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Predicting pediatric posttraumatic stress disorder after road traffic accidents: The role of parental psychopathology
Author(s) -
Kolaitis Gerasimos,
Giannakopoulos George,
Liakopoulou Magda,
Pervanidou Panagiota,
Charitaki Stella,
Mihas Constantinos,
Ferentinos Spyros,
Papassotiriou Ioannis,
Chrousos George P.,
Tsiantis John
Publication year - 2011
Publication title -
journal of traumatic stress
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.259
H-Index - 134
eISSN - 1573-6598
pISSN - 0894-9867
DOI - 10.1002/jts.20667
Subject(s) - psychopathology , evening , psychosocial , injury prevention , psychiatry , poison control , persistence (discontinuity) , psychology , posttraumatic stress , human factors and ergonomics , suicide prevention , clinical psychology , occupational safety and health , medicine , medical emergency , pathology , physics , geotechnical engineering , astronomy , engineering
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.