This article presents psychometric characteristics of the UCLA PTSD Reaction Index for DSM IV (PTSD‐RI) derived from a large sample children and adolescents ( N = 6,291) evaluated at National Child Traumatic Stress Network centers. Overall mean total PTSD‐RI score girls was significantly higher as compared with boys. Age‐related differences were found in that overall scores within sex groups among those aged 7–9 years 16–18 years. There no significant across racial/ethnic groups. The scale...

The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-V) should ensure systematic attention to age-specific manifestations selective modifications the diagnostic criteria for posttraumatic stress disorder (PTSD) among children adolescents. authors propose developmental refinements conceptual framework PTSD based on an appreciation different neurosignatures danger safety, maturational processes that underlie symptom presentation. This includes preliminary evidence...

Although links between adverse childhood experiences (ACEs) and problems in adulthood are wellestablished, less is known regarding exposure to trauma during adolescence high-risk behavior adolescence.We tested the hypothesis that cumulative up 20 different types of bereavement/loss incrementally predicts adolescent beyond demographic variables.Adolescents reporting at least 1 type (n ϭ 3,785; mean age 15.3 years; 62.7% girls) were selected from National Child Traumatic Stress Network Core...

We examined the underlying factor structure of UCLA PTSD Reaction Index (PTSD‐RI) using data from 6,591 children/adolescents exposed to trauma, presenting for treatment at any 54 National Child Traumatic Stress Network (NCTSN) centers. Using confirmatory analysis, we tested 3‐factor DSM‐IV model, 2 separate 4‐factor models (Dysphoria vs. Emotional Numbing) and a recently conceptualized 5‐factor Dysphoric Arousal model. found slight, but significant advantage Dysphoria model over Numbing on...

The study objectives were to (a) examine the association between total number of trauma types experienced and child/adolescent behavioral problems (b) determine whether predicted youth above beyond demographic characteristics, using a diverse set 20 trauma. Data came from National Child Traumatic Stress Network’s (NCTSN) Core Set (CDS), which includes assessed treated for across United States. Participants who at least one type included in sample ( N = 11,028; age 1½-18 years; 52.3% girls)....

The National Child Traumatic Stress Network (NCTSN) is a federally funded child mental health service initiative designed to raise the standard of care and increase access evidence-based services for traumatized children their families across United States. As part quality improvement goal, Core Data Set (CDS) was established standardize data collection examine treatment outcomes participating centers. This paper describes baseline demographic characteristics, prevalence trauma exposure, use...

Objective/Introduction Secondary pharmacological interventions have shown promise at reducing the development of posttraumatic stress disorder symptoms (PTSS) in preclinical studies. The present study examined preliminary efficacy a 10-day low-dose (20 mg bid) course hydrocortisone preventing PTSS traumatic injury victims. Methods Sixty-four patients (34% female) were randomly assigned double-blind protocol to receive either or placebo initiated within 12 hours trauma. One-month and 3-months...

Abstract Initial research supports the use of propranolol to prevent posttraumatic stress disorder (PTSD); has not examined pharmacological prevention for children. Twenty‐nine injury patients (ages 10–18 years old) at risk PTSD were randomized a double‐blind 10‐day trial or placebo initiated within 12 hours postadmission. Six‐week symptoms and heart rate assessed. Although intent‐to‐treat analyses revealed no group differences, findings supported significant interaction between gender...

This cross-sectional study assessed associations between social-emotional development in young children and their number of daily routines involving an electronic screen. We hypothesized with poor have a significant portion occurring Two hundred ten female caregivers typically developing 12 to 36 months old completed the Ages Stages Questionnaire: Social-Emotional (ASQ: SE) media diary. Caregivers diary for 1 day around 10 (Waking Up, Diapering/Toileting, Dressing, Breakfast, Lunch, Naptime,...

To longitudinally examine the impact of maternal posttraumatic stress disorder symptoms (PTSS) on child adjustment following a child's traumatic injury, focusing gender differences.Forty-one injury victims aged 8-18 years and their biological mothers were interviewed over two follow-ups (6 weeks 7 months). Children administered Clinician-Administered Posttraumatic Stress Disorder (PTSD) Scale for Adolescents (CAPS-CA), whereas completed CAPS.Six post trauma, PTSS significantly related to in...

