Diagnosis of Posttraumatic Stress Disorder in Preschool Children / Alexandra C. DE YOUNG in Journal of Clinical Child & Adolescent Psychology, 40-3 (May-June 2011)  

Public ISBD [article]  inJournal of Clinical Child & Adolescent Psychology > 40-3 (May-June 2011) . - p.375-384 Titre : Diagnosis of Posttraumatic Stress Disorder in Preschool Children Type de document : texte imprimé Auteurs : Alexandra C. DE YOUNG, Auteur ; Justin A. KENARDY, Auteur ; Vanessa E. COBHAM, Auteur Année de publication : 2010 Article en page(s) : p.375-384 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : This study investigated the existing diagnostic algorithms for posttraumatic stress disorder (PTSD) to determine the most developmentally sensitive and valid approach for diagnosing this disorder in preschoolers. Participants were 130 parents of unintentionally burned children (1-6 years). Diagnostic interviews were conducted with parents to assess for PTSD in their child at 1 and 6 months postinjury and the Child Behavior Checklist for 1.5-5 was also completed. The proposed algorithm for PTSD in preschool children for the Diagnostic and Statistical Manual of Mental Disorders (5th ed.) provided the most developmentally sensitive and valid measure of PTSD. The rate of PTSD diagnosis was 25% at 1 month and 10% at 6 months. The predictive utility of Criterion A was not demonstrated. These findings provide support for the inclusion of the proposed algorithm for PTSD in preschool children. En ligne : http://dx.doi.org/10.1080/15374416.2011.563474 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=126 [article] Diagnosis of Posttraumatic Stress Disorder in Preschool Children [texte imprimé] / Alexandra C. DE YOUNG, Auteur ; Justin A. KENARDY, Auteur ; Vanessa E. COBHAM, Auteur . - 2010 . - p.375-384. Langues : Anglais (eng) in Journal of Clinical Child & Adolescent Psychology > 40-3 (May-June 2011) . - p.375-384 Index. décimale : PER Périodiques Résumé : This study investigated the existing diagnostic algorithms for posttraumatic stress disorder (PTSD) to determine the most developmentally sensitive and valid approach for diagnosing this disorder in preschoolers. Participants were 130 parents of unintentionally burned children (1-6 years). Diagnostic interviews were conducted with parents to assess for PTSD in their child at 1 and 6 months postinjury and the Child Behavior Checklist for 1.5-5 was also completed. The proposed algorithm for PTSD in preschool children for the Diagnostic and Statistical Manual of Mental Disorders (5th ed.) provided the most developmentally sensitive and valid measure of PTSD. The rate of PTSD diagnosis was 25% at 1 month and 10% at 6 months. The predictive utility of Criterion A was not demonstrated. These findings provide support for the inclusion of the proposed algorithm for PTSD in preschool children. En ligne : http://dx.doi.org/10.1080/15374416.2011.563474 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=126

Prevalence, comorbidity and course of trauma reactions in young burn-injured children / Alexandra C. DE YOUNG in Journal of Child Psychology and Psychiatry, 53-1 (January 2012)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 53-1 (January 2012) . - p.56-63 Titre : Prevalence, comorbidity and course of trauma reactions in young burn-injured children Type de document : texte imprimé Auteurs : Alexandra C. DE YOUNG, Auteur ; Justin A. KENARDY, Auteur ; Vanessa E. COBHAM, Auteur ; Roy KIMBLE, Auteur Année de publication : 2012 Article en page(s) : p.56-63 Langues : Anglais (eng) Mots-clés : Preschool children  trauma  burns  posttraumatic stress disorder  psychological disorder  prevalence  onset  comorbidity Index. décimale : PER Périodiques Résumé : Background:  Infants, toddlers and preschoolers are the highest risk group for burn injury. However, to date this population has been largely neglected. This study examined the prevalence, onset, comorbidity and recovery patterns of posttrauma reactions in young children with burns. Methods:  Parents of 130 unintentionally burned children (1–6 years) participated in the study. The Diagnostic Infant Preschool Assessment was conducted with parents at 1 and 6 months postinjury. Results:  The majority of children were resilient. However, 35% were diagnosed with at least one psychological disorder, there was a high rate of comorbidity with posttraumatic stress disorder, and 8% of children did not experience recovery in distress levels over the course of 6 months. Conclusions:  These outcomes are likely to have serious repercussions for a young child’s medical and psychosocial recovery as well as their normal developmental trajectories. It is recommended that screening, prevention and early intervention resources are incorporated into paediatric health care settings to optimise children’s psychological adjustment following burn injury. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2011.02431.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=148 [article] Prevalence, comorbidity and course of trauma reactions in young burn-injured children [texte imprimé] / Alexandra C. DE YOUNG, Auteur ; Justin A. KENARDY, Auteur ; Vanessa E. COBHAM, Auteur ; Roy KIMBLE, Auteur . - 2012 . - p.56-63. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 53-1 (January 2012) . - p.56-63 Mots-clés : Preschool children  trauma  burns  posttraumatic stress disorder  psychological disorder  prevalence  onset  comorbidity Index. décimale : PER Périodiques Résumé : Background:  Infants, toddlers and preschoolers are the highest risk group for burn injury. However, to date this population has been largely neglected. This study examined the prevalence, onset, comorbidity and recovery patterns of posttrauma reactions in young children with burns. Methods:  Parents of 130 unintentionally burned children (1–6 years) participated in the study. The Diagnostic Infant Preschool Assessment was conducted with parents at 1 and 6 months postinjury. Results:  The majority of children were resilient. However, 35% were diagnosed with at least one psychological disorder, there was a high rate of comorbidity with posttraumatic stress disorder, and 8% of children did not experience recovery in distress levels over the course of 6 months. Conclusions:  These outcomes are likely to have serious repercussions for a young child’s medical and psychosocial recovery as well as their normal developmental trajectories. It is recommended that screening, prevention and early intervention resources are incorporated into paediatric health care settings to optimise children’s psychological adjustment following burn injury. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2011.02431.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=148

