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Understanding the relationships between trauma type and individual posttraumatic stress symptoms: a cross-sectional study of a clinical sample of children and adolescents / Marianne Skogbrott BIRKELAND in Journal of Child Psychology and Psychiatry, 63-12 (December 2022)
[article]
Titre : Understanding the relationships between trauma type and individual posttraumatic stress symptoms: a cross-sectional study of a clinical sample of children and adolescents Type de document : Texte imprimé et/ou numérique Auteurs : Marianne Skogbrott BIRKELAND, Auteur ; Ane-Marthe Solheim SKAR, Auteur ; Tine K. JENSEN, Auteur Article en page(s) : p.1496-1504 Langues : Anglais (eng) Mots-clés : Child Adolescent Female Humans Male Stress Disorders, Post-Traumatic/therapy Cross-Sectional Studies Domestic Violence/psychology Bullying Problem Behavior Trauma posttraumatic stress disorder Index. décimale : PER Périodiques Résumé : BACKGROUND: Characteristics of traumatic events may be associated with the level and specific manifestation of posttraumatic stress symptoms (PTSS). This study examined the differences and similarities between overall levels, profiles and networks of PTSS after sexual trauma, domestic violence, community violence, non-interpersonal trauma, sudden loss or serious illness of a loved one, and severe bullying or threats. METHODS: PTSS were measured in a clinical sample of 4,921 children and adolescents (6-18 years old, M=14.0, SD=2.7, 63.7% female) referred to Child and Adolescent Mental Health Services. We compared 95% confidence intervals (CI) for each symptom with 95% CI for overall PTSS within each trauma type (self-reported worst trauma). We also computed cross-sectional networks and searched for differences in networks according to trauma type and overall symptom level. RESULTS: The overall frequencies of PTSS were highest following sexual trauma; somewhat lower for domestic violence and severe bullying or threats and lowest after community violence, non-interpersonal trauma and sudden loss or serious illness. Psychological cue reactivity, avoidance and difficulties with sleeping and concentrating were generally among the most frequent symptoms. Sexual trauma, domestic violence and severe bullying or threats were associated with higher frequencies of negative beliefs and persistent negative emotional states. Few differences in symptom networks across trauma type emerged. CONCLUSION: Different types of trauma exposure may be associated with different profiles of symptom frequencies. Knowledge about this may be useful for clinicians and for the movement towards evidence-based personalized psychological treatment. En ligne : http://dx.doi.org/10.1111/jcpp.13602 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=490
in Journal of Child Psychology and Psychiatry > 63-12 (December 2022) . - p.1496-1504[article] Understanding the relationships between trauma type and individual posttraumatic stress symptoms: a cross-sectional study of a clinical sample of children and adolescents [Texte imprimé et/ou numérique] / Marianne Skogbrott BIRKELAND, Auteur ; Ane-Marthe Solheim SKAR, Auteur ; Tine K. JENSEN, Auteur . - p.1496-1504.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 63-12 (December 2022) . - p.1496-1504
Mots-clés : Child Adolescent Female Humans Male Stress Disorders, Post-Traumatic/therapy Cross-Sectional Studies Domestic Violence/psychology Bullying Problem Behavior Trauma posttraumatic stress disorder Index. décimale : PER Périodiques Résumé : BACKGROUND: Characteristics of traumatic events may be associated with the level and specific manifestation of posttraumatic stress symptoms (PTSS). This study examined the differences and similarities between overall levels, profiles and networks of PTSS after sexual trauma, domestic violence, community violence, non-interpersonal trauma, sudden loss or serious illness of a loved one, and severe bullying or threats. METHODS: PTSS were measured in a clinical sample of 4,921 children and adolescents (6-18 years old, M=14.0, SD=2.7, 63.7% female) referred to Child and Adolescent Mental Health Services. We compared 95% confidence intervals (CI) for each symptom with 95% CI for overall PTSS within each trauma type (self-reported worst trauma). We also computed cross-sectional networks and searched for differences in networks according to trauma type and overall symptom level. RESULTS: The overall frequencies of PTSS were highest following sexual trauma; somewhat lower for domestic violence and severe bullying or threats and lowest after community violence, non-interpersonal trauma and sudden loss or serious illness. Psychological cue reactivity, avoidance and difficulties with sleeping and concentrating were generally among the most frequent symptoms. Sexual trauma, domestic violence and severe bullying or threats were associated with higher frequencies of negative beliefs and persistent negative emotional states. Few differences in symptom networks across trauma type emerged. CONCLUSION: Different types of trauma exposure may be associated with different profiles of symptom frequencies. Knowledge about this may be useful for clinicians and for the movement towards evidence-based personalized psychological treatment. En ligne : http://dx.doi.org/10.1111/jcpp.13602 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=490