Exposure and peritraumatic response as predictors of posttraumatic stress in children following the 1995 Oklahoma City bombing.

Journal Article (Journal Article)

Studies have demonstrated a positive relationship between exposure and posttraumatic stress, but one's subjective appraisal of danger and threat at the time of exposure may be a better predictor of posttraumatic stress than more objective measures of exposure. We examined the role of peritraumatic response in posttraumatic stress reactions in over 2,000 middle school children 7 weeks after the 1995 Oklahoma City, Oklahoma, bombing. While many children reported hearing and feeling the blast and knowing direct victims, most were in school at the time of the explosion and therefore were not in direct physical proximity to the incident. Physical, interpersonal, and television exposure accounted for 12% of the total variance in our measure of posttraumatic stress when peritraumatic response was ignored. Peritraumatic response and television exposure accounted for 25% of the total variance, and physical and interpersonal exposure were not significant in this context. These findings suggest the importance of peritraumatic response in children's reactions to terrorism. These early responses can be used to help determine which children may experience difficulty over time.

Full Text

Duke Authors

Cited Authors

  • Pfefferbaum, B; Doughty, DE; Reddy, C; Patel, N; Gurwitch, RH; Nixon, SJ; Tivis, RD

Published Date

  • September 2002

Published In

Volume / Issue

  • 79 / 3

Start / End Page

  • 354 - 363

PubMed ID

  • 12200504

Pubmed Central ID

  • PMC3456793

International Standard Serial Number (ISSN)

  • 1099-3460

Digital Object Identifier (DOI)

  • 10.1093/jurban/79.3.354


  • eng

Conference Location

  • United States