Predicting Child PTSD: The Relationship Between Acute Stress Disorder and PTSD in Injured Children

Author(s):  
Nancy Kassam-Adams ◽  
Flaura Koplin Winston
2007 ◽  
Vol 20 (6) ◽  
pp. 1075-1079 ◽  
Author(s):  
Richard A. Bryant ◽  
Karen Salmon ◽  
Emma Sinclair ◽  
Patricia Davidson

2003 ◽  
Vol 37 (2) ◽  
pp. 226-229 ◽  
Author(s):  
Richard A. Bryant ◽  
Allison G. Harvey

Objective: Acute stress disorder (ASD) describes initial posttraumatic stress reactions that purportedly predict subsequent posttraumatic stress disorder (PTSD). This study aimed to index the influence of gender on the relationship between ASD and PTSD. Method: Motor vehicle accident survivors were assessed for ASD within 1-month posttrauma (n = 171) and were subsequently assessed for PTSD 6-months later (n = 134). Results: Acute stress disorder was diagnosed in 8% of males and 23% of females, and PTSD was diagnosed in 15% of males and 38% of females. In terms of patients followed up at 6 months, 57% and 92% of males and females, respectively, who met criteria for ASD were diagnosed with PTSD. Females displayed significantly more peritraumatic dissociation than males. Conclusion: Peritraumatic dissociation and ASD is a more accurate predictor of PTSD in females than males. This gender difference may be explained in terms of response bias or biological differences in trauma response between males and females.


2011 ◽  
Vol 26 (S2) ◽  
pp. 293-293
Author(s):  
N. He ◽  
L. Guo

IntroductionAfter the Wenchuan earthquake in China, 2008, more and more attentions are payed on truamatic disorders among children and adolescents in China.ObjectiveTo make a clear view of the Acute Stress Disorder(ASD) symptoms, other behavior problems and mood disorders caused by surgery among children and aldolescents.Method130 children/Adolescents between the age of 8∼15 hospitalized in Department of Pediatric Surgery, West China hospital, Sichuan University were interviewed and assessed for possible traumatic symptoms, behavior problems and mood disorders. The Acute Stress Disorder Scale(ASDS), the Child PTSD Symptom Scale (CPSS) and the Child Behavior Checklist (CBCL) were used in this research and several correlated factors and possible predictors were analyzed.Results2 patients’ ASDS score were above the critical value of the scale, yet they did not meet the diagnostic criteria of ASD; 2 patients’ were found “depressed” “Bad communication” problems respectively compared to the CBCL norms in China.Conclusions1. Some ASD symptoms can be observed from children/adolescents hospitalized in Department of Pediatric Surgery. Children/adolescents with an experience of the traumatic events before sent to hospital may have more significant ASD symptoms.2. Some behavior problems and mood disorders can be observed from children/adolescents hospitalized in Department of Pediatric Surgery.


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