| Full text | |
| Author(s): Show less - |
Karam, Elie G.
[1]
;
Friedman, Matthew J.
[2]
;
Hill, Eric D.
[3]
;
Kessler, Ronald C.
[3]
;
McLaughlin, Katie A.
[4]
;
Petukhova, Maria
[3]
;
Sampson, Laura
[3]
;
Shahly, Victoria
[3]
;
Angermeyer, Matthias C.
[5]
;
Bromet, Evelyn J.
[6]
;
de Girolamo, Giovanni
[7]
;
de Graaf, Ron
;
Demyttenaere, Koen
[8]
;
Ferry, Finola
[9]
;
Florescu, Silvia E.
[10]
;
Haro, Josep Maria
[11]
;
He, Yanling
[12]
;
Karam, Aimee N.
[1]
;
Kawakami, Norito
[13]
;
Kovess-Masfety, Viviane
[14]
;
Medina-Mora, Maria Elena
[15]
;
Browne, Mark A. Oakley
;
Posada-Villa, Jose A.
[16]
;
Shalev, Arieh Y.
[17]
;
Stein, Dan J.
[18]
;
Viana, Maria Carmen
[19]
;
Zarkov, Zahari
[20]
;
Koenen, Karestan C.
[21]
Total Authors: 28
|
| Affiliation: Show less - | [1] St George Hosp Univ Med Ctr, IDRAAC, Dept Psychiat & Clin Psychol, Beirut - Lebanon
[2] Geisel Sch Med Dartmouth, Natl Ctr PTSD, US Dept Vet Affairs, Hanover, NH - USA
[3] Harvard Univ, Sch Med, Dept Hlth Care Policy, Boston, MA 02115 - USA
[4] Harvard Univ, Sch Med, Childrens Hosp Boston, Div Gen Pediat, Boston, MA - USA
[5] Ctr Publ Mental Hlth, Gosing Am Wagram - Austria
[6] SUNY Stony Brook, Dept Psychiat, Stony Brook, NY 11794 - USA
[7] IRCCS Ctr S Giovanni di Dio Fatebenefratelli, Bologna - Italy
[8] Katholieke Univ Leuven Hosp, Univ Hosp Gasthuisberg, Dept Psychiat, Leuven - Belgium
[9] Univ Ulster, Bamford Ctr Mental Hlth & Wellbeing, MRC Trial Methodol Hub, Coleraine BT52 1SA, Londonderry - North Ireland
[10] Natl Sch Publ Hlth & Hlth Serv Management, Publ Hlth Res & Evidence Based Med Dept, Bucharest - Romania
[11] Univ Barcelona, CIBERSAM, Parc Sanitari St Joan de Deu, Barcelona - Spain
[12] Shanghai Jiao Tong Univ, Sch Med, Shanghai Mental Hlth Ctr, Dept Clin Epidemiol, Shanghai 200030 - Peoples R China
[13] Univ Tokyo, Grad Sch Med, Dept Mental Hlth, Tokyo - Japan
[14] Univ Paris 05, EHESP Sch Publ Hlth, Dept Epidemiol, Paris - France
[15] Natl Inst Psychiat, Mexico City, DF - Mexico
[16] Inst Colombiano Sistema Nervioso, Bogota, DC - Colombia
[17] Hadassah Univ Hosp, Dept Psychiat, IL-91120 Jerusalem - Israel
[18] Univ Cape Town, Dept Psychiat, ZA-7925 Cape Town - South Africa
[19] Univ Fed Espirito Santo, Dept Social Med, Vitoria, ES - Brazil
[20] Natl Ctr Publ Hlth & Anal, Dept Mental Hlth, Sofia - Bulgaria
[21] Columbia Univ, Mailman Sch Publ Hlth, Dept Epidemiol, Psychiat Neurol Epidemiol Cluster, New York, NY 10032 - USA
Total Affiliations: 21
|
| Document type: | Journal article |
| Source: | DEPRESSION AND ANXIETY; v. 31, n. 2, p. 130-142, FEB 2014. |
| Web of Science Citations: | 104 |
| Abstract | |
BackgroundClinical research suggests that posttraumatic stress disorder (PTSD) patients exposed to multiple traumatic events (TEs) rather than a single TE have increased morbidity and dysfunction. Although epidemiological surveys in the United States and Europe also document high rates of multiple TE exposure, no population-based cross-national data have examined this issue. MethodsData were analyzed from 20 population surveys in the World Health Organization World Mental Health Survey Initiative (n = 51,295 aged 18+). The Composite International Diagnostic Interview (3.0) assessed 12-month PTSD and other common DSM-IV disorders. Respondents with 12-month PTSD were assessed for single versus multiple TEs implicated in their symptoms. Associations were examined with age of onset (AOO), functional impairment, comorbidity, and PTSD symptom counts. Results19.8% of respondents with 12-month PTSD reported that their symptoms were associated with multiple TEs. Cases who associated their PTSD with four or more TEs had greater functional impairment, an earlier AOO, longer duration, higher comorbidity with mood and anxiety disorders, elevated hyperarousal symptoms, higher proportional exposures to partner physical abuse and other types of physical assault, and lower proportional exposure to unexpected death of a loved one than cases with fewer associated TEs. ConclusionsA risk threshold was observed in this large-scale cross-national database wherein cases who associated their PTSD with four or more TEs presented a more complex clinical picture with substantially greater functional impairment and greater morbidity than other cases of PTSD. PTSD cases associated with four or more TEs may merit specific and targeted intervention strategies. (C) 2013 Wiley Periodicals, Inc. (AU) | |
| FAPESP's process: | 03/00204-3 - Epidemiological study of psychiatric disorders in the São Paulo Metropolitan Region: prevalence, risk factors, and social and economical burden |
| Grantee: | Laura Helena Silveira Guerra de Andrade |
| Support Opportunities: | Research Projects - Thematic Grants |