Correlates of persisting posttraumatic symptoms in children and adolescents 18 months after a cyclone disaster

Brett McDermott, Vanessa Cobham, Helen BERRY, Bungnyun Kim

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Objective: To describe PTSD symptom persistence and resolution, including the potential phenomenon of late-onset PTSD, in children and adolescents 18 months after a cyclone disaster; and to investigate factors that predict longer-term symptom outcome. Method: 71 children and 191 adolescents who were screened three months after a Category 5 Cyclone were rescreened 18 months post-disaster. Child-report measures included the PTSD Reaction Index, measures of event exposure and social connectedness. Results: Approximately 1-in-5 children and 1-in-12 adolescents endorsed cyclone-related PTSD symptoms at the moderate to severe level 18 months post-disaster. Of these approximately one-half (44.8%) of children were in the 'high-persister' group at 18-month follow-up. Persistence of low symptoms was very common (97.6%) and late-onset PTSD was a rare phenomenon. This pattern was similar in adolescents: 25.0% were in the 'high-persister' group and few students experienced late-onset PTSD. In multivariate analysis, only initial severe to very severe PTSD category made a significant independent contribution to explaining persisting moderate to severe PTSD symptoms in primary school students (ORadj=8.33, 95% CI=1.45-47.84). There was a trend for a similar result in secondary students. Conclusion: A child or adolescent with few PTSD symptoms three months post-disaster is likely to remain so unless a further traumatic event occurs. However, if symptomatic at three months, there is approximately a 30-45% chance that the child or adolescent will still be symptomatic 18 months after the disaster. Given the high rate of students in the 'resolver' group, initial posttraumatic symptoms are a necessary but not sufficient condition for predicting chronic symptomatology. Other targets for predictive modelling include initial threat perception and high and low social connectedness. © 2013 The Royal Australian and New Zealand College of Psychiatrists.
Original languageEnglish
Pages (from-to)80-86
Number of pages7
JournalAustralian and New Zealand Journal of Psychiatry
Volume48
Issue number1
DOIs
Publication statusPublished - 2014

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Cyclonic Storms
Disasters
Post-Traumatic Stress Disorders
Students
New Zealand
Psychiatry
Multivariate Analysis

Cite this

McDermott, Brett ; Cobham, Vanessa ; BERRY, Helen ; Kim, Bungnyun. / Correlates of persisting posttraumatic symptoms in children and adolescents 18 months after a cyclone disaster. In: Australian and New Zealand Journal of Psychiatry. 2014 ; Vol. 48, No. 1. pp. 80-86.
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abstract = "Objective: To describe PTSD symptom persistence and resolution, including the potential phenomenon of late-onset PTSD, in children and adolescents 18 months after a cyclone disaster; and to investigate factors that predict longer-term symptom outcome. Method: 71 children and 191 adolescents who were screened three months after a Category 5 Cyclone were rescreened 18 months post-disaster. Child-report measures included the PTSD Reaction Index, measures of event exposure and social connectedness. Results: Approximately 1-in-5 children and 1-in-12 adolescents endorsed cyclone-related PTSD symptoms at the moderate to severe level 18 months post-disaster. Of these approximately one-half (44.8{\%}) of children were in the 'high-persister' group at 18-month follow-up. Persistence of low symptoms was very common (97.6{\%}) and late-onset PTSD was a rare phenomenon. This pattern was similar in adolescents: 25.0{\%} were in the 'high-persister' group and few students experienced late-onset PTSD. In multivariate analysis, only initial severe to very severe PTSD category made a significant independent contribution to explaining persisting moderate to severe PTSD symptoms in primary school students (ORadj=8.33, 95{\%} CI=1.45-47.84). There was a trend for a similar result in secondary students. Conclusion: A child or adolescent with few PTSD symptoms three months post-disaster is likely to remain so unless a further traumatic event occurs. However, if symptomatic at three months, there is approximately a 30-45{\%} chance that the child or adolescent will still be symptomatic 18 months after the disaster. Given the high rate of students in the 'resolver' group, initial posttraumatic symptoms are a necessary but not sufficient condition for predicting chronic symptomatology. Other targets for predictive modelling include initial threat perception and high and low social connectedness. {\circledC} 2013 The Royal Australian and New Zealand College of Psychiatrists.",
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Correlates of persisting posttraumatic symptoms in children and adolescents 18 months after a cyclone disaster. / McDermott, Brett; Cobham, Vanessa; BERRY, Helen; Kim, Bungnyun.

