Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Email this article to a Colleague Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to My Articles & Searches Download to citation manager Citing Articles via HighWire Citing Articles via Google Scholar Articles by N. Saxe, G. Articles by Yehuda, R. Search for Related Content PubMed Citation Articles by N. Saxe, G. Articles by Yehuda, R. Child/Adolescent Psychiatry Posttraumatic Stress Disorder Syndromes Secondary to General Medical Disorders Related Article

Pathways to PTSD, Part I: Children With Burns

OBJECTIVE: The goal of this study was to develop a model of risk factors for posttraumatic stress disorder (PTSD) in a group of acutely burned children. METHOD: Seventy-two children between the ages of 7 and 17 who were admitted to the hospital for an acute burn were eligible for study. Members of families who consented completed the Child PTSD Reaction Index, the Multidimensional Anxiety Scale for Children, and other self-report measures of psychopathology and environmental stress both during the hospitalization and 3 months following the burn. A path analytic strategy was used to build a model of risk factors for PTSD. RESULTS: Two pathways to PTSD were discerned: 1) from the size of the burn and level of pain following the burn to the child’s level of acute separation anxiety, and then to PTSD, and 2) from the size of the burn to the child’s level of acute dissociation following the burn, and then to PTSD. Together these pathways accounted for almost 60% of the variance in PTSD symptoms and constituted a model with excellent fit indices. CONCLUSIONS: These findings support a model of complex etiology for childhood PTSD in which two independent pathways may be mediated by different biobehavioral systems.

Related Article:

In This Issue
Am J Psychiatry 2005 162: A48. [Full Text] [PDF]

This article has been cited by other articles:

				M. A. Landolt, C. Buehlmann, T. Maag, and C. Schiestl Brief Report: Quality of Life Is Impaired in Pediatric Burn Survivors with Posttraumatic Stress Disorder J. Pediatr. Psychol., January 1, 2009; 34(1): 14 - 21. [Abstract] [Full Text] [PDF]

				Identifying Children at Risk for PTSD Journal Watch Psychiatry, August 17, 2005; 2005(817): 6 - 6. [Full Text]

Get information about faster international access.

Privacy Policy

Copyright © 2005 American Psychiatric Association. All rights reserved.

Home | Search | Current Issue | Past Issues | Subscribe | All APPI Journals | Help | Contact Us