CTDA 1005: Posttraumatic Stress and Depression Risk Screening in Children Age 8 to 17 Seen in the Emergency Department for Unintentional Injury and Their Parents, United States, 2003 (ICPSR 39173)
After pediatric injury, posttraumatic stress and other emotional outcomes in children and their parents often go unrecognized and untreated. This is due in part to the challenges in identifying at-risk children and their parents in the emergency care setting. The aims of this study were to assess the extent to which nurses were able to implement a brief screener for posttraumatic stress symptoms risk within the course of normal care of injured patients, and to assess posttraumatic stress and depression symptoms in injured children (aged 8-17 years) and their parents after emergency department care, and the relationship of these symptoms to parent-reported overall recovery.
CTDA 1008: Posttraumatic Stress in Children Age 8 to 17 Hospitalized or Seen in the Emergency Department for Unintentional Injury, United States, 2005-2006 (ICPSR 39182)
The objectives of the current study were to describe child post-traumatic stress (PTS), coping behavior, and parent coping assistance following a child's injury. The study enrolled children age 8 to 17 treated at the emergency department or admitted to the hospital for unintentional injury, and one parent per child. Children and parents completed measures of child PTS, coping, and coping assistance at 2 weeks post-injury and 3 months post-injury. The research team addressed these questions:
- What types of coping do children use following an injury?
- Is parent coping assistance related to child coping behavior?
- Are child coping strategies associated with PTS symptoms?
- Is early parent coping assistance related to later development of child PTS symptoms?
This study was originally conceived as a prospective randomized trial to evaluate the efficacy of secondary prevention messages conveyed in printed informational materials (handouts and workbooks) for children and parents after pediatric injury. Children and their parents received 1 of 5 randomly assigned workbook sections (each addressing a different key theme). No differences were observed between groups for parent/child knowledge and beliefs about PTS and adaptive coping, nor in child PTS symptoms. Thus, data from all groups have been combined for analyses of prospective PTS outcomes and coping processes.