Adolescents' and parents' agreement on posttraumatic stress disorder symptoms and functioning after adolescent injury

Authors

  • Angela Ghesquiere,

    1. Department of Psychiatry & Behavioral Sciences, Harborview Medical Center, University of Washington School of Medicine, Seattle, WA
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  • Ming-Yu Fan,

    1. Department of Psychiatry & Behavioral Sciences, Harborview Medical Center, University of Washington School of Medicine, Seattle, WA
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  • Lucy Berliner,

    1. Harborview Center for Sexual Assault and Traumatic Stress, Harborview Medical Center, Seattle, WA
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  • Frederick P. Rivara,

    1. Department of Pediatrics, and Harborview Injury Prevention and Research Center, Harborview Medical Center, University of Washington School of Medicine, Seattle, WA
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  • Gregory J. Jurkovich,

    1. Department of Surgery, University of Washington School of Medicine, Harborview Medical Center, Seattle, WA
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  • Joan Russo,

    1. Department of Psychiatry & Behavioral Sciences, Harborview Medical Center, University of Washington School of Medicine, Seattle, WA
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  • Wayne Katon,

    1. Department of Psychiatry & Behavioral Sciences, Harborview Medical Center, University of Washington School of Medicine, Seattle, WA
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  • Douglas F. Zatzick

    Corresponding author
    1. Department of Psychiatry & Behavioral Sciences, Harborview Medical Center, University of Washington School of Medicine, Seattle, WA
    • Department of Psychiatry & Behavioral Sciences, Harborview Medical Center, University of Washington, P.O. Box 359911, 325 Ninth Avenue, Seattle, WA 98104-2499
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Abstract

Few investigations have simultaneously assessed concordance between youth and parent ratings of posttraumatic stress disorder (PTSD) symptoms and functioning. Randomly sampled adolescent injury survivors ages 12–18 and their parents were assessed on the inpatient ward and again at 2, 5, and 12-months postinjury (N = 99). Adolescent PTSD symptoms and functioning were rated by both adolescents and parents. Parent PTSD was also assessed; 27% of parents endorsed symptoms consistent with a diagnosis of PTSD over the course of the year after adolescent injury. The PTSD positive parents demonstrated significantly greater discordance in ratings of adolescent PTSD symptoms, family cohesion, and mental health functioning. These findings suggest caution in clinical and policy applications of parental ratings of adolescent symptomatic and functional outcomes after injury.

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