Abstract
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.
| Original language | Spanish |
|---|---|
| Pages (from-to) | 234-241 |
| Number of pages | 8 |
| Journal | International Journal of Clinical and Health Psychology |
| Volume | 17 |
| Issue number | 3 |
| DOIs | |
| State | Published - Sep 1 2017 |
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Keywords
- Children
- Descriptive survey study
- Diagnostic and Statistical Manual of Mental Disorders
- Disasters
- Posttraumatic stress disorder
ASJC Scopus subject areas
- Clinical Psychology
Cite this
Optimizando el umbral clínico para el TEPT : extendiendo criterios del DSM-5 de preescolares a niños de edad escolar. / Danzi, Bre Anne A.; La Greca, Annette M.
In: International Journal of Clinical and Health Psychology, Vol. 17, No. 3, 01.09.2017, p. 234-241.Research output: Contribution to journal › Article
}
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
PY - 2017/9/1
Y1 - 2017/9/1
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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UR - http://www.scopus.com/inward/citedby.url?scp=85028032455&partnerID=8YFLogxK
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 -