Efficacy of Psychological Intervention for Children with Concurrent Posttraumatic Stress Disorder and Mild Traumatic Brain Injury.

Abstract:

:Posttraumatic stress disorder (PTSD) and mild traumatic brain injury (mTBI) are common conditions following motor vehicle accidents (MVAs). Mild TBI and PTSD not only share similar features but may also coexist and interact. Nonetheless, research on psychotherapeutic interventions for PTSD in patients with a history of mTBI, particularly regarding pediatric populations, is limited. The present study compared the efficacy of the prolonged exposure treatment protocol for children and adolescents (PE-A) with PTSD and mTBI (n = 16) versus PTSD alone (n = 21); treatment commenced at least 3 months following an MVA. Emotional status and cognitive functioning were assessed pre- and postintervention using questionnaires and standardized neuropsychological tests. Participants from both groups benefitted from the intervention, as reflected in their emotional status via increased ratings of well-being and decreased ratings of PTSD, anxiety, depression, and postconcussive symptoms, η2 = .21-.50. Ratings of cognitive function also improved for cognitive flexibility, η2 = .30; executive function in everyday life, η2 = .27; and attention and inhibition, η2 = .16. Parental PTSD was the strongest predictor of improvement after intervention, sr2 = .35. Thus, it appears that PE-A is an effective intervention for children with MVA-related PTSD regardless of its comorbidity with mTBI.

journal_name

J Trauma Stress

authors

Shorer M,Segev S,Rassovsky Y,Fennig S,Apter A,Peleg TP

doi

10.1002/jts.22512

subject

Has Abstract

pub_date

2020-06-01 00:00:00

pages

330-337

issue

3

eissn

0894-9867

issn

1573-6598

journal_volume

33

pub_type

杂志文章
  • Relationship Between Peer Victimization and Posttraumatic Stress Among Primary School Children.

    abstract::Peer victimization is a common stressor experienced by children. Although peer victimization has been studied extensively, few studies have examined the potential link between peer victimization and posttraumatic stress disorder (PTSD), and no studies of which we are aware have examined this link among children in pri...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章

    doi:10.1002/jts.22031

    authors: Litman L,Costantino G,Waxman R,Sanabria-Velez C,Rodriguez-Guzman VM,Lampon-Velez A,Brown R,Cruz T

    更新日期:2015-08-01 00:00:00

  • Complex PTSD in victims exposed to sexual and physical abuse: results from the DSM-IV Field Trial for Posttraumatic Stress Disorder.

    abstract::Two hundred thirty four participants in the DSM-IV Posttraumatic Stress Disorder (PTSD) Field Trial who reported sexual and/or physical abuse were evaluated. Participants were categorized according to type of abuse (physical, sexual, both), duration of abuse (acute versus chronic), and onset of abuse (early versus lat...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章

    doi:10.1023/a:1024837617768

    authors: Roth S,Newman E,Pelcovitz D,van der Kolk B,Mandel FS

    更新日期:1997-10-01 00:00:00

  • Operational Stress and Correlates of Mental Health Among Joint Task Force Guantanamo Bay Military Personnel.

    abstract::Military personnel deployed to Joint Task Force Guantanamo Bay (JTF-GTMO) faced numerous occupational stressors. As part of a program evaluation, personnel working at JTF-GTMO completed several validated self-report measures. Personnel were at the beginning, middle, or end of their deployment phase. This study present...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章

    doi:10.1002/jts.22057

    authors: Webb-Murphy JA,De La Rosa GM,Schmitz KJ,Vishnyak EJ,Raducha SC,Roesch SC,Johnston SL

    更新日期:2015-12-01 00:00:00

  • Comorbid anxiety disorders in civilians seeking treatment for posttraumatic stress disorder.

    abstract::Research indicates that posttraumatic stress disorder (PTSD) is associated with high rates of comorbid psychiatric diagnoses. Yet, it remains unknown whether PTSD is associated with greater comorbidity relative to patients with other anxiety disorders. This study examined prevalence of comorbid anxiety disorders with ...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章

    doi:10.1023/A:1014379127240

    authors: Zayfert C,Becker CB,Unger DL,Shearer DK

    更新日期:2002-02-01 00:00:00

  • Attachment, social cognition, and posttraumatic stress symptoms in a traumatized, urban population: evidence for the mediating role of object relations.

    abstract::Research has linked multiple risk and resiliency factors to developing posttraumatic stress disorder (PTSD). One potentially important construct for understanding connections between trauma and PTSD is attachment. Although relationships between attachment and risk for PTSD have been described theoretically, limited re...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章

    doi:10.1002/jts.21815

    authors: Ortigo KM,Westen D,Defife JA,Bradley B

    更新日期:2013-06-01 00:00:00

  • Memory functioning in adult women traumatized by childhood sexual abuse.

