Faculty Articles

Predicting Posttraumatic Stress Following Pediatric Injury: A Systematic Review

Document Type

Article

Publication Date

12-2010

Publication Title

Journal of Pediatric Psychology

Volume

36

Issue/Number

6

First Page

718

ISSN

0146-8693

Last Page

729

Abstract/Excerpt

Objective To review the recent empirical literature concerning development of posttraumatic stress symptoms following pediatric injury and summarize risk and predictive factors that will inform clinical practice and research. Methods A systematic search of online databases such as PsycInfo, PILOTS, MedLine, and PubMed was performed. Further studies were identified through the reference lists of selected articles. Results Pre-injury psychological problems, the child’s subjective experience of trauma severity/life threat, elevated heart rate immediately following the trauma, beliefs regarding initial symptoms, active thought suppression, and parental posttraumatic stress appear to be consistent predictors of persisting posttraumatic stress in children following injury. Conclusions Specific variables may be useful in predicting posttraumatic stress following injury, which are discussed in terms of existing models of pediatric traumatic stress. Methodologies of included studies are also discussed.

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