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Teplin and colleagues¹made a methodologic advance by assembling a large sample of youth involved in the juvenile justice system to examine rates of psychiatric diagnosis. Unfortunately, their measurement overlooked posttraumatic stress disorder (PTSD), a condition that has been documented to occur at high rates among antisocial and incarcerated youth.^2-6 The absence of information on PTSD is striking given the authors' recognition that exposure to potential trauma (eg, maltreatment, neglect, and community violence) is an important risk factor for antisocial behavior and the development of psychiatric disorders.^7-8 Posttraumatic stress disorder also has clear relevance for their findings that show substantial depression, dysthymia, and substance abuse in the sample, as well as their recommendations regarding future research on patterns and sequences of comorbity. Epidemiologic evidence demonstrates that PTSD is accompanied by high rates of comorbid affective and substance use disorders, and suggests that exposure to traumatic stressors and development of PTSD . . . [Full Text of this Article]

Elana Newman, PhD
University of Tulsa
699 S College Ave
Tulsa, OK 74104

Danny Kaloupek, PhD
Boston, Mass

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Posttraumatic Stress Disorder Among Criminally Involved Youth—Reply
Linda A. Teplin, Karen M. Abram, Gary M. McClelland, and Mina K. Dulcan
Arch Gen Psychiatry. 2003;60(8):849-850.
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