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Understanding PTSD in Portuguese Youth: Predictors and Risk Factors in a Multi-Clinic, Treatment-Engaged Sample.
Inês Barroca1,2, Inês Pinto3,4,5,6, Paula Saraiva Carvalho7,8
1Child and Adolescent Psychiatry Service, Unidade Local de Saúde de Lisboa Ocidental, Lisbon, Portugal.
Childhood posttraumatic stress disorder (PTSD) affects 35.6% of clinical samples. Risk factors include older age, interpersonal trauma, and dissociative symptoms, highlighting the need for targeted interventions.
Area of Science:
- Child and Adolescent Psychiatry
- Trauma Psychology
- Clinical Psychology
Background:
- Posttraumatic stress disorder (PTSD) is prevalent in children and adolescents.
- Existing research often overlooks pediatric PTSD predictors, focusing primarily on adults.
Purpose of the Study:
- To determine the prevalence of PTSD in a clinical sample of children and adolescents.
- To identify pre-traumatic, event-related, and post-traumatic factors associated with PTSD development.
Main Methods:
- Utilized clinical records and standardized assessments (Clinician-Administered PTSD Scale, Checklist of Potentially Traumatic Events).
- Included 101 participants aged 7-18 with at least one traumatic event and a 1-month follow-up.
Main Results:
- PTSD prevalence was 35.6%.
- Older age, interpersonal traumatic events, and being a single involved person increased PTSD risk.
- Dissociative symptoms showed the strongest association with PTSD, followed by avoidance, intrusive thoughts, and mood/cognition symptoms.
Conclusions:
- Several factors predict PTSD development in pediatric populations.
- Increased awareness, specialized training for healthcare workers, and targeted prevention/intervention strategies are crucial for promoting long-term child well-being.
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