    abstract::Memory impairment has been reported in some studies of patients with combat-related posttraumatic stress disorder (PTSD) and in rape victims with PTSD. The authors tested whether explicit memory impairment was evident in adult women who were traumatized by severe sexual abuse in childhood. The California Verbal Learni...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章

    doi:10.1023/A:1024775222098

    authors: Stein MB,Hanna C,Vaerum V,Koverola C

    更新日期:1999-07-01 00:00:00

  • Mental health service utilization by victims of crime.

    abstract::Records of 318 adult and 608 child victims of crime, eligible for Crime Victims Compensation (CVC) in Washington State, were examined. Demographic, crime, and mental health information was collected. A majority of child victims had experienced sexual assault (88%); adults were victims of both sexual (38%) and physical...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章

    doi:10.1023/A:1007818402277

    authors: New M,Berliner L

    更新日期:2000-10-01 00:00:00

  • Psychophysiological predictors of working alliance among treatment-seeking women with complex trauma exposure.

    abstract::Research has established that trauma-related symptoms may impede the formation of a strong working alliance (i.e., interpersonal connection, trust, and shared goals between therapist and client). As the alliance is critical in trauma-focused therapy, we studied how clients' pretherapy factors, including symptoms and p...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章

    doi:10.1002/jts.21968

    authors: Doukas A,D'Andrea W,Doran J,Pole N

    更新日期:2014-12-01 00:00:00

  • PTSD and physical comorbidity among women receiving Medicaid: results from service-use data.

    abstract::Patterns of physical comorbidity among women with posttraumatic stress disorder (PTSD) were explored using Michigan Medicaid claims data. PTSD-diagnosed women (n = 2,133) were compared with 14,948 randomly selected women in three health outcome areas: ICD-9 categories of disease, chronic conditions associated with sex...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章

    doi:10.1002/jts.20097

    authors: Seng JS,Clark MK,McCarthy AM,Ronis DL

    更新日期:2006-02-01 00:00:00

  • Problem gambling in Australian PTSD treatment-seeking veterans.

    abstract::This study explored gambling among Australian veterans entering posttraumatic stress treatment programs (n = 153). Twenty-eight percent reached the South Oaks Gambling Screen (SOGS) criteria for probable problem gambling, as did 17% on the DSM-IV gambling scale (Diagnostic and Statistical Manual of Mental Disorders, F...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章

    doi:10.1002/jts.20084

    authors: Biddle D,Hawthorne G,Forbes D,Coman G

    更新日期:2005-12-01 00:00:00

  • Dissociative processes and symptoms of posttraumatic stress in Vietnam veterans.

    abstract::The diagnostic taxonomy of posttraumatic stress disorder (PTSD) is a contentious issue. Commentators are divided as to whether PTSD should remain grouped with the anxiety disorders or conceptualized as a dissociative disorder. This study sought to clarify the issue by investigating the extent to which anxiety and diss...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章

    doi:10.1023/A:1024733621595

    authors: Tampke AK,Irwin HJ

    更新日期:1999-10-01 00:00:00

  • Trauma type, gender, and risk of PTSD in a region within an area of conflict.

    abstract::The relation between trauma type, gender, and risk of posttraumatic stress disorder (PTSD) still remains unclear. The authors investigated the association among gender and trauma type and risk of PTSD among people living within an area of conflict. Traumatic experiences and PTSD symptoms among 708 participants were as...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章

    doi:10.1002/jts.20459

    authors: Yasan A,Saka G,Ozkan M,Ertem M

    更新日期:2009-12-01 00:00:00

  • Screening for PTSD among Somali adolescent refugees: psychometric properties of the UCLA PTSD Index.

    abstract::This study presents the psychometric properties for the UCLA Posttraumatic Stress Disorder Index among a sample of Somali adolescents. Data were derived from a sample of English-speaking Somali adolescent refugees between the ages of 12 and 19 years (n=76). The UCLA PTSD Index showed good reliability (Cronbach's alpha...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章

    doi:10.1002/jts.20139

    authors: Ellis BH,Lhewa D,Charney M,Cabral H

    更新日期:2006-08-01 00:00:00

  • Is Viewing Mass Trauma Television Coverage Associated With Trauma Reactions in Adults and Youth? A Meta-Analytic Review.

    abstract::This study presents the findings of meta-analyses examining the association between viewing mass trauma television coverage and posttraumatic stress (PTS) outcomes as well as acute stress reactions (ASR) among adults and youth. A literature search identified 43 (N = 31,162) studies assessing the association between vi...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章,meta分析

    doi:10.1002/jts.22391

    authors: Pfefferbaum B,Nitiéma P,Newman E

    更新日期:2019-04-01 00:00:00

  • Are trauma narratives unique and do they predict psychological adjustment?

