Dysfunctional posttraumatic cognitions, posttraumatic stress and depression in children and adolescents exposed to trauma: a network analysis.

Adolescent Child Cognitive Dysfunction / etiology Datasets as Topic Depression / etiology Female Humans Male Psychological Trauma / complications Stress Disorders, Post-Traumatic / etiology
Children DSM-5 ICD-11 adolescents depression network analysis posttraumatic cognitions posttraumatic stress disorder trauma

Journal

Journal of child psychology and psychiatry, and allied disciplines
ISSN: 1469-7610
Titre abrégé: J Child Psychol Psychiatry
Pays: England
ID NLM: 0375361

Informations de publication

Date de publication:
01 2020
Historique:
accepted: 04 06 2019
pubmed: 9 11 2019
medline: 18 5 2021
entrez: 9 11 2019
Statut: ppublish

Résumé

The latest version of the International Classification of Diseases (ICD-11) proposes a posttraumatic stress disorder (PTSD) diagnosis reduced to its core symptoms within the symptom clusters re-experiencing, avoidance and hyperarousal. Since children and adolescents often show a variety of internalizing and externalizing symptoms in the aftermath of traumatic events, the question arises whether such a conceptualization of the PTSD diagnosis is supported in children and adolescents. Furthermore, although dysfunctional posttraumatic cognitions (PTCs) appear to play an important role in the development and persistence of PTSD in children and adolescents, their function within diagnostic frameworks requires clarification. We compiled a large international data set of 2,313 children and adolescents aged 6 to 18 years exposed to trauma and calculated a network model including dysfunctional PTCs, PTSD core symptoms and depression symptoms. Central items and relations between constructs were investigated. The PTSD re-experiencing symptoms strong or overwhelming emotions and strong physical sensations and the depression symptom difficulty concentrating emerged as most central. Items from the same construct were more strongly connected with each other than with items from the other constructs. Dysfunctional PTCs were not more strongly connected to core PTSD symptoms than to depression symptoms. Our findings provide support that a PTSD diagnosis reduced to its core symptoms could help to disentangle PTSD, depression and dysfunctional PTCs. Using longitudinal data and complementing between-subject with within-subject analyses might provide further insight into the relationship between dysfunctional PTCs, PTSD and depression.

Sections du résumé

BACKGROUND
The latest version of the International Classification of Diseases (ICD-11) proposes a posttraumatic stress disorder (PTSD) diagnosis reduced to its core symptoms within the symptom clusters re-experiencing, avoidance and hyperarousal. Since children and adolescents often show a variety of internalizing and externalizing symptoms in the aftermath of traumatic events, the question arises whether such a conceptualization of the PTSD diagnosis is supported in children and adolescents. Furthermore, although dysfunctional posttraumatic cognitions (PTCs) appear to play an important role in the development and persistence of PTSD in children and adolescents, their function within diagnostic frameworks requires clarification.
METHODS
We compiled a large international data set of 2,313 children and adolescents aged 6 to 18 years exposed to trauma and calculated a network model including dysfunctional PTCs, PTSD core symptoms and depression symptoms. Central items and relations between constructs were investigated.
RESULTS
The PTSD re-experiencing symptoms strong or overwhelming emotions and strong physical sensations and the depression symptom difficulty concentrating emerged as most central. Items from the same construct were more strongly connected with each other than with items from the other constructs. Dysfunctional PTCs were not more strongly connected to core PTSD symptoms than to depression symptoms.
CONCLUSIONS
Our findings provide support that a PTSD diagnosis reduced to its core symptoms could help to disentangle PTSD, depression and dysfunctional PTCs. Using longitudinal data and complementing between-subject with within-subject analyses might provide further insight into the relationship between dysfunctional PTCs, PTSD and depression.

Identifiants

DOI: 10.1111/jcpp.13101 PMID: 31701532 PMC: PMC7116234
pubmed: 31701532
doi: 10.1111/jcpp.13101
pmc: PMC7116234
mid: EMS97840
doi:

Types de publication

Journal Article Multicenter Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

77-87

Subventions

Organisme : Medical Research Council
ID : MC_EX_G0802821
Pays : United Kingdom
Organisme : Medical Research Council
ID : MC_U105579215
Pays : United Kingdom
Organisme : Medical Research Council
ID : MC_UU_00005/4
Pays : United Kingdom

Informations de copyright

© 2019 Association for Child and Adolescent Mental Health.

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Auteurs

Anke de Haan (A)

Division of Child and Adolescent Health Psychology, Department of Psychology, University of Zurich, Zurich, Switzerland.
Department of Psychosomatics and Psychiatry, University Children's Hospital Zurich, Zurich, Switzerland.
ORCID: 0000-0002-4676-348X

Markus A Landolt (MA)

Division of Child and Adolescent Health Psychology, Department of Psychology, University of Zurich, Zurich, Switzerland.
Department of Psychosomatics and Psychiatry, University Children's Hospital Zurich, Zurich, Switzerland.
ORCID: 0000-0003-0760-5558

Eiko I Fried (EI)

Department of Clinical Psychology, Leiden University, Leiden, The Netherlands.

