Acute traumatic stress symptoms in child occupants and their parent drivers after crash involvement.

TitleAcute traumatic stress symptoms in child occupants and their parent drivers after crash involvement.
Publication TypeJournal Article
Year of Publication2005
AuthorsWinston FK, Baxt C, Kassam-Adams N, Elliott MR, Kallan MJ
JournalArch Pediatr Adolesc Med
Volume159
Issue11
Pagination1074-9
Date Published2005 Nov
ISSN1072-4710
KeywordsAccidents, Traffic, Adolescent, Child, Child, Preschool, Female, Hospitalization, Humans, Male, Multivariate Analysis, Parents, Prevalence, Retrospective Studies, Risk Factors, Stress Disorders, Traumatic, Acute, Trauma Severity Indices, United States, Wounds and Injuries
Abstract

BACKGROUND: Approximately 1 in 4 children hospitalized with injuries from traffic crashes and their parents experience symptoms of acute stress disorder (ASD). These families represent a minority of those exposed to the trauma of a crash. To date, no studies have explored the prevalence of ASD symptoms in the broader population of children and parents exposed to crashes.

OBJECTIVE: To describe the prevalence of and risk factors for ASD symptoms in children and their driver parents after vehicle crashes.

DESIGN, SETTING, AND PARTICIPANTS: Cross-sectional study via telephone survey of parent drivers and children (aged 5-15 years), using an exposure-based crash surveillance system. A probability sample of 1091 crashes involving 1483 children weighted to represent 24 376 children in 18 422 crashes was collected.

MAIN OUTCOME MEASURE(S): Parent-reported ASD symptoms and impairment.

RESULTS: Significant ASD symptoms occurred in 1.6% (95% confidence interval, 0.9%-2.3%) of children in crashes and 4.7% (95% confidence interval, 4.0%-5.5%) of parents. In children, ASD symptoms were independently associated with sustaining an injury and with receiving medical care; in parents, symptoms were independently associated with child injury, child receiving medical care, Hispanic ethnicity, lower income (< USD 40 000), and higher crash severity.

CONCLUSIONS: Sustaining injuries and receiving medical treatment were strong predictors for developing ASD symptoms after crashes but ASD symptoms often occurred in the absence of these risk factors. Health care professionals should consider screening for traumatic stress symptoms in children and their parents when children are involved in traffic crashes, particularly if they sustain injuries.

DOI10.1001/archpedi.159.11.1074
Alternate JournalArch Pediatr Adolesc Med
PubMed ID16275800