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J Trauma Stress. 2012 Feb;25(1):41-9. doi: 10.1002/jts.21668.

Peritraumatic reactions and posttraumatic stress disorder in psychiatrically impaired youth.

Author information

1
Keck School of Medicine, University of Southern California, Los Angeles, California 90033, USA. jsugar@usc.edu

Abstract

Although peritraumatic dissociation and other subjective peritraumatic reactions, such as emotional distress and arousal, have been shown to affect the relationship between a traumatic event and the development of posttraumatic stress disorder (PTSD) in adults, systematic studies with youth have not been done. In a mixed ethnic and racial sample of 90 psychiatrically impaired youth (ages 10-18, 56% boys), we investigated the contributions of peritraumatic dissociation, emotional distress, and arousal to current PTSD severity after accounting for the effects of gender, trauma history, trait dissociation, and psychopathology (attention-deficit/hyperactivity disorder and depression). Peritraumatic dissociation emerged as the only peritraumatic variable associated with current PTSD severity assessed both by questionnaire and interview methods (β = .30 and .47 p < .01). Peritraumatic dissociation can be rapidly assessed in clinical practice and warrants further testing in prospective studies as a potential mediator of the trauma-PTSD relationship in youth.

PMID:
22354507
DOI:
10.1002/jts.21668
[Indexed for MEDLINE]

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