Emergency medical service and in-hospital vital signs as predictors of subsequent PTSD symptom severity in pediatric injury patients / Nicole R. NUGENT in Journal of Child Psychology and Psychiatry, 47-9 (September 2006)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 47-9 (September 2006) . - p.919–926 Titre : Emergency medical service and in-hospital vital signs as predictors of subsequent PTSD symptom severity in pediatric injury patients Type de document : Texte imprimé et/ou numérique Auteurs : Nicole R. NUGENT, Auteur ; Norman C. CHRISTOPHER, Auteur ; Douglas L. DELAHANTY, Auteur Année de publication : 2006 Article en page(s) : p.919–926 Langues : Anglais (eng) Mots-clés : Posttraumatic-stress-disorder children heart-rate cardiovascular acute-predictors pediatric-injury Index. décimale : PER Périodiques Résumé : Background: The present study investigated the extent to which heart rate (HR) levels soon after a traumatic event predicted posttraumatic stress disorder (PTSD) symptom severity assessed 6 weeks and 6 months later in child trauma victims. Methods: Participants consisted of 82 children (56 boys, 26 girls) aged 8–18 who were admitted to a Midwestern trauma center. HR data were recorded from emergency medical services (EMS) records, upon admission to the emergency department (ED), for the first 20 minutes following admission, and upon discharge. Subsequent PTSD and depressive symptoms were assessed 6-weeks and 6-months post-trauma. Results: HR recorded during EMS transport was significantly correlated with PTSD symptoms at 6 weeks (r = .42) and at 6 months (r = .35). After removing the variance associated with demographic variables and depressive symptoms, HR during EMS transport and averaged over the first 20 minutes following admission significantly predicted 6-week PTSD symptoms. The first recorded EMS HR measure significantly predicted 6-month PTSD symptoms. HR averaged over the first 20 minutes of EMS transport and averaged over the first 20 minutes following admission marginally predicted 6-month PTSD symptoms (ps = .051 and .079, respectively). Conclusions: The present findings suggest that physiological arousal soon after a traumatic event may be associated with increased risk for the development of PTSD symptoms in child trauma victims. These findings provide preliminary support for the use of acute cardiovascular levels as markers of child trauma victims at higher risk of developing symptoms of PTSD. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2006.01648.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=778 [article] Emergency medical service and in-hospital vital signs as predictors of subsequent PTSD symptom severity in pediatric injury patients [Texte imprimé et/ou numérique] / Nicole R. NUGENT, Auteur ; Norman C. CHRISTOPHER, Auteur ; Douglas L. DELAHANTY, Auteur . - 2006 . - p.919–926. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 47-9 (September 2006) . - p.919–926 Mots-clés : Posttraumatic-stress-disorder children heart-rate cardiovascular acute-predictors pediatric-injury Index. décimale : PER Périodiques Résumé : Background: The present study investigated the extent to which heart rate (HR) levels soon after a traumatic event predicted posttraumatic stress disorder (PTSD) symptom severity assessed 6 weeks and 6 months later in child trauma victims. Methods: Participants consisted of 82 children (56 boys, 26 girls) aged 8–18 who were admitted to a Midwestern trauma center. HR data were recorded from emergency medical services (EMS) records, upon admission to the emergency department (ED), for the first 20 minutes following admission, and upon discharge. Subsequent PTSD and depressive symptoms were assessed 6-weeks and 6-months post-trauma. Results: HR recorded during EMS transport was significantly correlated with PTSD symptoms at 6 weeks (r = .42) and at 6 months (r = .35). After removing the variance associated with demographic variables and depressive symptoms, HR during EMS transport and averaged over the first 20 minutes following admission significantly predicted 6-week PTSD symptoms. The first recorded EMS HR measure significantly predicted 6-month PTSD symptoms. HR averaged over the first 20 minutes of EMS transport and averaged over the first 20 minutes following admission marginally predicted 6-month PTSD symptoms (ps = .051 and .079, respectively). Conclusions: The present findings suggest that physiological arousal soon after a traumatic event may be associated with increased risk for the development of PTSD symptoms in child trauma victims. These findings provide preliminary support for the use of acute cardiovascular levels as markers of child trauma victims at higher risk of developing symptoms of PTSD. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2006.01648.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=778

