Population Prevalence of the Posttraumatic Stress Disorder Subtype for Young Children in Nationwide Surveys of the British General Population and of Children in Care.
Population Prevalence of the Posttraumatic Stress Disorder Subtype for Young Children in Nationwide Surveys of the British General Population and of Children in Care.
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DOI：
10.1016/j.jaac.2020.12.036
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发表时间：
2021-10
影响因子：
13.3
通讯作者：
Dalgleish T
中科院分区：
文献类型：
--
作者：
Hitchcock C;Goodall B;Sharples O;Meiser-Stedman R;Watson P;Ford T;Dalgleish T
创伤后应激障碍 (PTSD) 是一种使人衰弱的疾病，如果不及时治疗，可能会对个人的心理、社会和职业功能产生严重的终生后果。创伤后应激障碍 (PTSD) 的最初概念集中在成人的表现上。然而，针对学龄前（6 岁及以下）儿童量身定制的适合幼儿发展的 PTSD（PTSD-YC）标准的实例化，代表了识别更多经历痛苦的幼儿的重要一步。在这里，我们探讨了 PTSD-YC 的人群患病率，通过 PTSD 替代算法 (AA-PTSD) 进行索引。我们利用人群代表性数据来测试，相对于 DSM-IV PTSD 算法，应用 AA-PTSD 标准是否可以增加对有临床需求的 5-6 岁儿童的识别，无论是在一般人群 (N=3202) 中，还是在心理健康问题风险较高的受照顾儿童（即受照顾的儿童；N=137）中。值得注意的是，使用基于成人的 DSM-IV 标准，一般人群样本中没有 5-6 岁儿童被诊断为 PTSD。相比之下，AA-PTSD 的总体患病率为 0.4%，在遭受创伤的儿童中上升至 5.4%。在被照顾的儿童中，总体 PTSD 患病率从应用成人主导的 DSM-IV 标准时的 1.2% 上升到使用 AA-PTSD 时的 14%。在遭受创伤的被照顾儿童中，2.7% 符合 DSM-IV PTSD 标准，而应用 AA-PTSD 时，这一比例为 57.0%。在这两个样本中，使用替代算法来索引 PTSD-YC 标准显着增加了对因症状而出现功能障碍的儿童的识别。结果证明 PTSD-YC 诊断的实用性超出了高危样本和寻求治疗样本的范围。 PTSD-YC 标准的使用极大地提高了人口层面对患有 PTSD 的 5-6 岁儿童的识别。
Posttraumatic stress disorder (PTSD) is a debilitating condition which when left untreated, can have severe life-long consequences for an individual’s psychological, social and occupational functioning. Initial conceptualizations of PTSD were centered on adult presentations. However, the instantiation of developmentally appropriate PTSD for Young Children (PTSD-YC) criteria, tailored to preschool (aged 6 years old and under) children, represents an important step towards identifying more young children experiencing distress. Here we explore population-level prevalence of PTSD-YC, indexed via the Alternative Algorithm for PTSD (AA-PTSD). We utilize population-representative data to test whether application of AA-PTSD criteria, relative to the DSM-IV PTSD algorithm, increases identification of 5-6 year old children with clinical needs, in both the general population (N=3202), and among looked-after-children (i.e., children-in-care; N=137) where the risk of mental health issues is greater. Notably, no 5-6 year old children in the general population sample were diagnosed with PTSD using adult-based DSM-IV criteria. In contrast, AA-PTSD prevalence was 0.4% overall, rising to 5.4% in trauma-exposed children. In looked-after-children, overall PTSD prevalence rose from 1.2% when applying adult-led DSM-IV criteria to 14% when using AA-PTSD. Of trauma-exposed looked-after-children, 2.7% met criteria for DSM-IV PTSD, compared to 57.0% when applying AA-PTSD. In both samples, use of the Alternative Algorithm to index PTSD-YC criteria markedly increased identification of children experiencing functional impairment due to symptoms. Results demonstrate the utility of the PTSD-YC diagnosis beyond at-risk and treatment-seeking samples. Use of PTSD-YC criteria very substantially improves identification of 5-6 year old children burdened by PTSD at the population-level.
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影响因子：
2.5
作者：
Dalgleish T;Goodall B;Chadwick I;Werner-Seidler A;McKinnon A;Morant N;Schweizer S;Panesar I;Humphrey A;Watson P;Lafortune L;Smith P;Meiser-Stedman R
通讯作者：
Meiser-Stedman R
影响因子：
10.5
作者：
Ford, Tamsin;Vostanis, Panos;Goodman, Robert
通讯作者：
Goodman, Robert
影响因子：
--
作者：
Copeland, William E.;Keeler, Gordon;Costello, E. Jane
通讯作者：
Costello, E. Jane
DOI：
10.1016/j.jaac.2010.05.017
发表时间：
2010-10
影响因子：
13.3
作者：
Merikangas KR;He JP;Burstein M;Swanson SA;Avenevoli S;Cui L;Benjet C;Georgiades K;Swendsen J
通讯作者：
Swendsen J
影响因子：
7.6
作者：
Salloum, Alison;Wang, Wei;Storch, Eric A.
通讯作者：
Storch, Eric A.