Analyzing transdiagnostic internalizing symptoms in a global sample of trauma-exposed children using pooled individual participant data: a latent transition analysis / Yaara SADEH in Journal of Child Psychology and Psychiatry, 67-7 (July 2026)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 67-7 (July 2026) . - p.1159-1175 Titre : Analyzing transdiagnostic internalizing symptoms in a global sample of trauma-exposed children using pooled individual participant data: a latent transition analysis Type de document : texte imprimé Auteurs : Yaara SADEH, Auteur ; Leila GRAHAM, Auteur ; Marthe R. EGBERTS, Auteur ; Lonneke I.M. LENFERINK, Auteur ; Nancy KASSAM-ADAMS, Auteur Article en page(s) : p.1159-1175 Langues : Anglais (eng) Mots-clés : Posttraumatic stress (PTS)  depression  trauma  child  internalizing symptoms  pediatric  transdiagnostic approach Index. décimale : PER Périodiques Résumé : Background Children often experience both posttraumatic stress (PTS) and depression after potentially traumatic events (PTEs). Latent class analyses (LCAs) identify subgroups with different co-occurring symptoms, but little is known about what predicts transitions between these symptom classes over time. Analyzing these transitions could reveal factors that influence the shift to classes with fewer internalizing symptoms. Methods Using harmonized individual participant data (n?=?787) from nine studies (United States, United Kingdom, Australia, and Switzerland) included in the Prospective studies of Acute Child Trauma and Recovery Data Archive (PACT/R), internalizing symptom classes (using PTS and depression items) were identified using LCAs for T1 (0?2?months posttrauma) and T2 (3?15?months posttrauma) separately. Latent transition analysis was used to examine predictors of transitions across symptom classes over time. Included predictors were age, gender, minority status, and trauma type. Results Five classes were identified at both time points: ?low internalizing? class (T1: 20%; T2: 40%), ?low PTS/moderate-high depression? class (T1: 20%; T2: 27%), ?moderate internalizing? class (T1: 25%; T2: 12%), ?moderate PTS/high depression? class (T1: 17%, T2: 14%), and ?high internalizing? class (T1: 16%, T2: 6%). ?Low internalizing? was the most common and stable response (87% stayed in this class). At both time points, 40% of all children were classified into either a ?low PTS/moderate-high depression? class or a ?moderate PTS/high depression? class. Children belonging to minority groups in their country of residence and children exposed to interpersonal PTEs were less likely to transition from the ?high internalizing? class to lower symptom classes. Conclusions Most children show low PTS and depression symptoms after PTEs. When symptoms do develop, they usually involve both high depression and PTS, rather than high PTS with low depression. This underscores the importance of assessing both conditions and developing interventions that target multiple disorders. Minority children exposed to interpersonal trauma require special focus in research and treatment. En ligne : https://doi.org/10.1111/jcpp.70113 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=588 [article] Analyzing transdiagnostic internalizing symptoms in a global sample of trauma-exposed children using pooled individual participant data: a latent transition analysis [texte imprimé] / Yaara SADEH, Auteur ; Leila GRAHAM, Auteur ; Marthe R. EGBERTS, Auteur ; Lonneke I.M. LENFERINK, Auteur ; Nancy KASSAM-ADAMS, Auteur . - p.1159-1175. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 67-7 (July 2026) . - p.1159-1175 Mots-clés : Posttraumatic stress (PTS)  depression  trauma  child  internalizing symptoms  pediatric  transdiagnostic approach Index. décimale : PER Périodiques Résumé : Background Children often experience both posttraumatic stress (PTS) and depression after potentially traumatic events (PTEs). Latent class analyses (LCAs) identify subgroups with different co-occurring symptoms, but little is known about what predicts transitions between these symptom classes over time. Analyzing these transitions could reveal factors that influence the shift to classes with fewer internalizing symptoms. Methods Using harmonized individual participant data (n?