Abstract
Only recently has the mental health community recognized the applicability of diagnostic criteria for posttraumatic stress disorder (PTSD) in children and adolescents, including a consideration of specific age-related features. This paper provides a current review of the literature on PTSD pertaining to children and adolescents. Following a discussion of issues on diagnostic criteria and assessment of this affective disorder in this population, there is an overview of the existing literature on prevalence, comorbidity, risk factors, parental and family factors, and issues of gender and age of onset. The remainder of the paper focuses on the range of traumatic stressors in children and adolescents that can result in PTSD, including natural or human disasters, war and violence, chronic or life-threatening medical conditions, community violence and the witnessing of traumatic events, and physical and/or sexual abuse and other forms of interpersonal violence. Throughout the paper, there is an emphasis on the importance of considering developmental factors. Finally, implications of the existing literature for future areas of research are addressed.
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REFERENCES
Adjukovi′, M. (1998). Displaced adolescents in Croatia: Sources of stress and posttraumatic stress reaction. Adolescence, 33, 209-217.
Amaya-Jackson, L., & March, J. (1995a). Posttraumatic stress disorder in adolescents: Risk factors, diagnosis, and intervention. Adolescent Medicine, 6, 251-269.
Amaya-Jackson, L., & March, J. (1995b). Posttraumatic Stress Disorder. In J. S. March (Ed.), Anxiety disorders in children and adolescents (pp. 276-300). New York: Guilford Press.
American Academy of Child and Adolescent Psychiatry (AACAP) (1998). Summary of the practice parameters for the assessment and treatment of children and adolescents with posttraumatic stress disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 997-1001.
American Psychiatric Association (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: American Psychiatric Press.
American Psychiatric Association (1987). Diagnostic and statistical manual of mental disorders (3rd rev. ed.). Washington, DC: American Psychiatric Press.
American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: American Psychiatric Press.
Bernstein, G. A., & Borchardt, C. M. (1991). Anxiety disorders of childhood and adolescence: a critical review. Journal of the American Academy of Child and Adolescent Psychiatry, 30, 519-532.
Berton, M. W., & Stabb, S. D. (1996). Exposure to violence and post-traumatic stress disorder in urban adolescents. Adolescence, 31, 489-498.
Blom, G. E. (1986). A school-based disaster-Intervention and research aspects. Journal of the American Academy of Child Psychiatry, 25, 336-345.
Brand, E. F., King, C., Olson, E., Ghaziuddin, N., & Naylor, M. (1996). Depressed adolescents with a history of sexual abuse: diagnostic, comorbidity and suicidality. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 34-41.
Breslau, N., Davis, G., Andreski, P., & Peterson, E. (1991). Traumatic events and post-traumatic stress disorder in an urban population of young adults. Archives of General Psychiatry, 48, 218-222.
Briere, J. (1997). Psychological Assessment of Adult Posttraumatic States.Washington, DC: American Psychological Association.
Butler, R. W., Rizzi, L. P., & Handwerger, B. A. (1996). The assessment of posttraumatic stress disorder in pediatric cancer patients. Journal of Pediatric Psychology, 21, 499-504.
Canning, E. H., Canning, R. D., & Boyce, W. T. (1992). Depressive symptoms and adaptive style in children with cancer. Journal of the American Academy of Child and Adolescent Psychiatry, 31, 1120-1124.
Cauffman, E., Feldman, S., Waterman, J. & Steiner, H. (1998). Posttraumatic stress disorder among female juvenile offenders. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 1209-1215.
Clark, D. B., Lesnick, L., & Hegedus, A. M. (1997). Traumas and other adverse life events in adolescents with alcohol abuse and dependence. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 1744-1751.
Clark, D. B., & Miller, T. W. (1998). Stress response and adaptation in children: Theoretical models. In T. W. Miller (Ed.), Children of trauma: Stressful life events and their effects on children and adolescents (pp. 3-27). Madison, CT: International Universities Press.
Cloitre, M., Tardiff, K., Marzuk, P. M., Leon, A. C., & Potera, L. (1996). Childhood abuse and subsequent sexual assault among female inpatients. Journal of Traumatic Stress, 9, 473-482.