Kristian Kleinke (K)

Institute of Psychology, University of Siegen, Siegen, Germany.

Eva Alisic (E)

Jack Brockhoff Child Health and Wellbeing Program, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Vic, Australia.

Richard Bryant (R)

School of Psychology, University of New South Wales, Sydney, NSW, Australia.

Karen Salmon (K)

School of Psychology, Victoria University of Wellington, Wellington, New Zealand.

Sue-Huei Chen (SH)

Department of Psychology, National Taiwan University, Taipei, Taiwan.

Shu-Tsen Liu (ST)

Department of Psychology, National Taiwan University, Taipei, Taiwan.

Tim Dalgleish (T)

Medical Research Council Cognition and Brain Sciences Unit, University of Cambridge, Cambridge, UK.
Cambridgeshire and Peterborough NHS Foundation Trust (CPFT), Cambridge, UK.

Anna McKinnon (A)

Department of Psychology, Centre for Emotional Health Clinic, Macquarie University, Sydney, NSW, Australia.

Alice Alberici (A)

Sussex Partnership NHS Foundation Trust, West Sussex Child and Adolescent Mental Health Service, West Sussex, UK.

Jade Claxton (J)

Norfolk & Suffolk Foundation Trust, Norwich, UK.

Julia Diehle (J)

Department of Child and Adolescent Psychiatry, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.

Ramón Lindauer (R)

Department of Child and Adolescent Psychiatry, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
De Bascule, Academic Center for Child and Adolescent Psychiatry, Amsterdam, The Netherlands.

Carlijn de Roos (C)

De Bascule, Academic Center for Child and Adolescent Psychiatry, Amsterdam, The Netherlands.

Sarah L Halligan (SL)

Department of Psychology, University of Bath, Bath, UK.
Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa.

Rachel Hiller (R)

Department of Psychology, University of Bath, Bath, UK.

Christian H Kristensen (CH)

Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil.

Beatriz O M Lobo (BOM)

Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil.

Nicole M Volkmann (NM)

Department of Human Development, Institute of Psychology, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.

Meghan Marsac (M)

Kentucky Children's Hospital, University of Kentucky, Lexington, KY, USA.
Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia, PA, USA.

Lamia Barakat (L)

Division of Oncology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.

Nancy Kassam-Adams (N)

Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia, PA, USA.

Reginald D V Nixon (RDV)

School of Psychology, Flinders University, Adelaide, SA, Australia.

Susan Hogan (S)

School of Psychology, Flinders University, Adelaide, SA, Australia.

Raija-Leena Punamäki (RL)

Faculty of Social Sciences, Psychology, University of Tampere, Tampere, Finland.

Esa Palosaari (E)

School of Management, University of Tampere, Tampere, Finland.

Elizabeth Schilpzand (E)

Murdoch Childrens Research Institute, Melbourne, Vic, Australia.

Rowena Conroy (R)

Melbourne School of Psychological Sciences, The University of Melbourne, Melbourne, Vic, Australia.

Patrick Smith (P)

Department of Psychology, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
South London and Maudsley NHS Foundation Trust, London, UK.

William Yule (W)

Department of Psychology, King's College London Institute of Psychiatry, London, UK.

Richard Meiser-Stedman (R)

Department of Clinical Psychology, Norwich Medical School, University of East Anglia, Norwich, UK.
ORCID: 0000-0002-0262-623X

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adolescent › Dysfunctional posttraumatic cognitions,...
questionsmedicales.fr › Personnes › Tranches d'âge › Enfant › Dysfunctional posttraumatic cognitions,...
questionsmedicales.fr › Troubles mentaux › Troubles neurocognitifs › Troubles de la cognition › Dysfonctionnement cognitif › Dysfunctional posttraumatic cognitions,...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Collecte de données › Jeux de données comme sujet › Dysfunctional posttraumatic cognitions,...
questionsmedicales.fr › Comportement et mécanismes comportementaux › Émotions › Dépression › Dysfunctional posttraumatic cognitions,...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Dysfunctional posttraumatic cognitions,...
questionsmedicales.fr › Troubles mentaux › Troubles liés aux traumatismes et au stress › Troubles de stress traumatique › Traumatisme psychologique › Dysfunctional posttraumatic cognitions,...
questionsmedicales.fr › Troubles mentaux › Troubles liés aux traumatismes et au stress › Troubles de stress traumatique › Troubles de stress post-traumatique › Dysfunctional posttraumatic cognitions,...