=?787) from nine studies (United States, United Kingdom, Australia, and Switzerland) included in the Prospective studies of Acute Child Trauma and Recovery Data Archive (PACT/R), internalizing symptom classes (using PTS and depression items) were identified using LCAs for T1 (0?2?months posttrauma) and T2 (3?15?months posttrauma) separately. Latent transition analysis was used to examine predictors of transitions across symptom classes over time. Included predictors were age, gender, minority status, and trauma type. Results Five classes were identified at both time points: ?low internalizing? class (T1: 20%; T2: 40%), ?low PTS/moderate-high depression? class (T1: 20%; T2: 27%), ?moderate internalizing? class (T1: 25%; T2: 12%), ?moderate PTS/high depression? class (T1: 17%, T2: 14%), and ?high internalizing? class (T1: 16%, T2: 6%). ?Low internalizing? was the most common and stable response (87% stayed in this class). At both time points, 40% of all children were classified into either a ?low PTS/moderate-high depression? class or a ?moderate PTS/high depression? class. Children belonging to minority groups in their country of residence and children exposed to interpersonal PTEs were less likely to transition from the ?high internalizing? class to lower symptom classes. Conclusions Most children show low PTS and depression symptoms after PTEs. When symptoms do develop, they usually involve both high depression and PTS, rather than high PTS with low depression. This underscores the importance of assessing both conditions and developing interventions that target multiple disorders. Minority children exposed to interpersonal trauma require special focus in research and treatment. En ligne : https://doi.org/10.1111/jcpp.70113 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=588

Dysfunctional posttraumatic cognitions, posttraumatic stress and depression in children and adolescents exposed to trauma: a network analysis / Anke DE HAAN in Journal of Child Psychology and Psychiatry, 61-1 (January 2020)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 61-1 (January 2020) . - p.77-87 Titre : Dysfunctional posttraumatic cognitions, posttraumatic stress and depression in children and adolescents exposed to trauma: a network analysis Type de document : texte imprimé Auteurs : Anke DE HAAN, Auteur ; Markus A. LANDOLT, Auteur ; Eiko I. FRIED, Auteur ; Kristian KLEINKE, Auteur ; Eva ALISIC, Auteur ; Richard BRYANT, Auteur ; Karen SALMON, Auteur ; Sue-Hsien CHEN, Auteur ; Shu-Tsen LIU, Auteur ; Tim DALGLEISH, Auteur ; Anna MCKINNON, Auteur ; Alice ALBERICI, Auteur ; Jade CLAXTON, Auteur ; Julia DIEHLE, Auteur ; Ramon LINDAUER, Auteur ; Carlijn DE ROOS, Auteur ; Sarah L. HALLIGAN, Auteur ; Rachel M. HILLER, Auteur ; Christian H. KRISTENSEN, Auteur ; Beatriz O.M. LOBO, Auteur ; Nicole M. VOLKMANN, Auteur ; Meghan MARSAC, Auteur ; Lamia BARAKAT, Auteur ; Nancy KASSAM-ADAMS, Auteur ; Reginald D.V. NIXON, Auteur ; Sean HOGAN, Auteur ; Raija-Leena PUNAMAKI, Auteur ; Esa PALOSAARI, Auteur ; Elizabeth SCHILPZAND, Auteur ; Rowena CONROY, Auteur ; Paula SMITH, Auteur ; William YULE, Auteur ; Richard MEISER-STEDMAN, Auteur Article en page(s) : p.77-87 Langues : Anglais (eng) Mots-clés : Children  Dsm-5  Icd-11  adolescents  depression  network analysis  posttraumatic cognitions  posttraumatic stress disorder  trauma Index. décimale : PER Périodiques Résumé : BACKGROUND: The latest version of the International Classification of Diseases (ICD-11) proposes a posttraumatic stress disorder (PTSD) diagnosis reduced to its core symptoms within the symptom clusters re-experiencing, avoidance and hyperarousal. Since children and adolescents often show a variety of internalizing and externalizing symptoms in the aftermath of traumatic events, the question arises whether such a conceptualization of the PTSD diagnosis is supported in children and adolescents. Furthermore, although dysfunctional posttraumatic cognitions (PTCs) appear to play an important role in the development and persistence of PTSD in children and adolescents, their function within diagnostic frameworks requires clarification. METHODS: We compiled a large international data set of 2,313 children and adolescents aged 6 to 18 years exposed to trauma and calculated a network model including dysfunctional PTCs, PTSD core symptoms and depression symptoms. Central items and relations between constructs were investigated. RESULTS: The PTSD re-experiencing symptoms strong or overwhelming emotions and strong physical sensations and the depression symptom