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(Referência obtida automaticamente do Web of Science, por meio da informação sobre o financiamento pela FAPESP e o número do processo correspondente, incluída na publicação pelos autores.)

Recovery from DSM-IV post-traumatic stress disorder in the WHO World Mental Health surveys

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Autor(es):
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Rosellini, A. J. [1] ; Liu, H. [2, 3] ; Petukhova, M. V. [2] ; Sampson, N. A. [2] ; Aguilar-Gaxiola, S. [4] ; Alonso, J. [5, 6] ; Borges, G. [7] ; Bruffaerts, R. [8] ; Bromet, E. J. [9] ; de Girolamo, G. [10] ; de Jonge, P. [11, 12] ; Fayyad, J. [13] ; Florescu, S. [14] ; Gureje, O. [15] ; Haro, J. M. [16] ; Hinkov, H. [17] ; Karam, E. G. [13, 18] ; Kawakami, N. [19] ; Koenen, K. C. [3] ; Lee, S. [20] ; Lepine, J. P. [21] ; Levinson, D. [22] ; Navarro-Mateu, F. [23] ; Oladeji, B. D. [15] ; O'Neill, S. [24] ; Pennell, B. E. [25] ; Piazza, M. [26] ; Posada-Villa, J. [27] ; Scott, K. M. [28] ; Stein, D. J. [29] ; Torres, Y. [30] ; Viana, M. C. [31] ; Zaslavsky, A. M. [2] ; Kessler, R. C. [2] ; Survey, WHO World Mental Hlth
Número total de Autores: 35
Afiliação do(s) autor(es):
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[1] Boston Univ, Dept Psychol & Brain Sci, Boston, MA - USA
[2] Harvard Med Sch, Dept Hlth Care Policy, Boston, MA - USA
[3] Harvard T H Chan Sch Publ Hlth, Dept Epidemiol, Boston, MA - USA
[4] UC Davis Hlth Syst, Ctr Reducing Hlth Dispar, Sacramento, CA - USA
[5] CIBERESP, Barcelona - Spain
[6] Pompeu Fabra Univ UPF, IMIM Hosp Mar Res Inst, Parc Salut Mar, Barcelona - Spain
[7] Natl Inst Psychiat Ramon Fuente, Mexico City, DF - Mexico
[8] UPC KUL, Campus Gasthuisberg, Leuven - Belgium
[9] Stony Brook Univ Sch Med, Dept Psychiat, Stony Brook, NY - USA
[10] IRCCS St John God Clin Res Ctr IRCCS Centro S Gio, Brescia - Italy
[11] Univ Groningen, Dept Psychol, Dev Psychol, Groningen - Netherlands
[12] Univ Groningen, Univ Med Ctr Groningen, Dept Psychiat, Interdisciplinary Ctr Psychopathol & Emot Regulat, Groningen - Netherlands
[13] Inst Dev, Res, Advocacy Appl Care IDRAAC, Beirut - Lebanon
[14] Natl Sch Publ Hlth, Management & Dev, Bucharest - Romania
[15] Univ Ibadan, Dept Psychiat, Coll Med, Ibadan - Nigeria
[16] Univ Barcelona, Parc Sanitari Sant Joan Deu, CIBERSAM, Barcelona - Spain
[17] Natl Ctr Publ Hlth & Analyses, Sofia - Bulgaria
[18] Balamand Univ, St George Hosp Univ Med Ctr, Dept Psychiat & Clin Psychol, Fac Med, Beirut - Lebanon
[19] Univ Tokyo, Sch Publ Hlth, Dept Mental Hlth, Tokyo - Japan
[20] Chinese Univ Hong Kong, Dept Psychiat, Tai Po, Hong Kong - Peoples R China
[21] Univ Paris Descartes Paris Diderot, Hop Lariboisiere Fernand Widal, Assistance Publ Hopitaux Paris, INSERM UMR S 1144, Paris - France
[22] Mental Hlth Serv, Minist Hlth, Jerusalem - Israel
[23] Servicio Murciano Salud, UDIF SM, Subdirecc Gen Planificac, Innovac Cronicidad, Murcia - Spain
[24] Ulster Univ, Sch Psychol, Londonderry - North Ireland
[25] Univ Michigan, Inst Social Res, Survey Res Ctr, Ann Arbor, MI - USA
[26] Univ Cayetano Heredia, Natl Inst Hlth, Lima - Peru
[27] Colegio Mayor Cundinamarca Univ, Bogota - Colombia
[28] Univ Otago, Dept Psychol Med, Dunedin - New Zealand
[29] Univ Cape Town, Dept Psychiat & Mental Hlth, Cape Town - South Africa
[30] CES Univ, Ctr Excellence Res Mental Hlth, Medellin - Colombia
[31] Univ Fed Espirito Santo, Dept Social Med, Vitoria - Brazil
Número total de Afiliações: 31
Tipo de documento: Artigo Científico
Fonte: PSYCHOLOGICAL MEDICINE; v. 48, n. 3, p. 437-450, FEB 2018.
Citações Web of Science: 5
Resumo

Background Research on post-traumatic stress disorder (PTSD) course finds a substantial proportion of cases remit within 6 months, a majority within 2 years, and a substantial minority persists for many years. Results are inconsistent about pre-trauma predictors. Methods The WHO World Mental Health surveys assessed lifetime DSM-IV PTSD presence-course after one randomly-selected trauma, allowing retrospective estimates of PTSD duration. Prior traumas, childhood adversities (CAs), and other lifetime DSM-IV mental disorders were examined as predictors using discrete-time person-month survival analysis among the 1575 respondents with lifetime PTSD. Results 20%, 27%, and 50% of cases recovered within 3, 6, and 24 months and 77% within 10 years (the longest duration allowing stable estimates). Time-related recall bias was found largely for recoveries after 24 months. Recovery was weakly related to most trauma types other than very low {[}odds-ratio (OR) 0.2-0.3] early-recovery (within 24 months) associated with purposefully injuring/torturing/killing and witnessing atrocities and very low later-recovery (25+ months) associated with being kidnapped. The significant ORs for prior traumas, CAs, and mental disorders were generally inconsistent between early- and later-recovery models. Cross-validated versions of final models nonetheless discriminated significantly between the 50% of respondents with highest and lowest predicted probabilities of both early-recovery (66-55% v. 43%) and later-recovery (75-68% v. 39%). Conclusions We found PTSD recovery trajectories similar to those in previous studies. The weak associations of pre-trauma factors with recovery, also consistent with previous studies, presumably are due to stronger influences of post-trauma factors. (AU)

Processo FAPESP: 03/00204-3 - Estudo epidemiológico dos transtornos psiquiátricos na região metropolitana de São Paulo: prevalências, fatores de risco e sobrecarga social e econômica
Beneficiário:Laura Helena Silveira Guerra de Andrade Burdmann
Linha de fomento: Auxílio à Pesquisa - Temático