Posttraumatic stress disorder associated with unexpected death of a loved one: Cross-national findings from the world mental health surveys.
Posttraumatic stress disorder associated with unexpected death of a loved one: Cross-national findings from the world mental health surveys.
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DOI：
10.1002/da.22579
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发表时间：
2017-04
影响因子：
7.4
通讯作者：
WHO World Mental Health Survey Collaborators
中科院分区：
文献类型：
--
作者：
Atwoli L;Stein DJ;King A;Petukhova M;Aguilar-Gaxiola S;Alonso J;Bromet EJ;de Girolamo G;Demyttenaere K;Florescu S;Maria Haro J;Karam EG;Kawakami N;Lee S;Lepine JP;Navarro-Mateu F;O'Neill S;Pennell BE;Piazza M;Posada-Villa J;Sampson NA;Ten Have M;Zaslavsky AM;Kessler RC;WHO World Mental Health Survey Collaborators
Unexpected death of a loved one (UD) is the most commonly reported traumatic experience in cross-national surveys. However, much remains to be learned about PTSD after this experience. The WHO World Mental Health (WMH) Survey Initiative provides a unique opportunity to address these issues. Data from 19 WMH surveys (n=78,023; 70.1% weighted response rate) were collated. Potential predictors of PTSD (respondent socio-demographics, characteristics of the death, history of prior trauma exposure, history of prior mental disorders) after a representative sample of UDs were examined using logistic regression. Simulation was used to estimate overall model strength in targeting individuals at highest PTSD risk. PTSD prevalence after UD averaged 5.2% across surveys and did not differ significantly between high and low-middle income countries. Significant multivariate predictors included: the deceased being a spouse or child; the respondent being female and believing they could have done something to prevent the death; prior trauma exposure; and history of prior mental disorders. The final model was strongly predictive of PTSD, with the 5% of respondents having highest estimated risk including 30.6% of all cases of PTSD. Positive predictive value (i.e., the proportion of high-risk individuals who actually developed PTSD) among the 5% of respondents with highest predicted risk was 25.3%. The high prevalence and meaningful risk of PTSD make UD a major public health issue. This study provides novel insights into predictors of PTSD after this experience and suggests that screening assessments might be useful in identifying high-risk individuals for preventive interventions.
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影响因子：
3.3
作者：
Friedman, Matthew J.
通讯作者：
Friedman, Matthew J.
影响因子：
19.7
作者：
HANLEY, JA;MCNEIL, BJ
通讯作者：
MCNEIL, BJ
影响因子：
17.7
作者：
Keyes, Katherine M.;Pratt, Charissa;Shear, M. Katherine
通讯作者：
Shear, M. Katherine
影响因子：
4.4
作者：
Karstoft KI;Galatzer-Levy IR;Statnikov A;Li Z;Shalev AY;members of Jerusalem Trauma Outreach and Prevention Study (J-TOPS) group
通讯作者：
members of Jerusalem Trauma Outreach and Prevention Study (J-TOPS) group
影响因子：
10.5
作者：
Kessler, Ronald C.;McLaughlin, Katie A.;Williams, David R.
通讯作者：
Williams, David R.