Optimizando el umbral clínico para el TEPT: extendiendo criterios del DSM-5 de preescolares a niños de edad escolar

Translated title of the contribution: Optimizing clinical thresholds for PTSD: Extending the DSM-5 preschool criteria to school-age children

Bre Anne A. Danzi, Annette M La Greca

Research output: Contribution to journalArticle

2 Citations (Scopus)

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 languageSpanish
Pages (from-to)234-241
Number of pages8
JournalInternational Journal of Clinical and Health Psychology
Volume17
Issue number3
DOIs
StatePublished - Sep 1 2017

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Post-Traumatic Stress Disorders
Cyclonic Storms
Disasters
Preschool Children
Wounds and Injuries
Research

Keywords

  • Children
  • Descriptive survey study
  • Diagnostic and Statistical Manual of Mental Disorders
  • Disasters
  • Posttraumatic stress disorder

ASJC Scopus subject areas

  • Clinical Psychology

Cite this

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title = "Optimizando el umbral cl{\'i}nico para el TEPT: extendiendo criterios del DSM-5 de preescolares a ni{\~n}os de edad escolar",
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.",
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