PTSD
Terms
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- PTSD
- accute stress disorder
- event to do with dying, threat of death, physical injury of harm to self or others
- intense fear horror and helplessness
- Distortions of memory
-
flashbacks
Amnesia - Pynoos
- Kids shot at by sniper in playground
- Yule
- Jupiter cruise ship/ ferry disaster
- Hurricane floyd
-
37% homes flooded
95% mild PTSD
71% moderate- severe
girls two times more than boys
home effected by PTSD - War Zones
-
PTSD 791 Sarajevo
had direct experience
kids in warzone
high prosocial behavior - Trauma
-
Maltreatment
domestic violence
divorce
media portrayals - PTSD becoming an anxiety dis
- Kids in traffic accidents - phobias
- Long Term fx
-
Jupiter survivors
52% PTSD 4-6 wks
7 Yrs later 15% still depressed - Long term fx PTSD
-
3000 Bosnian kids
high PTSD not depression or anxiety 2 yrs after - Udwin, Vogel & Vernberg 93
- 2-5 yrs after kidnapping symptoms persisted
- Terr 79
-
26 kids Chowchilla
school bus
driven around for 27 hrs
buried in tractor trailor
dug selves out
73% modderate- severe rctns - PTSD symptoms
-
re-experiencing
avoidance
arousal - Salmon & Bryant 2002
- DSMIV not appropriate for children
- Scheeringa 95
- Criteria not good for kids under four
- Pferrebaum 97
- Comorbidity of symptoms
- Saylor, Pwell Swenson 92
-
Hurricane hugo
kids
blowing house down to fixing roofs - Jupiter cruise ; Yule Udwin & Murdock 90
-
fears of swimming
dark
though no higher than those who didn't go on the cruise! - Lagreca 96
-
2-5yr study kids after hurricane andrew
avoidance
49% numbing at 3 months to 24% at 10m - Udwin 2000
- no factors fx severity and duration of symptoms
- Pynoos 87
-
159 school kids
sniper
killed 13 injured
trapped in playground vs injured
trapped higher PTSD - La grecca 96
- 14 m followup 74% moderate to severe probs
- Prefferbaum 97
- debriefing important -sept 11 oklahoma city bombing
- Whittlesey 99
-
immediate and continuing PTSD for oklahoma city bombing and sept 11th
worry that family or friend may be hurt
symptoms greater w family member hurt - Pfefferbaum 99
-
Project Heartland
educated teachers about impact of bombing
Listen to children
forum for kids to speak