@article{ref1,
title="Predicting the transition from acute stress disorder to posttraumatic stress disorder in children with severe injuries",
journal="Journal of Pediatric Health Care",
year="2016",
author="Brown, Ruth C. and Nugent, Nicole R. and Hawn, Sage E. and Koenen, Karestan C. and Miller, Alisa and Amstadter, Ananda B. and Saxe, Glenn",
volume="30",
number="6",
pages="558-568",
abstract="INTRODUCTION: The purpose of this study was to examine predictors of risk for and the transition between acute stress disorder (ASD) and posttraumatic stress disorder (PTSD) in a longitudinal sample of youth with severe injuries admitted to the hospital. These data would assist with treatment and discharge planning. <br><br>METHODS: Youth were assessed for ASD during the initial hospital stay and were followed-up over an 18-month period for PTSD (n = 151). Youth were classified into four groups, including Resilient (ASD-, PTSD-), ASD Only (ASD+, PTSD-), PTSD Only (ASD-, PTSD+), and Chronic (ASD+, PTSD+). Demographic, psychiatric, social context, and injury-related factors were examined as predictors of diagnostic transition. <br><br>RESULTS: The results of multivariate analysis of variance and pairwise comparisons found that peritraumatic dissociation, gender, and socioeconomic status were significant predictors after controlling for multiple testing. <br><br>DISCUSSION: Results suggest that both within-child and contextual factors contribute to the longitudinal response to trauma in children. Clinicians should consider early screening and discharge planning, particularly for children most at risk.<p /> <p>Language: en</p>",
language="en",
issn="0891-5245",
doi="10.1016/j.pedhc.2015.11.015",
url="http://dx.doi.org/10.1016/j.pedhc.2015.11.015"
}