Traumatic stress and psychological functioning in a South African adolescent community sample

Background: Traumatic stress may arise from various incidents often leading to posttraumatic stress disorder (PTSD). The lifetime prevalence of PTSD is estimated at 1% – 2% in Western Europe, 6% – 9% in North America and at just over 10% in countries exposed to long-term violence. In South Africa, t...

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Main Authors: Karl D. Swain, Basil J. Pillay, Wendy Kliewer
Format: Article
Language:English
Published: AOSIS 2017-03-01
Series:South African Journal of Psychiatry
Subjects:
Online Access:https://sajp.org.za/index.php/sajp/article/view/1008
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author Karl D. Swain
Basil J. Pillay
Wendy Kliewer
author_facet Karl D. Swain
Basil J. Pillay
Wendy Kliewer
author_sort Karl D. Swain
collection DOAJ
description Background: Traumatic stress may arise from various incidents often leading to posttraumatic stress disorder (PTSD). The lifetime prevalence of PTSD is estimated at 1% – 2% in Western Europe, 6% – 9% in North America and at just over 10% in countries exposed to long-term violence. In South Africa, the lifetime prevalence for PTSD in the general population is estimated at 2.3%. Aim: To examine the prevalence of posttraumatic stress symptomatology and related psychological functioning in a community sample of adolescents. Setting: Low-socioeconomic communities in KwaZulu-Natal. Methods: Home interviews with adolescents and their maternal caregivers were used to collect the data using standardised instruments. Adolescents completed the Trauma Symptom Checklist for Children; Children’s Depression Inventory; Children’s Somatization Inventory; and Revised Children’s Manifest Anxiety Scale. The Child Behaviour Checklist was completed by the caregivers. The sample comprised Grade 7 (n = 256) and Grade 10 (n = 68) learners. Sixty-five percent of the sample was female, and ages ranged from 9 to 18 (M = 13.11, s.d. = 1.54). Results: Almost 6% of the sample endorsed PTSD and an additional 4% of the participants had clinically significant traumatic stress symptomatology. There was a significant, large, positive correlation between posttraumatic stress and anxiety, and medium positive correlations between posttraumatic stress and depression and somatic symptoms. Conclusion: Posttraumatic stress symptomatology can be debilitating, often co-occurring with symptoms of depression, anxiety and somatic complications. This may lead to long-term academic, social and emotional consequences in this vulnerable group.
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spelling doaj.art-4ab1a8c347a34e2b94ab5f41637a850e2022-12-22T00:20:41ZengAOSISSouth African Journal of Psychiatry1608-96852078-67862017-03-0123010.4102/sajpsychiatry.v23i0.1008360Traumatic stress and psychological functioning in a South African adolescent community sampleKarl D. Swain0Basil J. Pillay1Wendy Kliewer2Department of Behavioural Medicine, University of KwaZulu-NatalDepartment of Behavioural Medicine, University of KwaZulu-NatalDepartment of Behavioural Medicine, University of KwaZulu-Natal, South Africa and Department of Psychology, Virginia Commonwealth UniversityBackground: Traumatic stress may arise from various incidents often leading to posttraumatic stress disorder (PTSD). The lifetime prevalence of PTSD is estimated at 1% – 2% in Western Europe, 6% – 9% in North America and at just over 10% in countries exposed to long-term violence. In South Africa, the lifetime prevalence for PTSD in the general population is estimated at 2.3%. Aim: To examine the prevalence of posttraumatic stress symptomatology and related psychological functioning in a community sample of adolescents. Setting: Low-socioeconomic communities in KwaZulu-Natal. Methods: Home interviews with adolescents and their maternal caregivers were used to collect the data using standardised instruments. Adolescents completed the Trauma Symptom Checklist for Children; Children’s Depression Inventory; Children’s Somatization Inventory; and Revised Children’s Manifest Anxiety Scale. The Child Behaviour Checklist was completed by the caregivers. The sample comprised Grade 7 (n = 256) and Grade 10 (n = 68) learners. Sixty-five percent of the sample was female, and ages ranged from 9 to 18 (M = 13.11, s.d. = 1.54). Results: Almost 6% of the sample endorsed PTSD and an additional 4% of the participants had clinically significant traumatic stress symptomatology. There was a significant, large, positive correlation between posttraumatic stress and anxiety, and medium positive correlations between posttraumatic stress and depression and somatic symptoms. Conclusion: Posttraumatic stress symptomatology can be debilitating, often co-occurring with symptoms of depression, anxiety and somatic complications. This may lead to long-term academic, social and emotional consequences in this vulnerable group.https://sajp.org.za/index.php/sajp/article/view/1008adolescentsanxietydepressionPosttraumatic Stress Disorderposttraumatic stress symptomatologysomatic problems
spellingShingle Karl D. Swain
Basil J. Pillay
Wendy Kliewer
Traumatic stress and psychological functioning in a South African adolescent community sample
South African Journal of Psychiatry
adolescents
anxiety
depression
Posttraumatic Stress Disorder
posttraumatic stress symptomatology
somatic problems
title Traumatic stress and psychological functioning in a South African adolescent community sample
title_full Traumatic stress and psychological functioning in a South African adolescent community sample
title_fullStr Traumatic stress and psychological functioning in a South African adolescent community sample
title_full_unstemmed Traumatic stress and psychological functioning in a South African adolescent community sample
title_short Traumatic stress and psychological functioning in a South African adolescent community sample
title_sort traumatic stress and psychological functioning in a south african adolescent community sample
topic adolescents
anxiety
depression
Posttraumatic Stress Disorder
posttraumatic stress symptomatology
somatic problems
url https://sajp.org.za/index.php/sajp/article/view/1008
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