Evidence map›Paper›PMID 37530860›Full record

ArticleEuropean child & adolescent psychiatry2024

The differential impact of the DSM-5 post-traumatic stress symptoms on functional impairment in traumatized children and adolescents.

Lasse Bartels, Ane-Marthe Solheim Skar, Marianne Skogbrott Birkeland, Silje Mørup Ormhaug, Lucy Berliner, Tine K Jensen

Abstract read
In one paragraph

Article in European child & adolescent psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Turkish UCLA PTSD-RI-5: Validation and the Role of Symptom Severity in Functional Impairment.International journal of methods in psychiatric research · 2026
    Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Lasse BartelsDepartment of Psychosomatics and Psychiatry, and Children's Research Center, University Children's Hospital Zurich, Steinwiesstrasse 75, 8032, Zurich, Switzerland. lasse.bartels@kispi.uzh.ch.
Ane-Marthe Solheim SkarNorwegian Centre for Violence and Traumatic Stress Studies, Gullhaugveien 1-3, Nydalen, Oslo, Norway.
Marianne Skogbrott BirkelandNorwegian Centre for Violence and Traumatic Stress Studies, Gullhaugveien 1-3, Nydalen, Oslo, Norway.
Silje Mørup OrmhaugNorwegian Centre for Violence and Traumatic Stress Studies, Gullhaugveien 1-3, Nydalen, Oslo, Norway.
Lucy BerlinerHarborview Abuse and Trauma Center, Patricia Steel Building, 401 Broadway, Suite 2075, Seattle, WA, 98104, USA.
Tine K JensenNorwegian Centre for Violence and Traumatic Stress Studies, Gullhaugveien 1-3, Nydalen, Oslo, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aims to provide a better understanding of the individual impact of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) post-traumatic stress symptoms (PTSS) on functional impairment in trauma-exposed children and adolescents. Identifying PTSS that have the most impact on functional impairment can broaden our understanding of post-trauma reactions and guide the selection of treatment components and techniques required to help patients to restore functioning following trauma exposure.

methodUtilizing relative importance analyses, unique shared variance of each DSM-5 PTSS with functional impairment were estimated in clinical samples of 3400 Norwegian (M

resultsNegative beliefs, detachment from others, inability to experience positive emotions, and diminished interest in activities within the symptom cluster negative alterations in cognitions and mood, and the hyperarousal symptom concentration problems accounted for the largest proportions of unique variance explained in functional impairment in both samples. Further, the hyperarousal symptom irritability showed a unique high association with functional impairment in the US sample.

conclusionAs negative beliefs, emotional numbing symptoms, concentration problems and irritability may be especially related to functional impairment in traumatized children and adolescents, monitoring and targeting these symptoms throughout therapy might be of particular importance to restore functioning as early as possible and to facilitate overall recovery.

Indexed as

Diagnostic and Statistical Manual of Mental DisordersStress Disorders, Post-TraumaticAdolescentChildFemaleHumansMaleNorwayUnited StatesChildren and adolescentsFunctional impairmentPost-traumatic stress symptomsTrauma

Identifiers

PMID37530860
PMCPMC11098905

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.