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Titolo:
PSYCHIATRIC COMORBIDITY IN CHILDHOOD POST TRAUMATIC STRESS DISORDER
Autore:
FAMULARO R; FENTON T; KINSCHERFF R; AUGUSTYN M;
Indirizzi:
MASSACHUSSETTS DEPT MENTAL HLTH,BOSTON JUVENILE COURT CLIN,ROOM 210,NEW COURT HOUSE BOSTON MA 02108 FRANCISCAN CHILDRENS HOSP,DEPT PEDIAT BOSTON MA 00000 BOSTON UNIV,SCH MED,DEPT PEDIAT BOSTON MA 02118 BOSTON UNIV,SCH MED,DEPT CHILD PSYCHIAT BOSTON MA 02118 HARVARD UNIV,SCH PUBL HLTH,DEPT BIOSTAT BOSTON MA 02115 MASSACHUSETTS GEN HOSP,DEPT LAW & PSYCHIAT BOSTON MA 02114 BOSTON UNIV,BOSTON CITY HOSP,SCH MED,DEPT PEDIAT,DIV DEV & BEHAV PEDIAT BOSTON MA 02118
Titolo Testata:
Child abuse & neglect
fascicolo: 10, volume: 20, anno: 1996,
pagine: 953 - 961
SICI:
0145-2134(1996)20:10<953:PCICPT>2.0.ZU;2-J
Fonte:
ISI
Lingua:
ENG
Soggetto:
NATURAL DISASTER; COMBAT EXPOSURE; VETERANS; CHILDREN; MALTREATMENT; BEHAVIOR; VICTIMS;
Keywords:
CHILD ABUSE AND NEGLECT; CHILD MALTREATMENT; POST TRAUMATIC STRESS DISORDER (PTSD); THE DIAGNOSTIC INTERVIEW FOR CHILDREN AND ADOLESCENTS; SUICIDE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Physical, Chemical & Earth Sciences
Citazioni:
31
Recensione:
Indirizzi per estratti:
Citazione:
R. Famularo et al., "PSYCHIATRIC COMORBIDITY IN CHILDHOOD POST TRAUMATIC STRESS DISORDER", Child abuse & neglect, 20(10), 1996, pp. 953-961

Abstract

Objective : The purpose of this study was to examine the psychiatric comorbidity between children presenting with Post Traumatic Stress Disorder (PTSD) and traumatized children not developing this disorder. Design: One-hundred and seventeen severely maltreated children were examined for evidence of PTSD. Analyses probed for diagnostic relationships between PTSD and other formal diagnoses on The Diagnostic Interview for Children and Adolescents, Revised Version (DICA-C-R). Participants: All children presented before a juvenile/family court due to severe child maltreatment and psychological trauma. These children had been ordered removed from parental custody due to the trauma suffered by thechild. For the purposes of analyses, this entire group of maltreated and traumatized children were dichotomized into a PTSD group and a nonPTSD group. Thirty-five percent (41 of 117) of the children met strict DICA criteria for PTSD. Measurements: The children were examined by means of a structured clinical interview, The Diagnostic Interview forChildren and Adolescents, revised version (DICA-Child-R), along with a more general psychiatric interview. The DICA-Child-R responses provided the only determination of whether the children met formal PTSD criteria. Data gathering on the sample also included a comprehensive review of risk factors for the development of PTSD, including demographics, and type(s) of trauma suffered. Results: Findings revealed that the PTSD diagnosis was significantly correlated with: 1. Attention deficithyperactivity disorder (ADHD) 2. Other anxiety disorders 3. Brief psychotic disorder or psychotic disorder NOS 4. The presence of suicidal ideation. 5. A trend toward mood disorders. There were no differences between the two samples on measures of age, race, and family income. Conclusions: Pediatric PTSD is a severe psychiatric disorder. In this study, PTSD was statistically related to other formal psychiatric diagnoses. The investigators attended to the issues relating to true comorbidity versus inaccuratediagnosis secondary to symptom overlap between different conditions. Applying strict criteria, the results suggest that the presence of PTSD in children confers a substantial likelihood of other formal diagnoses. Moreover, the symptom of suicidal ideation was overrepresented among PTSD subjects. Given these additional conditions, more extensive evaluation and specialized, multi-modal treatment should be considered in children presenting with PTSD.

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Documento generato il 17/01/20 alle ore 20:25:00