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More than two-thirds of children and adolescents (hereafter referred to as “children”) experience trauma, with half of these children experiencing multiple traumatic events (Copeland et al. 2002). Posttraumatic stress disorder (PTSD) symptoms are common in trauma-exposed children. However, many children with significant trauma symptoms and functional impairment do not meet full PTSD diagnostic criteria according to DSM-IV-TR (American Psychiatric Association 2000) because of criteria that may be less developmentally appropriate for children, such as a sense of foreshortened future (Meiser-Stedman et al. 2008; Scheeringa et al. 2006).
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