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P01-177 - Peritraumatic Reactions and Post-traumatic Stress Symptoms in School-aged Children Victims of Road Traffic Accident

Published online by Cambridge University Press:  17 April 2020

E. Bui ,
A. Brunet ,
C. Allenou ,
J.-P. Raynaud ,
I. Claudet ,
F. Fries ,
J.-P. Cahuzac ,
H. Grandjean ,
L. Schmitt  and
P. Birmes
E. Bui
Affiliation:
Laboratoire du Stress Traumatique, CHU de Toulouse - Université Toulouse 3, Toulouse, France
A. Brunet
Affiliation:
Department of Psychiatry, McGill University, Douglas Mental Health University Institute, Montreal, QC, Canada
C. Allenou
Affiliation:
Laboratoire du Stress Traumatique, CHU de Toulouse - Université Toulouse 3, Toulouse, France
J.-P. Raynaud
Affiliation:
Laboratoire du Stress Traumatique, CHU de Toulouse - Université Toulouse 3, Toulouse, France
I. Claudet
Affiliation:
Unité des Urgences Pédiatriques, France
F. Fries
Affiliation:
Service de Réanimation Pédiatrique, France
J.-P. Cahuzac
Affiliation:
Service Chirurgie Orthopédique, Traumatologique et Plastique, Hôpital des Enfants, France
H. Grandjean
Affiliation:
Inserm U558, Département d’Epidémiologie, Economie de la Santé et Santé Communautaire, Toulouse, France
L. Schmitt
Affiliation:
Laboratoire du Stress Traumatique, CHU de Toulouse - Université Toulouse 3, Toulouse, France
P. Birmes
Affiliation:
Laboratoire du Stress Traumatique, CHU de Toulouse - Université Toulouse 3, Toulouse, France

Abstract

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Objective

It remains unknown whether peritraumatic reactions predict PTSD symptoms in younger populations. To prospectively investigated the power of self-reported peritraumatic distress and dissociation to predict the development of PTSD symptoms at 1-month in school-aged children.

Methods

A sample of 103 school-aged children (8-15 years old) admitted to an Emergency Department after a road traffic accident were consecutively enrolled. Peritraumatic distress was assessed using the Peritraumatic Distress Inventory (range 0-52) and peritraumatic dissociation was assessed using the Peritraumatic Dissociative Experiences Questionnaire (PDEQ) (range 10-50). PTSD symptoms were measured at 1-month by both the child version of the clinician-administered PTSD Scale (CAPS-CA) (range: 0-136) and the Child Post-traumatic Stress Reaction Index (CPTS-RI) (range 0-80).

Results

Mean(SD) participants’ age was 11.7(2.2) and 53.4% (n=55) of them were of male gender. At baseline, mean PDI and PDEQ scores were 21.4 (SD=7.8) and 19.2 (SD=10.2), respectively. At 1-month, mean self-reported (CPTS-RI) and interviewer-based (CAPS-CA) PTSD symptom scores were 23.2 (SD=12.1) and 19 (SD=16.9), respectively. According to the CAPS-CA, 5 children (4.9%) suffered from full PTSD. Bivariate analyses demonstrated a significant association between peritraumatic variables (PDI and PDEQ) and both CAPS-CA and CPTS-RI (r=0.22-0.57; all p< 0.05). However, in a multivariate analysis, PDI was the only significant predictor of acute PTSD symptoms (Beta=0.33, p< 0.05).

Conclusion

As has been found in adults, peritraumatic distress is a robust predictor of who will develop PTSD symptoms among school-aged children.

Type
Child and adolescent psychiatry
Information
European Psychiatry , Volume 25 , Issue S1: 18th European Congress of Psychiatry. February 27, March 2, 2010 - Munich, Germany , 2010 , 25-E383
Copyright
Copyright © European Psychiatric Association 2010
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