Council on Scientific Affairs, American Medical Association (1993). Adolescents as victims of family violence. Journal of the American Medical Association, 270, 1850-1856.
Curle, C. E., & Williams, C. (1996). Post-traumatic stress reactions in children: Gender differences in the incidence of trauma reactions at two years and examination of factors influencing adjustment. British Journal of Clinical Psychology, 35, 297-309.
Davidson, J. (1993). Issues in the diagnosis of post-traumatic stress disorder. In R. S. Pynoos (Ed.), Posttraumatic stress disorder: A Clinical Review (pp. 1-15). Lutherville, MD: The Sidran Press.
Davidson, S., & Smith, R. (1990). Traumatic experiences in psychiatric outpatients. Journal of Traumatic Stress Studies, 3, 459-475.
Davidson, J. R. T., Tupler, L. A., Wilson, W. H., & Connor, K. M. (1998). A family study of chronic post-traumatic stress disorder following rape trauma. Journal of Psychiatric Research, 32, 301-309.
Deblinger, E., McLeer, S. V., Atkins. M. S., Ralphe, D, & Foa, E. (1989). Posttraumatic stress in sexually abused, physically abused, and nonabused children. Child Abuse and Neglect, 13, 403-408.
Deblinger, E., McLeer, S. V., & Henry, D. (1990). Cognitive-behavioral treatment for sexually abused children suffering post-traumatic stress: preliminary findings. Journal of the American Academy of Child and Adolescent Psychiatry, 29, 747-752.
Deykin, E. Y., & Buka, S. L. (1997). Prevalence and risk factors for posttraumatic stress disorder among chemically dependent adolescents. American Journal of Psychiatry, 154, 752-757.
Edwall, G. E., Hoffmann, N. G., & Harrison, P. A. (1989). Psychological correlates of sexual abuse in adolescent girls in chemical dependency treatment. Adolescence, 24, 279-288.
Essau, C. A., Conradt, J., & Petermann, F. (1999). Haufigkeit der posttraumatischen belastungs-storung bei jugendlichen: Ergebnisse der bremer jugendstudie. Zeitschrift Fur Kinderund Jugendpsychiatrie und Psychotherapie, Abstract, 27, 37-45.
Famularo, R., Fenton, T., Kinscherff, R., & Augustyn, M. (1996). Psychiatric comorbidity in childhood post traumatic stress disorder. Child Abuse & Neglect, 20, 953-961.
Foa, E., & Meadows, E. A. (1997). Psychosocial treatments for posttraumatic stress disorder: A critical review. Annual Review of Psychology, 48, 449-80.
Foa, E., & Riggs, D. S. (1993). Posttraumatic stress disorder and rape. In R. S. Pynoos (Ed.), Posttraumatic stress disorder: A Clinical Review (pp. 133-163). Lutherville, MD: The Sidran Press.
Frederick, C. J. (1985). Selected foci in the spectrum of posttraumatic stress disorders. In J. Laube & S. A. Murphy (Eds.), Perspectives on disaster recovery (pp. 110-130). East Norwalk, CT: Appleton-Century-Crofts.
Frederick, C. J. (1986). Posttraumatic stress disorder and child molestation. In A. Burgess & C. Hartman (Eds.), Sexual exploitation of patients by mental health professionals (pp. 133-142). New York: Praeger.
Fullilove, M. T., Fullilove, R. E., III, Smith, M., Winkler, K., Michael, C., Panzer, P. G., & Wallace, R. (1993). Violence, trauma, and post-traumatic stress disorder among women drug users. Journal of Traumatic Stress, 6, 533-543.
Giaconia, R. M., Reinherz, H. Z., Silverman, A. B., Pakiz, B., Frost, A. K., & Cohen, E. (1994). Ages of onset of psychiatric disorders in a community population of older adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 33, 706-717.
Green, B. L., Korol, M., Grace, M. C., Vary, M. G., Leonard, A. C., Gleser, G. C., & Smitson-Cohen, S. (1991). Children and disaster: age, gender, and parental effects on PTSD symptoms. Journal of the American Academy of Child and Adolescent Psychiatry, 30, 945-951.
