Early childhood behavior trajectories and the likelihood of experiencing a traumatic event and PTSD by young adulthood

被引:10
|
作者
Storr, Carla L. [1 ]
Schaeffer, Cindy M. [2 ]
Petras, Hanno [3 ]
Ialongo, Nicholas S. [4 ]
Breslau, Naomi [5 ]
机构
[1] Univ Maryland, Sch Nursing, Dept Family & Community Hlth, Baltimore, MD 21201 USA
[2] Med Univ S Carolina, Dept Psychiat & Behav Sci, Charleston, SC 29425 USA
[3] Univ Maryland, Dept Criminol & Criminal Justice, Baltimore, MD 21201 USA
[4] Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Dept Mental Hlth, Baltimore, MD USA
[5] Michigan State Univ, Coll Human Med, Dept Epidemiol, E Lansing, MI 48824 USA
关键词
growth trajectories; childhood antecedents; child development; traumatic events; PTSD; POSTTRAUMATIC-STRESS-DISORDER; NATIONAL COMORBIDITY SURVEY; DSM-IV DISORDERS; TOCA-R SCORES; AGGRESSIVE-BEHAVIOR; ELEMENTARY-SCHOOL; RISK-FACTORS; 1ST-GRADE CLASSROOM; ANTISOCIAL OUTCOMES; GENDER-DIFFERENCES;
D O I
10.1007/s00127-008-0446-6
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
This study modeled children's trajectories of teacher rated aggressive-disruptive behavior problems assessed at six time points between the ages of 6 and 11 and explored the likelihood of being exposed to DSM-IV qualifying traumatic events and posttraumatic stress disorder (PTSD) in 837 urban first graders (71% African American) followed-up for 15 years. Childhood trajectories of chronic high or increasing aggressive-disruptive behavior distinguished males more likely to be exposed to an assaultive violence event as compared to males with a constant course of low behavior problems (ORchronic high = 2.8, 95% CI = 1.3, 6.1 and ORincreasing = 4.5, 95% CI = 2.3, 9.1, respectively). Among females, exposure to traumatic events and vulnerability to PTSD did not vary by behavioral trajectory. The findings illustrate that repeated assessments of disruptive classroom behavior during early school years identifies more fully males at increased risk for PTSD-level traumatic events, than a single measure at school entry does.
引用
收藏
页码:398 / 406
页数:9
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