Early biological and psychosocial factors associated with PTSD onset and persistence in youth.

Journal: European journal of psychotraumatology

Volume: 15

Issue: 1

Year of Publication: 2024

Affiliated Institutions:  Department of Psychiatry and Mental Health, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa. Department of Psychiatry, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa. Hypertension in Africa Research Team (HART), North-West University, Potchefstroom, South Africa. Wits Integrated Molecular Physiology Research Initiative, Wits Health Consortium (PTY) Ltd, School of Physiology, Faculty of Health Sciences, University of The Witwatersrand, Johannesburg, South Africa. Department of Psychiatry, Faculty of Medicine, University of Botswana, Gaborone, Botswana. Western Cape Department of Health, False Bay District Hospital, Cape Town, South Africa.

Abstract summary 

Posttraumatic stress disorder (PTSD) is a debilitating mental health condition that can develop after experiencing or witnessing a traumatic event. While considerable research has investigated PTSD in adults, little is known about the biological, psychological, and social factors that contribute to its onset, development, and persistence in youth. This systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines to identify longitudinal studies examining factors associated with PTSD status and symptom severity in children and adolescents. Literature searches were conducted in PubMed, Scopus, and Web of Science, yielding 24 eligible studies after screening. The included studies identified various biological factors associated with paediatric PTSD, including dysregulation of the hypothalamic-pituitary-adrenal axis, brain structural alterations, and physiological markers such as heart rate. Psychological factors, including depression, trauma appraisals, coping styles, and cognitive deficits predicted PTSD symptom development. Social factors included parental PTSD, family environment, and cultural influences. Many studies highlighted the importance of the interplay between these biological, psychological, and social factors in the manifestation of PTSD in youth. This review synthesises evidence that PTSD development in youth is influenced by a complex array of neurobiological vulnerabilities, psychological processes, and environmental factors. Longitudinal, multi-dimensional studies are needed to further elucidate personalised risk profiles and trajectories, which can inform targeted prevention and intervention strategies for PTSD in youth.

Authors & Co-authors:  Williams Kimberley C KC Nto Nto J NJ van Vuren Esmé Jansen EJ Sallie Farhanah N FN Molebatsi Keneilwe K Kroneberg Kayla S KS Roomaney Aqeedah A AA Salie Muneeb M Womersley Jacqueline S JS

Study Outcome 

Source Link: Visit source

Statistics
Citations : 
Authors :  9
Identifiers
Doi : 10.1080/20008066.2024.2432160
SSN : 2000-8066
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
PTSD;TEPT;adolescentes;adolescents;biological factors;children;factores biológicos;factores psicológicos;factores sociales;niños;psychological factors;social factors
Study Design
Longitudinal Study
Study Approach
Systemic Review
Country of Study
Publication Country
United States