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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Acute Stress Symptoms in Children: Results From an International Data Archive</title><author><name sortKey="Kassam Adams, Nancy" sort="Kassam Adams, Nancy" uniqKey="Kassam Adams N" first="Nancy" last="Kassam-Adams">Nancy Kassam-Adams</name></author><author><name sortKey="Palmieri, Patrick A" sort="Palmieri, Patrick A" uniqKey="Palmieri P" first="Patrick A." last="Palmieri">Patrick A. Palmieri</name></author><author><name sortKey="Rork, Kristine" sort="Rork, Kristine" uniqKey="Rork K" first="Kristine" last="Rork">Kristine Rork</name></author><author><name sortKey="Delahanty, Douglas L" sort="Delahanty, Douglas L" uniqKey="Delahanty D" first="Douglas L." last="Delahanty">Douglas L. Delahanty</name></author><author><name sortKey="Kenardy, Justin" sort="Kenardy, Justin" uniqKey="Kenardy J" first="Justin" last="Kenardy">Justin Kenardy</name></author><author><name sortKey="Kohser, Kristen L" sort="Kohser, Kristen L" uniqKey="Kohser K" first="Kristen L." last="Kohser">Kristen L. Kohser</name></author><author><name sortKey="Landolt, Markus A" sort="Landolt, Markus A" uniqKey="Landolt M" first="Markus A." last="Landolt">Markus A. Landolt</name></author><author><name sortKey="Le Brocque, Robyne" sort="Le Brocque, Robyne" uniqKey="Le Brocque R" first="Robyne" last="Le Brocque">Robyne Le Brocque</name></author><author><name sortKey="Marsac, Meghan L" sort="Marsac, Meghan L" uniqKey="Marsac M" first="Meghan L." last="Marsac">Meghan L. Marsac</name></author><author><name sortKey="Meiser Stedman, Richard" sort="Meiser Stedman, Richard" uniqKey="Meiser Stedman R" first="Richard" last="Meiser-Stedman">Richard Meiser-Stedman</name></author><author><name sortKey="Nixon, Reginald D V" sort="Nixon, Reginald D V" uniqKey="Nixon R" first="Reginald D. V." last="Nixon">Reginald D. V. Nixon</name></author><author><name sortKey="Bui, Eric" sort="Bui, Eric" uniqKey="Bui E" first="Eric" last="Bui">Eric Bui</name></author><author><name sortKey="Mcgrath, Caitlin" sort="Mcgrath, Caitlin" uniqKey="Mcgrath C" first="Caitlin" last="Mcgrath">Caitlin Mcgrath</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">22840552</idno><idno type="pmc">3408617</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3408617</idno><idno type="RBID">PMC:3408617</idno><idno type="doi">10.1016/j.jaac.2012.05.013</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">002048</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002048</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Acute Stress Symptoms in Children: Results From an International Data Archive</title><author><name sortKey="Kassam Adams, Nancy" sort="Kassam Adams, Nancy" uniqKey="Kassam Adams N" first="Nancy" last="Kassam-Adams">Nancy Kassam-Adams</name></author><author><name sortKey="Palmieri, Patrick A" sort="Palmieri, Patrick A" uniqKey="Palmieri P" first="Patrick A." last="Palmieri">Patrick A. Palmieri</name></author><author><name sortKey="Rork, Kristine" sort="Rork, Kristine" uniqKey="Rork K" first="Kristine" last="Rork">Kristine Rork</name></author><author><name sortKey="Delahanty, Douglas L" sort="Delahanty, Douglas L" uniqKey="Delahanty D" first="Douglas L." last="Delahanty">Douglas L. Delahanty</name></author><author><name sortKey="Kenardy, Justin" sort="Kenardy, Justin" uniqKey="Kenardy J" first="Justin" last="Kenardy">Justin Kenardy</name></author><author><name sortKey="Kohser, Kristen L" sort="Kohser, Kristen L" uniqKey="Kohser K" first="Kristen L." last="Kohser">Kristen L. Kohser</name></author><author><name sortKey="Landolt, Markus A" sort="Landolt, Markus A" uniqKey="Landolt M" first="Markus A." last="Landolt">Markus A. Landolt</name></author><author><name sortKey="Le Brocque, Robyne" sort="Le Brocque, Robyne" uniqKey="Le Brocque R" first="Robyne" last="Le Brocque">Robyne Le Brocque</name></author><author><name sortKey="Marsac, Meghan L" sort="Marsac, Meghan L" uniqKey="Marsac M" first="Meghan L." last="Marsac">Meghan L. Marsac</name></author><author><name sortKey="Meiser Stedman, Richard" sort="Meiser Stedman, Richard" uniqKey="Meiser Stedman R" first="Richard" last="Meiser-Stedman">Richard Meiser-Stedman</name></author><author><name sortKey="Nixon, Reginald D V" sort="Nixon, Reginald D V" uniqKey="Nixon R" first="Reginald D. V." last="Nixon">Reginald D. V. Nixon</name></author><author><name sortKey="Bui, Eric" sort="Bui, Eric" uniqKey="Bui E" first="Eric" last="Bui">Eric Bui</name></author><author><name sortKey="Mcgrath, Caitlin" sort="Mcgrath, Caitlin" uniqKey="Mcgrath C" first="Caitlin" last="Mcgrath">Caitlin Mcgrath</name></author></analytic><series><title level="j">Journal of the American Academy of Child and Adolescent Psychiatry</title><idno type="ISSN">0890-8567</idno><idno type="eISSN">1527-5418</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objective</title><p id="P2">To describe the prevalence of acute stress disorder (ASD) symptoms and examine proposed <italic>DSM-5</italic> symptom criteria in relation to concurrent functional impairment in children.