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  • Print publication year: 2006
  • Online publication date: August 2009

8 - Post-traumatic stress disorder

Summary

Introduction

It has only been in the last 20 years that researchers have systematically investigated the psychological effects of trauma on children. Early studies of children's reactions to traumatic events did not use a consistent format to report symptoms and relied upon general assessments of global behaviours typically completed by parents or teachers. Adults tend to underestimate the severity of the psychological effects experienced by their children with global measure of behaviour being insensitive to the specific changes in cognitions or emotions associated with traumatic reactions. Interviews undertaken with children using assessments sensitive to the core features of post-traumatic stress disorder (PTSD), namely trauma re-experiencing, avoidance and arousal, reveal that children are significantly affected by traumatic events.

Since the mid-1980s considerable knowledge about PTSD in children exposed to single and multiple traumas has accrued. Children have been found to experience PTSD following a range of traumatic events including natural disasters such as flooding, fires, lightening strikes, hurricanes, landslides and earthquakes. PTSD following a range of human-made traumas such as wars, kidnapping, bombings, sniper attacks, abuse and hostage taking has also been documented as well as following transportation accidents such as shipping disasters and coach accidents. Finally post-traumatic stress disorder arising from more common everyday traumatic events such as road traffic accidents, acute physical injury and chronic illness has also been reported.

Definition and classification

PTSD is defined as an anxiety disorder associated with a traumatic event in which the trauma is repetitively re-experienced.

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SUGGESTED READING
American Academy of Child and Adolescent Psychiatry, Practice parameters for the assessment and treatment of children and adolescents with post-traumatic stress disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 10 Suppl. (1998).
, A. Dyregrov, Grief in Children: A Handbook for Adults. (London: Jessica Kingsley, 1991).
K. E. Fletcher, Childhood posttraumatic stress disorder. In , E. J. Mash & , R. Barkley (eds). Child Psychopathology. (New York: Guilford Press, 1996)
, S. Joeseph, , R. Williams & , W. Yule, Understanding Post-traumatic Stress: A Psychological Perspective on PTSD and Treatment. (Chichester: Wiley, 1997)
, S. Perrin, , P. Smith & , W. Yule, Practitioner review: the assessment and treatment of post-traumatic stress disorder in children and adolescent. Journal of Child Psychology and Psychiatry, 41 (3) (2000), 277–89.
Post Traumatic Stress Disorder (PTSD): the management of PTSD in adults and children in primary and secondary care (2005). National Institute of Clinical Excellence www.nice.org.uk.
, R. S. Pynoos & , S. Eth, Witness to violence: the child interview. Journal of the American Academy of Child Psychiatry, 25 (1986), 306–19.
, K. Salmon & , R. A. Bryant, Posttraumatic stress disorder in children: the influence of developmental factors. Clinical Psychology Review, 22 (2002), 163–88.
, M. S. Scheeringa, , C. D. Peebles, , C. A. Cook & , C. H. Zeanah, Towards establishing procedural, criterion, and discriminative validity for PTSD in early childhood. Journal of the American Academy of Child and Adolescent Psychiatry, 40 (1) (2001), 52–60.
, O. Udwin, , S. Boyle, , W. Yule, , D. Bolton & , D. O'Ryan, Risk factors for long-term psychological effects of a disaster experienced in adolescence: predictors of post traumatic stress disorder. Journal of Child Psychology and Psychiatry, 41 (8) (2001), 969–79.
, W. Yule, , D. Bolton, , O. Udwin, , S. Boyle, , D. O'Ryan & , J. Nurrish, The long-term psychological effects of a disaster experienced in adolescence: 1: The incidence and course of PTSD. Journal of Child Psychology and Psychiatry, 41 (4) (2000), 503–11.