title: Children's emotional and behavioral reactions to disasters: role of the primary care physician.
abstract: BACKGROUND
  Children are especially vulnerable to the effects of disasters. The coming tornado season raises concerns about enduring problems and anniversary reactions related to the May 2013 tornadoes as well as anxiety about the possibility of new events.
  
  
  METHODS
  This article describes common emotional and behavioral disaster reactions in children and also identifies reactions unique to a particular age. Reactions are clustered into depressive, anxious, and behavioral symptoms and physiological responses.
  
  
  RESULTS
  This article outlines the key elements in assessing children's disaster reactions and provides specific recommendations for situations that would indicate the need for a mental health evaluation such as for directly-exposed children, children who experience disaster-related losses, those with pre-existing vulnerabilities, and those with significant symptoms.
  
  
  CONCLUSIONS
  Primary care physicians can help identify the emotional and behavioral effects of disasters in children, educate parents to recognize children's reactions, and refer children in need of specialized care.
authors: Swapna N
authors: SN
authors: Deshpande
authors: Betty
authors: B
authors: Pfefferbaum
authors: Sandra F
authors: SF
authors: Allen
authors: Laura B
authors: LB
authors: Smith
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D004190:Disasters; D005500:Follow-Up Studies; D017408:Guidelines as Topic; D006801:Humans; D008403:Mass Screening / Q000592:standards*; D010819:Physician's Role; D058007:Physicians, Primary Care; D018570:Risk Assessment; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis* / Q000523:psychology; D017741:Survivors / Q000523:psychology