difficulty concentrating emerged as most central. Items from the same construct were more strongly connected with each other than with items from the other constructs. Dysfunctional PTCs were not more strongly connected to core PTSD symptoms than to depression symptoms. CONCLUSIONS: Our findings provide support that a PTSD diagnosis reduced to its core symptoms could help to disentangle PTSD, depression and dysfunctional PTCs. Using longitudinal data and complementing between-subject with within-subject analyses might provide further insight into the relationship between dysfunctional PTCs, PTSD and depression. En ligne : http://dx.doi.org/10.1111/jcpp.13101 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=413 [article] Dysfunctional posttraumatic cognitions, posttraumatic stress and depression in children and adolescents exposed to trauma: a network analysis [texte imprimé] / Anke DE HAAN, Auteur ; Markus A. LANDOLT, Auteur ; Eiko I. FRIED, Auteur ; Kristian KLEINKE, Auteur ; Eva ALISIC, Auteur ; Richard BRYANT, Auteur ; Karen SALMON, Auteur ; Sue-Hsien CHEN, Auteur ; Shu-Tsen LIU, Auteur ; Tim DALGLEISH, Auteur ; Anna MCKINNON, Auteur ; Alice ALBERICI, Auteur ; Jade CLAXTON, Auteur ; Julia DIEHLE, Auteur ; Ramon LINDAUER, Auteur ; Carlijn DE ROOS, Auteur ; Sarah L. HALLIGAN, Auteur ; Rachel M. HILLER, Auteur ; Christian H. KRISTENSEN, Auteur ; Beatriz O.M. LOBO, Auteur ; Nicole M. VOLKMANN, Auteur ; Meghan MARSAC, Auteur ; Lamia BARAKAT, Auteur ; Nancy KASSAM-ADAMS, Auteur ; Reginald D.V. NIXON, Auteur ; Sean HOGAN, Auteur ; Raija-Leena PUNAMAKI, Auteur ; Esa PALOSAARI, Auteur ; Elizabeth SCHILPZAND, Auteur ; Rowena CONROY, Auteur ; Paula SMITH, Auteur ; William YULE, Auteur ; Richard MEISER-STEDMAN, Auteur . - p.77-87. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 61-1 (January 2020) . - p.77-87 Mots-clés : Children  Dsm-5  Icd-11  adolescents  depression  network analysis  posttraumatic cognitions  posttraumatic stress disorder  trauma Index. décimale : PER Périodiques Résumé : BACKGROUND: The latest version of the International Classification of Diseases (ICD-11) proposes a posttraumatic stress disorder (PTSD) diagnosis reduced to its core symptoms within the symptom clusters re-experiencing, avoidance and hyperarousal. Since children and adolescents often show a variety of internalizing and externalizing symptoms in the aftermath of traumatic events, the question arises whether such a conceptualization of the PTSD diagnosis is supported in children and adolescents. Furthermore, although dysfunctional posttraumatic cognitions (PTCs) appear to play an important role in the development and persistence of PTSD in children and adolescents, their function within diagnostic frameworks requires clarification. METHODS: We compiled a large international data set of 2,313 children and adolescents aged 6 to 18 years exposed to trauma and calculated a network model including dysfunctional PTCs, PTSD core symptoms and depression symptoms. Central items and relations between constructs were investigated. RESULTS: The PTSD re-experiencing symptoms strong or overwhelming emotions and strong physical sensations and the depression symptom difficulty concentrating emerged as most central. Items from the same construct were more strongly connected with each other than with items from the other constructs. Dysfunctional PTCs were not more strongly connected to core PTSD symptoms than to depression symptoms. CONCLUSIONS: Our findings provide support that a PTSD diagnosis reduced to its core symptoms could help to disentangle PTSD, depression and dysfunctional PTCs. Using longitudinal data and complementing between-subject with within-subject analyses might provide further insight into the relationship between dysfunctional PTCs, PTSD and depression. En ligne : http://dx.doi.org/10.1111/jcpp.13101 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=413

