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PTSD in Children Younger Than the Age of 13: Toward Developmentally Sensitive Assessment and Management
1Institute of Infant and Early Childhood Mental Health, Department of Psychiatry and Neurology, Tulane University School of Medicine, mscheer@tulane.edu.
Abstract:
Assessment of posttraumatic stress disorder (PTSD) is more difficult compared to other disorders for multiple reasons that are listed and explained. Multiple causes of low sensitivity for making the PTSD diagnosis in children are discussed. Diagnostic validity and comorbidity issues in particular are highlighted. For the diagnostic criteria, wording changes to five of the items have been proposed, but the most substantial proposed change is lowering the criterion C requirement from three to one symptom. Early studies suggest the course is more chronic. Parenting effects are reviewed and caution is urged before drawing premature conclusions about the directionality of effects. Advice for interviewing respondents is organized into seven practical suggestions. Treatment implications from the above are discussed.
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