Preventive intervention for trauma reactions in young injured children: results of a multi-site randomised controlled trial / Ann-Christin HAAG in Journal of Child Psychology and Psychiatry, 61-9 (September 2020)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 61-9 (September 2020) . - p.988-997 Titre : Preventive intervention for trauma reactions in young injured children: results of a multi-site randomised controlled trial Type de document : texte imprimé Auteurs : Ann-Christin HAAG, Auteur ; Markus A. LANDOLT, Auteur ; Justin A. KENARDY, Auteur ; Clemens M. SCHIESTL, Auteur ; Roy M. KIMBLE, Auteur ; Alexandra C. DE YOUNG, Auteur Article en page(s) : p.988-997 Langues : Anglais (eng) Mots-clés : Preventive intervention  injury  traumatic stress  young children Index. décimale : PER Périodiques Résumé : BACKGROUND: Young children are at particular risk for injury. Ten per cent to twenty-five per cent develop posttraumatic stress disorder (PTSD). However, no empirically supported preventive interventions exist. Therefore, this study evaluated the efficacy of a standardised targeted preventive intervention for PTSD in young injured children. METHODS: Injured children (1-6 years) were enrolled in a multi-site parallel-group superiority prospective randomised controlled trial (RCT) in Australia and Switzerland. Screening for PTSD risk occurred 6-8 days postaccident. Parents of children who screened 'high-risk' were randomised to a 2-session CBT-based intervention or treatment-as-usual (TAU). Primary outcomes were PTSD symptom (PTSS) severity, and secondary outcomes were PTSD diagnosis, functional impairment and behavioural difficulties at 3 and 6 months postinjury using blinded assessments. Trials were registered with the Australian New Zealand Clinical Trials Registry (ACTRN12614000325606) and ClinicalTrials.gov (NCT02088814). Trial status is complete. RESULTS: One hundred and thirty-three children screened 'high-risk' were assigned to intervention (n = 62) or TAU (n = 71). Multilevel intention-to-treat analyses revealed a significant intervention effect on PTSS severity over time (b = 60.06, 95% CI: 21.30-98.56). At 3 months, intervention children (M = 11.02, SD = 10.42, range 0-47) showed an accelerated reduction in PTSS severity scores compared to control children (M = 17.30, SD = 13.94, range 0-52; mean difference -6.97, 95% CI: -14.02 to 0.08, p adj. = .055, d = 0.51). On secondary outcomes, multilevel analyses revealed significant treatment effects for PTSD diagnosis, functional impairment and behavioural difficulties. CONCLUSIONS: This multi-site RCT provides promising preliminary evidence for the efficacy of a targeted preventive intervention for accelerating recovery from PTSS in young injured children. This has important clinical implications for the psychological support provided to young children and parents during the acute period following a single-event trauma. En ligne : http://dx.doi.org/10.1111/jcpp.13193 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=430 [article] Preventive intervention for trauma reactions in young injured children: results of a multi-site randomised controlled trial [texte imprimé] / Ann-Christin HAAG, Auteur ; Markus A. LANDOLT, Auteur ; Justin A. KENARDY, Auteur ; Clemens M. SCHIESTL, Auteur ; Roy M. KIMBLE, Auteur ; Alexandra C. DE YOUNG, Auteur . - p.988-997. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 61-9 (September 2020) . - p.988-997 Mots-clés : Preventive intervention  injury  traumatic stress  young children Index. décimale : PER Périodiques Résumé : BACKGROUND: Young children are at particular risk for injury. Ten per cent to twenty-five per cent develop posttraumatic stress disorder (PTSD). However, no empirically supported preventive interventions exist. Therefore, this study evaluated the efficacy of a standardised targeted preventive intervention for PTSD in young injured children. METHODS: Injured children (1-6 years) were enrolled in a multi-site parallel-group superiority prospective randomised controlled trial (RCT) in Australia and Switzerland. Screening for PTSD risk occurred 6-8 days postaccident. Parents of children who screened 'high-risk' were randomised to a 2-session CBT-based intervention or treatment-as-usual (TAU). Primary outcomes were PTSD symptom (PTSS) severity, and secondary outcomes were PTSD diagnosis, functional impairment and behavioural difficulties at 3 and 6 months postinjury using blinded assessments. Trials were registered with the Australian New Zealand Clinical Trials Registry (ACTRN12614000325606) and ClinicalTrials.gov (NCT02088814). Trial status is complete. RESULTS: One hundred and thirty-three children screened 'high-risk' were assigned to intervention (n = 62) or TAU (n = 71). Multilevel intention-to-treat analyses revealed a significant intervention effect on PTSS severity over time (b = 60.06, 95% CI: 21.30-98.56). At 3 months, intervention children (M = 11.02, SD = 10.42, range 0-47) showed an accelerated reduction in PTSS severity scores compared to control children (M = 17.30, SD = 13.94, range 0-52; mean difference -6.97, 95% CI: -14.02 to 0.08, p adj. = .055, d = 0.51). On secondary outcomes, multilevel analyses revealed significant treatment effects for PTSD diagnosis, functional impairment and behavioural difficulties. CONCLUSIONS: This multi-site RCT provides promising preliminary evidence for the efficacy of a targeted preventive intervention for accelerating recovery from PTSS in young injured children. This has important clinical implications for the psychological support provided to young children and parents during the acute period following a single-event trauma. En ligne : http://dx.doi.org/10.1111/jcpp.13193 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=430

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