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Cited by 262Posttraumatic Stress Disorder ResearchChild Abuse and TraumaChild and Adolescent Psychosocial and Emotional Development

The DOI matches its Crossref record; 23 of the 24 references it cites were found in a registry or an index.

Factors Affecting the Diagnosis and Prediction of PTSD Symptomatology in Children and Adolescents

Scheeringa, Michael S., Wright, Mary Jo, Hunt, John P., Zeanah, Charles H.·2006·American Journal of Psychiatry
DOI 10.1176/ajp.2006.163.4.644
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Abstract

OBJECTIVE: In a cohort that spanned all of childhood and suffered equivalent types of traumas, the authors examined diagnostic validity and risk factors for posttraumatic stress disorder (PTSD). For older children, parent-child agreement was investigated. METHOD: Sixty-two children ages 0-18 years who were hospitalized with injuries were assessed 2 months later for PTSD. Mothers were interviewed, and concurrent interviews were conducted with 24 adolescents. RESULTS: Children did not attain the DSM-IV threshold of three criterion C items until age 7. The 0-6-year-old group had significantly fewer criterion C symptoms (mean=0.43) than the 12-18-year-olds (mean=1.17). The impact of altering thresholds for criteria C and D was examined. Older children reported symptoms meeting criterion B significantly more often (79.2%) than parents (45.8%). Combined parent-child reports yielded significantly more symptoms and higher rates for criteria B, C, and D (almost a twofold increase) and for the overall diagnosis (37.5%) than parent report alone (4.2%). This 8.9-fold increase in diagnosis from combined reports suggests that the diagnostic rates for children who cannot make self-reports may greatly underestimate the true numbers. The interaction between pretrauma externalizing behavior and witnessing a threat to a caregiver had a significant effect on the total number of PTSD symptoms. CONCLUSIONS: These findings provide additional support for lowering the requirement of three criterion C symptoms for preschool children and raise questions about the appropriateness of this threshold for prepubertal children. The validity of studies that do not assess symptoms with combined parent and child reports is limited.

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Research works printed but not linked: 4

  1. Kilpatrick D, 1998, DSM-IV Sourcebook, vol 4, 803
  2. Pfefferbaum B, 1997, J Am Acad Child Adolesc Psychiatry, 36, 1503
  3. Kilpatrick K, 1993, Posttraumatic Stress Disorder: DSM-IV and Beyond, 113
  4. Angold A, 2004, Handbook of Infant, Toddler, and Preschool Mental Health Assessment, 123

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Metadata

Authors
Scheeringa, M. S., Wright, M. J., Hunt, J. P., & Zeanah, C. H.
Affiliations
Tulane University (US)
ORCID
Venue
American Journal of Psychiatry
Publisher
American Psychiatric Association Publishing
Published
2006-04
Volume
163
Issue
4
Pages
644-651
ISSN
  • 0002-953X (ISSN-L)
  • 1535-7228
DOI
10.1176/ajp.2006.163.4.644
OpenAlex
W2160418655
Cited by
262
References
24
Citations by year
2026: 5 · 2025: 6 · 2024: 7 · 2023: 14 · 2022: 9 · 2021: 7 · 2020: 13 · 2019: 10 · 2018: 10 · 2017: 18 · 2016: 15 · 2015: 13 · 2014: 16 · 2013: 20 · 2012: 13
FWCI
16.59
Type
journal article
Language
en
Open access
closed
Locations
  • American Journal of Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institute of Mental Health (K08 MH 01706, K08MH001706)
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, diagnostic validity, parent-child agreement, trauma exposure, symptom prediction, DSM-IV diagnostic criteria
MeSH terms
Adolescent, Age Factors, Child, Child Behavior Disorders, Health Status, Hospitalization, Humans, Life Change Events, Parents, Psychiatric Status Rating Scales, Psychometrics, Surveys and Questionnaires, Research Design, Risk Factors, Stress Disorders, Post-Traumatic, Stress, Psychological, Wounds and Injuries, Reproducibility of Results, Cohort Studies, Comorbidity, Caregivers, Diagnostic and Statistical Manual of Mental Disorders

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