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The differential impact of the DSM-5 post-traumatic stress symptoms on functional impairment in traumatized children and adolescents.

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Title: The differential impact of the DSM-5 post-traumatic stress symptoms on functional impairment in traumatized children and adolescents.
Authors: Bartels, Lasse, Skar, Ane-Marthe Solheim, Birkeland, Marianne Skogbrott, Ormhaug, Silje Mørup, Berliner, Lucy, Jensen, Tine K.
Source: European Child & Adolescent Psychiatry. May2024, Vol. 33 Issue 5, p1573-1581. 9p.
Subjects: Wounds & injuries, Post-traumatic stress disorder, Health literacy, Differential diagnosis, Health attitudes, Research funding, Functional assessment, Cooldown, Classification of mental disorders, Functional status, Descriptive statistics, Emotions, Numbness, Attention, Social skills, Affect (Psychology), Cognition, Symptoms
Abstract: Background: This study aims to provide a better understanding of the individual impact of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) post-traumatic stress symptoms (PTSS) on functional impairment in trauma-exposed children and adolescents. Identifying PTSS that have the most impact on functional impairment can broaden our understanding of post-trauma reactions and guide the selection of treatment components and techniques required to help patients to restore functioning following trauma exposure. Method: Utilizing relative importance analyses, unique shared variance of each DSM-5 PTSS with functional impairment were estimated in clinical samples of 3400 Norwegian (Mage = 14.18, SDage = 2.49, rangeage = 7–17) and 747 US (Mage = 10.76, SDage = 3.10, rangeage = 7–17) children and adolescents from naturalistic settings. Results: Negative beliefs, detachment from others, inability to experience positive emotions, and diminished interest in activities within the symptom cluster negative alterations in cognitions and mood, and the hyperarousal symptom concentration problems accounted for the largest proportions of unique variance explained in functional impairment in both samples. Further, the hyperarousal symptom irritability showed a unique high association with functional impairment in the US sample. Conclusion: As negative beliefs, emotional numbing symptoms, concentration problems and irritability may be especially related to functional impairment in traumatized children and adolescents, monitoring and targeting these symptoms throughout therapy might be of particular importance to restore functioning as early as possible and to facilitate overall recovery. [ABSTRACT FROM AUTHOR]
Copyright of European Child & Adolescent Psychiatry is the property of Springer Nature 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: The differential impact of the DSM-5 post-traumatic stress symptoms on functional impairment in traumatized children and adolescents.
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  Data: <searchLink fieldCode="AR" term="%22Bartels%2C+Lasse%22">Bartels, Lasse</searchLink><br /><searchLink fieldCode="AR" term="%22Skar%2C+Ane-Marthe+Solheim%22">Skar, Ane-Marthe Solheim</searchLink><br /><searchLink fieldCode="AR" term="%22Birkeland%2C+Marianne+Skogbrott%22">Birkeland, Marianne Skogbrott</searchLink><br /><searchLink fieldCode="AR" term="%22Ormhaug%2C+Silje+Mørup%22">Ormhaug, Silje Mørup</searchLink><br /><searchLink fieldCode="AR" term="%22Berliner%2C+Lucy%22">Berliner, Lucy</searchLink><br /><searchLink fieldCode="AR" term="%22Jensen%2C+Tine+K%2E%22">Jensen, Tine K.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22European+Child+%26+Adolescent+Psychiatry%22">European Child & Adolescent Psychiatry</searchLink>. May2024, Vol. 33 Issue 5, p1573-1581. 9p.
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  Data: <searchLink fieldCode="DE" term="%22Wounds+%26+injuries%22">Wounds & injuries</searchLink><br /><searchLink fieldCode="DE" term="%22Post-traumatic+stress+disorder%22">Post-traumatic stress disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Health+literacy%22">Health literacy</searchLink><br /><searchLink fieldCode="DE" term="%22Differential+diagnosis%22">Differential diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22Health+attitudes%22">Health attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Functional+assessment%22">Functional assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Cooldown%22">Cooldown</searchLink><br /><searchLink fieldCode="DE" term="%22Classification+of+mental+disorders%22">Classification of mental disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Functional+status%22">Functional status</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Emotions%22">Emotions</searchLink><br /><searchLink fieldCode="DE" term="%22Numbness%22">Numbness</searchLink><br /><searchLink fieldCode="DE" term="%22Attention%22">Attention</searchLink><br /><searchLink fieldCode="DE" term="%22Social+skills%22">Social skills</searchLink><br /><searchLink fieldCode="DE" term="%22Affect+%28Psychology%29%22">Affect (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Cognition%22">Cognition</searchLink><br /><searchLink fieldCode="DE" term="%22Symptoms%22">Symptoms</searchLink>
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  Data: Background: This study aims to provide a better understanding of the individual impact of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) post-traumatic stress symptoms (PTSS) on functional impairment in trauma-exposed children and adolescents. Identifying PTSS that have the most impact on functional impairment can broaden our understanding of post-trauma reactions and guide the selection of treatment components and techniques required to help patients to restore functioning following trauma exposure. Method: Utilizing relative importance analyses, unique shared variance of each DSM-5 PTSS with functional impairment were estimated in clinical samples of 3400 Norwegian (Mage = 14.18, SDage = 2.49, rangeage = 7–17) and 747 US (Mage = 10.76, SDage = 3.10, rangeage = 7–17) children and adolescents from naturalistic settings. Results: Negative beliefs, detachment from others, inability to experience positive emotions, and diminished interest in activities within the symptom cluster negative alterations in cognitions and mood, and the hyperarousal symptom concentration problems accounted for the largest proportions of unique variance explained in functional impairment in both samples. Further, the hyperarousal symptom irritability showed a unique high association with functional impairment in the US sample. Conclusion: As negative beliefs, emotional numbing symptoms, concentration problems and irritability may be especially related to functional impairment in traumatized children and adolescents, monitoring and targeting these symptoms throughout therapy might be of particular importance to restore functioning as early as possible and to facilitate overall recovery. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of European Child & Adolescent Psychiatry is the property of Springer Nature 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: 10.1007/s00787-023-02266-w
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        Text: English
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        Type: general
      – SubjectFull: Post-traumatic stress disorder
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              Text: May2024
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