Stress and vulnerability to posttraumatic stress disorder in children and adolescents

R. R. Silva, M. Alpert, D. M. Munoz, S. Singh, Frederick J. Matzner, S. Dummit

Research output: Contribution to journalArticle

137 Citations (Scopus)

Abstract

Objective: This study examined the experiential factors and interacting vulnerabilities that contribute to the development of posttraumatic stress disorder (PTSD) in children and adolescents. Method: Of 100 consecutive referrals to an inner-city child and adolescent psychiatry clinic, 59 had experienced a trauma that qualified as a precipitant of PTSD. For those with trauma, ages ranged from 3 to 18 years (mean=9.9, SD=4.10); 39 (66%) were males. The authors used a series of multiple regression analyses to examine the contribution of demographic characteristics, the nature of the stressor(s), and the role of preexisting clinical signs in the development of PTSD. Results: Twenty-two percent of the 59 children who had been traumatized met full criteria for PTSD, 32% had some symptoms of PTSD but did not meet full criteria, and 46% had no symptoms of PTSD. Witnessing domestic violence or being physically abused predicted severity of PTSD. Children with preexisting aggressive behavior were more likely to be victims of physical abuse. Conclusions: Traumatic experience interacts with factors in the child and family to contribute to the development of PTSD. Trauma that threatens family integrity appears to make a strong contribution to the development of PTSD. Increased understanding of the factors contributing to PTSD may provide additional opportunities for developing effective interventions.

Original languageEnglish (US)
Pages (from-to)1229-1235
Number of pages7
JournalAmerican Journal of Psychiatry
Volume157
Issue number8
DOIs
StatePublished - 2000
Externally publishedYes

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Post-Traumatic Stress Disorders
Wounds and Injuries
Adolescent Psychiatry
Child Psychiatry
Domestic Violence
Referral and Consultation
Regression Analysis
Demography

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Stress and vulnerability to posttraumatic stress disorder in children and adolescents. / Silva, R. R.; Alpert, M.; Munoz, D. M.; Singh, S.; Matzner, Frederick J.; Dummit, S.

In: American Journal of Psychiatry, Vol. 157, No. 8, 2000, p. 1229-1235.

Research output: Contribution to journalArticle

Silva, R. R. ; Alpert, M. ; Munoz, D. M. ; Singh, S. ; Matzner, Frederick J. ; Dummit, S. / Stress and vulnerability to posttraumatic stress disorder in children and adolescents. In: American Journal of Psychiatry. 2000 ; Vol. 157, No. 8. pp. 1229-1235.
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