Predicting pediatric posttraumatic stress disorder after road traffic accidents: The role of parental psychopathology

Kolaitis, Gerasimos; Giannakopoulos, George; Liakopoulou, Magda; Pervanidou, Panagiota; Charitaki, Stella; Mihas, Constantinos; Ferentinos, Spyros; Papassotiriou, Ioannis; Chrousos, George P.; Tsiantis, John

doi:10.1002/jts.20667

Cited by 24 publications

(16 citation statements)

References 43 publications

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“…Our results confirmed this hypothesis and are coherent with the studies of Beck et al (2001) and Kolaitis et al (2011) showing that the perceived possibility for the adolescent to rely on his/her parents' help, understanding, support and sensitivity reduces their propensity to risk, maladaptive psychological functioning in general (Cimino, Cerniglia, Paciello, & Sinesi, 2013; and diminishes likability of alcohol and drug use (which are associated with higher rates of MVCs). The present paper has some limitations.…”

Section: Discussionsupporting

confidence: 94%

Motor vehicle accidents and adolescents: An empirical study on their emotional and behavioral profiles, defense strategies and parental support

Cerniglia

Cimino

Ballarotto

et al. 2015

Transportation Research Part F: Traffic Psychology and Behaviou

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Section: Discussionsupporting

confidence: 94%

Motor vehicle accidents and adolescents: An empirical study on their emotional and behavioral profiles, defense strategies and parental support

Cerniglia

Cimino

Ballarotto

et al. 2015

Transportation Research Part F: Traffic Psychology and Behaviou

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“…In contrast with the results of adult research, in traumatized children, higher cortisol levels in the acute aftermath of the trauma have been shown to predict subsequent PTSD symptoms and diagnosis (Delahanty, Nugent, Christopher, & Walsh, 2005; Kolaitis et al, 2011; Ostrowski et al, 2007). It should be noted that, in two of these studies (Delahanty et al, 2005; Ostrowski et al, 2007), the positive correlations between cortisol levels and PTSD were driven by significant findings in boys (all r s ≥ 0.50) that were not present in girls.…”

Section: Child Studies Examining Stress Hormones In Ptsdcontrasting

confidence: 73%

“…To date, no study has examined the potential efficacy of exogenously increasing cortisol levels in traumatized children, perhaps due to the finding that higher levels of cortisol soon after trauma have been associated with increased risk for PTSD in children (Delahanty et al, 2005; Kolaitis et al, 2011; Ostrowski et al, 2007). However, it may be premature to discount the possible efficacy of hydrocortisone treatment in child trauma victims.…”

Section: Pharmacological Treatmentsmentioning

confidence: 99%

Pharmacological modulation of acute trauma memories to prevent PTSD: Considerations from a developmental perspective

Hruska

Cullen

Delahanty

2014

Neurobiology of Learning and Memory

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Estimates of the lifetime prevalence of posttraumatic stress disorder (PTSD) in American adults range from 6.4–6.8%. PTSD is associated with increased risk for comorbid major depression, substance use disorder, suicide, and a variety of other mental and physical health conditions. Given the negative sequelae of trauma/PTSD, research has focused on identifying efficacious interventions that could be administered soon after a traumatic event to prevent or reduce the subsequent incidence of PTSD. While early psychosocial interventions have been shown to be relatively ineffective, early (secondary) pharmacological interventions have shown promise. These pharmacological approaches are largely based on the hypothesis that disruption of altered stress hormone levels and the consequent formation of trauma memories could protect against the development of PTSD. The present manuscript reviews the literature regarding the role of peri-traumatic stress hormones as risk factors for the development of PTSD and reviews evidence for the efficacy of exogenously modulating stress hormone levels to prevent/buffer the development of PTSD symptoms. Whereas prior literature has focused primarily on either child or adult studies, the present review incorporates both child and adult studies in a developmental approach to understanding risk for PTSD and how pharmacological modulation of acute memories may buffer the development of PTSD symptoms.

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“…The reaction of the parents in trauma is a good indicator of emotional anxiety and PTSD likelihood in children, especially at younger ages [2-5,14]. The literature strongly shows the correlation between the anxiety levels of the parent, and the subsequent emotional recovery of the child.…”

Section: Introductionmentioning

confidence: 99%

The impact of parental accompaniment in paediatric trauma: a helicopter emergency medical service (HEMS) perspective

Cowley

Durge

2014

Scand J Trauma Resusc Emerg Med

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Major trauma remains a significant cause of mortality and morbidity in young people and adolescents throughout the western world. Both the physical and psychological consequences of trauma are well documented and it is shown that peri-traumatic factors play a large part in the emotional recovery of children involved in trauma. Indeed, parental anxiety levels may play one of the biggest roles. There are no publically available guidelines on pre-hospital accompaniment, and where research has been done on parental presence it often focuses primarily on the parents or staff, rather than the child themselves. Whilst acknowledging the impact on parents and staff, the importance of the emotional wellbeing of the child should be reinforced, to reduce the likelihood of developing symptoms in keeping with post-traumatic stress disorder. This non-systematic literature review, aims to examine the impact of parental accompaniment to hospital, following paediatric trauma, and to help pre-hospital clinicians decide whether accompaniment would be of benefit to their patient population. The lack of published data does not enable a formal recommendation of parental accompaniment in the helicopter to be mandated, though it should be the preference in land based conveyance. Future research is needed into the emotional recovery of children after trauma, as well as the experiences of patient, parent and staff during conveyance.

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Predicting pediatric posttraumatic stress disorder after road traffic accidents: The role of parental psychopathology

Cited by 24 publications

References 43 publications

Motor vehicle accidents and adolescents: An empirical study on their emotional and behavioral profiles, defense strategies and parental support

Motor vehicle accidents and adolescents: An empirical study on their emotional and behavioral profiles, defense strategies and parental support

Pharmacological modulation of acute trauma memories to prevent PTSD: Considerations from a developmental perspective

The impact of parental accompaniment in paediatric trauma: a helicopter emergency medical service (HEMS) perspective

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