The latent structure of Acute Stress Disorder symptoms in trauma-exposed children and adolescents / Anna MCKINNON in Journal of Child Psychology and Psychiatry, 57-11 (November 2016)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 57-11 (November 2016) . - p.1308-1316 Titre : The latent structure of Acute Stress Disorder symptoms in trauma-exposed children and adolescents Type de document : texte imprimé Auteurs : Anna MCKINNON, Auteur ; Richard MEISER-STEDMAN, Auteur ; Peter WATSON, Auteur ; Clare DIXON, Auteur ; Nancy KASSAM-ADAMS, Auteur ; Anke EHLERS, Auteur ; Flaura WINSTON, Auteur ; Patrick SMITH, Auteur ; William YULE, Auteur ; Tim DALGLEISH, Auteur Article en page(s) : p.1308-1316 Langues : Anglais (eng) Mots-clés : Acute Stress Disorder  DSM-5  factor analysis  children  post-traumatic stress disorder Index. décimale : PER Périodiques Résumé : Background The revision of Acute Stress Disorder (ASD) in the DSM-5 (DSM-5, 2013) proposes a cluster-free model of ASD symptoms in both adults and youth. Published evaluations of competing models of ASD clustering in youth have rarely been examined. Methods We used Confirmatory Factor Analysis (combined with multigroup invariance tests) to explore the latent structure of ASD symptoms in a trauma-exposed sample of children and young people (N = 594). The DSM-5 structure was compared with the previous DSM-IV conceptualization (4-factor), and two alternative models proposed in the literature (3-factor; 5-factor). Model fit was examined using goodness-of-fit indices. We also established DSM-5 ASD prevalence rates relative to DSM-IV ASD, and the ability of these models to classify children impaired by their symptoms. Results Based on both the Bayesian Information Criterion, the interfactor correlations and invariance testing, the 3-factor model best accounted for the profile of ASD symptoms. DSM-5 ASD led to slightly higher prevalence rates than DSM-IV ASD and performed similarly to DSM-IV with respect to categorising children impaired by their symptoms. Modifying the DSM-5 ASD algorithm to a 3+ or 4+ symptom requirement was the strongest predictor of impairment. Conclusions These findings suggest that a uni-factorial general-distress model is not the optimal model of capturing the latent structure of ASD symptom profiles in youth and that modifying the current DSM-5 9+ symptom algorithm could potentially lead to a more developmentally sensitive conceptualization. En ligne : http://dx.doi.org/10.1111/jcpp.12597 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=295 [article] The latent structure of Acute Stress Disorder symptoms in trauma-exposed children and adolescents [texte imprimé] / Anna MCKINNON, Auteur ; Richard MEISER-STEDMAN, Auteur ; Peter WATSON, Auteur ; Clare DIXON, Auteur ; Nancy KASSAM-ADAMS, Auteur ; Anke EHLERS, Auteur ; Flaura WINSTON, Auteur ; Patrick SMITH, Auteur ; William YULE, Auteur ; Tim DALGLEISH, Auteur . - p.1308-1316. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 57-11 (November 2016) . - p.1308-1316 Mots-clés : Acute Stress Disorder  DSM-5  factor analysis  children  post-traumatic stress disorder Index. décimale : PER Périodiques Résumé : Background The revision of Acute Stress Disorder (ASD) in the DSM-5 (DSM-5, 2013) proposes a cluster-free model of ASD symptoms in both adults and youth. Published evaluations of competing models of ASD clustering in youth have rarely been examined. Methods We used Confirmatory Factor Analysis (combined with multigroup invariance tests) to explore the latent structure of ASD symptoms in a trauma-exposed sample of children and young people (N = 594). The DSM-5 structure was compared with the previous DSM-IV conceptualization (4-factor), and two alternative models proposed in the literature (3-factor; 5-factor). Model fit was examined using goodness-of-fit indices. We also established DSM-5 ASD prevalence rates relative to DSM-IV ASD, and the ability of these models to classify children impaired by their symptoms. Results Based on both the Bayesian Information Criterion, the interfactor correlations and invariance testing, the 3-factor model best accounted for the profile of ASD symptoms. DSM-5 ASD led to slightly higher prevalence rates than DSM-IV ASD and performed similarly to DSM-IV with respect to categorising children impaired by their symptoms. Modifying the DSM-5 ASD algorithm to a 3+ or 4+ symptom requirement was the strongest predictor of impairment. Conclusions These findings suggest that a uni-factorial general-distress model is not the optimal model of capturing the latent structure of ASD symptom profiles in youth and that modifying the current DSM-5 9+ symptom algorithm could potentially lead to a more developmentally sensitive conceptualization. En ligne : http://dx.doi.org/10.1111/jcpp.12597 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=295

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