{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T07:07:42Z","timestamp":1789628862226,"version":"build-2803163510"},"reference-count":39,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2019,1,16]],"date-time":"2019-01-16T00:00:00Z","timestamp":1547596800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["acamh.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Child Psychology Psychiatry"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      The aim of this study is to provide a better understanding of the central symptoms of\n                      <jats:italic>\n                        <jats:styled-content style=\"fixed-case\">DSM<\/jats:styled-content>\n                        \u20105\n                      <\/jats:italic>\n                      posttraumatic stress disorder (\n                      <jats:styled-content style=\"fixed-case\">PTSD<\/jats:styled-content>\n                      ) in children and adolescents from the perspective of the child and its caregiver. Identifying core symptoms of\n                      <jats:styled-content style=\"fixed-case\">PTSD<\/jats:styled-content>\n                      can help clinicians to understand what may be relevant targets for treatment.\n                      <jats:styled-content style=\"fixed-case\">PTSD<\/jats:styled-content>\n                      may present itself differently in children and adolescents compared to adults, and no study so far has investigated the\n                      <jats:italic>\n                        <jats:styled-content style=\"fixed-case\">DSM<\/jats:styled-content>\n                        \u20105\n                      <\/jats:italic>\n                      <jats:styled-content style=\"fixed-case\">PTSD<\/jats:styled-content>\n                      conceptualization using network analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      The network structure of\n                      <jats:italic>\n                        <jats:styled-content style=\"fixed-case\">DSM<\/jats:styled-content>\n                        \u20105\n                      <\/jats:italic>\n                      <jats:styled-content style=\"fixed-case\">PTSD<\/jats:styled-content>\n                      was investigated in a clinical sample of\n                      <jats:italic>n\u00a0<\/jats:italic>\n                      =\n                      <jats:italic>\u00a0<\/jats:italic>\n                      475 self\u2010reports of children and adolescents and\n                      <jats:italic>n\u00a0<\/jats:italic>\n                      =\n                      <jats:italic>\u00a0<\/jats:italic>\n                      424 caregiver\u2010reports using (a) regularized partial correlation models and (b) a Bayesian approach computing directed acyclic graphs (\n                      <jats:styled-content style=\"fixed-case\">DAG<\/jats:styled-content>\n                      s).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      (a) The 20\n                      <jats:italic>\n                        <jats:styled-content style=\"fixed-case\">DSM<\/jats:styled-content>\n                        \u20105\n                      <\/jats:italic>\n                      <jats:styled-content style=\"fixed-case\">PTSD<\/jats:styled-content>\n                      symptoms were positively connected within the self\u2010report and the caregiver\u2010report sample. The most central symptoms were\n                      <jats:italic>negative trauma\u2010related cognitions<\/jats:italic>\n                      and\n                      <jats:italic>persistent negative emotional state<\/jats:italic>\n                      for the self\u2010report and\n                      <jats:italic>negative trauma\u2010related cognitions<\/jats:italic>\n                      ,\n                      <jats:italic>intrusive thoughts or memories<\/jats:italic>\n                      and\n                      <jats:italic>exaggerated startle response<\/jats:italic>\n                      for the caregiver\u2010report. (b) Similarly, symptoms in the negative alterations in cognitions and mood cluster (\n                      <jats:styled-content style=\"fixed-case\">NACM<\/jats:styled-content>\n                      ) have emerged as key drivers of other symptoms in traumatized children and adolescents.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      As the symptoms in the\n                      <jats:italic>\n                        <jats:styled-content style=\"fixed-case\">DSM<\/jats:styled-content>\n                        \u20105\n                      <\/jats:italic>\n                      <jats:styled-content style=\"fixed-case\">NACM<\/jats:styled-content>\n                      cluster were central in our regularized partial correlation networks and also appeared to be the driving forces in the\n                      <jats:styled-content style=\"fixed-case\">DAG<\/jats:styled-content>\n                      s, these might represent important symptoms within\n                      <jats:styled-content style=\"fixed-case\">PTSD<\/jats:styled-content>\n                      symptomatology and may offer key targets in\n                      <jats:styled-content style=\"fixed-case\">PTSD<\/jats:styled-content>\n                      treatment for children and adolescents.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jcpp.13009","type":"journal-article","created":{"date-parts":[[2019,1,16]],"date-time":"2019-01-16T06:20:27Z","timestamp":1547619627000},"page":"545-554","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":63,"title":["The importance of the\n                    <i>\n                      <scp>DSM<\/scp>\n                      \u20105\n                    <\/i>\n                    posttraumatic stress disorder symptoms of 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