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A meta-analysis of risk factors for post-traumatic stress disorder in children and adolescents

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TLDR
The meta-analysis estimated the population effect sizes of 25 potential risk factors for PTSD in children and adolescents aged 6-18 years and supports the cognitive model of PTSD as a way of understanding its development and guiding interventions to reduce symptoms.
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This article is published in Clinical Psychology Review.The article was published on 2012-03-01 and is currently open access. It has received 605 citations till now. The article focuses on the topics: Traumatic stress & Social support.

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How to Do a Systematic Review: A Best Practice Guide for Conducting and Reporting Narrative Reviews, Meta-Analyses, and Meta-Syntheses.

TL;DR: It is argued that systematic reviews are a key methodology for clarifying whether and how research findings replicate and for explaining possible inconsistencies, and it is called for researchers to conduct systematic reviews to help elucidate whether there is a replication crisis.
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Rates of post-traumatic stress disorder in trauma-exposed children and adolescents: meta-analysis

TL;DR: The overall rate of PTSD was 15.9% (95% CI 11.5-21.5), which varied according to the type of trauma and gender as mentioned in this paper, whereas girls exposed to interpersonal trauma showed the highest rate (32.9%, 95% CI 19.8-49.3). No significant difference was found for the choice of assessment interview or the informant of the assessment.

Rates of post-traumatic stress disorder in trauma-exposed children and adolescents:

TL;DR: Research conducted with the best available assessment instruments shows that a significant minority of children and adolescents develop PTSD after trauma exposure, with those exposed to interpersonal trauma and girls at particular risk.
Journal ArticleDOI

A meta-analysis of risk factors for combat-related PTSD among military personnel and veterans.

TL;DR: Evidence of risk factors for combat-related PTSD in military personnel and veterans is provided and more research is needed to determine how these variables interact and how to best protect against susceptibility to PTSD.
Journal ArticleDOI

Correlates of suicide attempts among self-injurers: a meta-analysis.

TL;DR: After suicidal ideation, the strongest predictors of SA history were NSSI frequency, number of N SSI methods, and hopelessness, while Demographic characteristics, such as gender, ethnicity, and age, were weakly associated with SA history.
References
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Journal ArticleDOI

Meta-Analysis in Clinical Trials*

TL;DR: This paper examines eight published reviews each reporting results from several related trials in order to evaluate the efficacy of a certain treatment for a specified medical condition and suggests a simple noniterative procedure for characterizing the distribution of treatment effects in a series of studies.
Book

Statistical Methods for Meta-Analysis

TL;DR: In this article, the authors present a model for estimating the effect size from a series of experiments using a fixed effect model and a general linear model, and combine these two models to estimate the effect magnitude.
Journal ArticleDOI

The file drawer problem and tolerance for null results

TL;DR: Quantitative procedures for computing the tolerance for filed and future null results are reported and illustrated, and the implications are discussed.
Journal ArticleDOI

Statistical Methods for Meta-Analysis.

TL;DR: In this paper, the authors present a model for estimating the effect size from a series of experiments using a fixed effect model and a general linear model, and combine these two models to estimate the effect magnitude.
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Frequently Asked Questions (14)
Q1. What are the contributions in "Running head: meta-analysis of risk factors for ptsd a meta-analysis of risk factors for posttraumatic stress disorder in children and adolescents" ?

This indicates that subjective peri-trauma factors and post-event factors are likely to have a major role in determining whether a child develops PTSD following exposure to a traumatic event. Such factors could potentially be assessed following a potentially traumatic event in order to screen for those most vulnerable to developing PTSD and target treatment efforts accordingly. 

Moderation analysis revealed that anxiety, depression and other psychological problems were all significant risk factors, depression was the most predictive of PTSD symptoms. 

Comorbid psychological difficulties, acute post-traumatic stress symptoms, andcoping styles are among the factors intrinsic to the child that have been considered as risk factors for PTSD. 

Whilst all risk factors were statistically significant, only threat to life (r = .38) and pretrauma psychopathology (r = .29) were considered to be strong predictors of PTSD. 

An effect size of zero was assigned for the few studies (k = 2, 0.4% of all effect sizes) that reported non-significant findings and did not provide an effect-size. 

Whether younger children are as able to report their distress and access help outside of research studies is however a significant issue to be addressed in future studies. 

The extent to which knowledge can be robust relates not just to obtaining preciseestimates of population effect sizes for risk factors, but also estimating the bias in these estimates. 

the presence of a comorbid psychological problem was more of a risk factor for PTSD, in intentional trauma compared to unintentional trauma. 

Their analysis of moderators revealed that some risk factors (such as gender, age at trauma and race) predicted PTSD only in some populations whilst some predicted PTSDmore consistently (such as education, previous trauma, and general childhood adversity). 

Various psychological and medical literature databases were searched, including the PILOTS database managed by the National Center for PTSD, Medline, PsychInfo, Embase and Web of Science. 

In trying to examine how different factors may be associated with the development of posttraumatic distress, the authors have categorised the wide range of different factors into the following categories: demographic factors, pre-trauma factors, objective trauma characteristics, subjective trauma characteristics, post-trauma individual factors, post-trauma psychological environment. 

Studies with non-significant findings are less likely to be published than studies with significant findings, which could result in a positive bias within the child PTSD literature. 

the age range for samples to be included in the present meta-analysis was set at 6-18 years as long as the measure of PTSD was appropriate for the age group of the sample. 

subjective factors, such as the perception of threat and peri-traumatic affect, are highly likely to be linked to the onset of PTSD (Perrin et al., 2000).