Handford, H. A., Mayes, S. D., Mattison, R. E., Humphrey, F. J., Bagnatio, S., Bixler, E. O., & Kales, J. D. (1986). Child and parent reaction to the Three Mile Island nuclear accident. Journal of the American Academy of Child and Adolescent Psychiatry, 25, 346-356.
Hardin, S. B., Weinrich, M., Weinrich, S., Hardin, T. L., & Garrison, C. (1994). Psychological distress of adolescents exposed to Hurricane Hugo. Journal of Traumatic Stress, 7, 427-440.
Harrison, P. A., Hoffmann, N. G., & Edwall, G. B. (1989). Differential drug use patterns among sexually abused adolescent girls in treatment for chemical dependency. The International Journal of the Addictions, 24, 499-514.
Herman, J. (1992). Trauma and Recovery. New York: Basic Books.
Horowitz. K., Weine, S., & Jekel, J. (1995). PTSD symptoms in urban adolescent girls: Compounded community trauma. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 1353-1361.
Joseph, S. A., Brewin, C. R., Yule, W., & Williams, R. (1993). Causal attributions and post-traumatic stress in adolescents. Journal of Child Psychology and Psychiatry, 34, 247-253.
Kazak, A. E., Simms, S., Barakat, L., Hobbie, W., Foley, B., Golumb, V., & Best, M. (1999). Surviving Cancer Competently Intervention Program (SCCIP): A cognitive-behavioral and family therapy intervention for adolescent survivors of childhood cancer and their families. Family Process, 38, 175-191.
Keane, T. M. (1996). Clinical perspectives on stress, traumatic stress, and PTSD in children and adolescents. Journal of School Psychology, 34, 193-197.
Kendall-Tackett, K. A., Williams, L. M., & Finkelhor, D. (1993). Impact of sexual abuse on children: a review and synthesis of recent empirical studies. Psychological Bulletin, 113, 164-180.
Keppel-Benson, J. M., & Ollendick, T. H. (1993). Posttraumatic stress disorder in children and adolescents. In C. F. Saylor (Ed.), Children and disasters (pp. 29-43). New York: Plenum Press.
Kinzie, J. D., Sack, W. H., Angell, R. H., Manson, S., & Rath, B. (1986). The psychiatric effects of massive trauma on Cambodian children. I. The children. Journal of the American Academy of Child and Adolescent Psychiatry, 25, 370-376.
Kiser, L. J., Heston, J., Millsap, P. A., & Pruitt, D. B. (1991). Physical and sexual abuse in childhood: Relationship with post-traumatic stress disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 30, 776-783.
Kiser, L. J., Ostoja, E., & Pruitt, D. B. (1998). Dealing with stress and trauma in families. Child and Adolescent Psychiatric Clinics of North America, 1, 87-103.
Klingman, A. (1993). School-based intervention following a disaster. In C. R. Saylor (Ed.), Children and disasters (pp. 187-210). New York: Plenum Press.
Kolko, D. J. (1996). Clinical monitoring of treatment course in child physical abuse: Psychometric characteristics and treatment comparisons. Child Abuse and Neglect, 20, 23-43.
Kulka, R. A., Schlenger, W., Fairbank, J. (1990). Trauma and the Vietnam War Generation. New York: Bruner Mazel.
La Greca, A. M., Silverman, W. K., Vernberg, E. M., & Prinstein, M. J. (1996). Symptoms of posttraumatic stress in children after Hurricane Andrew: A prospective study. Journal of Consulting and Clinical Psychology, 64, 001-0011.
La Greca, A. M., Silverman, W. K., & Wasserstein, S. B. (1998). Children's predisaster: Functioning as a predictor of posttraumatic stress following Hurricane Andrew. Journal of Consulting and Clinical Psychology, 66, 883-892.
Lavigne, J. V., & Faier-Routman, J. (1993). Correlates of psychological adjustment to pediatric physical disorders: A meta-analysis review and comparison with existing models. Journal of Developmental and Behavioral Pediatrics, 14, 117-123.
Lipschitz, D. S., Winegar, R. K., Hartnick, E., Foote, B., & Southwick, S. M. (1999). Posttraumatic stress disorder in hospitalized adolescents: Psychiatric comorbidity and clinical correlates. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 385-392.