In: Australian and New Zealand Journal of Psychiatry, Vol. 48, No. 1, 2014, p. 80-86.

Research output: Contribution to journalArticle

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N2 - Objective: To describe PTSD symptom persistence and resolution, including the potential phenomenon of late-onset PTSD, in children and adolescents 18 months after a cyclone disaster; and to investigate factors that predict longer-term symptom outcome. Method: 71 children and 191 adolescents who were screened three months after a Category 5 Cyclone were rescreened 18 months post-disaster. Child-report measures included the PTSD Reaction Index, measures of event exposure and social connectedness. Results: Approximately 1-in-5 children and 1-in-12 adolescents endorsed cyclone-related PTSD symptoms at the moderate to severe level 18 months post-disaster. Of these approximately one-half (44.8%) of children were in the 'high-persister' group at 18-month follow-up. Persistence of low symptoms was very common (97.6%) and late-onset PTSD was a rare phenomenon. This pattern was similar in adolescents: 25.0% were in the 'high-persister' group and few students experienced late-onset PTSD. In multivariate analysis, only initial severe to very severe PTSD category made a significant independent contribution to explaining persisting moderate to severe PTSD symptoms in primary school students (ORadj=8.33, 95% CI=1.45-47.84). There was a trend for a similar result in secondary students. Conclusion: A child or adolescent with few PTSD symptoms three months post-disaster is likely to remain so unless a further traumatic event occurs. However, if symptomatic at three months, there is approximately a 30-45% chance that the child or adolescent will still be symptomatic 18 months after the disaster. Given the high rate of students in the 'resolver' group, initial posttraumatic symptoms are a necessary but not sufficient condition for predicting chronic symptomatology. Other targets for predictive modelling include initial threat perception and high and low social connectedness. © 2013 The Royal Australian and New Zealand College of Psychiatrists.

AB - Objective: To describe PTSD symptom persistence and resolution, including the potential phenomenon of late-onset PTSD, in children and adolescents 18 months after a cyclone disaster; and to investigate factors that predict longer-term symptom outcome. Method: 71 children and 191 adolescents who were screened three months after a Category 5 Cyclone were rescreened 18 months post-disaster. Child-report measures included the PTSD Reaction Index, measures of event exposure and social connectedness. Results: Approximately 1-in-5 children and 1-in-12 adolescents endorsed cyclone-related PTSD symptoms at the moderate to severe level 18 months post-disaster. Of these approximately one-half (44.8%) of children were in the 'high-persister' group at 18-month follow-up. Persistence of low symptoms was very common (97.6%) and late-onset PTSD was a rare phenomenon. This pattern was similar in adolescents: 25.0% were in the 'high-persister' group and few students experienced late-onset PTSD. In multivariate analysis, only initial severe to very severe PTSD category made a significant independent contribution to explaining persisting moderate to severe PTSD symptoms in primary school students (ORadj=8.33, 95% CI=1.45-47.84). There was a trend for a similar result in secondary students. Conclusion: A child or adolescent with few PTSD symptoms three months post-disaster is likely to remain so unless a further traumatic event occurs. However, if symptomatic at three months, there is approximately a 30-45% chance that the child or adolescent will still be symptomatic 18 months after the disaster. Given the high rate of students in the 'resolver' group, initial posttraumatic symptoms are a necessary but not sufficient condition for predicting chronic symptomatology. Other targets for predictive modelling include initial threat perception and high and low social connectedness. © 2013 The Royal Australian and New Zealand College of Psychiatrists.

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