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dc.contributor.authorLa Greca, Annette M.
dc.contributor.authorLai, Betty S.
dc.contributor.authorLlabre, Maria M.
dc.contributor.authorSilverman, Wendy K.
dc.contributor.authorVernberg, Eric M.
dc.contributor.authorPrinstein, Mitchell J.
dc.date.accessioned2017-06-06T20:50:25Z
dc.date.available2017-06-06T20:50:25Z
dc.date.issued2013-08-01
dc.identifier.citationLa Greca, A. M., Lai, B. S., Llabre, M. M., Silverman, W. K., Vernberg, E. M., & Prinstein, M. J. (2013). Children’s Postdisaster Trajectories of PTS Symptoms: Predicting Chronic Distress. Child & Youth Care Forum, 42(4), 351–369. http://doi.org/10.1007/s10566-013-9206-1en_US
dc.identifier.urihttp://hdl.handle.net/1808/24396
dc.description.abstractBACKGROUND: There are no studies of the distinct trajectories of children’s psychological distress over the first year after a destructive natural disaster and the determinants of these trajectories. OBJECTIVE: We examined these issues using an existing dataset of children exposed to Hurricane Andrew, one of the most devastating natural disasters in US history. METHODS: At 3-months postdisaster, 568 children (55 % girls; grades 3–5) residing in areas most directly affected by the hurricane completed measures of hurricane exposure and stressors, social support, coping, and general anxiety. Children also reported major life events occurring since the hurricane (at 7-months) and posttraumatic stress (PTS) symptoms at 3-, 7-, and 10-months postdisaster. RESULTS: Latent growth mixture modeling identified three trajectories of PTS reactions: resilient (37 %), recovering (43 %), and chronic distress (20 %). Predictors of the trajectories were examined. Odds ratios indicated that, compared to the resilient trajectory, girls were more likely to be in the recovering and chronically distressed trajectories, as were children reporting higher anxiety and greater use of coping strategies that reflected poor emotion regulation. Compared to the recovering trajectory, children in the chronically distressed trajectory had greater odds of reporting high anxiety, less social support, more intervening life events, and greater use of poor emotion regulation strategies. CONCLUSIONS: Hurricane exposure may be less effective in identifying children who develop chronic postdisaster distress than other child (anxiety, coping) and contextual variables (social support, life events). Effective screening after disasters is critical for identifying youth most in need of limited clinical resources.en_US
dc.publisherSpringer Verlagen_US
dc.rights© Springer Science+Business Media New York 2013en_US
dc.subjectNatural disastersen_US
dc.subjectPosttraumatic stressen_US
dc.subjectResilienceen_US
dc.subjectTrajectoriesen_US
dc.subjectTraumaen_US
dc.subjectChildrenen_US
dc.titleChildren’s Postdisaster Trajectories of PTS Symptoms: Predicting Chronic Distressen_US
dc.typeArticleen_US
kusw.kuauthorVernberg, Eric M.
kusw.kudepartmentPsychologyen_US
dc.identifier.doi10.1007/s10566-013-9206-1en_US
kusw.oaversionScholarly/refereed, author accepted manuscripten_US
kusw.oapolicyThis item meets KU Open Access policy criteria.en_US
dc.identifier.pmidPMC3964678en_US
dc.rights.accessrightsopenAccess


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