Posttraumatic stress symptom trajectories in children living in families reported for family violence

Authors

  • Nicole R. Nugent,

    1. Department of Psychiatry, Warren Alpert Medical School of Brown University and the Bradley/Hasbro Children's Research Center, Rhode Island Hospital, Providence, RI
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  • Benjamin E. Saunders,

    Corresponding author
    1. The National Crime Victims Research and Treatment Center, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC
    • National Crime Victims Research and Treatment Center, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, 67 President Street, MSC 861, Charleston, SC 29425
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  • Linda M. Williams,

    1. Department of Criminal Justice and Criminology, University of Massachusetts Lowell, Lowell, MA
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  • Rochelle Hanson,

    1. The National Crime Victims Research and Treatment Center, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC
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  • Daniel W. Smith,

    1. The National Crime Victims Research and Treatment Center, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC
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  • Monica M. Fitzgerald

    1. The National Crime Victims Research and Treatment Center, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC
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  • This work was supported by U.S. Department of the Navy through contracts #N001040-01-C-N662 and #N00600-96-C3145. Support for manuscript preparation was provided by T32MH 18869 (NRN; PI: Kilpatrick) and T32MH 078788 (NRN; PI: Brown). Points of view expressed in this document are those of the authors only and do not necessarily reflect the position or polices of the U.S. Department of the Navy.

Abstract

The present study examined latent class trajectories of posttraumatic stress disorder (PTSD) and associations between demographics, prior trauma, and reason for referral on class membership. Children ages 7–18 (n=201) were recruited for participation in the Navy Family Study following reports to the U.S. Navy's Family Advocacy Program (FAP). Initial interviews were conducted 2–6 weeks following FAP referral, with follow-ups conducted at 9–12, 18–24, and 36–40 months. Growth mixture modeling revealed two latent class trajectories: a resilient class and a persistent symptom class. Relative to youth in the resilient class, participants in the persistent symptom class were more likely to be older and to report exposure to a greater number of trauma experiences at Time 1.

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