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Published on: October 13, 2018
Commentary: Paediatric post-traumatic stress disorder from a neurodevelopmental network perspective: reflections on
1Department of Psychiatry, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Insights
Network-based approaches can help understand youth post-traumatic stress disorder (PTSD) development. Future research should integrate data across sites to improve clinical care for pediatric PTSD.
Area of Science:
- Neuroscience
- Child Psychology
- Psychiatry
Background:
- Pediatric post-traumatic stress disorder (PTSD) is a complex disorder with varied neurobiological underpinnings.
- The expression of PTSD in youth is influenced by ongoing developmental processes, adding complexity.
- Current understanding necessitates broader approaches to study PTSD development and expression in children.
Purpose of the Study:
- To highlight knowledge gaps in pediatric PTSD research identified by Weems et al.
- To propose leveraging network-based approaches for studying youth PTSD.
- To outline pathways for translating network-based research into clinical care for pediatric PTSD.
Main Methods:
- Review of existing literature on pediatric PTSD and network-based approaches.
- Identification of key concepts for network-based research in youth PTSD.
- Discussion of future research directions, including prospective studies and data integration.
Main Results:
- Network-based approaches offer a framework for understanding PTSD symptom architecture over development.
- Identification of resilient and vulnerable patterns in symptom and brain networks post-trauma is crucial.
- Considering the divergence between biological and chronological development can inform understanding of resilience and vulnerability.
Conclusions:
- Larger, prospective studies are needed to advance and translate network-based research into clinical practice.
- Integrating data across multiple research groups and sites is essential for robust findings.
- Network-based strategies hold promise for a more nuanced understanding and treatment of pediatric PTSD.
Abstract:
Paediatric post-traumatic stress disorder (PTSD) is an incredibly heterogeneous and syndromic disorder that likely has a myriad of underlying neurobiological mechanisms at play. The disorder is even more complicated in youth, given that the expression of illness interacts with ongoing developmental processes. In their review in this issue, Weems and colleagues call for broader network-based approaches for studying the development and expression of PTSD in youth. In this commentary, I highlight some of the important knowledge gaps raised by Weems et al. and propose ways in which future studies may leverage network-based approaches for eventual translation into clinical care. Key concepts include the use of network-based approaches for understanding the emergence and maintenance of PTSD symptom architecture over development, identification of resilient and vulnerable patterns of symptom and brain network architecture following trauma, and consideration of how divergence between biological (e.g. brain) and chronological may inform our understanding of resilient and vulnerable patterns over development. Importantly, advancing and translating this work to clinical care will require larger, prospective studies assessing youth as early in development as possible, and integrating information across multiple research groups and sites.
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