Journal article
The Role of Appraisals and Coping in Predicting Posttraumatic Stress Following Pediatric Injury
Psychological trauma, v 8(4), pp 495-503
01 Jul 2016
PMID: 27065067
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objective: Given the millions of children who experience potentially traumatic injuries each year and the need to maximize emotional and physical health outcomes following pediatric injury, the current study examined the individual and collective contributions of the malleable variables of appraisals and coping in predicting posttraumatic stress symptoms (PTSS) in children following injury. Method: This study combined data from 3 prospective investigations of recovery from pediatric injury (N = 688) in which children ages 8-17 years were recruited shortly after an injury (within 4 weeks). At baseline (T1), children completed measures of their threat appraisals of the injury event and PTSS. Six to twelve weeks later (T2), children completed a measure of coping and PTSS. Finally, PTSS was assessed again 6 months post-injury (T3). Results: Structural equation modeling analyses provide evidence that appraisals and coping contribute to PTSS. Furthermore, results suggest that escape coping mediates the relationship between threat appraisals and PTSS. Conclusions: Early interventions designed to prevent or reduce PTSS after pediatric injury may be more successful if they primarily target modifying escape coping behaviors. To best inform clinical practice, future research should examine factors influencing the development of children's appraisals and coping behaviors in the context of potentially traumatic events.
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Details
- Title
- The Role of Appraisals and Coping in Predicting Posttraumatic Stress Following Pediatric Injury
- Creators
- Meghan L. Marsac - Children's Hospital of PhiladelphiaJeffrey Ciesla - Kent State UniversityLamia P. Barakat - Children's Hospital of PhiladelphiaAimee K. Hildenbrand - Children's Hospital of PhiladelphiaDouglas L. Delahanty - Kent State UniversityKeith Widaman - University of California, DavisFlaura K. Winston - Children's Hospital of PhiladelphiaNancy Kassam-Adams - Children's Hospital of PhiladelphiaWilliam Clement Regli
- Publication Details
- Psychological trauma, v 8(4), pp 495-503
- Publisher
- Educational Publishing Foundation-American Psychological Assoc
- Number of pages
- 9
- Grant note
- 1K23MH093618-01A1 / National Institute of Mental Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Mental Health (NIMH) R40MC00138 / Maternal and Child Health Bureau of the Health Resources and Services Administration R49CE987 / Centers for Disease Control and Prevention; United States Department of Health & Human Services; Centers for Disease Control & Prevention - USA H34MC04365 / Targeted Issues grant from the Emergency Medical Services for Children Program of the Health Resources and Services Administration Mentored Career Award K23MH093618 / NATIONAL INSTITUTE OF MENTAL HEALTH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Mental Health (NIMH)
- Resource Type
- Journal article
- Language
- English
- Web of Science ID
- WOS:000379767400011
- Scopus ID
- 2-s2.0-84962919860
- Other Identifier
- 991019357775004721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Psychiatry
- Psychology, Clinical