Acute Stress Symptoms in Children: Results From an International Data Archive
Identifieur interne : 005741 ( Main/Merge ); précédent : 005740; suivant : 005742Acute 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.
Abstract
To describe the prevalence of acute stress disorder (ASD) symptoms and examine proposed
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.
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
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.
Url:
DOI: 10.1016/j.jaac.2012.05.013
PubMed: 22840552
PubMed Central: 3408617
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PMC:3408617Le document en format XML
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<author><name sortKey="Palmieri, Patrick A" sort="Palmieri, Patrick A" uniqKey="Palmieri P" first="Patrick A." last="Palmieri">Patrick A. Palmieri</name>
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<author><name sortKey="Rork, Kristine" sort="Rork, Kristine" uniqKey="Rork K" first="Kristine" last="Rork">Kristine Rork</name>
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<author><name sortKey="Delahanty, Douglas L" sort="Delahanty, Douglas L" uniqKey="Delahanty D" first="Douglas L." last="Delahanty">Douglas L. Delahanty</name>
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<author><name sortKey="Kenardy, Justin" sort="Kenardy, Justin" uniqKey="Kenardy J" first="Justin" last="Kenardy">Justin Kenardy</name>
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<author><name sortKey="Kohser, Kristen L" sort="Kohser, Kristen L" uniqKey="Kohser K" first="Kristen L." last="Kohser">Kristen L. Kohser</name>
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<author><name sortKey="Landolt, Markus A" sort="Landolt, Markus A" uniqKey="Landolt M" first="Markus A." last="Landolt">Markus A. Landolt</name>
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<author><name sortKey="Bui, Eric" sort="Bui, Eric" uniqKey="Bui E" first="Eric" last="Bui">Eric Bui</name>
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<series><title level="j">Journal of the American Academy of Child and Adolescent Psychiatry</title>
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<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>
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