Diagnosis
The Child Trauma Screening Questionnaire predicts PTSD onset 6 months after traumatic accident better than the Children’s Impact of Events Scale
Kenardy JA, Spence SH, Macleod AC. Screening for posttraumatic stress disorder in children after accidental injury. Pediatrics 2006;118:1002–9.
Q Does the Child Trauma Screening Questionnaire predict which children are at risk of developing post-traumatic stress disorder after a traumatic accident?
| The first 150 words of the full text of this article appear below. |
Design:
Diagnostic cohort study.
Setting:
Three hospitals in South East Queensland, Australia; time period not stated.
Patients:
135 children (84 boys and 51 girls; aged 7–16 years) admitted to hospital following traumatic accidents (eg, car and bike accidents, falls, burns, dog attacks, and sporting injuries). Exclusions: intellectual impairment, children not speaking fluent English, head injury, children in foster care, and children with an accident as a result of child abuse.
Test:
Child Trauma Screening Questionnaire (CTSQ) and the Children’s Impact of Events Scale (CIES) both administered within 2 weeks of the accident.
Diagnostic standard:
DSM-IV diagnosis full or subsyndromal post-traumatic stress disorder (PTSD) 6 months after the accident using the Anxiety Disorders Interview Schedule, Child version, Parent Interview Schedule.
Outcomes:
Sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV).
At 6 months, 1% of children met DSM-IV criteria for full, and 8% met criteria for subsyndromal PTSD. Threshold
Department of Psychiatry, University of Texas Health Sciences Center at
San Antonio, San Antonio, Texas, USA
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