Predicting posttraumatic stress symptoms in children after road traffic accidents

J Am Acad Child Adolesc Psychiatry. 2005 Dec;44(12):1276-83. doi: 10.1097/01.chi.0000181045.13960.67.


Objective: To prospectively assess the prevalence, course, and predictors of posttraumatic stress symptoms (PTSSs) in children after road traffic accidents (RTAs).

Method: Sixty-eight children (6.5-14.5 years old) were interviewed 4-6 weeks and 12 months after an RTA with the Child PTSD Reaction Index (response rate 58.6%). Their mothers (n = 60) and fathers (n = 53) were assessed with the Posttraumatic Diagnostic Scale.

Results: The prevalence of moderate to severe PTSSs in children was 16.2% at 4-6 weeks, and 17.6% at 12 months. Mean PTSS scores did not decrease between the two assessments. Five children showed a delayed onset of PTSSs. Twelve mothers (20%) and six fathers (11.3%) met criteria for posttraumatic stress disorder (PTSD) at 4 to 6 weeks. At 12 months, three mothers (5.7%) and no fathers met diagnostic criteria. Child PTSSs at 12 months was significantly predicted by PTSS at 4-6 weeks and by severity of father's PTSD. Age, sex, injury severity, threat appraisal, and maternal PTSD did not significantly contribute to child PTSSs at follow-up.

Conclusions: There is a need for careful psychological assessment of children and their parents after an RTA. The possibility of delayed onset of PTSSs implies a monitoring beyond the first weeks after the accident. The impact of fathers' PTSD on child PTSSs suggests that fathers ought to be actively involved in family-based prevention and treatment interventions of child PTSSs after RTAs.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Accidents, Traffic / psychology*
  • Adolescent
  • Child
  • Cross-Sectional Studies
  • Fathers / psychology
  • Fathers / statistics & numerical data
  • Female
  • Follow-Up Studies
  • Germany
  • Humans
  • Male
  • Mothers / psychology
  • Mothers / statistics & numerical data
  • Personality Assessment / statistics & numerical data
  • Psychometrics
  • Statistics as Topic
  • Stress Disorders, Post-Traumatic / diagnosis*
  • Stress Disorders, Post-Traumatic / epidemiology
  • Stress Disorders, Post-Traumatic / psychology
  • Wounds and Injuries / epidemiology
  • Wounds and Injuries / psychology