{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T03:52:05Z","timestamp":1781495525445,"version":"3.54.1"},"reference-count":84,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T00:00:00Z","timestamp":1769644800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T00:00:00Z","timestamp":1769644800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["acamh.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Child Psychology Psychiatry"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Children often experience both posttraumatic stress (PTS) and depression after potentially traumatic events (PTEs). Latent class analyses (LCAs) identify subgroups with different co\u2010occurring symptoms, but little is known about what predicts transitions between these symptom classes over time. Analyzing these transitions could reveal factors that influence the shift to classes with fewer internalizing symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Using harmonized individual participant data (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009787) from nine studies (United States, United Kingdom, Australia, and Switzerland) included in the Prospective studies of Acute Child Trauma and Recovery Data Archive (PACT\/R), internalizing symptom classes (using PTS and depression items) were identified using LCAs for T1 (0\u20132\u2009months posttrauma) and T2 (3\u201315\u2009months posttrauma) separately. Latent transition analysis was used to examine predictors of transitions across symptom classes over time. Included predictors were age, gender, minority status, and trauma type.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Five classes were identified at both time points: \u2018low internalizing\u2019 class (T1: 20%; T2: 40%), \u2018low PTS\/moderate\u2010high depression\u2019 class (T1: 20%; T2: 27%), \u2018moderate internalizing\u2019 class (T1: 25%; T2: 12%), \u2018moderate PTS\/high depression\u2019 class (T1: 17%, T2: 14%), and \u2018high internalizing\u2019 class (T1: 16%, T2: 6%). \u2018Low internalizing\u2019 was the most common and stable response (87% stayed in this class). At both time points, 40% of all children were classified into either a \u2018low PTS\/moderate\u2010high depression\u2019 class or a \u2018moderate PTS\/high depression\u2019 class. Children belonging to minority groups in their country of residence and children exposed to interpersonal PTEs were less likely to transition from the \u2018high internalizing\u2019 class to lower symptom classes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Most children show low PTS and depression symptoms after PTEs. When symptoms do develop, they usually involve both high depression and PTS, rather than high PTS with low depression. This underscores the importance of assessing both conditions and developing interventions that target multiple disorders. Minority children exposed to interpersonal trauma require special focus in research and treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jcpp.70113","type":"journal-article","created":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T11:07:42Z","timestamp":1769684862000},"page":"1159-1175","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Analyzing transdiagnostic internalizing symptoms in\u00a0a global sample of trauma\u2010exposed children using\u00a0pooled individual participant data: a latent transition analysis"],"prefix":"10.1111","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6602-3534","authenticated-orcid":false,"given":"Yaara","family":"Sadeh","sequence":"first","affiliation":[{"name":"School of Social Work, Faculty of Welfare and Health Sciences University of Haifa  Haifa Israel"},{"name":"The Children's Hospital of Philadelphia  Philadelphia PA USA"},{"name":"Trauma Data Institute  Lovingston VA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leila","family":"Graham","sequence":"additional","affiliation":[{"name":"The Children's Hospital of Philadelphia  Philadelphia PA USA"},{"name":"Trauma Data Institute  Lovingston VA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marthe R.","family":"Egberts","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology Utrecht University  Utrecht the Netherlands"},{"name":"Ingeborg Douwes Centrum Centre for Psycho\u2010Oncology OLVG Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lonneke I.M.","family":"Lenferink","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology Utrecht University  Utrecht the Netherlands"},{"name":"Department of Clinical Psychology and Experimental Psychopathology, Faculty of Behavioral and Social Sciences University of Groningen  Groningen the Netherlands"},{"name":"Department of Psychology, Health &amp; Technology, Faculty of Behavioural, Management, and Social Sciences University of Twente  Enschede the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nancy","family":"Kassam\u2010Adams","sequence":"additional","affiliation":[{"name":"The Children's Hospital of Philadelphia  Philadelphia PA USA"},{"name":"Trauma Data Institute  Lovingston VA USA"},{"name":"Department of Pediatrics, Perelman School of Medicine University of Pennsylvania  Philadelphia PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,29]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.113.131227"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-015-1077-3"},{"key":"e_1_2_9_5_1","unstructured":"Asparouhov T. &Muth\u00e9n B.(2021).LTA interpretation of probabilities odds and odds ratios results. Mplus Web Notes. Available from:https:\/\/www.statmodel.com\/download\/LTAProfiles.pdf"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.9783\/9780812290882"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2016.08.002"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/1524838009334448"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2015.06.058"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/20008198.2018.1472992"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1037\/ccp0000133"},{"key":"e_1_2_9_12_1","volume-title":"Modular approach to therapy for children with anxiety, depression, trauma, or conduct problems (MATCH\u2010ADTC)","author":"Chorpita B.F.","year":"2009"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.20586"},{"key":"e_1_2_9_14_1","volume-title":"Handbook of psychology","author":"Collins