title: Children's predisaster functioning as a predictor of posttraumatic stress following Hurricane Andrew.
abstract: This study examined (a) children's predisaster behavioral and academic functioning as a predictor of posttraumatic stress (PTS) following Hurricane Andrew and (b) whether children who were exposed to the disaster would display a worsening of prior functioning. Fifteen months before the disaster, 92 4th through 6th graders provided self-reports of anxiety; peers and teachers rated behavior problems (anxiety, inattention, and conduct) and academic skills. Measures were repeated 3 months postdisaster; children also reported PTS symptoms and hurricane-related experiences (i.e., exposure). PTS symptoms were again assessed 7 months postdisaster. At 3 months postdisaster, children's exposure to the disaster, as well as predisaster ratings of anxiety, inattention, and academic skills, predicted PTS symptoms. By 7 months, only exposure, African American ethnicity, and predisaster anxiety predicted PTS. Prior anxiety levels also worsened as a result of exposure to the disaster. The findings have implications for identifying and treating children at risk for stress reactions following a catastrophic disaster.
authors.affiliation: Department of Psychology, University of Miami, Florida 33124, USA. alagreca@miami.edu
authors.forename: A M
authors.initials: AM
authors.lastname: La Greca
authors.forename: W K
authors.initials: WK
authors.lastname: Silverman
authors.forename: S B
authors.initials: SB
authors.lastname: Wasserstein
mesh_terms: D000275:Adjustment Disorders / Q000523:psychology; D001741:Black or African American / Q000523:psychology / Q000706:statistics & numerical data; D002648:Child; D002652:Child Behavior / Q000523:psychology*; D003710:Demography; D004190:Disasters; D005260:Female; D005431:Florida / Q000453:epidemiology; D005500:Follow-Up Studies; D006630:Hispanic or Latino / Q000523:psychology / Q000706:statistics & numerical data; D006801:Humans; D008016:Life Change Events; D008297:Male; D011237:Predictive Value of Tests; D011446:Prospective Studies; D011569:Psychiatric Status Rating Scales / Q000706:statistics & numerical data; D012044:Regression Analysis; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis / Q000208:ethnology / Q000523:psychology*; D013315:Stress, Psychological / Q000523:psychology*; D044465:White People / Q000523:psychology / Q000706:statistics & numerical data