Document Detail

Post-traumatic stress disorder in children exposed to violence.
MedLine Citation:
PMID:  9472276     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To investigate to what extent local children exposed to community violence develop post-traumatic stress disorder (PTSD), whether the symptom profile is typical or atypical, and how detection can be improved.
DESIGN: A cross-sectional study of two samples of children with a high risk of past exposure to violence.
SETTING AND SUBJECTS: Sixty Xhosa-speaking children aged 10-16 years; 30 from the Children's Home which serves Khayelitsha, and 30 from a school in a violent area of Khayelitsha.
OUTCOME MEASURES: A shortened version of the Survey of Exposure to Community Violence (SECV) was administered to determine exposure to violence. Structured questionnaires and a clinical assessment were used to elicit symptoms and make psychiatric diagnoses.
RESULTS: All 60 children reported exposure to indirect violence, 57 (95%) had witnessed violence, and 34 (56%) had experienced violence themselves. Twenty-four (40%) met the criteria for on or more DSM-III-R diagnoses and 13 (21.7%) met the criteria for PTSD.
CONCLUSIONS: Community violence places children at a high risk of developing serious psychiatric disorders and many children develop PTSD. None of the children in the school sample had received intervention prior to the study, pointing towards an urgent need for increased community and professional awareness of children at risk.
K Ensink; B A Robertson; C Zissis; P Leger
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde     Volume:  87     ISSN:  0256-9574     ISO Abbreviation:  S. Afr. Med. J.     Publication Date:  1997 Nov 
Date Detail:
Created Date:  1998-03-18     Completed Date:  1998-03-18     Revised Date:  2014-09-12    
Medline Journal Info:
Nlm Unique ID:  0404520     Medline TA:  S Afr Med J     Country:  SOUTH AFRICA    
Other Details:
Languages:  eng     Pagination:  1526-30     Citation Subset:  IM    
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MeSH Terms
African Americans / psychology,  statistics & numerical data
African Continental Ancestry Group
Child Psychology
Cross-Sectional Studies
Life Style
South Africa / epidemiology
Stress Disorders, Post-Traumatic / diagnosis*,  epidemiology,  psychology

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