Cited by 133Posttraumatic Stress Disorder ResearchChild Abuse and TraumaTraumatic Brain Injury Research

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Acute Stress Disorder and Posttraumatic Stress Disorder in Children and Adolescents Involved in Assaults or Motor Vehicle Accidents

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Meiser-Stedman, Richard, Yule, William, Smith, Patrick, Glucksman, Ed, Dalgleish, Tim·2005·American Journal of Psychiatry

DOI 10.1176/appi.ajp.162.7.1381

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Abstract

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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Authors: Meiser-Stedman, R., Yule, W., Smith, P., Glucksman, E., & Dalgleish, T.
ORCID: Yule, William
Smith, Patrick
Dalgleish, Tim
Venue: American Journal of Psychiatry
Publisher: American Psychiatric Association Publishing
Published: 2005-07-01
Volume: 162
Issue: 7
Pages: 1381-1383
ISSN: 0002-953X (ISSN-L)
1535-7228
DOI: 10.1176/appi.ajp.162.7.1381
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 › Clinical Neurology › 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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Acute Stress Disorder and Posttraumatic Stress Disorder in Children and Adolescents Involved in Assaults or Motor Vehicle Accidents

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