Exposure and peritraumatic response as predictors of posttraumatic stress in children following the 1995 Oklahoma City bombing
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Studies have demonstrated a positive relationship between exposure and posttraumatic stress, but one's subjective appraisal of danger and threat at the time of exposure may be a better predictor of posttraumatic stress than more objective measures of exposure. We examined the role of peritraumatic response in posttraumatic stress reactions in over 2,000 middle school children 7 weeks after the 1995 Oklahoma City, Oklahoma, bombing. While many children reported hearing and feeling the blast and knowing direct victims, most were in school at the time of the explosion and therefore were not in direct physical proximity to the incident. Physical, interpersonal, and television exposure accounted for 12% of the total variance in our measure of posttraumatic stress when peritraumatic response was ignored. Peritraumatic response and television exposure accounted for 25% of the total variance, and physical and interpersonal exposure were not significant in this context. These findings suggest the importance of peritraumatic response in children's reactions to terrorism. These carly responses can be used to help determine which children may experience difficulty over time.
KeywordsChildren Disaster Posttraumatic Stress Terrorism Trauma
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- 2.American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 3rd ed., revised. Washington, DC: APA; 1987.Google Scholar
- 9.American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4th ed. Washington, DC American Psychiatric Association; 1994:424–432.Google Scholar
- 31.Freedy JR, Kilpatrick DG, Resnick HS. Natural disaster and mental health: theory, assessment, and intervention. J Soc Behav Pers. 1993;8(special issue):49–103.Google Scholar
- 32.Wang A, Pynoos RS, James Q, Wang M. Los Angeles earthquake, 1994: school district reduction of trauma effects. Paper presented at: Annual Meeting of the American Academy of Child and Adolescent Psychiatry; 1994; New York, NY.Google Scholar
- 33.Weiss DS, Marmar CR. The, impact of Event Scale-Revised. In: Wilson JP, Keane TM, eds. Assessing Psychological Trauma and PTSD. New York: Guilford Press; 1997:399–411.Google Scholar
- 40.Cohen J. Statistical Power Analysis for the Behavioral Sciences Hillsdale, NJ: Lawrence Erlbaum Associates Inc; 1988.Google Scholar