Literature DB >> 22076315

Discrepancy in diagnosis and treatment of post-traumatic stress disorder (PTSD): treatment for the wrong reason.

Ellen C Meltzer1, Tali Averbuch, Jeffrey H Samet, Richard Saitz, Khelda Jabbar, Christine Lloyd-Travaglini, Jane M Liebschutz.   

Abstract

In primary care (PC), patients with post-traumatic stress disorder (PTSD) are often undiagnosed. To determine variables associated with treatment, this cross-sectional study assessed 592 adult patients for PTSD. Electronic medical record (EMR) review of the prior 12 months assessed mental health (MH) diagnoses and MH treatments [selective serotonin reuptake inhibitor (SSRI) and/or ≥1 visit with MH professional]. Of 133 adults with PTSD, half (49%; 66/133) received an SSRI (18%), a visit with MH professional (14%), or both (17%). Of those treated, 88% (58/66) had an EMR MH diagnosis, the majority (71%; 47/66) depression and (18%; 12/66) PTSD. The odds of receiving MH treatment were increased 8.2 times (95% CI 3.1-21.5) for patients with an EMR MH diagnosis. Nearly 50% of patients with PTSD received MH treatment, yet few had this diagnosis documented. Treatment was likely due to overlap in the management of PTSD and other mental illnesses.

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Year:  2012        PMID: 22076315      PMCID: PMC3310322          DOI: 10.1007/s11414-011-9263-x

Source DB:  PubMed          Journal:  J Behav Health Serv Res        ISSN: 1094-3412            Impact factor:   1.505


  33 in total

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Journal:  J Am Med Rec Assoc       Date:  1990-08

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Authors:  Patrick W Corrigan
Journal:  Soc Work       Date:  2007-01

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Authors:  R D Marshall; M Olfson; F Hellman; C Blanco; M Guardino; E L Struening
Journal:  Am J Psychiatry       Date:  2001-09       Impact factor: 18.112

6.  Anxiety disorders in primary care: prevalence, impairment, comorbidity, and detection.

Authors:  Kurt Kroenke; Robert L Spitzer; Janet B W Williams; Patrick O Monahan; Bernd Löwe
Journal:  Ann Intern Med       Date:  2007-03-06       Impact factor: 25.391

7.  Violence, mental health, and physical symptoms in an academic internal medicine practice.

Authors:  Christina Nicolaidis; MaryAnn Curry; Bentson McFarland; Martha Gerrity
Journal:  J Gen Intern Med       Date:  2004-08       Impact factor: 5.128

Review 8.  Consensus statement update on posttraumatic stress disorder from the international consensus group on depression and anxiety.

Authors:  James C Ballenger; Jonathan R T Davidson; Yves Lecrubier; David J Nutt; Randall D Marshall; Charles B Nemeroff; Arieh Y Shalev; Rachel Yehuda
Journal:  J Clin Psychiatry       Date:  2004       Impact factor: 4.384

Review 9.  Functional associations among trauma, PTSD, and substance-related disorders.

Authors:  S H Stewart; R O Pihl; P J Conrod; M Dongier
Journal:  Addict Behav       Date:  1998 Nov-Dec       Impact factor: 3.913

10.  A Proposed Algorithm for Improved Recognition and Treatment of the Depression/Anxiety Spectrum in Primary Care.

Authors:  James C. Ballenger; Jonathan R. T. Davidson; Yves Lecrubier; David J. Nutt
Journal:  Prim Care Companion J Clin Psychiatry       Date:  2001-04
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  8 in total

1.  Feasibility of Extracting Meaningful Patient Centered Outcomes From the Electronic Health Record Following Critical Illness in the Elderly.

Authors:  Sumera R Ahmad; Alex D Tarabochia; Luann Budahn; Allison M Lemahieu; Brenda Anderson; Kirtivardhan Vashistha; Lioudmila Karnatovskaia; Ognjen Gajic
Journal:  Front Med (Lausanne)       Date:  2022-06-06

2.  Validity of the posttraumatic stress disorders (PTSD) checklist in pregnant women.

Authors:  Bizu Gelaye; Yinnan Zheng; Maria Elena Medina-Mora; Marta B Rondon; Sixto E Sánchez; Michelle A Williams
Journal:  BMC Psychiatry       Date:  2017-05-12       Impact factor: 3.630

3.  A cohort study evaluating the association between concurrent mental disorders, mortality, morbidity, and continuous treatment retention for patients in opioid agonist treatment (OAT) across Ontario, Canada, using administrative health data.

Authors:  Kristen A Morin; Joseph K Eibl; Graham Gauthier; Brian Rush; Christopher Mushquash; Nancy E Lightfoot; David C Marsh
Journal:  Harm Reduct J       Date:  2020-07-23

4.  Detecting Presence of PTSD Using Sentiment Analysis From Text Data.

Authors:  Jeff Sawalha; Muhammad Yousefnezhad; Zehra Shah; Matthew R G Brown; Andrew J Greenshaw; Russell Greiner
Journal:  Front Psychiatry       Date:  2022-02-01       Impact factor: 4.157

5.  A systematic literature review of AI-based digital decision support systems for post-traumatic stress disorder.

Authors:  Markus Bertl; Janek Metsallik; Peeter Ross
Journal:  Front Psychiatry       Date:  2022-08-09       Impact factor: 5.435

6.  Identifying individuals with undiagnosed post-traumatic stress disorder in a large United States civilian population - a machine learning approach.

Authors:  Patrick Gagnon-Sanschagrin; Jeff Schein; Annette Urganus; Elizabeth Serra; Yawen Liang; Primrose Musingarimi; Martin Cloutier; Annie Guérin; Lori L Davis
Journal:  BMC Psychiatry       Date:  2022-09-29       Impact factor: 4.144

7.  Nightmares that mislead to diagnosis of reactivation of PTSD.

Authors:  Stefan Roepke; Marie-Luise Hansen; Anita Peter; Angela Merkl; Carla Palafox; Heidi Danker-Hopfe
Journal:  Eur J Psychotraumatol       Date:  2013-04-01

8.  Heart Rate Variability Indices as Possible Biomarkers for the Severity of Post-traumatic Stress Disorder Following Pregnancy Loss.

Authors:  Cláudia de Faria Cardoso; Natalia Tiemi Ohe; Yazan Bader; Nariman Afify; Zahrah Al-Homedi; Salma Malalla Alwedami; Siobhán O'Sullivan; Luciana Aparecida Campos; Ovidiu Constantin Baltatu
Journal:  Front Psychiatry       Date:  2022-01-04       Impact factor: 4.157

  8 in total

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