The current study examines violent and nonviolent traumatic events involving friends and family members as predictors of PTSD, depression, internalizing, and externalizing behaviors in a sample of 403 African American early adolescents from chronically violent environments. Although there are many studies of urban children's exposure to community violence, few address the unique contribution of events involving significant others, and almost no research addresses African American youths' exposure to traumatic events other than violence. This study found that violent and nonviolent traumatic events were pervasive in the lives of these urban youth, and that they were as likely to report loss and injury of a close other through an accident as an act of violence. There were strong gender differences in the data. Unexpectedly, injury or loss of a close friend or family member from nonviolent events, but not from violent events, predicted PTSD, internalizing, and depression for boys. The results are discussed in terms of their implications for school-based universal interventions in communities where large numbers of children live with loss and trauma.
The current study examined loss and childhood traumatic grief (CTG) in a sample of 403 African American school children in grades 6-8. Three out of four of these children reported the death of a close family member or friend, with deaths more than twice as likely to occur from illness and disease as from violence. Almost one-quarter of the children reporting a loss from any source scored in the severe traumatic grief range. After statistically controlling for witnessing violence, victimization and family violence, CTG was a significant contributor to PTSD, internalizing behavior problems, depression and poor academic achievement for girls, and particularly so for boys for whom it also predicted acting out. These data indicate that loss and traumatic grief are pervasive in the lives of these inner-city children who appear to be more affected by these events than the often-studied exposure to community violence.
A case of a woman with visual hallucinations in the absence of other organic or psychiatric findings--symptoms consistent with a diagnosis of Charles Bonnet syndrome--is reported. The women was HIV positive, although asymptomatic for conventional complications of HIV infection. After considering possible causes of the hallucinations, including prescription drug effects and conversion or factitious disorder, the authors suggest that the woman's symptoms may have been associated with undetectable effects of HIV on the brain.
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