@article{ref1,
title="Evaluation of an early risk screener for PTSD in preschool children after accidental injury",
journal="Pediatrics",
year="2013",
author="Kramer, Didier N. and Hertli, Matthias B. and Landolt, Markus A.",
volume="132",
number="4",
pages="e945-51",
abstract="OBJECTIVES:To evaluate the effectiveness and most powerful selection of predictors of an early screening tool for posttraumatic stress disorder (PTSD) in a sample of 87 children ages 2 to 6 years after unintentional injury.  METHODS:The examined screener was administered within 6 to 13 days post accident and consisted of an adapted version of the Pediatric Emotional Distress Scale (PEDS), the PEDS-ES (PEDS Early Screener), and questions on 5 additional risk factors (preexisting child behavioral problems, parental preexisting chronic mental or physical illness, pretraumatic life events in the family, parental feelings of guilt, parental posttraumatic stress). The PTSD Semi-structured Interview and Observational Record for Infants and Young Children served as criterion measure 6 months after the accident. A case was deemed positive when meeting criteria for full or partial PTSD.  RESULTS:Use of the PEDS-ES without the additional risk factors performed best, with good sensitivity (85%) and moderate specificity (63%) for full or partial PTSD.  CONCLUSIONS:The PEDS-ES allows for successful early screening of preschool-aged children after single accidental trauma. It may be used within a stepped-care model for early identification of individuals designated for possible secondary preventative interventions.<p /> <p>Language: en</p>",
language="en",
issn="0031-4005",
doi="10.1542/peds.2013-0713",
url="http://dx.doi.org/10.1542/peds.2013-0713"
}