{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T08:25:41Z","timestamp":1790065541023,"version":"4.0.1"},"reference-count":29,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2006,8,22]],"date-time":"2006-08-22T00:00:00Z","timestamp":1156204800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Child Psychology Psychiatry"],"published-print":{"date-parts":[[2006,9]]},"abstract":"<jats:p>\n                    <jats:bold>Background:\u2002<\/jats:bold>\n                    The present study investigated the extent to which heart rate (HR) levels soon after a traumatic event predicted posttraumatic stress disorder (PTSD) symptom severity assessed 6\u2003weeks and 6\u2003months later in child trauma victims.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Methods:\u2002<\/jats:bold>\n                    Participants consisted of 82 children (56 boys, 26 girls) aged 8\u201318 who were admitted to a Midwestern trauma center. HR data were recorded from emergency medical services (EMS) records, upon admission to the emergency department (ED), for the first 20\u2003minutes following admission, and upon discharge. Subsequent PTSD and depressive symptoms were assessed 6\u2010weeks and 6\u2010months post\u2010trauma.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:\u2002<\/jats:bold>\n                    HR recorded during EMS transport was significantly correlated with PTSD symptoms at 6\u2003weeks (\n                    <jats:italic>r<\/jats:italic>\n                    \u2003=\u2003.42) and at 6\u2003months (\n                    <jats:italic>r<\/jats:italic>\n                    \u2003=\u2003.35). After removing the variance associated with demographic variables and depressive symptoms, HR during EMS transport and averaged over the first 20\u2003minutes following admission significantly predicted 6\u2010week PTSD symptoms. The first recorded EMS HR measure significantly predicted 6\u2010month PTSD symptoms. HR averaged over the first 20\u2003minutes of EMS transport and averaged over the first 20\u2003minutes following admission marginally predicted 6\u2010month PTSD symptoms (\n                    <jats:italic>p<\/jats:italic>\n                    s\u2003=\u2003.051 and .079, respectively).\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusions:\u2002<\/jats:bold>\n                    The present findings suggest that physiological arousal soon after a traumatic event may be associated with increased risk for the development of PTSD symptoms in child trauma victims. These findings provide preliminary support for the use of acute cardiovascular levels as markers of child trauma victims at higher risk of developing symptoms of PTSD.\n                  <\/jats:p>","DOI":"10.1111\/j.1469-7610.2006.01648.x","type":"journal-article","created":{"date-parts":[[2006,8,22]],"date-time":"2006-08-22T06:15:42Z","timestamp":1156227342000},"page":"919-926","source":"Crossref","is-referenced-by-count":43,"title":["Emergency medical service and in\u2010hospital vital signs as predictors of subsequent PTSD symptom severity in pediatric injury patients"],"prefix":"10.1111","volume":"47","author":[{"given":"Nicole R.","family":"Nugent","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norman C.","family":"Christopher","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Douglas 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