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- Title
Post-traumatic stress disorder in pre-school aged children after a gas explosion.
- Authors
Ohmi, Hiroki; Kojima, Sayoko; Awai, Yoshitomi; Kamata, Shunsuke; Sasaki, Kazuhiro; Tanaka, Yasuo; Mochizuki, Yoshikatsu; Hirooka, Kenzou; Hata, Akira
- Abstract
To evaluate the sensitivity of diagnostic criteria for post-traumatic stress disorder (PTSD) in preschool aged children involved in a gas explosion, posttraumatic symptoms of the children were investigated four times after the accident, immediately, 10 days, 6 months, and 1 year later. Using symptoms at 6 months after the accident, sensitivity of diagnostic criteria was assessed by comparing the fourth edition of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), and the alternative criteria for infants and young children [10]. In addition, the published Child Post-Traumatic Stress Disorder Reaction Index (CPTSD-RI) and its modified version proposed by us were also evaluated their sensitivity to rate the symptoms. Girls had a tendency to show more post-traumatic symptoms than boys. Although no children met DMS-IV criteria for PTSD, 8 children out of 32 were diagnosed as having PTSD with alternative criteria. With our modified CPTSD-RI, all eight children were decidedly more statistically distinguishable from those without PTSD than with original index. Conclusion: our data indicate that the sensitivity of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (4th edition) and the Child Post-Traumatic Stress Disorder Reaction Index in rating symptoms of pre-school aged children is not sufficient. The alternative criteria of the former and modified version of the latter would be the better choice in this age group.
- Subjects
POST-traumatic stress disorder in children; PSYCHOLOGY of preschool children
- Publication
European Journal of Pediatrics, 2002, Vol 161, Issue 12, p643
- ISSN
0340-6199
- Publication type
Article
- DOI
10.1007/s00431-002-1061-2