PMID- 11574795
OWN - NLM
STAT- MEDLINE
DCOM- 20011101
LR  - 20061115
IS  - 0196-0644 (Print)
IS  - 0196-0644 (Linking)
VI  - 38
IP  - 4
DP  - 2001 Oct
TI  - Emergency department evaluation of acute stress disorder symptoms in violently 
      injured youths.
PG  - 391-6
AB  - STUDY OBJECTIVE: We assess the feasibility of evaluating acute stress disorder 
      (ASD) symptoms in the emergency department and provide an initial estimate of the 
      prevalence, severity, and variability of these symptoms in violently injured 
      urban children and young adults. METHODS: The Immediate Stress Response Checklist 
      (ISRC) was administered to violently injured patients between the ages of 8 and 
      24 years who presented to 2 urban, academic medical center EDs during a 10-week 
      period. The ISRC is designed to assess ASD symptoms in children and youths 
      immediately after a traumatic event. Responses are described using summed symptom 
      severity scores and counts of symptoms. RESULTS: Out of 109 identified youths, 81 
      participated. Fear, helplessness, or horror during the injury event was reported 
      by 59 (73%) of study participants. Each of the following categories of ASD 
      symptoms was reported by a significant number of youths: peritrauma dissociation, 
      63 (78%); posttrauma dissociation, 33 (41%); re-experiencing intrusive thoughts 
      or images, 66 (82%); avoidance, 53 (65%); and hyperarousal, 32 (39%). The ISRC 
      demonstrated high internal consistency (Cronbach alpha=.88) in this cohort. 
      CONCLUSION: The ISRC can be used to assess acute stress reactions in violently 
      injured youths in the immediate period after injury. Although these reactions 
      appear to be common, there is substantial variability among distinct symptom 
      categories. These results support the need for further investigation of the 
      relationship between immediate stress responses and longer-term emotional impact 
      of violent injury. Clinicians should consider assessing the emotional responses 
      of children and adolescents who are injured by interpersonal violence, even when 
      these injuries seem minor.
FAU - Fein, J A
AU  - Fein JA
AD  - Division of Emergency Medicine, The Children's Hospital of Philadelphia, PA 
      19104, USA. fein@email.chop.edu
FAU - Kassam-Adams, N
AU  - Kassam-Adams N
FAU - Vu, T
AU  - Vu T
FAU - Datner, E M
AU  - Datner EM
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Ann Emerg Med
JT  - Annals of emergency medicine
JID - 8002646
SB  - IM
CIN - Clin Pediatr (Phila). 2002 Oct;41(8):629. PMID: 12403384
MH  - Academic Medical Centers
MH  - Acute Disease
MH  - Adolescent
MH  - Adult
MH  - Age Distribution
MH  - Child
MH  - Cohort Studies
MH  - Confidence Intervals
MH  - *Emergency Service, Hospital
MH  - Emergency Treatment/methods
MH  - Female
MH  - Humans
MH  - Incidence
MH  - Male
MH  - Philadelphia/epidemiology
MH  - Probability
MH  - Risk Factors
MH  - Sampling Studies
MH  - Severity of Illness Index
MH  - Sex Distribution
MH  - Stress Disorders, Post-Traumatic/*diagnosis/epidemiology/therapy
MH  - Urban Population
MH  - Violence/*psychology
MH  - Wounds and Injuries/*psychology
EDAT- 2001/09/28 10:00
MHDA- 2001/11/03 10:01
CRDT- 2001/09/28 10:00
PHST- 2001/09/28 10:00 [pubmed]
PHST- 2001/11/03 10:01 [medline]
PHST- 2001/09/28 10:00 [entrez]
AID - S0196-0644(01)95609-4 [pii]
AID - 10.1067/mem.2001.118225 [doi]
PST - ppublish
SO  - Ann Emerg Med. 2001 Oct;38(4):391-6. doi: 10.1067/mem.2001.118225.