ArticleHealth psychology : official journal of the Division of Health Psychology, American Psychological Association2017
An initial application of a biopsychosocial framework to predict posttraumatic stress following pediatric injury.
Article in Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Prospective biomarkers of posttraumatic stress disorder in children and adolescents: a systematic review and meta-analysis.Translational psychiatry · 2026Pooled it
- Early biological and psychosocial factors associated with PTSD onset and persistence in youth.European journal of psychotraumatology · 2024Pooled it
- Applying the Cognitive Model of Post-Traumatic Stress to Examine the Role of Appraisals, Trauma Memory, and Coping Strategies Following Pediatric Injury: A Systematic Review.Journal of child & adolescent trauma · 2025Article
- The Cellie Coping Kit for children with Eosinophilic Esophagitis: Feasibility, acceptability, and preliminary outcomes.Journal of child health care : for professionals working with children in the hospital and community · 2023Article
- Using a biopsychosocial approach to examine differences in post-traumatic stress symptoms between Arab and Jewish Israeli mothers following a child's traumatic medical event.International journal for equity in health · 2021Article
- Posttraumatic Stress in Children After Injury: The Role of Acute Pain and Opioid Medication Use.Pediatric emergency care · 2020Article
- Development of an international data repository and research resource: the Prospective studies of Acute Child Trauma and Recovery (PACT/R) Data Archive.European journal of psychotraumatology · 2020Article
- Latent classes of DSM-5 acute stress disorder symptoms in children after single-incident trauma: findings from an international data archive.European journal of psychotraumatology · 2020Article
- A Prospective Examination of Child Avoidance Coping and Parental Coping Assistance After Pediatric Injury: A Mixed-Methods Approach.Journal of pediatric psychology · 2019Article
- Commentary: Mediation and Moderation: An Historical Progress Report.Journal of pediatric psychology · 2019Article
- The aftermath of burn injury from the child's perspective: A qualitative study.Journal of health psychologyArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectiveEach year millions of children suffer from unintentional injuries that result in poor emotional and physical health. This study examined selected biopsychosocial factors (i.e., child heart rate, peritrauma appraisals, early coping, trauma history) to elucidate their roles in promoting emotional recovery following injury. The study evaluated specific hypotheses that threat appraisals (global and trauma-specific) and coping would predict subsequent posttraumatic stress symptoms (PTSS), that coping would mediate the association between early and later PTSS, and that heart rate would predict PTSS and appraisals would mediate this association.
methodParticipants were 96 children hospitalized for injury and assessed at 3 time points: T1 (within 2 weeks of injury), T2 (6-week follow-up), and T3 (12-week follow-up). Participants completed measures of trauma history and appraisals at T1, coping at T2, and PTSS at T1, T2, and T3. Heart rate was abstracted from medical records. Structural equation modeling was employed to evaluate study hypotheses.
resultsHeart rate was not associated with PTSS or appraisals. Models including trauma history, appraisals, coping, and PTSS were constructed to test other study hypotheses and fit the data well. T1 global and trauma-specific threat appraisals were associated with T1 PTSS; T2 avoidant coping was a significant mediator of the relation between T1 and T3 PTSS.
conclusionFindings confirm a role for appraisals and coping in the development of PTSS over the weeks following pediatric injury. Early appraisals and avoidant coping may be appropriate targets for prevention and early intervention. Future researchers should further explicate the utility of a biopsychosocial framework in predicting PTSS. (PsycINFO Database Record
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