Normative Life Events and PTSD in Children: How Easy Stress Can Affect Children’s Brain
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Abstract
Exposure to traumatic events is common in children and adolescent. Post traumatic stress disorder (PTSD) is an emotional reaction to traumatic events, which is increasingly recognized to be a prevalent and disabling disorder. The aim of this study is to determine the distribution of normative life events which predicts PTSD in youth who referred to an outpatient clinic in Rasht, Iran. This study is a cross-sectional descriptive study. The samples of children and adolescents ranging from 1-18 yr old who were diagnosed PTSD based on DSM-IV criteria in psychiatric interview and K-SADS (Kiddie-schedule for affective disorder and schizophrenia for school age children) semi-structured diagnostic interview, from 2005 until 2008.The information consist of: age, sex, comorbidity with PTSD, events accompanying with PTSD, and time interval between events and visit. Eighty four youth who met the diagnosis of PTSD and their parents participated in the survey. Half of PTSD youth were 6-11 years old and admitted to clinic in the first 3 months after events. The most common events were witnessing violent or fearful scenes on TV followed by witnessing someone's death or funeral ceremony. The most comorbidity with PTSD included: attention deficit hyperactivity disorder, depression and anxiety. Our results indicate that youth exposure to violent or fearful scenes on TV could be very traumatic for them. Informing parents about the potential effect of low-magnitude stressors such as violent or fearful scenes on TV and funeral ceremony can decrease the prevalence of PTSD in youth.
Shemesh E, Newcorn JH, Rockmore L, Shneider BL, Emre, S, Gelb BD, Rapaport R, Noone SA, Annunziato R, Schmeidler J, Yehuda R. Comparison of parent and child reports of emotional trauma symptoms in pediatric outpatient settings. Pediatrics 2005;115(5):e582-9.
.Kaminer D, Seedat S, Stein DJ. Post-traumatic stress disorder in children. World Psychiatry 2005;4(2):121–25.
Cohen JA, Bukstein O, Walter H, Benson R.S, Chrisman A, Farchione TR, Hamilton J, Keable H, Kinlan J, Schoettle U, Seigel M, Stock S, Medicus J. Practice Parameter for the Assessment and Treatment of Children and Adolescents With Posttraumatic Stress Disorder. J Am Acad Child Adolesc Psychiatry 2010 April; 49(4):414-30.
Copeland WE, Keeler G, Angold A, Costello EJ. Traumatic Events and Posttraumatic Stress in Childhood. Arch Gen Psychiatry 2007; 64(5):577-84.
Xie P, Kranzler HR, Poling J, Stein MB, Anton RF, Brady K, Weiss RD, Farrer L, Gelernter J. Interactive effect of stressful life events and the serotonin transporter 5- HTTLPR genotype on posttraumatic stress disorder diagnosis in 2 independent populations. Arch Gen Psychiatry 2009;66(11):1201-9.
Costello EJ, Angold A, March J, Fairbank J. Life events and post-traumatic stress: the development of a new measure for children and adolescents. Psychol Med 1998; 28(6):1275-88.
Giaconia RM, Reinherz HZ, Silverman AB, Pakiz B, FrostAK, Cohen E. Traumas and posttraumatic stress disorder in a community population of older adolescents. J Am Acad Child Adolesc Psychiatry 1995;34(10):1369-80.
Copeland WE, Keeler G, Angold A, Costello EJ. Posttraumatic Stress without Trauma in Children. Am J Psychiatry 2010;167(9):1059-65.
Rossman BR, Bingham RD, Emde RN. Symptomatology and adaptive functioning for children exposed to normative stressors, dog attack, and parental violence. J Am Acad Child Adolesc Psychiatry 1997; 36(8):1089-97.
McCloskey LA, Walker M. Posttraumatic stress in children exposed to family violence and single-event trauma. J Am Acad Child Adolesc Psychiatry 2000;39(1):108-15.
Luthra R, Abramovitz R, Greenberg R, Schoor A, Newcorn J, Schmeidler J, Levine P, Nomura Y, Chemtob CM. The Relationship between Type of Trauma Exposure and Posttraumatic Stress Disorder Among Urban Children and Adolescents. J Interpers Violence 2009;24(11):1919-27.
Kar N, Kumar Bastia B. Post-traumatic stress disorder, depression and generalised anxiety disorder in adolescents after a natural disaster: a study of comorbidity. Clin Pract Epidemiol Ment Health 2006;2:17.
Smith Stover C, Berkowitz S, Marans S, Kaufman J. Posttraumatic stress disorder. In: Martin A, Volkmar FR, editors. Lewis’s child and adolescent psychiatry a comprehensive textbook. 4th ed. Philadelphia: Lippincott Williams & Wilkins; 2007:701-10.
Perkonigg A, Pfister H, Stein MB, Hofler M, Lieb R, Maercker A, Wittchen HU. Longitudinal course of posttraumatic stress disorder and posttraumatic stress disorder symptoms in a community sample of adolescents and young adults. Am J Psychiatry 2005;162(7):1320-7.
Donnelly CL. Pharmacologic treatment approaches for children and adolescents with posttraumatic stress= disorder. Child Adolesc Psychiatr Clin N Am 2003;12(2):251-69.
Ambrosini PJ. Historical development and present status of the schedule for affective disorders and schizophrenia for school-age children (K-SADS). J Am Acad Child Adolesc Psychiatry 2000;39(1):49-58.
Shahrivar z, Kousha M, Moallemi S, Tehrani-Doost M, Alaghband-Rad J. The Reliability and Validity of Kiddie- Schedule for Affective Disorders and Schizophrenia - Present and Life-time Version - Persian Version. Child and Adolescent Mental Health 2010;15(2):97–102.
| Files | ||
| Issue | Vol 51, No 1 (2013) | |
| Section | Articles | |
| Keywords | ||
| Child and Adolescent Comorbidity Life event PTSD Stress | ||
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