    abstract::Community-dwelling adults (N = 104) aged 20- to 99-years-old told narratives about neutral, positive, and worst traumatic events; they also completed mental health questionnaires. Consistent with previous research, trauma narratives were longer, and contained more somatosensory and negative bodily experience detail. R...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章

    doi:10.1002/jts.20206

    authors: Beaudreau SA

    更新日期:2007-06-01 00:00:00

  • The validity of posttraumatic stress disorder among Vietnamese refugees.

    abstract::The aim of this study was to examine the validity of posttraumatic stress disorder (PTSD) among Vietnamese refugees. The study population included 74 Vietnamese refugees who had resettled in the metropolitan Boston area. The previously validated Harvard Trauma Questionnaire was used to assess traumatic events and trau...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章

    doi:10.1023/a:1024812514796

    authors: Fawzi MC,Pham T,Lin L,Nguyen TV,Ngo D,Murphy E,Mollica RF

    更新日期:1997-01-01 00:00:00

  • Neural correlates of reexperiencing, avoidance, and dissociation in PTSD: symptom dimensions and emotion dysregulation in responses to script-driven trauma imagery.

    abstract::Research suggests that responses to script-driven trauma imagery in posttraumatic stress disorder (PTSD) include reexperiencing and dissociative symptom subtypes. This functional magnetic resonance imaging (fMRI) study employed a dimensional approach to characterizing script-driven imagery responses, using the Respons...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章

    doi:10.1002/jts.20284

    authors: Hopper JW,Frewen PA,van der Kolk BA,Lanius RA

    更新日期:2007-10-01 00:00:00

  • Trauma experience among homeless female veterans: correlates and impact on housing, clinical, and psychosocial outcomes.

    abstract::This study examined lifetime exposure to traumatic events as reported by 581 homeless female veterans enrolled in a Homeless Women Veterans Program across 11 sites to characterize the types of trauma they experienced; their correlation with baseline characteristics; and their association with housing, clinical outcome...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章

    doi:10.1002/jts.21750

    authors: Tsai J,Rosenheck RA,Decker SE,Desai RA,Harpaz-Rotem I

    更新日期:2012-12-01 00:00:00

  • Treating Adults With Complex Posttraumatic Stress Disorder Using a Modular Approach to Treatment: Rationale, Evidence, and Directions for Future Research.

    abstract::ICD-11 complex PTSD (CPTSD) is a new condition, and, therefore, there are as yet no clinical trials evaluating interventions for its treatment. In this paper, we provide the rationale for a flexible multimodular approach to the treatment of CPTSD, its feasibility, and some evidence suggesting its potential benefits. T...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章

    doi:10.1002/jts.22457

    authors: Karatzias T,Cloitre M

    更新日期:2019-12-01 00:00:00

  • Social Support Moderates the Association Between Posttraumatic Stress Disorder Treatment Duration and Treatment Outcomes in Telemedicine-Based Treatment Among Rural Veterans.

    abstract::For patients participating in trauma-focused psychotherapies for posttraumatic stress disorder (PTSD), such as cognitive processing therapy (CPT), pretreatment characteristics may moderate treatment effectiveness. For instance, preexisting supportive relationships may encourage skill utilization or provide contrasts t...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章

    doi:10.1002/jts.22542

    authors: Campbell SB,Erbes C,Grubbs K,Fortney J

    更新日期:2020-08-01 00:00:00

  • Human Remains Identification, Grief, and Posttraumatic Stress in Bereaved Family Members 14 Years After the September 11, 2001, Terrorist Attacks.

    abstract::Returning human remains to family members after a loved one's death is thought to support grief adaptation. However, no known research has examined the effects that notifications of fragmented remains have on bereaved family members. We examined the number of notifications received, continuing questions about the deat...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章

    doi:10.1002/jts.22548

    authors: Cozza SJ,Fisher JE,Hefner KR,Fetchet MA,Chen S,Zuleta RF,Fullerton CS,Ursano RJ

    更新日期:2020-12-01 00:00:00

  • Posttraumatic stress disorder in veterans with spinal cord injury: trauma-related risk factors.

    abstract::Trauma-related risk factors for posttraumatic stress disorder (PTSD) were examined in a sample of 125 veterans with spinal cord injury. Category of injury was found to be the most consistent predictor of PTSD diagnosis and symptom severity with paraplegia predicting more PTSD symptoms than quadriplegia. The occurrence...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章

    doi:10.1023/A:1024404729251

    authors: Radnitz CL,Hsu L,Willard J,Perez-Strumolo L,Festa J,Lillian LB,Walczak S,Tirch DD,Schlein IS,Binks M,Broderick CP