Abstract The present study examined the relationship between trauma history characteristics (number and type of traumas, age at first trauma, subjective responses to prior traumas) development posttraumatic stress disorder (PTSD) symptoms following a motor vehicle accident (MVA). One hundred eighty‐eight adult MVA victims provided information about traumatization were evaluated for PTSD 6 weeks one year MVA. Results indicated that after controlling demographics depression, accounted small,...

Abstract Peritraumatic dissociation consistently predicts posttraumatic stress disorder (PTSD). Avoidant coping may serve as a mechanism through which peritraumatic contributes to PTSD symptoms. Path analysis was used examine whether avoidant assessed 6 weeks following motor vehicle accident mediated the relationship between in‐hospital and 6‐month ( n = 193) 12‐month 167) chronic Results revealed that, after controlling for age, gender, depression, 6‐week symptoms, remained partial mediator...

Objective The present study prospectively examined the development of child PTSD symptoms (PTSS) and impact caregiver PTSS on following injury. Methods One hundred eighteen ED patients their caregivers were interviewed in-hospital 2- 6-weeks posttrauma. Structural equation modeling hierarchical linear regressions PTSS. Results A model combining 2-week into one latent family variable provided best fit to data. Child avoidance predicted higher levels Two-week 6-week Post hoc analyses revealed...

Objectives The aim of this project was to test the efficacy a brief and novel online ambulatory intervention aimed at supporting psychological health well-being for medical personnel first responders during COVID-19 pandemic. Methods Interested participants, n=28, actively employed as personnel, support staff emergency responders, in Midwestern USA May–June 2020, provided informed consent were randomised complete either low-dose or high-dose intervention, one time daily 1 week via smartphone...

This study examined the relationship between acute cortisol responses to trauma and subsequent PTSD symptoms (PTSS) in children their biological mothers. Urinary levels were assessed 54 aged 8-18 upon admission a level-1 center. Six weeks posttrauma, 15-hour urine samples collected from Depression PTSS at 6 (N = 44) 7 months 38) posttrauma. Higher child in-hospital significantly predicted 6-week PTSS. was true only for boys months. In mothers, lower 7-month Results extend findings of...

It is becoming more common to use Internet Gaming Disorder (IGD) measure problematic gaming in online environments. However, there limited data examining the role of empathy and toxicity IGD. In addition, little attention has been given social element communities its influence on these factors. This article aims address this gap by presenting results a cross-sectional study involving 567 players who completed an survey about their habits. More specifically, participants were recruited from...

Children with headache disorders are at increased psychosocial risk, and no validated screening measures exist to succinctly assess for risk. This study examined the psychometric properties of Psychosocial Assessment Tool–Chronic Pain, a previously adapted measure in retrospective sample families children diagnosed headaches. Participants included 127 caregivers presenting behavioral health evaluation headache. their primary completed several assessment measures. Internal consistency Pain...

Objective: The primary aim of this study is to develop an easy way identify migraine phenotype posttraumatic headache (MPTH) in children with traumatic brain injury, treat injury effectively, and promote faster recovery from symptoms overall. Methods: We evaluated youth aged 7-20 years a pediatric neurology (TBI) clinic, assigning for post-traumatic at the initial visit 3-item ID Migraine Screener. stratified sample by early (≤6 weeks) late (>6 presenters, using days concussion as outcome...

Purpose: As the demand for telemedicine services continues, greater knowledge about health care delivery preferences can inform high quality, efficient care. The present study sought to evaluate patient and family characteristics that may influence utilization, particularly choice between telephone video visits. Methods: This is a single-site cross-sectional, mixed methods aimed at identifying factors associated with use of visits pediatric patients their families. Results: Seven hundred...

Abstract Purpose Physical and psychological challenges can arise from paediatric injury, which impact child health outcomes. Evidence‐based resources to promote recovery are limited. The low cost, portable Cellie Coping Kit for Children with Injury provides evidence‐based strategies help children manage injury‐related challenges. This study aimed describe intervention feasibility explore initial outcomes (learning, quality of life [QOL], trauma symptoms). Methods Three independent pilot...