Evaluation of an early risk screener for PTSD in preschool children after accidental injury.
OBJECTIVE
To evaluate the effectiveness and most powerful selection of predictors of an early screening tool for posttraumatic stress disorder (PTSD) in a sample of 87 children ages 2 to 6 years after unintentional injury.


METHODS
The examined screener was administered within 6 to 13 days post accident and consisted of an adapted version of the Pediatric Emotional Distress Scale (PEDS), the PEDS-ES (PEDS Early Screener), and questions on 5 additional risk factors (preexisting child behavioral problems, parental preexisting chronic mental or physical illness, pretraumatic life events in the family, parental feelings of guilt, parental posttraumatic stress). The PTSD Semi-structured Interview and Observational Record for Infants and Young Children served as criterion measure 6 months after the accident. A case was deemed positive when meeting criteria for full or partial PTSD.


RESULTS
Use of the PEDS-ES without the additional risk factors performed best, with good sensitivity (85%) and moderate specificity (63%) for full or partial PTSD.


CONCLUSIONS
The PEDS-ES allows for successful early screening of preschool-aged children after single accidental trauma. It may be used within a stepped-care model for early identification of individuals designated for possible secondary preventative interventions.
Department of Psychosomatics and Psychiatry, University Children's Hospital Zurich, Steinwiesstrasse 75, CH-8032 Zurich, Switzerland. markus.landolt@kispi.uzh.ch.
Didier N
DN
Kramer
Matthias B
MB
Hertli
Markus A
MA
Landolt
D000059:Accidents / Q000523:psychology; D000063:Accidents, Traffic / Q000523:psychology*; D002056:Burns / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology*; D002648:Child; D002675:Child, Preschool; D042241:Early Diagnosis; D005260:Female; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000523:psychology* / Q000592:standards*; D015203:Reproducibility of Results; D012307:Risk Factors; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology*
accident; assessment and surveillance; injuries; mental health; public health