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A meta-analysis of risk factors for post-traumatic stress disorder in children and adolescents
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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
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