Literature DB >> 16271653

Posttraumatic stress disorder in primary care: prevalence and relationships with physical symptoms and medical utilization.

Karen L Gillock1, Claudia Zayfert, Mark T Hegel, Robert J Ferguson.   

Abstract

OBJECTIVE: This study estimates the prevalence of posttraumatic stress disorder (PTSD) and describes the relationships among PTSD status and health indices in a civilian primary care patient sample.
METHODS: Participants (N = 232) completed a paper-and-pencil survey of life events, PTSD symptoms, physical symptoms and health functioning. Utilization was assessed from medical records.
RESULTS: Nine percent of the participants met the criteria for full PTSD (based on Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition criteria) and another 25% were defined as partial PTSD. The full-PTSD group evidenced higher rates of medical utilization, more intense physical symptoms and poorer health functioning than the no-PTSD group. The partial-PTSD group more closely resembled the full-PTSD group.
CONCLUSIONS: This study, although limited by sample size and diagnosis by questionnaire vs. diagnostic interview, suggests research directions for enhancing our understanding of PTSD among civilian primary care patients and for developing appropriate interventions that can be conducted in the primary care setting.

Entities:  

Mesh:

Year:  2005        PMID: 16271653     DOI: 10.1016/j.genhosppsych.2005.06.004

Source DB:  PubMed          Journal:  Gen Hosp Psychiatry        ISSN: 0163-8343            Impact factor:   3.238


  31 in total

Review 1.  The current state of intervention research for posttraumatic stress disorder within the primary care setting.

Authors:  Kyle Possemato
Journal:  J Clin Psychol Med Settings       Date:  2011-09

2.  Exploring relations among traumatic, posttraumatic, and physical pain experiences in methadone-maintained patients.

Authors:  Declan T Barry; Mark Beitel; Christopher J Cutter; Brian Garnet; Dipa Joshi; Andrew Rosenblum; Richard S Schottenfeld
Journal:  J Pain       Date:  2010-06-20       Impact factor: 5.820

Review 3.  Prevalence, Detection and Correlates of PTSD in the Primary Care Setting: A Systematic Review.

Authors:  Talya Greene; Yuval Neria; Raz Gross
Journal:  J Clin Psychol Med Settings       Date:  2016-06

4.  Physical health conditions associated with posttraumatic stress disorder in U.S. older adults: results from wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions.

Authors:  Robert H Pietrzak; Risë B Goldstein; Steven M Southwick; Bridget F Grant
Journal:  J Am Geriatr Soc       Date:  2012-01-27       Impact factor: 5.562

5.  Trauma-informed medical care: CME communication training for primary care providers.

Authors:  Bonnie L Green; Pamela A Saunders; Elizabeth Power; Priscilla Dass-Brailsford; Kavitha Bhat Schelbert; Esther Giller; Larry Wissow; Alejandra Hurtado-de-Mendoza; Mihriye Mete
Journal:  Fam Med       Date:  2015-01       Impact factor: 1.756

Review 6.  The Prevalence of Posttraumatic Stress Disorder in Primary Care: A Systematic Review.

Authors:  Margaret Spottswood; Dimitry S Davydow; Hsiang Huang
Journal:  Harv Rev Psychiatry       Date:  2017 Jul/Aug       Impact factor: 3.732

7.  Validation of a brief PTSD screener for underserved patients in federally qualified health centers.

Authors:  Bing Han; Eunice C Wong; Zhimin Mao; Lisa S Meredith; Andrea Cassells; Jonathan N Tobin
Journal:  Gen Hosp Psychiatry       Date:  2015-07-30       Impact factor: 3.238

8.  Healthcare utilization and symptom variation among veterans using Behavioral Telehealth Center services.

Authors:  Kyle Possemato; Todd M Bishop; Matthew A Willis; Larry J Lantinga
Journal:  J Behav Health Serv Res       Date:  2013-10       Impact factor: 1.505

9.  Medical conditions and symptoms associated with posttraumatic stress disorder in low-income urban women.

Authors:  Jessica M Gill; S Szanton; T J Taylor; G G Page; J C Campbell
Journal:  J Womens Health (Larchmt)       Date:  2009-02       Impact factor: 2.681

10.  The relationships between posttraumatic stress disorder severity, depression severity and physical health.

Authors:  Nina K Rytwinski; Jennifer S Avena; Aileen M Echiverri-Cohen; Lori A Zoellner; Norah C Feeny
Journal:  J Health Psychol       Date:  2013-02-28
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