ArticleJCPP advances2023
The network structure of posttraumatic stress symptoms in war-affected children and adolescents.
Article in JCPP advances, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 20 citations in OpenAlex.
- Post-traumatic Reactions and Social-Emotional Competence Among Chinese High School Students Experiencing COVID-19 Lockdown: A Network Analysis.Child psychiatry and human development · 2026Article
- Posttraumatic stress disorder from early childhood to late adolescence: a resilience-oriented approach to prevention, diagnosis, and clinical management.Discover mental health · 2026Review
- Trauma-informed peacebuilding: a systematic mapping review of training programs.Conflict and health · 2026Review
- The Network Structure of PTSD Symptoms in Children and Adolescents Exposed to Potentially Traumatic Events: A Systematic Review.Children (Basel, Switzerland) · 2025Review
- Network Structure of Post-Traumatic Stress and Social/Emotional/Behavioral Difficulties in a Post-Earthquake Child and Adolescent Sample.European journal of investigation in health, psychology and education · 2025Article
- A Comprehensive Overview of Stress, Resilience, and Neuroplasticity Mechanisms.International journal of molecular sciences · 2025Review
- "We have no safety at all": insecurity and continuous traumatic stress among Palestinian adolescents in East Jerusalem.Frontiers in psychology · 2025Article
- Exploring networks of complex developmental trauma symptomatology among children and adolescents involved in child welfare.JCPP advances · 2024Article
- The network structure of posttraumatic stress symptoms in war-affected children and adolescents.JCPP advances · 2023Article
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Authors and funding
10 authors at 7 institutions in 5 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: It is unclear whether findings from previous network analyses of posttraumatic stress disorder (PTSD) symptoms among children and adolescents are generalizable to youth living in war-torn settings and whether there are differences in the structure and connectivity of symptoms between children and adolescents. This study examined the network structure of PTSD symptoms in a sample of war-affected youth and compared the symptom networks of children and adolescents. Methods: The overall sample comprised 2007 youth (6-18 years old) living in Burundi, Democratic Republic of Congo, Iraq, Palestine, Tanzania, and Uganda amid or close to war and armed conflict. Youth reported their PTSD symptoms using a self-report questionnaire in Palestine and structured clinical interviews in all other countries. We computed the networks of the overall sample and of two sub-samples of 412 children (6-12 years) and 473 adolescents (13-18 years) and compared the structure and global connectivity of symptoms among children and adolescents. Results: In both the overall sample and the sub-samples, re-experiencing and avoidance symptoms were most strongly connected. The adolescents' network had a higher global connectivity of symptoms than the children's network. Hyperarousal symptoms and intrusions were more strongly connected among adolescents compared to children. Conclusion: The findings lend support to a universal concept of PTSD among youth characterized by core deficits in fear processing and emotion regulation. However, different symptoms may be particularly important in different developmental stages, with avoidance and dissociative symptoms dominating in childhood and intrusions and hypervigilance gaining importance in adolescence. Stronger symptom connections may render adolescents more vulnerable to the persistence of symptoms.
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