Prevalence of Post-Traumatic Stress Disorder Following Unintentional Injuries In Children

Post-traumatic stress disorder (PTSD) is a trauma and stressor-related disorder that might have prominent negative effects on the social and academic life of children. Unintentional injuries are the leading reason for physical disability and death during childhood. We aimed to investigate PTSD symptoms in children withunintentional injuries who weretreated in hospital. Children who were injured due to various causes and treated in emergency servicewere retrospectively evaluated for PTSD symptoms. The PTSD symptoms were assessed by the revised Children’s Revised Impact of Event Scale (CRIES-8), and The Schedule for Affective Disorders and Schizophrenia for School-Age Children. The average age of the study sample consisting of fifty-eight male and thirty-one female children (n= 89) was found to be 13.5  2.9. On average, 5.2  3.4 months had passed after the event. The most common cause of injury was traffic accidents (37.1%) and it was followed by falling from high (33.7%), burn (25.8%), and sharp object injury (2.2%). PTSD was prevalent as 24.7% according to K-SADSevaluation. PTSD rates were observed to vary according to the nature of the event that caused the injury. The findings of our study show that more than one -third of the children, who were hospitalized due to unintentional injuries, developed severe PTSD symptoms. Children who treated for unintentional injuries in emergency services should be referred for psychiatric evaluation.

___

1. Karakaya I, Çolak B. Çocuk ve Ergenlerde Travma Sonrası Stres Bozukluğu ve Adli Tıbbi Değerlendirme. The Bulletin of Legal Medicine 2007; 12: 82-7.

2. Özgen F, Aydın H. Travma sonrası stres bozukluğu. Klinik Psikiyatri. 1999;1:34-41.

3. DSM-5®. Diagnostic and Statistical Manual of Mental Disorders (DSM-5®): American Psychiatric Publication 2013.

4. Ari AB, Peri T, Margalit D, Galili-Weisstub E, Udassin R, Benarroch F. Surgical procedures and pediatric medical traumatic stress (PMTS) syndrome: Assessment and future directions. Journal of pediatric surgery 2017.

5. Ford T, Goodman R, Meltzer H. The British child and adolescent mental health survey 1999: the prevalence of DSM-IV disorders. Journal of the American academy of child & adolescent psychiatry 2003; 42: 1203-1211.

6. Branche C, Oyebite K, Hyder A, Ozanne-Smith J, Bartolomeos K, Rivara F. World report on child injury prevention: World Health Organization 2008.

7. Langeland W, Olff M. Psychobiology of posttraumatic stress disorder in pediatric injury patients: A review of the literature. Neuroscience & Biobehavioral Reviews 2008; 32: 161-174.

8. Kilpatrick DG, Ruggiero KJ, Acierno R, Saunders BE, Resnick HS, Best CL. Violence and Risk of PTSD, Major Depression, Substance Abuse/Dependence, and Comorbidity: Results From the National Survey of Adolescents. Journal of Consulting and Clinical Psychology 2003; 71: 692-700.

9. Olofsson E, Bunketorp O, Andersson AL. Children and adolescents injured in traffic– associated psychological consequences: a literature review. Acta paediatrica 2009; 98: 17-22.

10. Hinton DE, Rasmussen A, Nou L, Pollack MH, Good M-J. Anger, PTSD, and the nuclear family: A study of Cambodian refugees. Social science & medicine 2009; 69: 1387-1394.

11. Abe J, Zane N, Chun K. Differential responses to trauma: Migration‐related discriminants of post‐traumatic stress disorder among Southeast Asian refugees. Journal of Community Psychology 1994; 22: 121-135.

12. Beckham JC, Vrana SR, Barefoot JC. Magnitude and duration of cardiovascular responses to anger in Vietnam veterans with and without posttraumatic stress disorder. Journal of Consulting and Clinical Psychology 2002; 70: 228- 234.

13. Gil T, Calev A, Greenberg D, Kugelmass S, Lerer B. Cognitive functioning in post‐traumatic stress disorder. Journal of Traumatic Stress 1990; 3: 29- 45.

14. Koçak EE, Kılıç C. Travma Sonrası Stres Bozukluğunda Bilişsel Bozukluklar. Türk Psikiyatri Dergisi 2017; 28: 124-131.

15. Ainamani HE, Elbert T, Olema DK, Hecker T. PTSD symptom severity relates to cognitive and psycho-social dysfunctioning–a study with Congolese refugees in Uganda. European Journal of Psychotraumatology 2017; 8: 1283086.

16. Çeri V, Beşer C, Fiş NP, Arman A. Findings From A Specialized Child Psychiatry Unit For Care of Refugee Children in Istanbul. J Clin Psy 2018; 21: 113-121.