</p></sec><sec id="S2"><title>Method</title><p id="P3">From an international archive, datasets were identified which included assessment of acute traumatic stress reactions and concurrent impairment in children age 5 to 17. Data came from 15 studies conducted in the US, UK, Australia, and Switzerland with 1645 children. 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.</p></sec><sec id="S3"><title>Results</title><p id="P4">Each ASD symptom was endorsed by 14% to 51% of children; 41% reported clinically-relevant impairment. Children reported from 0 to 13 symptoms (mean = 3.6). Individual ASD symptoms were associated with greater likelihood of functional impairment. The <italic>DSM-5</italic> proposed 8-symptom requirement was met by 202 (12.3%) children, and had low sensitivity (.25) in predicting concurrent clinically-relevant impairment. Requiring fewer symptoms (three to four) greatly improved sensitivity while maintaining moderate specificity.</p></sec><sec id="S4"><title>Conclusions</title><p id="P5">This group of symptoms appears to capture aspects of traumatic stress reactions that can create distress and interfere with children’s ability to function in the acute post-trauma phase. Results provide a benchmark for comparison with adult samples; a smaller proportion of children met the 8-symptom criterion than reported for adults. Symptom requirements for the ASD diagnosis may need to be lowered to optimally identify children whose acute distress warrants clinical attention.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">8704565</journal-id><journal-id journal-id-type="pubmed-jr-id">4529</journal-id><journal-id journal-id-type="nlm-ta">J Am Acad Child Adolesc Psychiatry</journal-id><journal-id journal-id-type="iso-abbrev">J Am Acad Child Adolesc Psychiatry</journal-id><journal-title-group><journal-title>Journal of the American Academy of Child and Adolescent Psychiatry</journal-title></journal-title-group><issn pub-type="ppub">0890-8567</issn><issn pub-type="epub">1527-5418</issn></journal-meta><article-meta><article-id pub-id-type="pmid">22840552</article-id><article-id pub-id-type="pmc">3408617</article-id><article-id pub-id-type="doi">10.1016/j.jaac.2012.05.013</article-id><article-id pub-id-type="manuscript">NIHMS391375</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Acute Stress Symptoms in Children: Results From an International Data Archive</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Kassam-Adams</surname><given-names>Nancy</given-names><prefix>Dr.</prefix></name><degrees>PhD</degrees><aff id="A1">Children’s Hospital of Philadelphia and the Perelman School of Medicine, University of Pennsylvania</aff></contrib><contrib contrib-type="author"><name><surname>Palmieri</surname><given-names>Patrick A.</given-names><prefix>Dr.</prefix></name><degrees>PhD</degrees><aff id="A2">Summa Health System</aff></contrib><contrib contrib-type="author"><name><surname>Rork</surname><given-names>Kristine</given-names><prefix>Dr.</prefix></name><degrees>PhD</degrees><aff id="A3">University Hospitals, Rainbow Babies and Children’s Hospitals, Case Western Reserve University</aff></contrib><contrib contrib-type="author"><name><surname>Delahanty</surname><given-names>Douglas L.</given-names><prefix>Dr.</prefix></name><degrees>PhD</degrees><aff id="A4">Kent State University</aff></contrib><contrib contrib-type="author"><name><surname>Kenardy</surname><given-names>Justin</given-names><prefix>Dr.</prefix></name><degrees>PhD</degrees><aff id="A5">University of Queensland, Australia</aff></contrib><contrib contrib-type="author"><name><surname>Kohser</surname><given-names>Kristen L.</given-names><prefix>Ms.</prefix></name><degrees>MSW</degrees><aff id="A6">Children’s Hospital of Philadelphia</aff></contrib><contrib contrib-type="author"><name><surname>Landolt</surname><given-names>Markus A.