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Post Traumatic Stress Disorder : Clinical description of 101 children

Published online by Cambridge University Press:  01 September 2022

S. Bourgou*
Affiliation:
hospital of mongi slim, Pedopsychiatry, Tunis, Tunisia
K. Nourchene
Affiliation:
Razi hospital, Pedopsychiatry, Tunis, Tunisia
H. Rezgui
Affiliation:
Razi hospital, Pedopsychiatry, Tunis, Tunisia
A. Belhaj
Affiliation:
hospital of mongi slim, Pedopsychiatry, Tunis, Tunisia
*
*Corresponding author.

Abstract

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Introduction

Post traumatic stress disorder (PTSD) is a mental health condition that’s triggered by a psychotraumatic event .

Objectives

The aim of our study was to investigate the clinical manifestations of PTSD in the pediatric population.

Methods

This is a descriptive cross-sectional study carried out on children over the age of 7 and victims of a traumatic event that had occurred at least one month before. They were recruited from August 2020 to April 2021, in child psychiatry department. The clinical manifestations were evaluated using the Clinician Administered PTSD Scale Child and Adolescent version for DSM 5 (CAPS CA5) in Tunisian dialect. The statistical processing of these data was carried out using SPSS 26 software.

Results

We recruited 101 children who had experienced a traumatic event which was in 35.6% physical assault, 47.5% sexual assault and in 16.8 % exposure to death. The mean age was 10.7 years at the onset of traumatic event and 11.74 years at the interview. We noted in our patients a female predominance at 64.4%. Diagnosis of PTSD according to the diagnostic criteria of the DSM5 was retained in 54.5% of cases. Intrusive symptoms were present in 81.2%, with 66.3% of involuntary, intrusive memories. Persistent avoidance of stimuli was noted in 80.2%. 71.3% of cases suffered from negative cognition and mood. We found in 66.3% marked alterations in trauma-related arousal and reactivity. Resulting in clinicialy significant distress in71.3%.

Conclusions

Recognizing PTSD symptoms is essential for diagnosis to initiate specialized care and reduce impairment at this critical age.

Disclosure

No significant relationships.

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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