Lonigan, C. J., Shannon, M. P., Saylor, C. M., Finch, A. J., & Sallee, F. R. (1994). Children exposed to disaster: II. Risk factors for the development of post-traumatic symptomatology. Journal of the American Academy of Child and Adolescent Psychiatry, 33, 94-105.
Macksoud, M. S., & Aber, J. L. (1996). The war experiences and psychosocial development of children in Lebanon. Child Development, 67, 70-88.
Malmquist, C. P. (1986). Children who witness parental murder: Posttraumatic aspects. Journal of the American Academy of Child and Adolescent Psychiatry, 25, 320-325.
March, J. S., Amaya-Jackson, L., Murray, M. C., & Schulte, A. (1998). Cognitive-behavioral psychotherapy for children and adolescents with posttraumatic stress disorder after a single-incident stressor. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 585-593.
March, J. S., Amaya-Jackson, L., & Pynoos, R. S. (1994). Pediatric posttraumatic stress disorder. In: J. M. Weiner (Ed.), Textbook of child & adolescent psychiatry (pp. 507-527). Washington, DC: American Psychiatric Press.
Martini, D. R., Ryan, C., Nakayama, D., & Ramenofsky, M. (1989). Psychiatric sequelae after traumatic injury: The Pittsburgh regatta accident. Journal of the American Academy of Child and Adolescent Psychiatry, 29, 70-75.
McCauley, J., Kern, D. E., Kolodner, K., Dill, L., Schroeder, A. F., DeChant, H. K., Ryden, J., Derogatis, L. R., & Bass, E. B. (1997). Clinical characteristics of women with a history of childhood abuse. Journal of the American Medical Association, 277, 1362-1368.
McFarlane, A. (1987). Post-traumatic phenomena in a longitudinal study of children following a natural disaster. Journal of the American Academy of Child and Adolescent Psychiatry, 26, 764-769.
McLeer, S. V., Deblinger, E., Atkins, M. S., Foa, E. B., & Ralphe, D. L. (1988). Post-traumatic stress disorder in sexually abused children. Journal of the American Academy of Child and Adolescent Psychiatry, 27, 650-654.
McLeer, S., Deblinger, E., Henry, D., & Orvaschel, H. (1992). Sexually abused children at high risk for post-traumatic stress disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 32, 875-879.
McNally, R. J. (1991). Assessment of posttraumatic stress disorder in children. Psychological Assessment. Psychological Assessment: A Journal of Clinical and Consulting Psychology, 3, 531-547.
McNally, R. J. (1998) Measures of children's reactions to stressful life events. In T. W. Miller (Ed.), Children of Trauma: Stressful life events and their effects on children and adolescents (pp. 29-42). Madison, CT: International Universities Press.
Nader, K., Blake, D. D., Kriegler, J. A., & Pynoos, R. S. (1994). Clinician-administered PTSD Scale for Children (CAPS-C). UCLA Neuropsychiatric Institute and Hospital/National Center for PTSD.
Nader, K., & Pynoos, R. S. (1989). Child Post-Traumatic Stress Disorder Inventory: Parent Interview. Typescript.
Nader, K. O., Pynoos, R. S., Fairbanks, L. A., Al-Ajeel, M., & Al-Asfour, A. (1993). A preliminary study of PTSD and grief among the children of Kuwait following the Gulf crisis. Journal of Clinical Psychology, 32, 407-416.
National Center on Child Abuse and Neglect (1988). Study findings: National Study of Incidence and Severity of Child Abuse and Neglect. Washington, DC: DHEW.
Osofsky, J. D., Cohen, G., & Drell, M. (1995). The effects of trauma on young children: a case of 2-year-old twins. International Journal of Psycho-analysis, 76, 595-607.
Ostrov, E., Offer, D., & Howard, K. I. (1989). Gender differences in adolescent symptomatology: A normative study. Journal of the American Academy of Child and Adolescent Psychiatry, 28, 394-398.
Pelcovitz, D., & Kaplan, S. (1996). Post-traumatic stress disorder in children and adolescents. Child and Adolescent Psychiatric Clinics of North America, 5, 449-469.
Pelcovitz, D., Kaplan, S., Goldenberg, B., Mandel, F. Lehane, J. & Guarrera, J. (1994). Posttraumatic stress disorder in physically abused adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 33, 305-312.
