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Biomedical subjects

W Arroyo

Publications and source records attributed to W Arroyo.

3 recordsLinked to original sources

School crisis consultation.

School crisis consultations are services necessary to assist school communities recover from disruptions that interfere with a learning environment. Child and adolescent psychiatrists are ideal participants in such consultations owing to their knowledge of child development, familiarity with school systems, family dynamics, stress reactions in children, and crisis intervention skills. The exciting challenge is to tailor a consultation based on a needs assessment, degree of impact of event, and other resources. Every consultation is a unique and stimulating learning experience. Those who develop expertise in this area will be poised to lead future consultation efforts. These consultations are now informed by an increasing body of research on children's stress reactions and various types of interventions.

Adolescent↗

Life threat and posttraumatic stress in school-age children.

One hundred fifty-nine children (14.5% of the student body) were sampled after a fatal sniper attack on their elementary school playground. Systematic self-reports of posttraumatic stress disorder (PTSD) symptoms were obtained by use of a child PTSD Reaction Index. Analysis of variance revealed significant differences by exposure but not by sex, ethnicity, or age. Additional analyses were conducted of individual item response, overall severity of PTSD reaction, symptom grouping, and previous life events. The results provide strong evidence that acute PTSD symptoms occur in school-age children with a notable correlation between proximity to the violence and type and number of PTSD symptoms. Sampling at approximately one month after the trauma provided adequate delineation among exposure groups. The symptom profile of highly exposed children lends validity to the diagnosis of acute PTSD in childhood.

Acute Disease↗