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

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Title: Dysfunctional posttraumatic cognitions, posttraumatic stress and depression in children and adolescents exposed to trauma: a network analysis.
Authors: de Haan, Anke, Landolt, Markus A., Fried, Eiko I., Kleinke, Kristian, Alisic, Eva, Bryant, Richard, Salmon, Karen, Chen, Sue‐Huei, Liu, Shu‐Tsen, Dalgleish, Tim, McKinnon, Anna, Alberici, Alice, Claxton, Jade, Diehle, Julia, Lindauer, Ramón, de Roos, Carlijn, Halligan, Sarah L., Hiller, Rachel, Kristensen, Christian H., Lobo, Beatriz O.M.
Source: Journal of Child Psychology & Psychiatry. Jan2020, Vol. 61 Issue 1, p77-87. 11p. 1 Diagram, 2 Charts, 1 Graph.
Subjects: Diagnosis of post-traumatic stress disorder, Prevention of post-traumatic stress disorder, Children's health, Cognition disorders, Mental depression, Emotions, Post-traumatic stress disorder, Emotional trauma, Adolescent health, Social support
Abstract: 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. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Child Psychology & Psychiatry is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Dysfunctional posttraumatic cognitions, posttraumatic stress and depression in children and adolescents exposed to trauma: a network analysis.
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  Data: <searchLink fieldCode="AR" term="%22de+Haan%2C+Anke%22">de Haan, Anke</searchLink><br /><searchLink fieldCode="AR" term="%22Landolt%2C+Markus+A%2E%22">Landolt, Markus A.</searchLink><br /><searchLink fieldCode="AR" term="%22Fried%2C+Eiko+I%2E%22">Fried, Eiko I.</searchLink><br /><searchLink fieldCode="AR" term="%22Kleinke%2C+Kristian%22">Kleinke, Kristian</searchLink><br /><searchLink fieldCode="AR" term="%22Alisic%2C+Eva%22">Alisic, Eva</searchLink><br /><searchLink fieldCode="AR" term="%22Bryant%2C+Richard%22">Bryant, Richard</searchLink><br /><searchLink fieldCode="AR" term="%22Salmon%2C+Karen%22">Salmon, Karen</searchLink><br /><searchLink fieldCode="AR" term="%22Chen%2C+Sue‐Huei%22">Chen, Sue‐Huei</searchLink><br /><searchLink fieldCode="AR" term="%22Liu%2C+Shu‐Tsen%22">Liu, Shu‐Tsen</searchLink><br /><searchLink fieldCode="AR" term="%22Dalgleish%2C+Tim%22">Dalgleish, Tim</searchLink><br /><searchLink fieldCode="AR" term="%22McKinnon%2C+Anna%22">McKinnon, Anna</searchLink><br /><searchLink fieldCode="AR" term="%22Alberici%2C+Alice%22">Alberici, Alice</searchLink><br /><searchLink fieldCode="AR" term="%22Claxton%2C+Jade%22">Claxton, Jade</searchLink><br /><searchLink fieldCode="AR" term="%22Diehle%2C+Julia%22">Diehle, Julia</searchLink><br /><searchLink fieldCode="AR" term="%22Lindauer%2C+Ramón%22">Lindauer, Ramón</searchLink><br /><searchLink fieldCode="AR" term="%22de+Roos%2C+Carlijn%22">de Roos, Carlijn</searchLink><br /><searchLink fieldCode="AR" term="%22Halligan%2C+Sarah+L%2E%22">Halligan, Sarah L.</searchLink><br /><searchLink fieldCode="AR" term="%22Hiller%2C+Rachel%22">Hiller, Rachel</searchLink><br /><searchLink fieldCode="AR" term="%22Kristensen%2C+Christian+H%2E%22">Kristensen, Christian H.</searchLink><br /><searchLink fieldCode="AR" term="%22Lobo%2C+Beatriz+O%2EM%2E%22">Lobo, Beatriz O.M.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Child+Psychology+%26+Psychiatry%22">Journal of Child Psychology & Psychiatry</searchLink>. Jan2020, Vol. 61 Issue 1, p77-87. 11p. 1 Diagram, 2 Charts, 1 Graph.
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  Data: <searchLink fieldCode="DE" term="%22Diagnosis+of+post-traumatic+stress+disorder%22">Diagnosis of post-traumatic stress disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Prevention+of+post-traumatic+stress+disorder%22">Prevention of post-traumatic stress disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Children's+health%22">Children's health</searchLink><br /><searchLink fieldCode="DE" term="%22Cognition+disorders%22">Cognition disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Emotions%22">Emotions</searchLink><br /><searchLink fieldCode="DE" term="%22Post-traumatic+stress+disorder%22">Post-traumatic stress disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Emotional+trauma%22">Emotional trauma</searchLink><br /><searchLink fieldCode="DE" term="%22Adolescent+health%22">Adolescent health</searchLink><br /><searchLink fieldCode="DE" term="%22Social+support%22">Social support</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: 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. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Child Psychology & Psychiatry is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1111/jcpp.13101
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      – SubjectFull: Prevention of post-traumatic stress disorder
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