PTSD perpetuates pain in children with traumatic brain injury

Brown, Erin A., Kenardy, Justin A. and Dow, Belinda L. (2014) PTSD perpetuates pain in children with traumatic brain injury. Journal of Pediatric Psychology, 39 5: 512-520. doi:10.1093/jpepsy/jsu014

Author Brown, Erin A.
Kenardy, Justin A.
Dow, Belinda L.
Title PTSD perpetuates pain in children with traumatic brain injury
Journal name Journal of Pediatric Psychology   Check publisher's open access policy
ISSN 1465-735X
Publication date 2014-06-01
Sub-type Article (original research)
DOI 10.1093/jpepsy/jsu014
Open Access Status Not yet assessed
Volume 39
Issue 5
Start page 512
End page 520
Total pages 9
Place of publication Oxford, United Kingdom
Publisher Oxford University Press
Language eng
Formatted abstract
Objective This study tested theoretical models of the relationship between pain and posttraumatic stress disorder (PTSD) in children with traumatic brain injury (TBI). Methods Participants consisted of 195 children aged 6–15 years presenting to 1 of 3 Australian hospitals following a mild–severe TBI. Children were assessed at 3, 6, and 18 months after their accident for PTSD (via the Clinician-Administered PTSD Scale for Children and Adolescents [CAPS-CA] clinical interview) as well as physical pain (via the Child Health Questionnaire, 50-item version [CHQ-PF50]). Trained clinicians administered the CAPS-CA at home visits, and the CHQ-PF50 was collected through questionnaires. Results Structural equation modeling found the data supported the mutual maintenance model and also the nested perpetual avoidance model. Conclusions Both models indicate PTSD is driving the presence of pain, and not vice versa. A fourth model stating this was proposed. Therefore, it may be useful to address PTSD symptoms in treating child pain for expediting recovery.
Keyword Children
Mutual maintenance
Perpetual avoidance
Posttraumatic stress
Traumatic brain injury
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Medicine Publications
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Citation counts: TR Web of Science Citation Count  Cited 9 times in Thomson Reuters Web of Science Article | Citations
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