Enhanced screening for posttraumatic stress disorder and comorbid diagnoses in children and adolescents

Posttraumatic stress disorder (PTSD) can be a debilitating disorder and often co-occurs with other psychiatric disorders, such as mood, behavioral, and anxiety disorders. Early identification of PTSD and psychiatric comorbidity is highly relevant in order to offer children appropriate and timely treatment. The Children's Revised Impact of Event Scale (CRIES-13) is a reliable and valid self-report measure designed to screen children for PTSD. However, this measure is not useful as a screen for psychiatric comorbidity in children with probable PTSD. This study evaluated the screening accuracy of... Mehr ...

Verfasser: Eva Verlinden (8411271)
Brent C. Opmeer (14338679)
Els P. M. Van Meijel (14338682)
Renée Beer (14338685)
Carlijn De Roos (14338688)
Iva A. E. Bicanic (14338691)
Francien Lamers-Winkelman (14338694)
Miranda Olff (136732)
Frits Boer (14338697)
Ramón J. L. Lindauer (12895948)
Dokumenttyp: Dataset
Erscheinungsdatum: 2023
Schlagwörter: Medicine / Neuroscience / Biotechnology / Sociology / Science Policy / Mental Health / Biological Sciences not elsewhere classified / Chemical Sciences not elsewhere classified / various traumatic events / may help clinicians / fair discriminatory ability / assigning appropriate follow / six additional items / posttraumatic stress disorder / 12 additional items / offer children appropriate / 398 dutch children / report measure designed / point .</ p / additional items associated / three items / items associated / five items / debilitating disorder / ≥ 14 / ≥ 10 / valid self / timely treatment / study evaluated / significantly associated / screening accuracy / revised impact / psychiatric disorders / psychiatric diagnoses / psychiatric comorbidity / often co / highly relevant / findings support / event scale / enhanced screening / early identification / comorbid disorders / comorbid diagnoses / assessed using / anxiety disorders
Sprache: unknown
Permalink: https://search.fid-benelux.de/Record/base-26675123
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://doi.org/10.6084/m9.figshare.21829184.v1

Posttraumatic stress disorder (PTSD) can be a debilitating disorder and often co-occurs with other psychiatric disorders, such as mood, behavioral, and anxiety disorders. Early identification of PTSD and psychiatric comorbidity is highly relevant in order to offer children appropriate and timely treatment. The Children's Revised Impact of Event Scale (CRIES-13) is a reliable and valid self-report measure designed to screen children for PTSD. However, this measure is not useful as a screen for psychiatric comorbidity in children with probable PTSD. This study evaluated the screening accuracy of the CRIES-Plus, that is, the CRIES-13 combined with 12 additional items to detect psychiatric comorbidity. The CRIES-Plus was completed by 398 Dutch children (7–18 years) exposed to various traumatic events. Psychiatric diagnoses were assessed using the Anxiety Disorders Interview Schedule for DSM-IV: Child version. Six additional items were significantly associated with mood disorders, three items were associated with behavioral disorders, and five items with anxiety disorders. Additional items associated with mood and anxiety disorders demonstrated good discriminatory ability, with cut-off scores of ≥14 and ≥10, respectively. Items associated with behavioral disorders had poor to fair discriminatory ability, with no clear cut-off point. Our findings support the use of the CRIES-Plus to screen for PTSD and comorbid disorders which may help clinicians in assigning appropriate follow-up diagnostic and clinical care.