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Posttraumatic stress disorder in children: implications for assessment, prevention, and referral in primary care

B Pfefferbaum1, S Nawaz, L J Kearns

  • 1Department of Psychiatry and Behavioral Sciences, University of Oklahoma Health Sciences Center-Oklahoma City, USA.

The Journal of the Oklahoma State Medical Association
|July 29, 1999
PubMed

Insights

Posttraumatic Stress Disorder (PTSD) is common in children after trauma and can involve other conditions. Factors like the event, child, family, and environment influence symptoms, necessitating physician assessment.

Area of Science:

  • Pediatric mental health
  • Trauma studies
  • Clinical psychology

Background:

  • Posttraumatic Stress Disorder (PTSD) is a recognized condition in children following traumatic events.
  • PTSD in children is prevalent and frequently co-occurs with other mental health issues.
  • Symptom development is multifactorial, influenced by event characteristics, individual child factors, family dynamics, and the sociocultural context.

Purpose of the Study:

  • To highlight the commonality and complexity of Posttraumatic Stress Disorder (PTSD) in pediatric populations.
  • To identify key factors contributing to the manifestation of PTSD symptoms in children.
  • To emphasize the role of primary care physicians in screening for trauma exposure and response.

Main Methods:

  • This study synthesizes existing literature on pediatric Posttraumatic Stress Disorder (PTSD).
  • It examines etiological factors influencing symptom development.
  • It reviews the clinical presentation and diagnostic considerations.

Main Results:

  • Posttraumatic Stress Disorder (PTSD) is a significant concern in children exposed to trauma.
  • Comorbid conditions are frequently observed alongside PTSD.
  • A complex interplay of individual, familial, and environmental factors shapes symptom presentation.

Conclusions:

  • Primary care physicians play a crucial role in identifying children at risk for PTSD.
  • Routine screening for trauma exposure and PTSD symptoms is recommended in pediatric primary care settings.
  • Early identification and intervention are vital for managing pediatric PTSD and associated comorbidities.

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