TY - JOUR
T1 - Optimizando el umbral clínico para el TEPT
T2 - extendiendo criterios del DSM-5 de preescolares a niños de edad escolar
AU - Danzi, Bre Anne A.
AU - La Greca, Annette M.
N1 - Funding Information:
This research was supported by Flipse Funds, a Cooper Fellowship, and a Provost's Research Award at the University of Miami to the second author. Data collection was partially funded by general funds from the University of Miami and the University of Texas Medical Branch .
Publisher Copyright:
© 2017 Asociación Española de Psicología Conductual
PY - 2017/9
Y1 - 2017/9
N2 - Background/Objective: To examine the effect of using the DSM-5 preschool criteria to diagnose posttraumatic stress disorder (PTSD) in school-age children (ages 7-11). Method: Children exposed to Hurricane Ike (N = 327) were assessed for symptoms of PTSD and other trauma-related factors eight months post-disaster. Results: About twice as many children were identified as having PTSD using the DSM-5 preschool criteria compared to the DSM-5 adult criteria. The preschool criteria identified all children diagnosed by the adult criteria and many additional children. Although children who met both the adult and the preschool criteria reported the most functional impairment, children identified by the preschool criteria only reported greater impairment than children not diagnosed. The effect of including impairment in the diagnostic criteria was more marked for the preschool criteria than for the adult criteria. Additionally, PTSD defined by the preschool criteria was significantly associated with more PTSD risk factors than PTSD as defined by the adult criteria. Model fit was similar for both sets of criteria. Conclusions: The preschool criteria may be advantageous for screening for PTSD risk in school-age children. Further research is needed to optimize developmentally-appropriate PTSD criteria for school-age children.
AB - Background/Objective: To examine the effect of using the DSM-5 preschool criteria to diagnose posttraumatic stress disorder (PTSD) in school-age children (ages 7-11). Method: Children exposed to Hurricane Ike (N = 327) were assessed for symptoms of PTSD and other trauma-related factors eight months post-disaster. Results: About twice as many children were identified as having PTSD using the DSM-5 preschool criteria compared to the DSM-5 adult criteria. The preschool criteria identified all children diagnosed by the adult criteria and many additional children. Although children who met both the adult and the preschool criteria reported the most functional impairment, children identified by the preschool criteria only reported greater impairment than children not diagnosed. The effect of including impairment in the diagnostic criteria was more marked for the preschool criteria than for the adult criteria. Additionally, PTSD defined by the preschool criteria was significantly associated with more PTSD risk factors than PTSD as defined by the adult criteria. Model fit was similar for both sets of criteria. Conclusions: The preschool criteria may be advantageous for screening for PTSD risk in school-age children. Further research is needed to optimize developmentally-appropriate PTSD criteria for school-age children.
KW - Children
KW - Descriptive survey study
KW - Diagnostic and Statistical Manual of Mental Disorders
KW - Disasters
KW - Posttraumatic stress disorder
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U2 - 10.1016/j.ijchp.2017.07.001
DO - 10.1016/j.ijchp.2017.07.001
M3 - Article
AN - SCOPUS:85028032455
VL - 17
SP - 234
EP - 241
JO - International Journal of Clinical and Health Psychology
JF - International Journal of Clinical and Health Psychology
SN - 1697-2600
IS - 3
ER -