Post-traumatic stress disorder symptoms following exposure to acute psychological trauma in children aged 8–16 years in South Africa: protocol for the Sinethemba longitudinal study

Bibliographic Details
Title: Post-traumatic stress disorder symptoms following exposure to acute psychological trauma in children aged 8–16 years in South Africa: protocol for the Sinethemba longitudinal study
Authors: Mark Tomlinson, Cathy Creswell, Xanthe Hunt, Soraya Seedat, Sarah L Halligan, Richard Meiser-Stedman, Catherine Hamilton-Giachritsis, Jackie Stewart, Rachel Hiller, Stefani Du Toit, Tamsin H Sharp, Yeukai Chideya, Alessandra Giuliani
Source: BMJ Open, Vol 14, Iss 7 (2024)
Publisher Information: BMJ Publishing Group, 2024.
Publication Year: 2024
Collection: LCC:Medicine
Subject Terms: Medicine
More Details: Introduction Children exposed to trauma are vulnerable to developing post-traumatic stress disorder (PTSD) and other adverse mental health outcomes. In low-and middle-income countries (LMICs), children are at increased risk of exposure to severe trauma and co-occurring adversities. However, relative to high-income countries, there is limited evidence of the factors that predict good versus poor psychological recovery following trauma exposure in LMIC children, and the role of caregiver support in these high-adversity communities.Methods and analysis We will conduct a longitudinal, observational study of 250 children aged 8–16 years and their caregivers in South Africa, following child exposure to acute trauma. Dyads will be recruited from community hospitals following a potentially traumatic event, such as a motor vehicle accident or assault. Potential participants will be identified during their hospital visit, and if they agree, will subsequently be contacted by study researchers. Assessments will take place within 4 weeks of the traumatic event, with 3-month and 6-month follow-up assessments. Participants will provide a narrative description of the traumatic event and complete questionnaires designed to give information about social and psychological risk factors. Child PTSD symptoms will be the primary outcome, and wider trauma-related mental health (depression, anxiety, behavioural problems) will be secondary outcomes. Regression-based methods will be used to examine the association of psychosocial factors in the acute phase following trauma, including caregiver support and responding, with child PTSD and wider mental health outcomes.Ethics and dissemination Ethical approvals have been granted by Stellenbosch University and the University of Bath, with additional approvals to recruit via hospitals and healthcare clinics being granted by the University of Cape Town, the Department of Health and the City of Cape Town. Study findings will be disseminated via publication in journals, workshops for practitioners and policy-makers, and public engagement events.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2044-6055
Relation: https://bmjopen.bmj.com/content/14/7/e085129.full; https://doaj.org/toc/2044-6055
DOI: 10.1136/bmjopen-2024-085129
Access URL: https://doaj.org/article/d419ba7f1e67415c95f163947c736979
Accession Number: edsdoj.419ba7f1e67415c95f163947c736979
Database: Directory of Open Access Journals
More Details
ISSN:20446055
DOI:10.1136/bmjopen-2024-085129
Published in:BMJ Open
Language:English