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J Trauma Stress. 2011 Aug;24(4):414-21. doi: 10.1002/jts.20667. Epub 2011 Aug 2.

Predicting pediatric posttraumatic stress disorder after road traffic accidents: the role of parental psychopathology.

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1
Department of Child Psychiatry, Athens University Medical School, Athens, Greece. gkolaitis@med.uoa.gr

Abstract

This study examined prospectively the role of parental psychopathology among other predictors in the development and persistence of posttraumatic stress disorder (PTSD) in 57 hospitalized youths aged 7-18 years immediately after a road traffic accident and 1 and 6 months later. Self report questionnaires and semistructured diagnostic interviews were used in all 3 assessments. Neuroendocrine evaluation was performed at the initial assessment. Maternal PTSD symptomatology predicted the development of children's PTSD 1 month after the event, OR = 6.99, 95% CI [1.049, 45.725]; the persistence of PTSD 6 months later was predicted by the child's increased evening salivary cortisol concentrations within 24 hours of the accident, OR = 1.006, 95% CI [1.001, 1.011]. Evaluation of both biological and psychosocial predictors that increase the risk for later development and maintenance of PTSD is important for appropriate early prevention and treatment.

PMID:
21812037
DOI:
10.1002/jts.20667
[Indexed for MEDLINE]

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