Pelcovitz, D., Libov, B. G., Mandel, F., Kaplan, S., Weinblatt, M., & Septimus, A. (1998). Posttraumatic stress disorder and family functioning in adolescent cancer. Journal of Traumatic Stress, 11, 205-221.
Pfefferbaum, B. (1997). Posttraumatic stress disorder in children: A review of the past 10 years. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 1503-1511.
Phipps, S., Fairclough, D., & Mullhern, R. K. (1995). Avoidant coping in children with cancer. Journal of Pediatric Psychology, 20, 217-232.
Pynoos, R. S. (1993). Traumatic stress and developmental psychopathology in children and adolescents. In J. M. Oldham, M. B. Riba & A. Tasman (Eds.), Review of psychiatry (pp. 205-238). Washington, DC: American Psychiatric Press.
Pynoos, R. S. (1994). Traumatic stress and developmental psychopathology in children and adolescents. In: R. S. Pynoos (Ed.), Posttraumatic stress disorder: A clinical review (pp. 64-98). Lutherville, MD: The Sidran Press.
Pynoos, R. S., Frederick, C, Nader, K., Arroyo, W., Steinberg, A., Eth, S., Nunez, F., & Fairbanks, L. (1987). Life threat and posttraumatic stress in school-age children. Archives of General Psychiatry, 44, 1057-1063.
Pynoos, R. S., Goenjian, A., Tashjian, M., Karakashian, M., Manjikian, R., Manoukian, G., Steinberg, A. M., & Faribanks, L. A. (1993). Post-traumatic stress reactions in children after the 1988 Armenian earthquake. British Journal of Psychiatry, 163, 239-247.
Pynoos, R. S., & Nader, K. (1988). Children who witness the sexual assaults of their mothers. Journal of the American Academy of Child and Adolescent Psychiatry, 27, 567-572.
Reich, W., & Welner, Z. (1990). Diagnostic Interview for Children and Adolescents-Revised. Washington University.
Reinherz, H. Z., Giaconia, R. M., Lefkowitz, E. S., Pakiz, B., & Frost, A. K. (1993). Prevalence of psychiatric disorders in a community population of older adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 32, 369-377.
Resnick, H. S., Kilpatrick, D. G., Dansky, B. S., Saunders, B. E., & Best, C. L. (1993). Prevalence of civilian trauma and posttraumatic stress disorder in a representative national sample of women. Journal of Consulting Psychology, 61, 984-991.
Sack, W. H., Angell, R. H., Kinzie, J. D., & Rath, B. (1986). The psychiatric effects of massive trauma on Cambodian children. II. The family, the home, and the school. Journal of the American Academy of Child and Adolescent Psychiatry, 25, 377-383.
Saigh, P. A. (1994). The Children's PTSD Inventory, rev. ed. City University of New York.
Schwarz, E. D., McNally, R. J., & Yeh, L. C. (1995). The trauma response of children and adolescents. Child and Adolescent Psychiatric Clinics of North America, 7, 229-239.
Sloper, P. (2000). Predictors of distress in parents of children with cancer: A prospective study. Journal of Pediatric Psychology, 25, 79-91.
Scott, R. T. (1994). Dealing with the aftermath of a crisis, trauma and disaster: An overview of intervention strategies for children. The child, youth, and family services quarterly, 17, 6-10.
Siegel, L. J. (1992). Overview: In A. M. La Greca, L. J. Siegel, J. L Wallander, C. E. Walker (Eds.), Stress and coping in children's health (pp. 3-6). New York: Guilford Press.
Siegel, L. J. (1998). Children medically at risk. In R. J. Morris & T. R. Kratochwill (Eds.), The practice of child therapy (2nd ed., pp. 325-366). Boston: Allyn & Bacon.
Solomon, S. D., Gerrity, E. T., & Muff, A. M. (1992). Efficacy of treatment for posttraumatic stress disorder. An empirical review. Journal of the American Medical Association, 268, 633-638.
Steiner, H., Garcia, I. G., & Matthews, Z. (1997). Posttraumatic stress disorder in incarcerated juvenile delinquints. Journal of the American Academy of Child & Adolescent Psychiatry, 36, 357-365.