17. Ceri V, Özlü-Erkilic Z, Özer Ü, et al. Mental health problems of second generation children and adolescents with migration background. International Journal of Psychiatry in Clinical Practice 2017: 1-6.

18. Stoddard FJ, Saxe G. Ten-year research review of physical injuries. Journal of the American Academy of Child & Adolescent Psychiatry 2001 40: 1128-1145.

19. Bryant B, Mayou R, Wiggs L, Ehlers A, Stores G. Psychological consequences of road traffic accidents for children and their mothers. Psychological medicine 2004; 34: 335-346.

20. Miniño AM, Murphy SL. Death in the united states, 2010: Citeseer 2012.

21. Peden M. World report on child injury prevention: World Health Organization 2008.

22. Akgün S, Rao C, Yardim N, Basara BB, Aydın O, Mollahaliloglu S, et al. Estimating mortality and causes of death in Turkey: methods, results and policy implications. European journal of public health 2007; 17: 593-599.

23. TÜİK. Karayolu Trafik Kaza İstatistikleri. Türkiye İstatistik Kurumu 2018.

24. WHO. Global status report on road safety 2015. Geneva: World Health Organization; 2015.

25. Peden M. World report on child injury prevention appeals to “Keep Kids Safe”. Injury prevention 2008; 14(6): 413-414.

26. Karakaya I, Memik N, Ağaoğlu B, et al. Çocuk ve gençler için klinisyen tarafından uygulanan travma sonrası stres bozukluğu ölçeği (PTSD-öçe) geçerlik güvenirlik çalışması. Çocuk ve Gençlik Ruh Sağlığı Dergisi 2007; 14: 125-132.

27. Drake JE, Stoddard Jr FJ, Murphy JM, et al. Trauma severity influences acute stress in young burned children. Journal of burn care & research 2006; 27: 174-182.

28. Schreier H, Ladakakos C, Morabito D, Chapman L, Knudson MM. Posttraumatic stress symptoms in children after mild to moderate pediatric trauma: a longitudinal examination of symptom prevalence, correlates, and parent-child symptom reporting. Journal of Trauma and Acute Care Surgery 2005; 58: 353-363.

29. Sanders MB, Starr AJ, Frawley WH, McNulty MJ, Niacaris TR. Posttraumatic stress symptoms in children recovering from minor orthopaedic injury and treatment. Journal of orthopaedic trauma 2005; 19: 623-628.

30. Kaufman J, Birmaher B, Brent D, et al. Schedule for affective disorders and schizophrenia for school-age children-present and lifetime version (K-SADS-PL): initial reliability and validity data. Journal of the American Academy of Child & Adolescent Psychiatry 1997; 36: 980-988.

31. Gökler B, Ünal F, Pehlivantürk B, Kültür EÇ, Akdemir D, Taner Y. Reliability and Validity of Schedule for Affective Disorders and Schizophrenia for School Age Children-Present and Lifetime Version-Turkish Version (K-SADSPL-T). Turkish Journal of Child and Adolescent Mental Health 2004; 11: 109-116.

32. Şahin NH, Batıgün AD, Yılmaz B. Psychological symptoms of Turkish children and adolescents after the 1999 earthquake: Exposure, gender, location, and time duration. Journal of Traumatic Stress: Official Publication of The International Society for Traumatic Stress Studies 2007; 20: 335-345.

33. Dyregrov A, Kuterovac G, Barath A. Factor analysis of the impact of event scale with children in war. Scandinavian journal of Psychology 1996; 37: 339-350.

34. Perrin S, Meiser-Stedman R, Smith P. The Children's Revised Impact of Event Scale (CRIES): Validity as a screening instrument for PTSD. Behavioural and Cognitive Psychotherapy 2005; 33: 487-498.

35. Nasıroğlu S, Çeri V, Erkorkmaz Ü, Semerci B. Determinants of psychiatric disorders in children refugees in Turkey’s Yazidi refugee camp. Psychiatry and Clinical Psychopharmacology 2018: 1-9.

36. Çeri V, Özer Ü. Emotional and behavioral problems seen among a group of children and adolescents living in a refugee camp in Turkey. Anadolu Psikiyatri Derg 2018; 19: 419-426.

37. Saigh PA, Mroueh M, Bremner JD. Scholastic impairments among traumatized adolescents. Behaviour research and therapy 1997; 35: 429- 436.

38. Terr L. Too scared to cry: How trauma affects children and ultimately us all. New York: Basic. 1990.

39. Forgey M, Bursch B. Assessment and Management of Pediatric Iatrogenic Medical Trauma. Current psychiatry reports 2013; 15: 1-9.

40. Blanchard E, Hickling E. After the crash: assessment and treatment of motor vehicle accident survivors American Psychological Association. Washington, DC. 1997.

