Post-traumatic stress disorder and its treatment in children and adolescents.
This article reviews current concepts of and treatments for post-traumatic stress disorder (PTSD) in children and adolescents. We discuss the DSM-IV-TR diagnostic criteria and their applicability to children and adolescents. We also review the history of PTSD and the development of its diagnostic criteria. We present the concept of complex trauma and trauma's effect on the developing child and describe a new diagnosis labeled developmental trauma disorder that would better describe children and adolescents who have been exposed to abuse and neglect. Finally, we summarize psychotherapeutic and psychopharmacologic approaches to treating PTSD in children and adolescents. More research is needed on the diagnosis and treatment of PTSD in children and adolescents.
Najjar
Fedra
F
Institute for Juvenile Research, University of Illinois at Chicago, 1747 West Roosevelt Road, Room 155, Chicago, IL 60608, USA. Fnajjar@psych.uic.edu
Weller
Ronald A
RA
Weisbrot
Jessica
J
Weller
Elizabeth B
EB
D000293:Adolescent; D002648:Child; D002649:Child Abuse / Q000523:psychology; D002675:Child, Preschool; D015283:Citalopram / Q000627:therapeutic use; D002986:Clinical Trials as Topic; D003000:Clonidine / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003430:Cross-Sectional Studies; D039721:Diagnostic and Statistical Manual of Mental Disorders; D006801:Humans; D011433:Propranolol / Q000627:therapeutic use; D011613:Psychotherapy; D011619:Psychotropic Drugs / Q000627:therapeutic use*; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology / Q000628:therapy*
D011619:Psychotropic Drugs; D015283:Citalopram; D011433:Propranolol; D003000:Clonidine