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Demographic, maltreatment, and neurobiological correlates of PTSD symptoms in children and adolescents.

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Date
2010-06
Authors
De Bellis, Michael D
Hooper, Stephen R
Woolley, Donald P
Shenk, Chad E
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Abstract
OBJECTIVE: To examine the relationships of demographic, maltreatment, neurostructural and neuropsychological measures with total posttraumatic stress disorder (PTSD) symptoms. METHODS: Participants included 216 children with maltreatment histories (N = 49), maltreatment and PTSD (N = 49), or no maltreatment (N = 118). Participants received diagnostic interviews, brain imaging, and neuropsychological evaluations. RESULTS: We examined a hierarchical regression model comprised of independent variables including demographics, trauma and maltreatment-related variables, and hippocampal volumes and neuropsychological measures to model PTSD symptoms. Important independent contributors to this model were SES, and General Maltreatment and Sexual Abuse Factors. Although hippocampal volumes were not significant, Visual Memory was a significant contributor to this model. CONCLUSIONS: Similar to adult PTSD, pediatric PTSD symptoms are associated with lower Visual Memory performance. It is an important correlate of PTSD beyond established predictors of PTSD symptoms. These results support models of developmental traumatology and suggest that treatments which enhance visual memory may decrease symptoms of PTSD.
Type
Journal article
Subject
Adolescent
Child
Child Abuse
Child Abuse, Sexual
Child, Preschool
Dominance, Cerebral
Female
Hippocampus
Humans
Image Processing, Computer-Assisted
Interview, Psychological
Magnetic Resonance Imaging
Male
Memory, Short-Term
Neuropsychological Tests
North Carolina
Organ Size
Pattern Recognition, Visual
Psychometrics
Socioeconomic Factors
Stress Disorders, Post-Traumatic
Permalink
https://hdl.handle.net/10161/11289
Published Version (Please cite this version)
10.1093/jpepsy/jsp116
Publication Info
De Bellis, Michael D; Hooper, Stephen R; Woolley, Donald P; & Shenk, Chad E (2010). Demographic, maltreatment, and neurobiological correlates of PTSD symptoms in children and adolescents. J Pediatr Psychol, 35(5). pp. 570-577. 10.1093/jpepsy/jsp116. Retrieved from https://hdl.handle.net/10161/11289.
This is constructed from limited available data and may be imprecise. To cite this article, please review & use the official citation provided by the journal.
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Scholars@Duke

De Bellis

Michael Damingo De Bellis

Professor of Psychiatry and Behavioral Sciences
This author no longer has a Scholars@Duke profile, so the information shown here reflects their Duke status at the time this item was deposited.
Woolley

Donald Woolley

Higher Education Analyst I
Ph.D.    Sociology, North Carolina State UniversityM.A.     Sociology, University of North Carolina at GreensboroB.A.      Anthropology, Sociology, and History, University of North Carolina at Greensboro
Alphabetical list of authors with Scholars@Duke profiles.
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