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[Typology of posttraumatic stress disorder in children and adolescents]
Insights
This study identified four main clinical variants of posttraumatic stress disorder (PTSD) in children and adolescents: insomniac, phobic, psychopathic-like, and asthenic-depressive. These PTSD types vary in prognosis and are influenced by patient age and ethnicity.
Area of Science:
- Psychiatry
- Child and Adolescent Psychology
- Trauma Studies
Background:
- Posttraumatic stress disorder (PTSD) significantly impacts children and adolescents.
- Understanding clinical heterogeneity is crucial for effective treatment.
Purpose of the Study:
- To clinically and psychopathologically characterize PTSD in pediatric populations.
- To identify distinct clinical variants of PTSD in children and adolescents.
Main Methods:
- Clinical and psychopathological assessment of 161 patients aged 3-18 years.
- Analysis of illness duration ranging from 1 month to 4 years.
- Categorization based on observed clinical presentations and symptoms.
Main Results:
- Four primary clinical variants of PTSD were identified: insomniac (34.8%), phobic (23.6%), psychopathic-like (21.7%), and asthenic-depressive (19.9%).
- These variants demonstrated differences in clinical course and prognosis.
- The frequency of each variant was associated with patient age and ethnicity.
- No significant sex-dependent differences were observed in the distribution of these variants.
Conclusions:
- PTSD in children and adolescents presents with distinct clinical subtypes.
- Age and ethnicity are significant factors influencing PTSD variant manifestation.
- Further research into tailored interventions for each variant is warranted.
Abstract:
The results of clinical and psychopathological study of 161 patients with posttraumatic stress disorder (PTSD), aged 318 years, illness duration from 1 month to 4 years, are presented. Four main clinical PTSD variants (types) have been singled out in children and adolescents: insomniac (34.8%), phobic (23.6%), psychopathic-like (21.7%) and asthenic-depressive (19.9%). These variants differed in the course and prognosis and their frequency depended on age and ethnicity of patients. No sex-dependent differences have been found.
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