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American Academy of Pediatrics
Article

Investigation of Posttraumatic Stress Disorder in Children After Animal-Induced Injury in China

Li Ji, Zhang Xiaowei, Wang Chuanlin and Liu Wei
Pediatrics August 2010, 126 (2) e320-e324; DOI: https://doi.org/10.1542/peds.2009-3530
Li Ji
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Zhang Xiaowei
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Wang Chuanlin
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Liu Wei
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Abstract

OBJECTIVE: Dogs are important members of many families in many countries. However, posttraumatic stress disorder (PTSD) in children after animal attacks has always been underestimated, and a more-detailed study of PTSD in children after animal attacks is needed.

METHODS: The charts and follow-up data for 358 children after animal-induced injuries were reviewed. Family Apgar Scale assessment and PTSD screening were performed at emergency department admission. On week 1 after the emergency department admission, the patient underwent evaluation for acute stress disorder (ASD) diagnosis, by using the Child Acute Stress Questionnaire. PTSD screening and interim history-taking were performed 3 months after the emergency department admission, by telephone or in face-to-face interviews, by using the Clinician-Administered PTSD Scale for Children and Adolescents. P values of <.05 were considered significant.

RESULTS: A total of 19 patients developed PTSD, including 10 patients with severe injuries, 8 patients with moderate injuries, and 1 patient with a mild injury (χ2=48.104; P=.000). No significant differences in PTSD occurrence according to gender and age were observed. Family Apgar Scale scores were not significantly related to PTSD (P=.781). ASD and PTSD symptom severity scores were significantly associated (r=0.51; P < .005).

CONCLUSIONS: Child victims of severe animal attacks should be considered at risk for the development of PTSD, family support was not correlated with posttraumatic stress symptoms in school-aged children after animal attacks, and ASD seems to be an early predictive indicator of PTSD.

  • posttraumatic stress disorder
  • acute stress disorder
  • animal attacks
  • China
  • Accepted April 26, 2010.
  • Copyright © 2010 by the American Academy of Pediatrics

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Pediatrics
Vol. 126, Issue 2
1 Aug 2010
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Investigation of Posttraumatic Stress Disorder in Children After Animal-Induced Injury in China
Li Ji, Zhang Xiaowei, Wang Chuanlin, Liu Wei
Pediatrics Aug 2010, 126 (2) e320-e324; DOI: 10.1542/peds.2009-3530

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Investigation of Posttraumatic Stress Disorder in Children After Animal-Induced Injury in China
Li Ji, Zhang Xiaowei, Wang Chuanlin, Liu Wei
Pediatrics Aug 2010, 126 (2) e320-e324; DOI: 10.1542/peds.2009-3530
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