Backgrounds: Complex posttraumatic stress disorder (CPTSD) is closely related to childhood trauma, yet there is a dearth of studies that have explored the symptoms of CPTSD among children in adversity.
Objective: The current study aimed to explore the structure of the CPTSD network and to identify central symptoms in a sample of de facto unattended children in China.
Methods: In total, 244 children and adolescents were included in the analysis, ranging from 9 to 16 years old (11.72 ± 1.64), with 45.49 % girls and 53.67 % boys. The International Trauma Questionnaire (ITQ) was used to assess CPTSD symptoms. We used a regularized partial correlation network to identify which symptoms had a high level of strength centrality or bridge centrality, and a Bayesian network to identify the upstream symptoms.
Results: The results showed that avoidance and emotional numbing had the highest level of strength centrality. Exaggerated startle response and emotional numbing had the highest level of bridge centrality. Last, re-experiencing was identified as upstream in the Bayesian network. Developmental differences are observed in CPTSD symptom centrality compared to adult populations.
Conclusions: These findings offer insight into key symptoms of CPTSD in vulnerable children and adolescents. We revealed that children and adolescents in adversity who exhibit avoidance, emotional numbing, and re-experiencing should be given more attention.
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http://dx.doi.org/10.1016/j.chiabu.2024.107170 | DOI Listing |
Sci Rep
December 2024
Health Services Research and Pharmacoepidemiology Unit, Foundation for the Promotion of Health and Biomedical Research of Valencia Region (FISABIO), Avenida Cataluña, 21, 46020, Valencia, Spain.
Improvement of post-stroke outcomes relies on patient adherence and appropriate therapy maintenance by physicians. However, comprehensive evaluation of these factors is often overlooked. This study assesses secondary stroke prevention by differentiating patient adherence to antithrombotic treatments (ATT) from physician-initiated interruptions or switches.
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December 2024
Department of Physics, Indian Institute of Technology, Patna, 801106, Bihar, India.
A highly effective method for creating a supramolecular metallogel of Ni(II) ions (NiA-TA) has been developed in our work. This approach uses benzene-1,3,5-tricarboxylic acid as a low molecular weight gelator (LMWG) in DMF solvent. Rheological studies assessed the mechanical properties of the Ni(II)-metallogel, revealing its angular frequency response and thixotropic behaviour.
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December 2024
School of Engineering and Technology, Sunway University, No. 5, Jalan Universiti, Bandar Sunway, Petaling Jaya, 47500, Selangor Darul Ehsan, Malaysia.
Cervical cancer is a deadly disease in women globally. There is a greater chance of getting rid of cervical cancer in case of earliest diagnosis. But for some patients, there is a chance of recurrence.
View Article and Find Full Text PDFNPJ Vaccines
December 2024
Department for Evidence-based Medicine and Evaluation, University for Continuing Education Krems (Danube University Krems), Krems, Austria.
Pneumococcal infections are a serious health issue associated with increased morbidity and mortality. This systematic review evaluated the efficacy, effectiveness, immunogenicity, and safety of the pneumococcal conjugate vaccine (PCV)15 compared to other pneumococcal vaccines or no vaccination in children and adults. We identified 20 randomized controlled trials (RCTs).
View Article and Find Full Text PDFNPJ Sci Learn
December 2024
Academy of Medical Engineering and Translational Medicine (AMT), Tianjin University, Tianjin, China.
Generalization is central to motor learning. However, few studies are on the learning generalization of BCI-actuated supernumerary robotic finger (BCI-SRF) for human-machine interaction training, and no studies have explored its longitudinal neuroplasticity mechanisms. Here, 20 healthy right-handed participants were recruited and randomly assigned to BCI-SRF group or inborn finger group (Finger) for 4-week training and measured by novel SRF-finger opposition sequences and multimodal MRI.
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