The role of the family in child and adolescent posttraumatic stress following attendance at an emergency department.
OBJECTIVE
To evaluate the role of family factors in posttraumatic stress symptomatology (PTSS) in children and adolescents who have attended an emergency department following assaults or motor vehicle accident.


METHODS
Children and their parents completed self-report questionnaires and semistructured interviews relating to their psychopathology and cognitive styles at 2-4 weeks and 6 months after trauma.


RESULTS
Parental depression was correlated with child PTSS at each assessment point. Less consistent findings were observed for family functioning. Parental endorsement of worry was a correlate of child PTSS at each assessment and a mediator between parental depression and child PTSS.


CONCLUSIONS
A role for family factors, in particular parental depression and parental endorsement of worry, in the development of child PTSS is supported. Weaknesses of the study are discussed, and suggestions for future research are given.
Meiser-Stedman
Richard A
RA
Department of Psychology (P77), Institute of Psychiatry, De Crespigny Park, London, SE5 8AF, United Kingdom. r.meiser-stedman@iop.kcl.ac.uk
Yule
William
W
Dalgleish
Tim
T
Smith
Patrick
P
Glucksman
Edward
E
D000063:Accidents, Traffic / Q000523:psychology; D000293:Adolescent; D002648:Child; D004632:Emergency Medical Services; D005190:Family / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D012380:Role; D013313:Stress Disorders, Post-Traumatic / Q000209:etiology* / Q000523:psychology*; D011795:Surveys and Questionnaires; D013997:Time Factors; D014754:Violence; D014947:Wounds and Injuries / Q000523:psychology / Q000534:rehabilitation