (mean = 3.6). Individual ASD symptoms were associated with greater likelihood of functional impairment. The DSM-5 proposed eight-symptom requirement was met by 202 individuals (12.3%) and had low sensitivity (0.25) in predicting concurrent clinically relevant impairment. Requiring fewer symptoms (three to four) greatly improved sensitivity while maintaining moderate specificity. Conclusions: This group of symptoms appears to capture aspects of traumatic stress reactions that can create distress and interfere with children's and adolescents' ability to function in the acute post-trauma phase. Results provide a benchmark for comparison with adult samples; a smaller proportion of children and adolescents met the eight-symptom criterion than reported for adults. Symptom requirements for the ASD diagnosis may need to be lowered to optimally identify children and adolescents whose acute distress warrants clinical attention. J.</EA>
<CC>770D04</CC>
<FD>Symptomatologie; Etat de stress aigu; International; Critère; Enfant; Diagnostic and Statistical Manual V</FD>
<FG>Homme; Trouble anxieux</FG>
<ED>Symptomatology; Acute stress disorder; International; Criterion; Child; Diagnostic and Statistical Manual V</ED>
<EG>Human; Anxiety disorder</EG>
<SD>Sintomatología; Trastorno de estrés agudo; Internacional; Criterio; Niño; Diagnostic and Statistical Manual V</SD>
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