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Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
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Pediatric Posttraumatic Stress Disorder Treatment Patterns: Insights from a Large Retrospective Study.

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Pediatric posttraumatic stress disorder (PTSD) care shows frequent psychotropic medication use, often before psychotherapy. Significant racial and ethnic disparities exist in treatment, highlighting a need for equitable, evidence-based care protocols.

Keywords:
PTSDpediatricspsychopharmacologypsychotherapytreatment

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Area of Science:

  • Child and Adolescent Psychiatry
  • Mental Health Services Research
  • Pharmacological Treatments

Background:

  • Posttraumatic stress disorder (PTSD) significantly impairs functioning in children and adolescents.
  • Psychotherapy is the recommended first-line treatment for pediatric PTSD.
  • Off-label psychotropic medication use is common in pediatric PTSD care.

Purpose of the Study:

  • To examine national treatment patterns for pediatric PTSD.
  • To identify disparities in the care of pediatric PTSD patients.
  • To analyze the utilization of psychotherapy and psychotropic medications.

Main Methods:

  • Retrospective analysis of 61,516 pediatric patients (ages 6-18) diagnosed with PTSD.
  • Utilized data from the TriNetX Research Network.
  • Analyzed treatment patterns across demographic and clinical variables using odds and hazard ratios.

Main Results:

  • Antidepressants were used in 51.4% and antipsychotics in 30.5% of cases, with psychotherapy utilization at 35.5%.
  • Black and Hispanic youth received fewer psychotropics, and Black youth had lower odds of receiving psychotherapy.
  • Higher clinical severity correlated with increased antipsychotic use.

Conclusions:

  • Pediatric PTSD care exhibits significant variability, with frequent psychotropic use often preceding psychotherapy.
  • Substantial racial and ethnic disparities were observed in treatment patterns.
  • Standardized protocols and targeted strategies are needed to improve access and reduce inequities in pediatric PTSD care.