</given-names><prefix>Dr.</prefix></name><degrees>PhD</degrees><aff id="A7">University Children’s Hospital Zurich, Switzerland</aff></contrib><contrib contrib-type="author"><name><surname>Le Brocque</surname><given-names>Robyne</given-names><prefix>Dr.</prefix></name><degrees>PhD</degrees><aff id="A8">University of Queensland, Australia</aff></contrib><contrib contrib-type="author"><name><surname>Marsac</surname><given-names>Meghan L.</given-names><prefix>Dr.</prefix></name><degrees>PhD</degrees><aff id="A9">Children’s Hospital of Philadelphia</aff></contrib><contrib contrib-type="author"><name><surname>Meiser-Stedman</surname><given-names>Richard</given-names><prefix>Dr.</prefix></name><degrees>PhD</degrees><aff id="A10">Medical Research Council Cognition and Brain Sciences Unit, Cambridge, United Kingdom</aff></contrib><contrib contrib-type="author"><name><surname>Nixon</surname><given-names>Reginald D. V.</given-names><prefix>Dr.</prefix></name><degrees>PhD</degrees><aff id="A11">Flinders University, Australia</aff></contrib><contrib contrib-type="author"><name><surname>Bui</surname><given-names>Eric</given-names><prefix>Dr.</prefix></name><degrees>MD, PhD</degrees><aff id="A12">Universite de Toulouse and the Centre Hospitalier Universitaire (CHU) de Toulouse, France, Massachusetts General Hospital, and Harvard Medical School</aff></contrib><contrib contrib-type="author"><name><surname>McGrath</surname><given-names>Caitlin</given-names><prefix>Ms.</prefix></name><degrees>BPsych</degrees><aff id="A13">University of Queensland, Australia</aff></contrib></contrib-group><author-notes><corresp id="FN1">Correspondence to Nancy Kassam-Adams, PhD, Center for Injury Research and Prevention, Children’s Hospital of Philadelphia, 3535 Market Street, Suite 1150, Philadelphia PA 19104; <email>nlkaphd@mail.med.upenn.edu</email></corresp></author-notes><pub-date pub-type="nihms-submitted"><day>16</day><month>7</month><year>2012</year></pub-date><pub-date pub-type="epub"><day>29</day><month>6</month><year>2012</year></pub-date><pub-date pub-type="ppub"><month>8</month><year>2012</year></pub-date><pub-date pub-type="pmc-release"><day>01</day><month>8</month><year>2013</year></pub-date><volume>51</volume><issue>8</issue><fpage>812</fpage><lpage>820</lpage><permissions><copyright-statement>© 2012 American Academy of Child & Adolescent Psychiatry. Published by Elsevier Inc. All rights reserved</copyright-statement><copyright-year>2012</copyright-year></permissions><abstract><sec id="S1"><title>Objective</title><p id="P2">To describe the prevalence of acute stress disorder (ASD) symptoms and examine proposed <italic>DSM-5</italic> symptom criteria in relation to concurrent functional impairment in children.</p></sec><sec id="S2"><title>Method</title><p id="P3">From an international archive, datasets were identified which included assessment of acute traumatic stress reactions and concurrent impairment in children age 5 to 17. Data came from 15 studies conducted in the US, UK, Australia, and Switzerland with 1645 children. 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.</p></sec><sec id="S3"><title>Results</title><p id="P4">Each ASD symptom was endorsed by 14% to 51% of children; 41% reported clinically-relevant impairment. Children reported from 0 to 13 symptoms (mean = 3.6). Individual ASD symptoms were associated with greater likelihood of functional impairment. The <italic>DSM-5</italic> proposed 8-symptom requirement was met by 202 (12.3%) children, and had low sensitivity (.25) in predicting concurrent clinically-relevant impairment. Requiring fewer symptoms (three to four) greatly improved sensitivity while maintaining moderate specificity.</p></sec><sec id="S4"><title>Conclusions</title><p id="P5">This group of symptoms appears to capture aspects of traumatic stress reactions that can create distress and interfere with children’s ability to function in the acute post-trauma phase. Results provide a benchmark for comparison with adult samples; a smaller proportion of children met the 8-symptom criterion than reported for adults. Symptom requirements for the ASD diagnosis may need to be lowered to optimally identify children whose acute distress warrants clinical attention.</p></sec></abstract><kwd-group><kwd>acute stress disorder</kwd><kwd><italic>DSM-5</italic></kwd><kwd>diagnostic criteria</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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