@article{ref1,
title="Posttraumatic Stress Symptoms in Children and Adolescents Referred for Child Welfare Investigation: A National Sample of In-Home and Out-of-Home Care",
journal="Child maltreatment",
year="2010",
author="Kolko, David J. and Hurlburt, Michael S. and Zhang, Jian and Barth, Richard P. and Leslie, Laurel K. and Burns, B. J.",
volume="15",
number="1",
pages="48-63",
abstract="This study examines the prevalence and correlates of heightened posttraumatic stress (PTS) symptoms in a nationally representative sample of 1,848 children and adolescents (ages 8-14) who were referred to child welfare for investigation of abuse or neglect based on the National Survey of Child and Adolescent Well-Being. The severity of current PTS symptoms was assessed using the PTS subscale of the Trauma Symptom Checklist for Children, a standardized child-report scale evaluating common symptoms associated with trauma. The overall prevalence of clinically significant PTS symptoms was 11.7% (overall mean T score = 49.5). The prevalence was higher for cases that were placed in out-of-home care (19.2%) than those maintained at home (10.7%). Multivariate hierarchical regression identified four contributors to heightened PTS symptoms: younger child age, abuse by a nonbiological parent, violence in the home, and child depression. The authors discuss the modest but still lower than expected prevalence of self-reported, clinically significant PTS symptoms and the variables associated with greater risk for heightened PTS symptoms found among cases referred to child welfare services.<p /> <p>Language: en</p>",
language="en",
issn="1077-5595",
doi="10.1177/1077559509337892",
url="http://dx.doi.org/10.1177/1077559509337892"
}