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One\u2010hundred eleven children and caretakers were assessed in this study. Children (<jats:italic>N<\/jats:italic> = 59) with a history of exposure to interpersonal violence were evaluated for reexperiencing, avoidance\/numbing, and hyperarousal symptom clusters using the Clinician\u2010Administered PTSD Scale for Children and Adolescents (CAPS\u2010CA). The 52 primary caregivers were evaluated using the Symptom Checklist\u201090\u2010Revised (SCL\u201090\u2010R) on 9 domains of psychological symptomatology: anxiety, depression, hostility, interpersonal sensitivity, obsessive\u2013compulsive disorder, paranoid ideation, phobic anxiety, psychoticism, and somatization. At 14\u2010month follow\u2010up, 45 of the children were re\u2010evaluated with the CAPS\u2010CA. Caregiver psychological symptoms in the domains of anxiety, depression, interpersonal sensitivity, obsessive\u2013compulsive disorder, and paranoid ideation were associated with less improvement in total pediatric PTSD symptoms. Analysis of PTSD symptoms by cluster showed that greater caregiver symptomatology in the domains of anxiety, depression, interpersonal sensitivity, and obsessive\u2013compulsive disorder were associated with less improvement in the hyperarousal symptom cluster. These results suggest caregiver symptomatology may be specifically associated with hyperarousal symptoms in pediatric trauma.<\/jats:p>","DOI":"10.1002\/jts.21816","type":"journal-article","created":{"date-parts":[[2013,6,4]],"date-time":"2013-06-04T21:53:33Z","timestamp":1370382813000},"page":"385-391","source":"Crossref","is-referenced-by-count":6,"title":["A Prospective Study on the Association Between Caregiver Psychological Symptomatology and Symptom Clusters of Pediatric Posttraumatic Stress Disorder"],"prefix":"10.1002","volume":"26","author":[{"given":"Shane Shucheng","family":"Wong","sequence":"first","affiliation":[{"name":"Early Life Stress Research Program Stanford University School of Medicine  Stanford California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hilit","family":"Kletter","sequence":"additional","affiliation":[{"name":"Early Life Stress Research Program Stanford University School of Medicine  Stanford California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yukwal","family":"Wong","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Toronto  Toronto Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victor G.","family":"Carrion","sequence":"additional","affiliation":[{"name":"Early Life Stress Research Program Stanford University School of Medicine  Stanford California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,6,4]]},"reference":[{"key":"e_1_2_5_2_1","volume-title":"Diagnostic and statistical manual of mental disorders","author":"American Psychiatric Association","year":"1994"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.2517-6161.1995.tb02031.x"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02105408"},{"key":"e_1_2_5_5_1","volume-title":"Attachment and loss: Volume 1. 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