A Pilot Randomized Controlled Trial Assessing Secondary Prevention of Traumatic Stress Integrated into Pediatric Trauma Care

Overview

Journal J Trauma Stress

Publisher Wiley

Specialties Emergency Medicine
Psychology

Date 2011 May 20

PMID 21594900

Citations 21

Authors

Nancy Kassam-Adams

J Felipe Garcia-Espana

Meghan L Marsac

Kristen L Kohser

Chiara Baxt

Michael Nance

Flaura Winston

Affiliations

Soon will be listed here.

Abstract

Medical settings provide opportunities for secondary prevention of traumatic stress and other sequelae of pediatric injury. This pilot randomized trial evaluated the delivery and effectiveness of a targeted preventive intervention based on best practice recommendations and integrated within acute medical care. Hospitalized injured children were screened for risk of developing posttraumatic stress disorder (PTSD). Those at risk (N = 85) were randomized to the intervention (n = 46) or usual care (n = 39). The preventive intervention did not reduce PTSD or depression severity or increase health-related quality of life, compared to usual care. Both groups improved over time, but 6 months postinjury approximately 10% of each group still met criteria for PTSD, suggesting room for improvement in comprehensive pediatric injury care.

Citing Articles

Posttraumatic stress and depression symptom classes in parents of trauma-exposed children: a transdiagnostic perspective using pooled individual participant data.

Sadeh Y, Graham L, Curtis M, Janson M, Kim J, Schwartz A Eur J Psychotraumatol. 2024; 15(1):2299194.

PMID: 38197328 PMC: 10783838. DOI: 10.1080/20008066.2023.2299194.

Is Pediatric Intensive Care Trauma-Informed? A Review of Principles and Evidence.

Demers L, Wright N, Kopstick A, Niehaus C, Hall T, Williams C Children (Basel). 2022; 9(10).

PMID: 36291511 PMC: 9600460. DOI: 10.3390/children9101575.

Early Interventions to Prevent Post-Traumatic Stress Disorder in Youth after Exposure to a Potentially Traumatic Event: A Scoping Review.

Kerbage H, Bazzi O, El Hage W, Corruble E, Purper-Ouakil D Healthcare (Basel). 2022; 10(5).

PMID: 35627955 PMC: 9141228. DOI: 10.3390/healthcare10050818.

Development of an international data repository and research resource: the Prospective studies of Acute Child Trauma and Recovery (PACT/R) Data Archive.

Kassam-Adams N, Kenardy J, Delahanty D, Marsac M, Meiser-Stedman R, Nixon R Eur J Psychotraumatol. 2020; 11(1):1729025.

PMID: 32284820 PMC: 7144287. DOI: 10.1080/20008198.2020.1729025.

Latent classes of DSM-5 acute stress disorder symptoms in children after single-incident trauma: findings from an international data archive.

Lenferink L, Egberts M, Kullberg M, Meentken M, Zimmermann S, Mertens Y Eur J Psychotraumatol. 2020; 11(1):1717156.

PMID: 32128042 PMC: 7034476. DOI: 10.1080/20008198.2020.1717156.

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