Posttraumatic Stress Symptom Trajectories Among Children After Disaster Exposure: A Review

Betty S. Lai; Rayleen Lewis; Michelle S. Livings; Annette M. La Greca; Ann‐Margaret Esnard

doi:10.1002/jts.22242

journal article Nov 28, 2017

Posttraumatic Stress Symptom Trajectories Among Children After Disaster Exposure: A Review

Betty S. Lai Rayleen Lewis Michelle S. Livings Annette M. La Greca Ann‐Margaret Esnard

Journal of Traumatic Stress Vol. 30 No. 6 pp. 571-582 · Wiley

View at Publisher Save 10.1002/jts.22242

Abstract

AbstractNatural disasters, such as hurricanes and floods, are increasing in frequency and scope. Youth exposed to disasters are at risk for developing posttraumatic stress symptoms (PTSS). However, not all youth who report initially elevated PTSS report persistent PTSS that last beyond the first three to six months postdisaster. Thus, it is crucial to understand how and why youth differ in their patterns of PTSS. This study reviewed the literature on children's postdisaster PTSS, evaluating the typical number and types of patterns for children's PTSS trajectories, as well as risk and protective factors predicting trajectory membership. This review identified eight empirical studies on youth PTSS trajectories following natural disasters; these studies included 8,306 children aged 3 to 18 years. All studies identified resilience, recovery, and chronic trajectories. Evidence for a delayed trajectory was mixed. Proportions of children falling into each trajectory varied widely across studies, but overall, resilience was the most prevalent trajectory. These findings were consistent across study factors (i.e., analytic strategy, assessment timing, and study selection criteria). Female gender, disaster exposure, negative coping, and lack of social support were significant risk factors for chronic trajectories across several studies. Future research should combine individual level participant data across studies of children's responses to disasters to better understand PTSS trajectories.

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Metrics

94

Citations

37

References

Details

Published: Nov 28, 2017
Vol/Issue: 30(6)
Pages: 571-582
License: View

Authors

B

Betty S. Lai

School of Public Health Georgia State University Atlanta Georgia USA

R

Rayleen Lewis

School of Public Health Georgia State University Atlanta Georgia USA

M

Michelle S. Livings

School of Public Health Georgia State University Atlanta Georgia USA

A

Annette M. La Greca

Department of Psychology University of Miami Miami Florida USA

A

Ann‐Margaret Esnard

Andrew Young School of Policy Studies Georgia State University Atlanta Georgia USA

Funding

National Science Foundation Award: 1634234

National Institute of Mental Health Award: 1R03MH113849‐01

Cite This Article

Betty S. Lai, Rayleen Lewis, Michelle S. Livings, et al. (2017). Posttraumatic Stress Symptom Trajectories Among Children After Disaster Exposure: A Review. Journal of Traumatic Stress, 30(6), 571-582. https://doi.org/10.1002/jts.22242

Posttraumatic Stress Symptom Trajectories Among Children After Disaster Exposure: A Review

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