This study examined child development in relation to post-traumatic stress disorder (PTSD) after hurricane exposure. The study subjects were 175 3 to 5-year old minority children enrolled in Head Start programs. Children were evaluated 12 and 18 months after Hurricane Andrew struck south Florida. Mothers were interviewed concerning symptoms of PTSD and completed a questionnaire regarding their children's development. Results indicated that 16.5% of exposed children met DSM-IV diagnostic criteria for PTSD at 12 months, and 11.6% had PTSD at 18 months post-hurricane. Children who had PTSD at 12 months were more likely to be delayed in their development at 18 months, and those with PTSD at 18 months similarly were more likely to be delayed. These findings indicate that children with PTSD are at risk for delays in their overall development.
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References
1.
Bloch, D.A., Silber, E., & Perry, S.E. (1956). Some factors in the emotional reaction of children to disaster. American Journal of Psychiatry,113, 416-422.
2.
Burke, J.D., Borus, J.F., Burns, B.J., Millstein, K.H., & Beasley, M.C. (1982). Changes in children's behavior after a natural disaster. American Journal of Psychiatry,139, 1010-1014.
3.
Delamater, A., Applegate, B., Kerdyk, L., & Shaw, J. (1999). PTSD in Head Start children after Hurricane Andrew . Manuscript in preparation.
4.
Dollinger, S., J., O'Donell, J.P., & Stanley, A.A. (1984). Lightning-strike disaster: Effects on children's fears and worries. Journal of Consulting & Clinical Psychology , 52, 1028-1038.
5.
Earls, F., Smith, E., Reich, W., & Jung, K.G. (1988). Investigating psychopathological consequences of disaster in children: A pilot study incorporating a structured diagnostic interview. Journal of the American Academy of Child and Adolescent Psychiatry, 27, 90-95.
6.
Eth, S., and Pynoos, R. (1985). Developmental perspectives on psychic trauma in children. In: Figley, C., ed. Trauma and Its Wake. New York: Brunner/Mazel.
7.
Galante, R., and Foa, D. (1986). An epidemiological study of psychic trauma and treatment effectiveness for children after a natural disaster. Journal of the American Academy of Child Psychiatry, 25, 357-363.
8.
Gleser, G.C., Green, B.L., & Winget, C. (1981). Prolonged psychosocial effects of disaster: A study of Buffalo Creek. New York: Academic Press.
9.
Handford, H.A., Mayes, S.D., Mattison, R.E., Humphrey, F.J., Bagnato, S., Bixler, E.O., and Kales, J.D. (1986). Child and parent reaction to the Three Mile Island nuclear accident.
10.
Journal of the American Academy of Child and Adolescent Psychiatry, 25, 346-356.
11.
Ireton, H.R. et al. (1981). Minnesota pre-school inventory: Identification of children at risk for kindergarten failure. Psychology in the Schools, 18, 394-401.
12.
Ireton, H. (1988). Manual for the Preschool Development Inventory . Minneapolis, MN: Behavior Science Systems, Inc.
13.
Kinzie, J.D., Sack, W.H., Angell, R.H., Manson, S., and 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.
14.
Kiser, L.J., Ackerman, B.J., Brown, E., Edwards, N.B., McColgan, E., Pugh, R., & Pruitt, D.B. (1988). Post-traumatic stress disorder in young children: A reaction to purported sexual abuse. Journal of the American Academy of Child and Adolescent Psychiatry, 27(5), 645-649.
15.
La Greca, A., Silverman, W., Vernberg, E., & Prinstein, M. (1996). Posttraumatic stress symptoms in children after Hurricane Andrew: A prospective study. Journal of Consulting and Clinical Psychology, 64, 712-723.
16.
Lonigan, C., Shannon, M., Finch, A., Daugherty, T., & Taylor, C. (1991). Children's reactions to a natural disaster: Symptom severity and degree of exposure. Advances in Behavior Research and Therapy, 13, 135-154.
17.
McFarlane, A.C. (1987). Posttraumatic phenomena in a longitudinal study of children following a natural disaster. Journal of the American Academy of Child & Adolescent Psychiatry, 26, 764-769.
18.
Nader, K., Pynoos, R., Fairbanks, L., Frederick, C. (1990). Children's PTSD reactions one year after a sniper attack at their school. American Journal of Psychiatry,147(11), 1526-1530.
19.
Nader, K., Stuber, M., & Pynoos, R. (1991). Posttraumatic stress reactions in preschool children with catastrophic illness: Assessment needs. ComprehensiveMental Health Care, 1(3), 223-229.
20.
Newman, C.J. (1976). Children of disaster: Clinical observations at Buffalo Creek. American Journal of Psychiatry,133, 206-312.
21.
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.
22.
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. Arch. General Psychiatry, 44, 1057-1063.
23.
Pynoos, R.S. & Nader, K. (1988). Psychological first aid and treatment approach to children exposed to community violence: Research implications. Journal of Traumatic Stress, 1, 445-473.
24.
Pynoos, R.S., and Nader, K. (1989). Prevention of psychiatric morbidity in children after disaster. Prevention Monograph-2 Prevention of Mental Disorders,Alcohol, and Other Drug Use in Children and Adolescents. In Shaffer, D., Philips, I., Enzer, N.B. (eds) DHHS Publication No. (ADM) 89-1646 Washington D.C., U.S. Government Printing Office. 225-271, 1989.
25.
Saigh, P.A. (1989). The validity of the DSM-III Posttraumatic Stress Disorder classification as applied to children. Journal of Abnormal Psychology, 98, 189-192.
26.
Schetky, D.H. (1978). Preschoolers' response to murder of their mothers by their fathers: A study of four cases. Bulletin of the American Academy of Psychiatry and Law, 6, 45-57.
27.
Shannon, M.P., Lonigan, C.J., Finch, A.J., Jr., Taylor,C.M. & Sallie, F.R. (1994). Children exposed to disaster: I. Epidemiology of posttraumatic symptoms and diagnostic profiles . Journal of the American Academy of Child & Adolescent Psychiatry, 33, 80-93.
28.
Shaw, J., Applegate, B., Tanner, S., Perez, D., Rothe, E., Campo-Bowen, A., & Lahey, B. (1995). Psychological effects of Hurricane Andrew on an elementary school population. Journal of the American Academy of Child & Adolescent Psychiatry, 34, 1185-1192.
29.
Stuber, M.L., Nader, K., Yasuda, P., Pynoos, R., Cohen, S. (1991). Stress responses after pediatric bone marrow transplantation: Preliminary results of a prospective longitudinal study. JournalAmerican Academy of Child and Adolescent Psychiatry, 30(6), 952-957.
30.
Terr, L. (1979). Children of Chowchilla: Study of psychic trauma . Psychoanalytic Study of the Child, 34, 547-623.
31.
Terr, L. (1983). Chowchilla revisited: The effects of psychic trauma four years after a bus kidnapping. American Journal of Psychiatry,140, 1542-1550.
32.
Vernberg, E., La Greca, A., Silverman, W., & Prinstein, M. (1996). Prediction of posttraumatic stress symptoms in children after Hurricane Andrew. Journal of Abnormal Psychology , 105, 237-248.
33.
Vogel, J., & Vernberg, E. (1993). Children's psychological responses to disasters . Journal of Clinical Child Psychology, 22, 464-484. Zeanah, C.H. & Burke, G.S. (1984). A young child who witnessed her mother's murder: Therapeutic and legal considerations. American Journal of Psychotherapy, 38, 132-145.
