Systematic Review and Meta-analysis: Prevalence of Posttraumatic Stress Disorder in Trauma-Exposed Preschool-Aged Children

Woolgar, Francesca; Garfield, Harriet; Dalgleish, Tim; Meiser‐Stedman, Richard

doi:10.1016/j.jaac.2021.05.026

Cited by 34 publications

(8 citation statements)

References 64 publications

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“…Several factors are implicated in the development of PTSD. Interpersonal and repeated events cause three times more PTSD than non-interpersonal and single events ( 55 ). Age is also known to have an influence on the development of trauma disorder: the risk of PTSD after a potentially traumatic event is about 39% for preschool children and 27% for adolescents ( 19 ).…”

Section: Discussionmentioning

confidence: 99%

A 3-year retrospective study of 866 children and adolescent outpatients followed in the Nice Pediatric Psychotrauma Center created after the 2016 mass terror attack

Gindt

Fernandez²,

Zeghari³

et al. 2022

Front. Psychiatry

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BackgroundThe mass terrorist attack in Nice, France, in July 2016 caused deaths and injuries in a local population, including children and adolescents. The Nice Pediatric Psychotrauma Center (NPPC) was opened to provide mental health care to the pediatric population (0–18 years) who experienced traumatic events.ObjectivesThis study describes the specificity of the care pathway for young trauma victims, with an explanation of how the NPPC works during the first three years.MethodsIn this retrospective study, we conducted quantitative and qualitative data collection about new and follow-up consultations, primary and comorbid diagnoses, and the kind of trauma (terrorist attack versus other kinds of trauma). Ethics approval was obtained from the local Ethics committee.Results866 children and adolescents were followed in the NPPC. We found a high rate of Post-Traumatic Stress Disorder (PTSD; 71%) in this population with a high rate of comorbidities (67%), mainly sleep disorders (34.7%) and mood and anxiety disorders (16.2%). A high number of children and adolescents impacted by the terrorist attack required follow-up consultations after exposure to the mass terrorist attack, the first care-seeking requests continued to occur three years later, although at a slower rate than in the first and second years. New consultations for other kinds of trauma were observed over time.DiscussionThis study supports previous findings on the significant impact of mass trauma in the pediatric population showing even a higher level of PTSD and a high rate of comorbidities. This may be explained by the brutality of the traumatic event, particularly for this age group. The findings of this study have implications for early interventions and long-term care for children and adolescents to prevent the development of chronic PTSD into adulthood.

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Section: Discussionmentioning

confidence: 99%

A 3-year retrospective study of 866 children and adolescent outpatients followed in the Nice Pediatric Psychotrauma Center created after the 2016 mass terror attack

Gindt

Fernandez²,

Zeghari³

et al. 2022

Front. Psychiatry

View full text Add to dashboard Cite

show abstract

“…This research was supported by Kar et al (2007) that children from age category 11 to 13 years had experienced PTSD and children with mean age 10.5 years are vulnerable to having PTSD. However, the other study claimed that PTSD can be recognized in young children (less than 6 years) and its similar variation in prevalence levels of trauma to older children, adolescents, and adults (Woolgar, Garfield, Dalgleish, & Meiser-Stedman, 2021). It was previously thought that children lacked the emotion regulation and neural circuitry as a protective factor that buffers children from the onset of psychopathology following environmental adversity (McLaughlin & Lambert, 2017).…”

Section: Discussionmentioning

confidence: 99%

Childhood post-traumatic stress disorder: A post-flood overview

Seniwati

Erika

Hapsah

2022

JHNS

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Flood disasters bring a huge impact to human life, both physically and psychologically. Children are vulnerable groups who are at greater risk during and after a disaster. The most common psychological effect after a disaster is Post Traumatic Stress Disorder (PTSD). The purpose of this study was to detect early PTSD in children who were victims of the flood disaster. This research applied a quantitative design with a cross-sectional approach. 61 child victims were included in the study. The research was conducted in Jeneponto Regency which is one of the worst flood locations in South Sulawesi during 2019. The instrument used is the PTSD Checklist for DSM-5 (PCL-5), which consists of 20 items of questions. The study shows that children who experience PTSD are equal to 39.3% and did not experience PTSD as much as 60,7%. The most common symptoms of PTSD that were identified in children was re-experiencing with an average of 86.7%. It can be concluded that Incidence of PTSD could increase in children since a month after the disaster by experiencing symptoms of re-experiencing, avoidance, negative alterations in mood cognition, and hyperarousal. Age, gender, and exposure are also at risk for developing PTSD in children. Therefore, it is recommended for health workers to provide immediate treatment to the child victims of the disaster to reduce trauma. Keywords: Post-traumatic stress disorder, children, flood, disaster

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“…Several factors are implicated in the development of PTSD. Interpersonal and repeated events cause three times more PTSD than non-interpersonal and single events [40]. Age is also known to have an in uence on the development of trauma disorder: the risk of PTSD after a potentially traumatic event is about 39% for preschool children and 27% for adolescents [15].…”

Section: Discussionmentioning

confidence: 99%

A 3-year retrospective study of 866 children and adolescent outpatients followed in the Nice Pediatric Psychotrauma Center created after the 2016 mass terror attack.

Gindt

Fernández

Zeghari

et al. 2022

Preprint

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Background The mass terrorist attack in Nice, France, in July 2016 caused deaths and injuries in a local population, including children and adolescents. The Nice Pediatric Psychotrauma Center (NPPC) was opened to provide mental health care to the pediatric population (0–18 years) who experienced traumatic events. Objectives To report clinical findings and provide considerations focusing on 1) Traumatic events; 2) Psychiatric diagnoses; 3) Needed care of pediatric population; 4) Recommendations based on the experience of NPPC Methods In this retrospective study, we conducted quantitative and qualitative data collection and analysis of new and follow-up consultations, primary and comorbid diagnoses, and the kind of trauma (terrorist attack versus other kinds of trauma). Ethics approval was obtained from the local Ethics committee. Results 866 children and adolescents were followed in the NPPC. A high number of children and adolescents impacted by the terrorist attack required follow-up consultations (average of 30 consultations per week). After exposure to the mass terrorist attack, the first care-seeking requests continued to occur three years later, although at a slower rate than in the first and second years. New consultations for other kinds of trauma were observed over time. We found a high rate of Post-Traumatic Stress Disorder (PTSD; 71%) in this population with a high rate of comorbidities (67%), mainly sleep disorders (34.7%) and mood and anxiety disorders (16.2%). Discussion This study supports previous findings on the significant impact of mass trauma in the pediatric population showing even a higher level of PTSD and a high rate of comorbidities. This may be explained by the brutality of the traumatic event, particularly for this age group. The findings of this study have implications for early interventions and long-term care for children and adolescents to prevent the development of chronic PTSD into adulthood.

show abstract

Systematic Review and Meta-analysis: Prevalence of Posttraumatic Stress Disorder in Trauma-Exposed Preschool-Aged Children

Cited by 34 publications

References 64 publications

A 3-year retrospective study of 866 children and adolescent outpatients followed in the Nice Pediatric Psychotrauma Center created after the 2016 mass terror attack

A 3-year retrospective study of 866 children and adolescent outpatients followed in the Nice Pediatric Psychotrauma Center created after the 2016 mass terror attack

Childhood post-traumatic stress disorder: A post-flood overview

A 3-year retrospective study of 866 children and adolescent outpatients followed in the Nice Pediatric Psychotrauma Center created after the 2016 mass terror attack.

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