Abstract
Twenty-one children and adolescents (age range 8–17, mean 12.7 years) who had been in motor vehicle accidents (MVAs), and 14 non-MVA controls matched for age and gender, underwent a psychophysiological assessment in which heart rate, systolic and diastolic blood pressure, and skin conductance were measured during baseline and two stressor phases: mental arithmetic and listening to and imagining a MVA like their own. The eight youth who currently met criteria for PTSD or sub-syndromal PTSD significantly reported more subjective distress to the MVA audiotape than the 13 MVA non-PTSD youth or the 14 non-MVA controls. All groups responded physiologically to the mental arithmetic. However, in contrast to expectations, there were no differential physiological responses among the groups to the stimuli reminiscent of the trauma. Possible explanations are explored.
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Aaron, J., Zaglul, H., & Emery, R. E. (1999). Posttraumatic stress in children following acute physical injury. Journal of Pediatric Psychology, 24, 335–343.
American Psychiatric Association. (1994) Diagnostic and statistical manual of mental disorders, (4th ed.). Washington, DC: American Psychiatric Association.
Beidel, D. C. (1989). Assessing anxious emotion: A review of psychophysiological assessment in children. Clinical Psychology Review, 9, 717–736.
Blake, D., Weathers, F., Nagy, L., Kaloupek, D., Klauminzer, G., Charney, D., & Keane, T. (1998). Clinician-Administered PTSD Scale (CAPS). National Center for Posttraumatic Stress Disorder, Behavioral Science Division – Boston VA, Boston, MA.
Blanchard, E. B. (1990). Elevated basal levels of cardiovascular responses in Vietnam veterans with PTSD: A health problem in the making? Journal of Anxiety Disorders, 4, 233–237.
Blanchard, E. B., & Buckley, T. C. (1999). Psychophysiological assessment and PTSD. In P. Saigh & D. Bremner (Eds.), Posttraumatic stress disorder: A comprehensive approach to research (pp. 248–266). Needham, MA: Allyn & Bacon.
Blanchard, E. B., & Hickling, E. J. (2004). After the crash (2nd ed.). Washington, DC: American Psychological Association.
Blanchard, E. B., Hickling, E. J., Buckley, T. C., Taylor, A. E., Vollmer, A., & Loos, W. R. (1996). The psychophysiology of motor vehicle accident-related posttraumatic stress disorder: Replication and extension. Journal of Consulting and Clinical Psychology, 64, 742–751.
Blanchard, E. B., Kolb, L. C., Gerardi, R. J., Ryan, P., & Pallmeyer, T. P. (1986). Cardiac response to relevant stimuli as an adjunctive tool for diagnosing posttraumatic stress disorder in Vietnam veterans. Behavior Therapy, 17, 592–606.
Blanchard, E. B., Kolb, L. C., Taylor, A., & Wittrock, D. A. (1989). Cardiac response to relevant stimuli as an adjunct in diagnosing posttraumatic stress disorder: Replication and extension. Behavior Therapy, 20, 535–543.
Daviss, W. B., Mooney, D., Racusin, R., Ford, J. D., Fleischer, A., & McHugo, G. (2000). Predicting posttraumatic stress after hospitalization for pediatric injury. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 576–583.
DeVries, A. P. J., Kassam-Adams, N., Canaan, A., Sherman-Slate, E., Gallagher, P. R., & Winston, F. K. (1999). Looking beyond the physical injury: Posttraumatic stress disorder in children and parents after pediatric traffic injury. Pediatrics, 104, 1293–1299.
DiGallo, A., Barton, J., & Parry-Jones, W. L. (1997). Road traffic accidents: Early psychological consequences in children and adolescents. British Journal of Psychiatry, 170, 358–362.
Ehlers, A., Mayou, R. A., & Bryant B. (1998) Psychological predictors of chronic posttraumatic stress disorder after motor vehicle accidents. Journal of Abnormal Psychology, 107, 508–519.
Ehlers, A., Mayou, R. A., & Bryant, B. (2003). Cognitive predictors of posttraumatic stress disorder in children: Results of a prospective longitudinal study. Behaviour Research and Therapy, 41, 1–10.
