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A meta-analysis of risk factors for post-traumatic stress disorder in children and adolescents
Open accessAbstract
Post-traumatic stress disorder (PTSD) is a complex and chronic disorder that causes substantial distress and interferes with social and educational functioning. Consequently, identifying the risk factors that make a child more likely to experience traumatic distress is of academic, clinical and social importance. This meta-analysis estimated the population effect sizes of 25 potential risk factors for PTSD in children and adolescents aged 6-18 years across 64 studies (N=32,238). Medium to large effect sizes were shown for many factors relating to subjective experience of the event and post-trauma variables (low social support, peri-trauma fear, perceived life threat, social withdrawal, comorbid psychological problem, poor family functioning, distraction, PTSD at time 1, and thought suppression); whereas pre-trauma variables and more objective measures of the assumed severity of the event generated small to medium effect sizes. This indicates that subjective peri-trauma factors and post-event factors are likely to have a major role in determining whether a child develops PTSD following exposure to a traumatic event. Such factors could potentially be assessed following a potentially traumatic event in order to screen for those most vulnerable to developing PTSD and target treatment efforts accordingly. The findings support the cognitive model of PTSD as a way of understanding its development and guiding interventions to reduce symptoms.
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“Trauma severity-objectively determined-is most strongly associated with risk of developing PTSD (Trickey et al, 2012).”
From Deviations from the expectable environment in early childhood and emerging psychopathology (2015) · cites this paper as Trickey et al, 2012
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“A meta-analysis in children has shown low to medium effect sizes for gender, ethnicity, pre-trauma psychological problems, and parental psychological problems.”
From Deviations from the expectable environment in early childhood and emerging psychopathology (2015) · cites this paper as Trickey et al, 2012
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Metadata
- Authors
- Trickey, D., Siddaway, A. P., Meiser-Stedman, R., Serpell, L., & Field, A. P.
- Affiliations
- University of Hertfordshire (GB)
- North East London NHS Foundation Trust (GB)
- University of Sussex (GB)
- Corresponding author
- Trickey, David
- Venue
- Clinical Psychology Review
- Publisher
- Elsevier BV
- Published
- 2012-03
- Volume
- 32
- Issue
- 2
- Pages
- 122-138
- ISSN
- 0272-7358 (ISSN-L)
- OpenAlex
- W2017451655
- Cited by
- 828
- References
- 127
- Citations by year
- 2026: 52 · 2025: 53 · 2024: 73 · 2023: 55 · 2022: 63 · 2021: 76 · 2020: 56 · 2019: 68 · 2018: 75 · 2017: 54 · 2016: 42 · 2015: 54 · 2014: 58 · 2013: 32 · 2012: 16
- FWCI
- 5.23
- Type
- journal article
- Language
- en
- Open access
- green
- ueaeprints.uea.ac.uk
- Locations
- Clinical Psychology Review (publishedVersion)
- PubMed (publishedVersion)
- UEA Digital Repository (University of East Anglia) (submittedVersion)
- Stirling Online Research Repository (University of Stirling) (submittedVersion, public-domain)
- UCL Discovery (University College London) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- Sussex Research Online (University of Sussex) (submittedVersion)
- Funders
- Medical Research Council (MC_EX_G0802821)
- 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
- post-traumatic stress disorder, children, adolescents, risk factors, traumatic events, social support, perceived life threat, social withdrawal, family functioning, thought suppression, PTSD screening, trauma exposure
- MeSH terms
- Adolescent, Child, Fear, Humans, Life Change Events, Risk Factors, Stress Disorders, Post-Traumatic, Stress, Psychological
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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