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PTSD with and without dissociation in young children exposed to interpersonal trauma.
Hagan, Melissa J; Gentry, Miya; Ippen, Chandra Ghosh; Lieberman, Alicia F.
Afiliación
  • Hagan MJ; Department of Psychology, San Francisco State University, United States; Department of Psychiatry, University of California, San Francisco, United States. Electronic address: mjhagan@sfsu.edu.
  • Gentry M; Department of Psychology, San Francisco State University, United States.
  • Ippen CG; Child Trauma Research Program, Department of Psychiatry, University of California, San Francisco, United States.
  • Lieberman AF; Child Trauma Research Program, Department of Psychiatry, University of California, San Francisco, United States.
J Affect Disord ; 227: 536-541, 2018 02.
Article en En | MEDLINE | ID: mdl-29169122
BACKGROUND: A Dissociative Subtype of Posttraumatic Stress Disorder (PTSD) was added to the DSM-5, but little is known about this symptom pattern in young children exposed to trauma. Tailoring treatment to traumatized young children requires understanding the different patterns of trauma-related symptomatology and important correlates. The current study tested the hypothesis that type and number of child traumatic events, caregiver trauma exposure, and caregiver symptomatology would predict whether traumatized young children presented with PTSD, PTSD with clinical dissociation, or non-clinical trauma symptoms. METHODS: A multinomial regression was conducted using data collected from an ethnically and economically diverse sample of 297 trauma-exposed children between the ages of 3 and 6 and their caregivers. Based on parent-report on a well-validated measure of trauma symptoms, children were categorized into three groups: non-clinical (n = 128), PTSD only (n = 104), or PTSD with dissociation (PTSD-DISS; n = 65). Predictors included trauma exposure, parent trauma symptoms, and child sex. RESULTS: Girls were twice more likely than boys to be in the PTSD-DISS group; sexually abused children were almost three times as likely to be in the PTSD-DISS group; and, for every unit increase in parent avoidance symptoms or number of traumatic events, the odds of being in the PTSD-DISS group increased significantly. LIMITATIONS: Given the cross-sectional study design, conclusions cannot be drawn regarding causality. Measures were completed by a single reporter. CONCLUSIONS: Findings suggest that subgroups of children may be especially vulnerable to comorbid PTSD and dissociation. Implications for treatment are discussed.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos por Estrés Postraumático / Estrés Psicológico / Abuso Sexual Infantil / Trastornos Disociativos Tipo de estudio: Diagnostic_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Child / Child, preschool / Female / Humans / Male Idioma: En Revista: J Affect Disord Año: 2018 Tipo del documento: Article Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos por Estrés Postraumático / Estrés Psicológico / Abuso Sexual Infantil / Trastornos Disociativos Tipo de estudio: Diagnostic_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Child / Child, preschool / Female / Humans / Male Idioma: En Revista: J Affect Disord Año: 2018 Tipo del documento: Article Pais de publicación: Países Bajos