41. Keppel‐Benson JM, Ollendick TH, Benson MJ. Post‐traumatic stress in children following motor vehicle accidents. Journal of Child Psychology and Psychiatry 2002; 43: 203-212.

42. Koren D, Arnon I, Klein E. Acute stress response and posttraumatic stress disorder in traffic accident victims: a one-year prospective, followup study. American Journal of Psychiatry 1999; 156: 367-373.

43. Stallard P, Velleman R, Baldwin S. Prospective study of post-traumatic stress disorder in children involved in road traffic accidents. Bmj 1998; 317: 1619-1623.

44. Milgram NA, Toubiana YH, Klingman A, Raviv A, Goldstein I. Situational exposure and personal loss in children's acute and chronic stress reactions to a school bus disaster. Journal of Traumatic Stress 1988; 1: 339-352.

45. N. Saxe G, Stoddard F, Hall E, Chawla N, et al. Pathways to PTSD, part I: children with burns. American Journal of Psychiatry 2005; 162: 1299- 1304.

46. Stallard P, Smith E. Appraisals and cognitive coping styles associated with chronic post‐traumatic symptoms in child road traffic accident survivors. Journal of Child Psychology and Psychiatry 2007; 48: 194-201.

47. Zink KA, McCain GC. Post‐Traumatic Stress Disorder in Children and Adolescents With Motor Vehicle–Related Injuries. Journal for Specialists in Pediatric Nursing 2003; 8: 99-106.

48. Kassam-Adams N, Winston FK. Predicting child PTSD: The relationship between acute stress disorder and PTSD in injured children. Journal of the American Academy of Child & Adolescent Psychiatry 2004; 43: 403-411.

49. Mirza K, Bhadrinath B, Goodyer IM, Gilmour C. Post-traumatic stress disorder in children and adolescents following road traffic accidents. The British Journal of Psychiatry 1998; 172: 443-447.
Eastern Journal of Medicine-Cover
  • ISSN: 1301-0883
  • Başlangıç: 1996
  • Yayıncı: ERBİL KARAMAN
Sayıdaki Diğer Makaleler

Recurrent Laryngeal Nerve Injury In Total Thyroidectomy With Intraoperative Nerve Monitoring And Harmonic Sealing Instrument: A Retrospective Analysis and Treatment Results

Sema YÜKSEKDAĞ, Ahmet TOPÇU, İldem DEVECİ, Ethem ÜNAL

Effects of Increasing Positive End-Expiratory Pressure (PEEP) Values on Intraabdominal Pressure and Hemodynamics: A Prospective Clinical Study

Uğur Serkan DUMANLIDAĞ, NUREDDİN YÜZKAT, CELALEDDİN SOYALP, NURÇİN GÜLHAŞ

Socio-Demographic Determinants of Dental Anxiety and Fear Among College Students

Esin ÖZLEK, ABDULLAH YILDIRIM, Alaettin KOÇ, MURAT BOYSAN

Musculoskeletal Health Committee Report on Evaluation of Musculosketeal Disability in Van

MURAT TOPRAK, Metin ERDEN

Overexpression of Insulin Receptor Substrate 1 (IRS1) Promotes Radioresistance In A172 Glioblastoma Cell Line

GÖKHAN GÖRGİŞEN, TAHİR ÇAKIR, CAN ATEŞ, İsmail Musab GÜLAÇAR, Zafer YAREN

Evaluation of Pediatric Patients With Severe Pulmonary Arterial Hypertension

Serdar EPÇAÇAN, MEHMET GÖKHAN RAMOĞLU, EMRAH ŞİŞLİ, Çayan ÇAKIR, Zerrin KARAKUŞ EPÇAÇAN, Mustafa Orhan BULUT

Hydrostatic Reduction Supported With External Manuel Reduction In Treatment Of Intussusception: A New Technical Synthesis

BURHAN BEGER, Baran Serdar KIZILYILDIZ, Metin ŞİMŞEK, Ebuzer DÜZ, HÜSEYİN AKDENİZ

Evaluation of Relationships Between Postural and Functional Lateral Preferences and Chewing Side Among Students In Eastern Turkey

ÖZLEM ERGÜL ERKEÇ, SIDDIK KESKİN

Evolution of the Infirmary During the Medieval; Social, Economic and Religious Status

Levent BAYAM, Vasileios STOGİANNOS, Sajid KHAWAJA, Robert SMİTH, Efstathios DRAMPALOS

Apparent Diffusion Coefficient Variabilities of the Optic Nerve in Multiple Sclerosis: Optic Nerve Head and Intraorbital Segment

MEHMET HAMDİ ŞAHAN, MİKAİL İNAL, NEŞE ASAL, NESRİN BÜYÜKTORTOP GÖKÇINAR