Burns Clinical Trial
Official title:
Dysfunctional Posttraumatic Cognitions in Children and Adolescents
The purpose of this study is to investigate the psychological consequences of motor vehicle accidents and burn accidents in 7-18 years old children and adolescents. The impact of posttraumatic cognitions on developing psychological symptoms are of particular interest.
Background: Dysfunctional trauma-related cognitions play an important role in the aftermath
of a traumatic event. Children and adolescents, who think that the experienced trauma has a
permanent and disturbing impact on their actual life and their future, feel threatened. Study
results show that dysfunctional posttraumatic cognitions correlate highly with posttraumatic
stress symptoms (PTSS), depression, and anxiety. In addition, children and adolescents with a
posttraumatic stress disorder (PTSD) have significantly more dysfunctional trauma-related
cognitions than those without PTSD. Especially for children and adolescents it is important
to consider interacting developmental and environmental factors. A developmental approach,
nevertheless, has not been investigated yet.
Aims: The aims of the proposed study are to achieve a better understanding of dysfunctional
trauma-related cognitions considering child and environmental factors in a cross-sectional
and a longitudinal design.
Method: The sample consists of two different subsamples: 1) A hospital sample consisting of
children and adolescents (school age: 7-18 years), who experienced an accidental trauma
(either acute traffic accident or burn injury) assessed at three times: in the acute phase
(7-14 days), 3 months, and 6 months after the trauma occurred. 2) An already existing
clinical sample of 159 children and adolescents (TreatChildTrauma study), who mostly
experienced an interpersonal trauma such as sexual or physical abuse. The total sample will
be used to investigate the impact of child and environmental factors including trauma type,
trauma frequency, age, gender, risk status pre trauma (psychopathological status pre trauma
and traumatic events pre trauma), psychopathological status post trauma, and parental
trauma-related cognitions. In addition, the hospital sample will be used for assessing the
naturalistic time course of dysfunctional trauma-related cognitions as well as the
association between cognitions, PTSS, depression, and anxiety over time. Moreover, the
association between parental dysfunctional trauma-related cognitions and altered parenting as
well as their impact on the child's cognitions will be investigated.
Relevance: Dysfunctional trauma-related cognitions have an important impact on coping with a
traumatic event in childhood and adolescence. Nevertheless, no study has investigated the
interaction between several child and environmental factors so far. A gain of knowledge in
this area is important to improve treatments of trauma-related disorders.
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