The Experts below are selected from a list of 9342 Experts worldwide ranked by ideXlab platform
Justin Kenardy - One of the best experts on this subject based on the ideXlab platform.
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Involving Parents in Indicated Early Intervention for Childhood PTSD Following Accidental Injury
Clinical Child and Family Psychology Review, 2012Co-Authors: Vanessa E. Cobham, Sonja March, Alexandra Young, Fiona Leeson, Reginald Nixon, Brett Mcdermott, Justin KenardyAbstract:Accidental injuries represent the most common type of traumatic event to which a youth is likely to be exposed. While the majority of youth who experience an Accidental Injury will recover spontaneously, a significant proportion will go on to develop Post-Traumatic Stress Disorder (PTSD). And yet, there is little published treatment outcome research in this area. This review focuses on two key issues within the child PTSD literature—namely the role of parents in treatment and the timing of intervention. The issue of parental involvement in the treatment of child PTSD is a question that is increasingly being recognized as important. In addition, the need to find a balance between providing early intervention to at risk youth while avoiding providing treatment to those youth who will recover spontaneously has yet to be addressed. This paper outlines the rationale for and the development of a trauma-focused CBT protocol with separate parent and child programs, for use with children and adolescents experiencing PTSD following an Accidental Injury. The protocol is embedded within an indicated intervention framework, allowing for the early identification of youth at risk within a medical setting. Two case studies are presented in order to illustrate key issues raised in the review, implementation of the interventions, and the challenges involved.
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parental response to child Injury examination of parental posttraumatic stress symptom trajectories following child Accidental Injury
Journal of Pediatric Psychology, 2010Co-Authors: Robyne Le Brocque, Joan Hendrikz, Justin KenardyAbstract:Objective Trajectory analyses were used to empirically differentiate patterns of posttraumatic stress symptoms in parents following child Accidental Injury and explore the relationship between parent and child recovery patterns. Method Parent (n ¼189) self-reported symptoms from acute to 2 years post accident were examined to (1) identify distinct parent symptom trajectories; (2) identify risk factors; and (3) explore the patterns of children and parents together. Results Analysis revealed three distinct symptom trajectory groups for parents: resilient (78%); clinical level acute symptoms that declined to below clinical level by 6 months (recovery 8%); and chronic subclinical (14%). Children of resilient parents were most likely to be resilient. Half of the children of parents with chronic subclinical trajectories were likely to have chronic trajectories. Conclusion Clinicians cannot rely only on clinical level symptoms in parents to identify high risk families but include families where the parent has subclinical level symptoms.
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information provision intervention for children and their parents following pediatric Accidental Injury
European Child & Adolescent Psychiatry, 2008Co-Authors: Justin Kenardy, Katie Thompson, Robyne Le Brocque, Katherine OlssonAbstract:Objective This study evaluated an early intervention for children and their parents following pediatric Accidental Injury.
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screening for posttraumatic stress disorder in children after Accidental Injury
Pediatrics, 2006Co-Authors: Justin Kenardy, Susan H Spence, Alexandra C MacleodAbstract:OBJECTIVE. Children who have experienced an Accidental Injury are at increased risk of developing posttraumatic stress disorder. It is, therefore, essential that strategies are developed to aid in the early identification of children at risk of developing posttraumatic stress disorder symptomatology after an accident. The aim of this study was to examine the ability of the Child Trauma Screening Questionnaire to predict children at risk of developing distressing posttraumatic stress disorder symptoms 1 and 6 months after a traumatic accident. METHODS. Participants were 135 children (84 boys and 51 girls; with their parents) who were admitted to the hospital after a variety of accidents, including car- and bike-related accidents, falls, burns, dog attacks, and sporting injuries. The children completed the Child Trauma Screening Questionnaire and the Children's Impact of Events Scale within 2 weeks of the accident, and the Anxiety Disorders Interview Schedule for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Child Version, was conducted with the parents to assess full and subsyndromal posttraumatic stress disorder in their child 1 and 6 months after the accident. RESULTS. Analyses of the results revealed that the Child Trauma Screening Questionnaire correctly identified 82% of children who demonstrated distressing posttraumatic stress disorder symptoms (9% of sample) 6 months after the accident. The Child Trauma Screening Questionnaire was also able to correctly screen out 74% of children who did not demonstrate such symptoms. Furthermore, the Child Trauma Screening Questionnaire outperformed the Children's Impact of Events Scale. CONCLUSIONS. The Child Trauma Screening Questionnaire is a quick, cost-effective and valid self-report screening instrument that could be incorporated in a hospital setting to aid in the prevention of childhood posttraumatic stress disorder after Accidental trauma.