L.","year":"2010"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2018.08.004"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2017.01.029"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/1745691618810696"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/20008198.2019.1596508"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2021.102114"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psyneuen.2004.06.004"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2019.04.002"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2011.04.035"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2015.01.034"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-009-0042-9"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.15m09854"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1002\/da.20767"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/NMD.0b013e3181fe7410"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2010.05.019"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10802-023-01042-3"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1002\/smi.3046"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0000000000000595"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.20640"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1080\/20008198.2020.1729025"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2010.02.011"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1080\/20008198.2020.1739885"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1037\/abn0000258"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10566-013-9206-1"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10826-014-9934-3"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.36682"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.1080\/20008198.2020.1717156"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2021.12.009"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.23014"},{"key":"e_1_2_9_43_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2020.09.107"},{"key":"e_1_2_9_44_1","first-page":"1","article-title":"Trauma exposure and posttraumatic stress disorder in a national sample of adolescents","volume":"52","author":"McLaughlin K.A.","year":"2013","journal-title":"Journal of the American Academy of Child and Adolescent Psychiatry"},{"key":"e_1_2_9_45_1","doi-asserted-by":"publisher","DOI":"10.1002\/da.22602"},{"key":"e_1_2_9_46_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2008.07081282"},{"key":"e_1_2_9_47_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.162.7.1381"},{"key":"e_1_2_9_48_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2021.01.016"},{"key":"e_1_2_9_49_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.12m07844"},{"key":"e_1_2_9_50_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.ecolsys.28.1.341"},{"key":"e_1_2_9_51_1","unstructured":"Muth\u00e9n L.K. &Muth\u00e9n B.O.(2012).Mplus user's guide(7th edn).Los Angeles CA:Muth\u00e9n & Muth\u00e9n."},{"key":"e_1_2_9_52_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2010.05.002"},{"key":"e_1_2_9_53_1","doi-asserted-by":"publisher","DOI":"10.1177\/0886260516674944"},{"key":"e_1_2_9_54_1","unstructured":"Nylund K. Muth'en B. Nishina A. Bellmore A. &Graham S.(2006).Stability and instability of peer victimization during middle school: Using latent transition analysis with covariates distal outcomes and modeling extensions. Unpublished manuscript 1\u201350."},{"key":"e_1_2_9_55_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpp.13737"},{"key":"e_1_2_9_56_1","doi-asserted-by":"publisher","DOI":"10.1080\/20008198.2020.1752504"},{"key":"e_1_2_9_57_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpp.12420"},{"key":"e_1_2_9_58_1","doi-asserted-by":"publisher","DOI":"10.1111\/eip.13265"},{"key":"e_1_2_9_59_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2011.08.003"},{"key":"e_1_2_9_60_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-022-01336-1"},{"key":"e_1_2_9_61_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2014.09.021"},{"key":"e_1_2_9_62_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.20450"},{"key":"e_1_2_9_63_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2017.11.015"},{"key":"e_1_2_9_64_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.21814"},{"key":"e_1_2_9_65_1","doi-asserted-by":"publisher","DOI":"10.1017\/gmh.2023.7"},{"key":"e_1_2_9_66_1","doi-asserted-by":"publisher","DOI":"10.1080\/20008066.2023.2299194"},{"key":"e_1_2_9_67_1","doi-asserted-by":"publisher","DOI":"10.1177\/0272431619858397"},{"key":"e_1_2_9_68_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.22864"},{"key":"e_1_2_9_69_1","doi-asserted-by":"publisher","DOI":"10.1037\/0021-843X.111.4.637"},{"key":"e_1_2_9_70_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpp.12983"},{"key":"e_1_2_9_71_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2013.12.002"},{"key":"e_1_2_9_72_1","volume-title":"Handbook of attachment\u2010based interventions","author":"Steele H.","year":"2019"},{"key":"e_1_2_9_73_1","doi-asserted-by":"publisher","DOI":"10.1038\/tp.2017.166"},{"key":"e_1_2_9_74_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2011.12.001"},{"key":"e_1_2_9_75_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2019.05.005"},{"key":"e_1_2_9_76_1","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20943"},{"key":"e_1_2_9_77_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpp.13820"},{"key":"e_1_2_9_78_1","doi-asserted-by":"publisher","DOI":"10.1177\/1745691618805436"},{"key":"e_1_2_9_79_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.109.6.e90"},{"key":"e_1_2_9_80_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10964-023-01826-2"},{"key":"e_1_2_9_81_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2013.11.007"},{"key":"e_1_2_9_82_1","doi-asserted-by":"publisher","DOI":"10.1186\/1753-2000-4-7"},{"key":"e_1_2_9_83_1","doi-asserted-by":"publisher","DOI":"10.1080\/20008198.2022.2037906"},{"key":"e_1_2_9_84_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.22720"},{"key":"e_1_2_9_85_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10578-018-0859-8"}],"container-title":["Journal of Child Psychology and Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/acamh.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jcpp.70113","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/acamh.onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jcpp.70113","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/acamh.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jcpp.70113","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T02:54:13Z","timestamp":1781492053000},"score":1,"resource":{"primary":{"URL":"https:\/\/acamh.onlinelibrary.wiley.com\/doi\/10.1111\/jcpp.70113"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,29]]},"references-count":84,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1111\/jcpp.70113"],"URL":"https:\/\/doi.org\/10.1111\/jcpp.70113","archive":["Portico"],"relation":{},"ISSN":["0021-9630","1469-7610"],"issn-type":[{"value":"0021-9630","type":"print"},{"value":"1469-7610","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,29]]},"assertion":[{"value":"2025-12-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-29","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}