Stoddard, I. J., Norman, D. K., Murphy, J. M., & Beardslee, W. R. (1989). Psychiatric outcome of burned children and adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 28, 589-595.
Stuber, M., Christakis, D., Houskamp, B., & Kazak, A. (in press). Posttraumatic symptoms in childhood leukemia survivors and their parents. Psychosomatics.
Stuber, M. L., Kazak, A. E., Meeske, K., Barakat, L. P., Guthrie, D., Granier, H., Pynoos, R., & Meadows, A. (1997). Predictors of posttraumatic stress in childhood cancer survivors. Pediatrics, 100, 958-964.
Stuber, M. L., Nader, K., Yasuda, P., Pynoos, R. S., & Cohen, S. (1991). Stress responses after pediatric bone marrow transplantation: Preliminary results of a prospective longitudinal study. Journal of the American Academy of Child and Adolescent Psychiatry, 30, 952-957.
Stuber, M. L., Kazak, A. E., Meeske, K., & Barakat, L. (1998). Is posttraumatic stress a viable model for understanding responses to childhood cancer? Child and Adolescent Psychiatric Clinics of North America, 1, 169-182.
Tarnowksi, K., & Brown, R. T. (1995). Pediatric burns. In M. C. Roberts (Ed.), Handbook of pediatric psychology (2nd ed., pp. 446-462). New York: Guilford Press.
Tarnowski, K., Rasnake, L. & Drabman, R. (1987). Behavioral assessment and treatment of pediatric burns: A review. Behavior Therapy, 18, 417-441.
Terr, L. C. (1981). Psychic trauma in children: Observations following the Chowchilla school-bus kidnapping. American Journal of Psychiatry, 138, 14-19.
Terr, L. C. (1991). Childhood traumas: an outline and overview. American Journal of Psychiatry, 148, 10-19.
Threlkeld, M. E., & Thyer, B. A. (1992). Sexual and physical abuse histories among child and adolescent psychiatric outpatients. Journal of Traumatic Stress, 5, 491-496.
U. S. Department of Justice (1990). Criminal Victimization, 1990 (Special Report No. NCJ-22743). Washington, DC: Bureau of Statistics.
van der Kolk, B. A. (1985). Adolescent vulnerability to posttraumatic stress disorder. Psychiatry, 48, 365-370.
van der Kolk, B. A., van der Hart, O., & Burbridge, J. (1995). Approaches to the treatment of PTSD. Trauma information pages, bookshelf.
Veltkamp, L. J., & Miller, T. W. (1994). Clinical handbook of child abuse and neglect. Madison, CT: International Universities Press.
Vernberg, E. M., & Vogel, J. M. (1993). Interventions with children after disaster. Journal of Clinical Child Psychology, 22, 485-498.
Wallander, J. L., & Thompson, R. J. (1995). Psychosocial adjustment of children with chronic physical conditions. In M. C. Roberts (Ed.), Handbook of pediatric psychology (2nd ed., pp. 124-141). New York: Guilford Press.
Wasserstein, S. B., & La Greca, A. M. (1998). Hurricane Andrew: Parent conflict as a moderator of children's adjustment. Hispanic Journal of Behavioral Sciences, 20, 212-224.
Weine, S. M., Becker, D. E., Levy, K. N., Edell, W. S., & McGlashan, T. H. (1997). Childhood trauma histories in adolescent inpatients. Journal of Traumatic Stress, 10, 291-298.
Yule, W., (1998). Posttraumatic stress disorder in children and its treatment. In T. W. Miller (Ed.), Children of trauma: Stressful life events and their effects on children and adolescents (pp. 219-243). Madison, CT: International Universities Press.
Yule, W., & Canterbury, R. (1996). The treatment of posttraumatic stress disorder in children and adolescents. International Review of Psychiatry, 6, 141-151.
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Davis, L., Siegel, L.J. Posttraumatic Stress Disorder in Children and Adolescents: A Review and Analysis. Clin Child Fam Psychol Rev 3, 135–154 (2000). https://doi.org/10.1023/A:1009564724720
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DOI: https://doi.org/10.1023/A:1009564724720