Robyne Le Brocque - One of the best experts on this subject based on the ideXlab platform.
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parental response to child Injury examination of parental posttraumatic stress symptom trajectories following child Accidental Injury
Journal of Pediatric Psychology, 2010Co-Authors: Robyne Le Brocque, Joan Hendrikz, Justin KenardyAbstract:Objective Trajectory analyses were used to empirically differentiate patterns of posttraumatic stress symptoms in parents following child Accidental Injury and explore the relationship between parent and child recovery patterns. Method Parent (n ¼189) self-reported symptoms from acute to 2 years post accident were examined to (1) identify distinct parent symptom trajectories; (2) identify risk factors; and (3) explore the patterns of children and parents together. Results Analysis revealed three distinct symptom trajectory groups for parents: resilient (78%); clinical level acute symptoms that declined to below clinical level by 6 months (recovery 8%); and chronic subclinical (14%). Children of resilient parents were most likely to be resilient. Half of the children of parents with chronic subclinical trajectories were likely to have chronic trajectories. Conclusion Clinicians cannot rely only on clinical level symptoms in parents to identify high risk families but include families where the parent has subclinical level symptoms.
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information provision intervention for children and their parents following pediatric Accidental Injury
European Child & Adolescent Psychiatry, 2008Co-Authors: Justin Kenardy, Katie Thompson, Robyne Le Brocque, Katherine OlssonAbstract:Objective This study evaluated an early intervention for children and their parents following pediatric Accidental Injury.
H. Carty - One of the best experts on this subject based on the ideXlab platform.
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Non-Accidental Injury: a review of the radiology
European Radiology, 1997Co-Authors: H. CartyAbstract:There have been many descriptions of the radiological features of non-Accidental Injury since John Caffey introduced the concept of inflicted Injury and initially described some of the patterns of Injury. Since then, our understanding of the radiologically detectable injuries has increased. This article provides a review of our current understanding of the lesions.
Robert A C Bilo - One of the best experts on this subject based on the ideXlab platform.
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radiology in suspected non Accidental Injury theory and practice in the netherlands
European Journal of Radiology, 2009Co-Authors: R R Van Rijn, N Kieviet, R Hoekstra, Hubert G T Nijs, Robert A C BiloAbstract:Abstract Introduction This study evaluates radiological imaging in suspected non Accidental Injury (NAI) in children below the age of 2 years in the Netherlands. Material and methods The study consisted of two parts; first an on-line questionnaire on suspected NAI, amongst radiological practices within the Netherlands. The second part of the study was a retrospective analysis of skeletal surveys in children under the age of 2 years, which were reviewed in an expert centre of forensic medicine on request of the public prosecutor. Results Out of 116 hospitals 45 (39%) radiologists completed the on-line questionnaire; 8 (8%) of the proposed skeletal surveys complied with the ACR criteria. A total of 29 skeletal surveys in 26 children were reviewed. The median age at the time of the radiographic exam was 3 months for both boys and girls. Only 2 (7%) studies complied with the ACR criteria. Discussion The results of our study show that, in theory as well as in practice, Dutch radiological practices show a large variation in imaging protocols for suspected NAI.
A J Freemont - One of the best experts on this subject based on the ideXlab platform.
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histological ageing of fractures in infants a practical algorithm for assessing infants suspected of Accidental or non Accidental Injury
Histopathology, 2019Co-Authors: Anie Naqvi, Emma Raynor, A J FreemontAbstract:Aims This study is the first to systematically document histological features of fractures of known age in infants (≦12 months). It has been used to develop a tabulated database specifically to guide histopathologists to age fractures in children considered to have suffered Accidental or non-Accidental Injury (NAI). Currently in the United Kingdom there are insufficient pathologists with experience in histological ageing of fractures to meet the medicolegal need for this examination. This study provides a practical tool that will allow those skilled paediatric and forensic pathologists currently involved in assessing infants for evidence of Accidental or non-Accidental Injury a basis for extending their assessment into this area of unmet need. Methods and results One hundred and sixty-nine fractures of known age at death were obtained from 52 anonymised infants over a period of 32 years (1985-2016 inclusive). Sections stained using haematoxylin and eosin (H&E) and Martius scarlet blue (MSB) were used to identify specific histological features and to relate them to fracture age. In 1999 the data were entered into a tabulated database for fractures accumulated between from 1985 to 1998 inclusive. Thereafter cases were added, and at 2-yearly intervals the accumulated data were audited against the previous database and adjustments made. Conclusions This paper describes the final data set from the 2017 audit. The study was terminated at the end of 2016, as there had been no material changes in the data set for three consecutive audits.
