Acute Stress Disorder and Posttraumatic Stress Disorder in Children and Adolescents Involved in Assaults or Motor Vehicle Accidents
Open accessAbstract
OBJECTIVE: The authors investigated acute stress disorder and later posttraumatic stress disorder (PTSD) in children and adolescents who had been involved in assaults or motor vehicle accidents. METHOD: They interviewed 93 patients 10-16 years old who were seen in an emergency department for having been assaulted or involved in a motor vehicle accident within 4 weeks after the assault or accident to assess acute stress disorder. At 6 months, they reinterviewed 64 (68.8%) of the patients to assess PTSD. RESULTS: At initial interview, 18 (19.4%) of the 93 patients had acute stress disorder and 23 (24.7%) met all acute stress disorder criteria except dissociation. At 6 months, eight of the 64 patients (12.5%) had PTSD. Acute stress disorder and PTSD did not differ in prevalence between patients who had been assaulted and those who had been in accidents. Sensitivity and specificity statistics and regression modeling revealed that the diagnosis of acute stress disorder was a good predictor of later PTSD but that dissociation did not play a significant role. CONCLUSIONS: Acute stress disorder has merit as a predictor of later PTSD in children and adolescents, but dissociation has questionable utility.
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A preliminary PTSD diagnosis including all DSM-IV criteria except the time criterion is a strong predictor for the development of chronic PTSD in children.
“Consequently, the diagnosis of PTSD applied here was still tentative although a preliminary PTSD diagnosis including all DSM-IV criteria except the time criterion is a strong predictor for the development of chronic PTSD in children [24].”
From Treating children traumatized by war and tsunami: a comparison between exposure therapy and meditation-relaxation in north-east Sri Lanka (2009) · cites this paper as [24]
A recent study with child victims of accidents in London found a 50% rate of spontaneous recovery in the first six months.
“A recent study with child victims of accidents in London has found a 50% rate of spontaneous recovery in the first six months [24].”
From Treating children traumatized by war and tsunami: a comparison between exposure therapy and meditation-relaxation in north-east Sri Lanka (2009) · cites this paper as [24]
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- Authors
- Meiser-Stedman, R., Yule, W., Smith, P., Glucksman, E., & Dalgleish, T.
- Venue
- American Journal of Psychiatry
- Published
- 2005-07-01
- Volume
- 162
- Issue
- 7
- Pages
- 1381-1383
- ISSN
- 0002-953X (ISSN-L)
- 1535-7228
- OpenAlex
- W2153334033
- Cited by
- 133
- References
- 14
- Citations by year
- 2026: 4 · 2025: 2 · 2024: 1 · 2023: 1 · 2022: 1 · 2021: 4 · 2020: 5 · 2019: 3 · 2018: 3 · 2017: 5 · 2016: 13 · 2015: 5 · 2014: 3 · 2013: 7 · 2012: 9
- FWCI
- 15.43
- Type
- journal article
- Language
- en
- Open access
- green
- kclpure.kcl.ac.uk
- Locations
- American Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion)
- UEA Digital Repository (University of East Anglia) (submittedVersion)
- Funders
- King's College London
- Medical Research Council (G78/6730)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
- Keywords
- acute stress disorder, post-traumatic stress disorder, children and adolescents, assault, motor vehicle accidents, dissociation, PTSD prediction, trauma exposure, emergency department patients
- MeSH terms
- Accidents, Traffic, Adolescent, Child, Dissociative Disorders, Female, Humans, Life Change Events, Male, Psychiatric Status Rating Scales, Risk Factors, Sensitivity and Specificity, Stress Disorders, Post-Traumatic, Violence, Comorbidity, Prevalence, Logistic Models, Diagnostic and Statistical Manual of Mental Disorders, Stress Disorders, Traumatic, Acute
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