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Walker, Jack, Teague, Bonnie 
ORCID: https://orcid.org/0000-0002-3248-2257, Memarzia, Jessica and Meiser-Stedman, Richard ORCID: https://orcid.org/0000-0002-0262-623X
(2020)
Acute Stress Disorder in children and adolescents: A systematic review and meta-analysis of prevalence following exposure to a traumatic event.
Journal of Affective Disorders Reports, 2.
ISSN 2666-9153
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Abstract
Background: Acute stress disorder (ASD) was proposed to encapsulate traumatic stress reactions within the first few months of exposure to trauma. The present systematic review and meta-analysis aimed to estimate the prevalence of ASD in children and adolescents, and the extent to which assessment, demographic and trauma variables moderate this. Method: Searches of EMBASE, MEDLINE (PubMed), PsycINFO, PsycARTICLES and PILOTS were conducted to identify studies published between 1 st January 1994 and 1 st January 2018. Seventeen studies were identified as meeting inclusion criteria (N=2918 participants). Results: The pooled prevalence estimate for ASD was 16.5% (95% CI 10.6–23.4%), with considerable heterogeneity between studies (Q[16]=261.12, p < .001, I 2=95.3%). Risk of bias was unrelated to prevalence estimates. Studies that used a clinical interview (k=8) yielded a higher estimate (24.0%, 95% CI 13.8–36.0%) than those that used a questionnaire which adhered to the diagnostic algorithm for DSM-IV ASD (k=6; 6.8%, 95% CI 3.6–10.9%). Studies comprising older participants yielded greater prevalence estimates. Prevalence was significantly greater in studies where the majority of participants had been exposed to interpersonal trauma (27.9%, 95% CI 15.1–42.8%; k=5) compared to non-interpersonal trauma (12.8%, 95% CI 7.2–19.7%; k=12). Conclusions: This review suggests that a significant minority of trauma-exposed children and adolescents meet criteria for ASD (in particular youth exposed to interpersonal trauma), but the findings are limited by a large degree of heterogeneity. DSM-IV ASD-specific self-report questionnaire measures may be too insensitive for identifying youth with this disorder.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | acute stress disorder,adolescents,children,post-traumatic,stress disorder,systematic review,psychiatry and mental health,clinical psychology ,/dk/atira/pure/subjectarea/asjc/2700/2738 |
| Faculty \ School: | Faculty of Medicine and Health Sciences > Norwich Medical School |
| UEA Research Groups: | Faculty of Medicine and Health Sciences > Research Groups > Mental Health Faculty of Medicine and Health Sciences > Research Centres > Lifespan Health |
| Related URLs: | |
| Depositing User: | LivePure Connector |
| Date Deposited: | 01 Dec 2020 00:55 |
| Last Modified: | 19 Oct 2023 02:51 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/77849 |
| DOI: | 10.1016/j.jadr.2020.100041 |
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