Ellis, A., Stores, G., & Mayou, R. (1998). Psychological consequences of road traffic accidents in children. European Child and Adolescent Psychiatry, 7, 61–68.
Griffin, M. G., Resick, P. A., & Mechanic, M. B. (1994). Psychophysiological and nonverbal assessment of peritraumatic dissociation in rape victims. Paper presented at the 10th Annual Meeting of the International Society for Traumatic Stress Studies, Chicago, IL.
Gronwall, J. A. (1986). The Physicians Guide, Veterans Administration, Department of Medicine and Surgery, Clinical Affairs, Chap. 20. Psychiatric Sequelae of Military Duty in a War Zone, 20.3 (d).
Keane, T. M., Kaloupek, D. C., Blanchard, E. B., Hsieh, F. Y., Kolb, L. C., Orr, S. P., Thomas, R. G., & Lavori, P. W. (1998). Utility of psychophysiological measurement in the diagnosis of posttraumatic stress disorder: Results from a Department of Veterans Affairs Cooperative Study. Journal of Consulting and Clinical Psychology, 66, 914–923.
Keppel-Benson, J. M., Ollendick, T. H., & Benson, M. J. (2002). Post-traumatic stress in children following motor vehicle accidents. Journal of Child Psychology and Psychiatry, 43, 203–212.
King, N. J. (1993). Physiological assessment. In M. Hersen & T. H. Ollendick (Eds.), Handbook of child and adolescent assessment: Vol. 167 General psychology series (pp. 180–191). Needham Heights, MA: Allyn & Bacon.
King, N. J., Ollendick, T. H., & Murphy, G. C. (1997) Assessment of childhood phobias. Clinical Psychology Review, 7, 667–687.
Mirza, K. A. H., Bhadrinath, B. R., Goodyer, I. M., & Gilmour, C. (1998). Post-traumatic stress disorder in children and adolescents following road traffic accidents. British Journal of Psychiatry, 172, 443– 447.
Pitman, R. K., Orr, S. P., Forgue, D. F., deJong, J. B., & Claiborn, J. M. (1987). Psychophysiologic assessment of posttraumatic stress disorder imagery in Vietnam combat veterans. Archives of General Psychiatry, 44, 970–975.
Saigh, P. (1987). The development and validation of the Children’s Posttraumatic Stress Disorder Inventory. Paper presented at the meeting of the Association for the Advancement of Behavior Therapy, Boston, MA.
Saigh, P. A., Yasik, A. E., Oberfield, R. A., Green, B., Halamadaris, P. V., Rubenstein, H., Nester, J., Reski, J., Hetz, B., & McHugh, M. (2000). The children’s PTSD Inventory: Development and reliability. Journal of Traumatic Stress, 13, 369–380.
Stallard, P., Velleman, R., & Baldwin, S. (1998). Prospective study of post-traumatic stress disorder in children involved in road traffic accidents. British Medical Journal, 317, 619–623.
United States Department of Transportation. (nd). Traffic safety facts 2002: final version. Retrieved July 29, 2004, from the National Highway Traffic Safety Administration. Web site: http://www-nrd.nhtsa.dot.gov/pdf/ nrd-30/NCA/TSFAnn/TSF2002Final.pdf
Weathers, F. W., Litz, B. T., Herman, D. S., Huska, J. A., & Keane, T. M. (1993, October). The PTSD Checklist: Reliability, validity, & diagnostic utility. Paper presented at the annual meeting of the International Society for Traumatic Stress Studies, San Antonio, TX.
Welner, Z., & Reich, W. (1997). Diagnostic Interview for Children and Adolescents-Revised (Parent version). Washington University, St Louis, MO.
Yasik, A. E., Saigh, P. A., Oberfield, R. A., Green, B., Halamandaris, P., & McHugh, M. (2001). The validity of the children’s PTSD Inventory. Journal of Traumatic Stress, 14, 81–94.
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Jones-Alexander, J., Blanchard, E.B. & Hickling, E.J. Psychophysiological Assessment of Youthful Motor Vehicle Accident Survivors. Appl Psychophysiol Biofeedback 30, 115–123 (2005). https://doi.org/10.1007/s10484-005-4307-8
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DOI: https://doi.org/10.1007/s10484-005-4307-8