The four-factor model requires a higher threshold of endorsed symptoms, which may be too stringent for children whom may have less insight about their symptoms. Although factor analytic studies of adolescents and adults have supported a four-factor model of PTSD (re-experiencing, avoidance, cognitions/mood, and arousal), a three-factor model (re-experiencing, avoidance, arousal) is commonly found to be best-fitting in children ( Friedman, Resick, Bryant, & Brewin, 2011 Scheeringa et al., 2011). There are several reasons why the preschool criteria may be more suitable for school-age children than the adult criteria. This study examined the effect of using the DSM-5 preschool criteria in a sample of school-age children exposed to a natural disaster.

At present, school-age children (ages 7-11 years) are diagnosed using the DSM-5 adult criteria, despite evidence that their developmental level might make their PTSD presentations more similar to that of preschool children than adults ( Danzi & La Greca, 2016). the preschool criteria American Psychiatric Association, APA, 2013). DSM-IV) may not be appropriate for young children ( Scheeringa, Zeanah, & Cohen, 2011), DSM-5 released new PTSD criteria developed for children ages six and younger (i.e. Because some aspects of the traditional PTSD criteria (i.e. Recently, increasing attention has been paid to the diagnosis of PTSD in very young children (preschool-age youth). However, research on the diagnosis of PTSD has historically focused on adults. Posttraumatic stress disorder (PTSD) is frequently diagnosed in children postdisaster ( Pfefferbaum, Jacobs, Griffin, & Houston, 2015). Se necesitan más investigaciones para optimizar los criterios de TEPT de acuerdo al nivel de desarrollo para los niños en edad escolar. Conclusión: Los criterios preescolares pueden ser útiles para detectar el riesgo de TEPT en niños de edad escolar.

El ajuste del modelo fue similar en ambos conjuntos de criterios. Además, el TEPT definido por los criterios preescolares fue asociado significativamente con más factores de riesgo que TEPT definido por los criterios de adultos. El efecto de incluir el deterioro en los criterios diagnósticos fue más intenso para los criterios preescolares. Aunque los niños que cumplieron ambos criterios reportaron el mayor deterioro funcional, los niños identificados solamente por los criterios preescolares reportaron más deterioro que los niños no diagnosticados. Los criterios preescolares identificaron todos los niños diagnosticados usando los criterios de adultos y muchos más. Resultados: Aproximadamente el doble de niños fueron diagnosticados con TEPT usando los criterios preescolares del DSM-5 comparado a los de adultos. Método: Niños expuestos al huracán Ike ( N = 327) fueron evaluados respecto a los síntomas de TEPT, ocho meses después del desastre. Further research is needed to optimize developmentally-appropriate PTSD criteria for school-age children.Īntecedentes/Objetivo: Examinar el uso los criterios preescolares del DSM-5 para diagnosticar el trastorno de estrés postraumático (TEPT) en niños de edad escolar (7-11 años). Conclusions: The preschool criteria may be advantageous for screening for PTSD risk in school-age children. Model fit was similar for both sets of criteria. Additionally, PTSD defined by the preschool criteria was significantly associated with more PTSD risk factors than PTSD as defined by the adult criteria.

The effect of including impairment in the diagnostic criteria was more marked for the preschool criteria than for the adult criteria. Although children who met both the adult and the preschool criteria reported the most functional impairment, children identified by the preschool criteria only reported greater impairment than children not diagnosed. The preschool criteria identified all children diagnosed by the adult criteria and many additional children. Results: About twice as many children were identified as having PTSD using the DSM-5 preschool criteria compared to the DSM-5 adult criteria. Method: Children exposed to Hurricane Ike ( N = 327) were assessed for symptoms of PTSD and other trauma-related factors eight months post-disaster. Background/Objective: To examine the effect of using the DSM-5 preschool criteria to diagnose posttraumatic stress disorder (PTSD) in school-age children (ages 7-11).

Ptsd with anxiety dsm 5 criteria