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Traumatic reactivation during court trial among a pediatric patient cohort: the example of the July 14, 2016 Nice
Morgane Gindt1, Radia Zeghari1, Jokthan Guivarch2
1Nice Pediatric Psychotrauma Center (NPPC), Child and Adolescent Psychiatry Department, Hôpitaux Pédiatriques Universitaires Lenval, 06200, Nice, France; CoBTeK (Cognition-Behaviour-Technology) Lab, Université Cote d'Azur, 06000, Nice, France.
Background:
The court trial for the July 14, 2016, Nice terrorist attack took place in Fall 2022.
Objective:
This study aimed to assess the clinical and cognitive impacts of this trial on children aged 7-12 participating in our ongoing epidemiological research, the 14-7 Program.
Participants And Setting:
Seventy-three children from this cohort participated, and 52 completed a second evaluation after the trial.
Method:
Clinical scales assessed trauma (CPC), anxiety (STAI), and depression (CDI) symptoms. Two groups were defined according to Post Traumatic Stress Symptoms: PTSS + vs PTSS - (CPC scores). Neuropsychological tests evaluating verbal episodic memory, visual memory, executive functions, and visuospatial processes were administered before the trial (August 2022) and after the trial (January 2023). Cognitive z-scores were adjusted to account for age differences between the two assessments. Repeated-measures ANOVA and correlation tests were performed between clinical scales and cognitive measures.
Results:
Children from PTSS + group displayed greater depression and anxiety scores compared to the PTSS - group. Interestingly, depression symptoms decreased significantly after the trial, while anxiety and post-traumatic stress symptoms remained stable. Overall, participants showed lower performance in information processing and encoding after the trial, but no significant differences emerged between PTSS groups.
Conclusions:
This study highlights the impact of this court trial on clinical symptoms among trauma-exposed youth and the complex interplay between childhood trauma, PTSS and cognitive performance. Future research should explore these relationships further to optimize interventions for trauma-exposed youth.
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