Predictive validity of acute stress disorder in children and adolescents.
Adult research suggests that the dissociation criterion of acute stress disorder has limited validity in predicting post-traumatic stress disorder (PTSD). We addressed this issue in child and adolescent survivors (n=367) of road accidents. Dissociation accounted for no significant unique variance in later PTSD, over and above other acute stress disorder criteria. Furthermore, thresholds of either three or more re-experiencing symptoms, or six or more re-experiencing/hyperarousal symptoms, were as effective at predicting PTSD as the full acute stress disorder diagnosis.
Dalgleish
Tim
T
Medical Research Council Cognition and Brain Sciences Unit, Cambridge, UK. tim.dalgleish@mrc-cbu.cam.ac.uk
Meiser-Stedman
Richard
R
Kassam-Adams
Nancy
N
Ehlers
Anke
A
Winston
Flaura
F
Smith
Patrick
P
Bryant
Bridget
B
Mayou
Richard A
RA
Yule
William
W
D000063:Accidents, Traffic / Q000523:psychology*; D000293:Adolescent; D000328:Adult; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D011237:Predictive Value of Tests; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology; D040701:Stress Disorders, Traumatic, Acute / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology