Predicting Pediatric Posttraumatic Stress Disorder After Road Traffic Accidents: The Role of Parental Psychopathology

被引：24

作者：

Kolaitis, Gerasimos ^{[1
]}

Giannakopoulos, George ^{[1
]}

Liakopoulou, Magda ^{[1
]}

Pervanidou, Panagiota ^{[2
]}

Charitaki, Stella ^{[1
]}

Mihas, Constantinos ^{[1
]}

Ferentinos, Spyros ^{[1
]}

Papassotiriou, Ioannis ^{[3
]}

Chrousos, George P. ^{[2
]}

Tsiantis, John ^{[1
]}

机构：

[1] Univ Athens, Sch Med, Dept Child Psychiat, GR-11527 Athens, Greece

[2] Univ Athens, Sch Med, Dept Pediat 1, GR-11527 Athens, Greece

[3] Aghia Sophia Childrens Hosp, Dept Clin Biochem, Athens, Greece

来源：

JOURNAL OF TRAUMATIC STRESS | 2011年 / 24卷 / 04期

关键词：

MOTOR-VEHICLE ACCIDENTS; AGE-CHILDREN-PRESENT; PSYCHOLOGICAL CONSEQUENCES; CORTISOL CONCENTRATIONS; FOLLOW-UP; INJURY; PTSD; RELIABILITY; SYMPTOMS; SCHIZOPHRENIA;

D O I：

10.1002/jts.20667

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

This study examined prospectively the role of parental psychopathology among other predictors in the development and persistence of posttraumatic stress disorder (PTSD) in 57 hospitalized youths aged 7-18 years immediately after a road traffic accident and 1 and 6 months later. Self report questionnaires and semistructured diagnostic interviews were used in all 3 assessments. Neuroendocrine evaluation was performed at the initial assessment. Maternal PTSD symptomatology predicted the development of children's PTSD 1 month after the event, OR = 699, 95% CI [1.049, 45.725]; the persistence of PTSD 6 months later was predicted by the child's increased evening salivary cortisol concentrations within 24 hours of the accident, OR = 1.006, 95% CI [1.001, 1.011]. Evaluation of both biological and psychosocial predictors that increase the risk for later development and maintenance of PTSD is important for appropriate early prevention and treatment.

引用

页码：414 / 421

页数：8

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