Predicting pediatric posttraumatic stress disorder after road traffic accidents: The role of parental psychopathology
Abstract
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 = 6.99, 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.
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The combination of parental trauma and poorer family functioning predicts the longer-term psychological, behavioral and general wellbeing of the ill child.
“It is not surprising that the combination of parental trauma and poorer family functioning predicts the longer-term psychological, behavioral and general wellbeing of the ill child [6, 10, 11, 16–18]”
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- Authors
- Kolaitis, G., Giannakopoulos, G., Liakopoulou, M., Pervanidou, P., Charitaki, S., Mihas, C., Ferentinos, S., Papassotiriou, I., Chrousos, G. P., & Tsiantis, J.
- Affiliations
- National and Kapodistrian University of Athens (GR)
- Children's Hospital Agia Sophia (GR)
- Corresponding author
- Kolaitis, Gerasimos
- ORCID
- Venue
- Journal of Traumatic Stress
- Publisher
- Wiley
- Published
- 2011-08
- Volume
- 24
- Issue
- 4
- Pages
- 414-421
- ISSN
- 0894-9867 (ISSN-L)
- 1573-6598
- OpenAlex
- W2118530337
- Cited by
- 28
- References
- 44
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 3 · 2023: 2 · 2022: 1 · 2021: 1 · 2020: 2 · 2019: 1 · 2018: 3 · 2017: 1 · 2016: 1 · 2015: 3 · 2014: 4 · 2013: 1 · 2012: 3
- FWCI
- 2.76
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Traumatic Stress (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- traffic accidents, parental psychopathology, maternal PTSD, salivary cortisol, neuroendocrine response, hospitalized children, trauma risk factors, PTSD prevention
- MeSH terms
- Accidents, Traffic, Adolescent, Child, Child, Hospitalized, Female, Greece, Humans, Interview, Psychological, Male, Parents, Stress Disorders, Post-Traumatic
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