Subthreshold PTSD in primary care - Prevalence, psychiatric disorders, healthcare use, and functional status
Subthreshold PTSD in primary care - Prevalence, psychiatric disorders, healthcare use, and functional status
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DOI：
10.1097/01.nmd.0000180740.02644.ab
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发表时间：
2005-10-01
影响因子：
1.9
通讯作者：
Frueh, BC
中科院分区：
文献类型：
--
作者：
Grubaugh, AL;Magruder, KM;Frueh, BC
本研究的目的是在四个退伍军人医疗中心对669名退伍军人进行研究，以确定创伤后应激障碍(PTSD)的患病率及其与特定创伤、其他精神诊断、医疗保健用途和功能状态的关系。采用横断面流行病学设计，包括自我报告措施、结构化访谈和图表回顾，以获取相关信息进行分析。三个创伤暴露组(创伤后应激障碍、阈值下创伤后应激障碍、无创伤后应激障碍)的比较显示，阈值下创伤后应激障碍组的退伍军人并不比没有创伤后应激障碍组的退伍军人更频繁地使用心理健康服务，尽管存在额外的精神健康诊断和更差的功能状态。这些数据表明，临床医生可能忽略了患有亚综合征创伤后应激障碍的一部分人，这表明需要在医疗保健环境中更好地检测和服务这些人。
The purpose of this study is to determine the prevalence of subthreshold posttraumatic stress disorder (PTSD) and its association with specific traumas, other psychiatric diagnoses, healthcare use, and functional status among 669 veterans in four VA Medical Centers. A cross-sectional, epidemiological design incorporating self-report measures, structured interviews, and chart reviews was used to obtain relevant information for analyses. Comparisons across three trauma-exposed groups (PTSD, subthreshold PTSD, no PTSD) revealed that veterans in the subthreshold PTSD group did not use mental health services more often than those in the no PTSD group despite the presence of additional mental health diagnoses and worse functional status. These data indicate that clinicians may be overlooking a subset of individuals suffering from subsyndromal PTSD, suggesting the need to detect and serve these individuals better within healthcare settings.