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Indicated and selective preventive interventions.

Meghan L Marsac1, Katharine Donlon2, Steven Berkowitz3

  • 1Department of Pediatrics, Center for Injury Research and Prevention, The Children's Hospital of Philadelphia, 3535 Market Street, Philadelphia, PA 19104, USA; Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, 3451 Walnut Street, Philadelphia, PA 19104, USA.

Child and Adolescent Psychiatric Clinics of North America
|March 25, 2014
PubMed
Summary

Children exposed to trauma may develop posttraumatic stress symptoms (PTSS), impacting long-term outcomes. Family-centered interventions show promise for prevention, though more research is needed for best practices.

Keywords:
Child traumaPosttraumatic stressPosttraumatic stress disorderPreventive interventions

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Area of Science:

  • Child psychology
  • Trauma studies
  • Pediatric mental health

Background:

  • Traumatic events pose a significant risk for children developing posttraumatic stress symptoms (PTSS).
  • These symptoms can lead to adverse long-term functional outcomes.
  • Research into risk factors and preventive interventions for pediatric PTSS is ongoing.

Purpose of the Study:

  • To review the current understanding of risk factors for persistent PTSS in children.
  • To evaluate the evidence for preventive interventions for pediatric PTSS.
  • To identify gaps in current research and guide future studies.

Main Methods:

  • Literature review of existing research on pediatric PTSS risk factors.
  • Analysis of evidence for psychological and pharmacological interventions.
  • Synthesis of findings to assess the state of preventive practices.

Main Results:

  • Family-centered interventions, including psychoeducation and parent-child communication, show promise.
  • Morphine is the only pharmacologic intervention with sufficient evidence in children.
  • Evidence for preventive interventions is still developing.

Conclusions:

  • Family-centered approaches are promising for preventing PTSS in children.
  • Further research is essential to establish evidence-based, gold-standard preventive practices.
  • Targeted interventions are needed to mitigate the long-term effects of trauma on children.