Citation

Lonigan CJ, Anthony JL, Shannon MP. J. Clin. Child Psychol. 1998; 27(3): 255-267.

Affiliation

Department of Psychology, Florida State University, Tallahassee 32306-1270, USA. lonigan@psy.fsu.edu

Copyright

(Copyright © 1998, Informa - Taylor and Francis Group)

DOI

10.1207/s15374424jccp2703_3

PMID

9789186

Abstract

Examined 5 conditional probability indices to determine the diagnostic efficacy of 48 symptoms associated with posttraumatic stress disorder (PTSD) in 5,687 children exposed to Hurricane Hugo, of whom 5.5% had a diagnosis of posttraumatic stress syndrome (PTSS). Moderate levels of sensitivity and high levels of specificity were obtained for most symptoms. Odds ratios more precisely demonstrated that some Diagnostic and Statistical Manual of Mental Disorders (DSM) symptoms of PTSD, especially when combined, were useful for identifying children with PTSS but that anxiety symptoms and some DSM symptoms of PTSD had poor diagnostic utility. Satisfying criteria for the DSM-III-R numbing/avoidance cluster and symptoms from the numbing/avoidance cluster had the highest diagnostic efficacy, suggesting that avoidance may be the hallmark of severe posttraumatic reactions. These results suggest which symptoms should be conceptualized as central versus peripheral to the disorder and which symptoms and symptom combinations clinicians should attend to most when diagnosing or screening PTSD in children.

Language: en