Micro-sequences of anger and shame and non-suicidal self-injury in youth: an ecological momentary assessment study / Leslie A. BRICK ; Michael ARMEY ; Nicole R. NUGENT in Journal of Child Psychology and Psychiatry, 65-2 (February 2024)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 65-2 (February 2024) . - p.137-147 Titre : Micro-sequences of anger and shame and non-suicidal self-injury in youth: an ecological momentary assessment study Type de document : Texte imprimé et/ou numérique Auteurs : Leslie A. BRICK, Auteur ; Michael ARMEY, Auteur ; Nicole R. NUGENT, Auteur Article en page(s) : p.137-147 Index. décimale : PER Périodiques Résumé : Objective Non-suicidal self-injury (NSSI) is a significant mental health concern with the highest prevalence among adolescents. NSSI has been conceptualized as one of the maladaptive strategies to cope with challenging affect or a form of self-punishment. Although characterizing moment-to-moment associations between shame and NSSI in individuals' real-world environment and partitioning between- and within-person effects is critical for mobile and timely interventions, most studies examined habitual experiences of negative affective states and focused on adults. Method In this study, we focused on in vivo anger at self and others and shame and NSSI among 158 adolescents 3?weeks following their psychiatric hospitalizations using ecological momentary assessment (EMA) technology. Results We found that greater between-person levels of anger at self and others were linked to a higher number of subsequent NSSI occurrences within a day. These findings remained primarily unchanged when we statistically adjusted for participants' age, sex assigned at birth, the number of current psychiatric diagnoses, EMA response rates, and youth lifetime history of SI. Within-person increases in NSSI were linked to increased anger at self over and beyond between-person average levels of NSSI. Conclusions These findings highlight the potential regulatory role of NSSI to decrease negative affective states and point to the clinical utility of assessing and early mobile interventions targeting challenging affect in youth. En ligne : https://doi.org/10.1111/jcpp.13869 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=520 [article] Micro-sequences of anger and shame and non-suicidal self-injury in youth: an ecological momentary assessment study [Texte imprimé et/ou numérique] / Leslie A. BRICK, Auteur ; Michael ARMEY, Auteur ; Nicole R. NUGENT, Auteur . - p.137-147. in Journal of Child Psychology and Psychiatry > 65-2 (February 2024) . - p.137-147 Index. décimale : PER Périodiques Résumé : Objective Non-suicidal self-injury (NSSI) is a significant mental health concern with the highest prevalence among adolescents. NSSI has been conceptualized as one of the maladaptive strategies to cope with challenging affect or a form of self-punishment. Although characterizing moment-to-moment associations between shame and NSSI in individuals' real-world environment and partitioning between- and within-person effects is critical for mobile and timely interventions, most studies examined habitual experiences of negative affective states and focused on adults. Method In this study, we focused on in vivo anger at self and others and shame and NSSI among 158 adolescents 3?weeks following their psychiatric hospitalizations using ecological momentary assessment (EMA) technology. Results We found that greater between-person levels of anger at self and others were linked to a higher number of subsequent NSSI occurrences within a day. These findings remained primarily unchanged when we statistically adjusted for participants' age, sex assigned at birth, the number of current psychiatric diagnoses, EMA response rates, and youth lifetime history of SI. Within-person increases in NSSI were linked to increased anger at self over and beyond between-person average levels of NSSI. Conclusions These findings highlight the potential regulatory role of NSSI to decrease negative affective states and point to the clinical utility of assessing and early mobile interventions targeting challenging affect in youth. En ligne : https://doi.org/10.1111/jcpp.13869 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=520

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