    更新日期:1998-07-01 00:00:00

  • Self-worth mediates the effects of violent loss on PTSD symptoms.

    abstract::Although research has confirmed that violent losses can exacerbate grief reactions, few investigations have explored underlying mechanisms. In this study, the authors used a dataset on bereaved spouses and bereaved parents at 4- and 18-months postloss to examine the mediating effects of self-worth and worldviews (bene...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章

    doi:10.1002/jts.20597

    authors: Mancini AD,Prati G,Black S

    更新日期:2011-02-01 00:00:00

  • Exposure to violence and PTSD symptoms among Somali women.

    abstract::Posttraumatic stress disorder (PTSD) symptoms, exposure to traumatic stressors, and health care utilization were examined in 84 women attending a primary health care clinic in Mogadishu, Somalia. The Somalia-Posttraumatic Diagnostic Scale was used in this active warzone to measure symptoms. Nearly all women reported h...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章

    doi:10.1002/jts.20694

    authors: de Jong K,van der Kam S,Swarthout T,Ford N,Mills C,Yun O,Kleber RJ

    更新日期:2011-12-01 00:00:00

  • Temporal Stability of Self-Reported Trauma Exposure on the Life Events Checklist for DSM-5.

    abstract::The Life Events Checklist for DSM-5 (LEC-5) is a comprehensive screening instrument used to detect exposure to a range of potentially traumatic events. Despite its widespread use, research assessing the psychometric properties of scores on the LEC-5-and trauma exposure more broadly-is scarce. Using a large sample of u...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章

    doi:10.1002/jts.22611

    authors: Pugach CP,Nomamiukor FO,Gay NG,Wisco BE

    更新日期:2020-10-21 00:00:00

  • The Relative Impact of Traumatic Experiences and Daily Stressors on Mental Health Outcomes in Sri Lankan Adolescents.

    abstract::Prior trauma, current stress, and poor social support contribute to youth mental health problems. As daily stressors often increase in the aftermath of traumatic events, trauma could plausibly impact psychopathology not only directly but also indirectly via ongoing stress. In this study, we examined the relative roles...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章,多中心研究

    doi:10.1002/jts.22311

    authors: Ponnamperuma T,Nicolson NA

    更新日期:2018-08-01 00:00:00

  • Verbal and physical aggression in World War II former prisoners of war: role of posttraumatic stress disorder and depression.

    abstract::This study examined the relationship among posttraumatic stress disorder (PTSD), depression, and intimate partner relationship aggression in a community sample of World War II (WWII) male military former prisoners of war (POWs). Sixty percent of these POWs reported verbal aggression in their marriages, and 12% endorse...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章

    doi:10.1002/jts.20157

    authors: O'Donnell C,Cook JM,Thompson R,Riley K,Neria Y

    更新日期:2006-12-01 00:00:00

  • The Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5): Development and Initial Psychometric Evaluation.

    abstract::The Posttraumatic Stress Disorder Checklist (PCL) is a widely used DSM-correspondent self-report measure of PTSD symptoms. The PCL was recently revised to reflect DSM-5 changes to the PTSD criteria. In this article, the authors describe the development and initial psychometric evaluation of the PCL for DSM-5 (PCL-5). ...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章

    doi:10.1002/jts.22059

    authors: Blevins CA,Weathers FW,Davis MT,Witte TK,Domino JL

    更新日期:2015-12-01 00:00:00

  • Validation of the Purdue Post-Traumatic Stress Scale on a sample of Vietnam veterans.

    abstract::The Purdue Post-traumatic Stress Disorder Scale is a 15-item self-report instrument based on the DSM-III diagnostic criteria for post-traumatic stress disorder. This scale is a quick, easily administered, measure of psychological reactions to a traumatic event. The goal of the present report is to validate this instru...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章

    doi:10.1007/BF02102951

    authors: Hendrix CC,Anelli LM,Gibbs JP,Fournier DG

    更新日期:1994-04-01 00:00:00

  • Predictors of Posttraumatic Stress Disorder, Anxiety Disorders, Depressive Disorders, and Any Mental Health Condition Among U.S. Soldiers and Marines, 2001-2011.

    abstract::Understanding mental health disorder diagnosis and treatment seeking among active-duty military personnel is a topic with both clinical and policy implications. It has been well documented in military populations that individual-level military experience, including deployment history and combat exposure, influences me...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章

    doi:10.1002/jts.22316

    authors: Levin-Rector A,Hourani LL,Van Dorn RA,Bray RM,Stander VA,Cartwright JK,Morgan JK,Trudeau J,Lattimore PK

    更新日期:2018-08-01 00:00:00