Full and partial posttraumatic stress disorder: findings from a community survey
OBJECTIVE: Full and partial posttraumatic stress disorder (PTSD) following trauma exposure were examined in a community sample in order to determine their prevalence and their relative importance and functional significance. METHOD: A standardized telephone interview with a series of trauma probes a...
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creator | STEIN, M. B WALKER, J. R HAZEN, A. L FORDE, D. R |
description | OBJECTIVE: Full and partial posttraumatic stress disorder (PTSD)
following trauma exposure were examined in a community sample in order to
determine their prevalence and their relative importance and functional
significance. METHOD: A standardized telephone interview with a series of
trauma probes and a DSM-IV PTSD checklist was administered to a random
sample of 1,002 persons in a midsized Midwestern Canadian city. The authors
determined current (i.e., 1- months) prevalence rates of full PTSD, i.e.,
all DSM-IV criteria, and partial PTSD, i.e., fewer than the required number
of DSM-IV criterion C symptoms (avoidance/numbing) or criterion D symptoms
(increased arousal). Additional questions about interference with
functioning were also posed. RESULTS: The estimated prevalence of full PTSD
was 2.7% for women and 1.2% for men. The prevalence of partial PTSD was
3.4% for women and 0.3% for men. Interference with work or school was
significantly more pronounced in persons with full PTSD than in those with
only partial symptoms, although the latter were significantly more
occupationally impaired than traumatized persons without PTSD. CONCLUSIONS:
These findings in an epidemiologic sample underscore observations from
patient and military groups that many traumatized persons suffer from a
subsyndromal form of PTSD. These persons with partial PTSD, although
somewhat less impaired than persons with the full syndrome, nonetheless
exhibit clinically meaningful levels of functional impairment in
association with their symptoms. This subthreshold form of PTSD may be
especially prevalent in women. Additional study of partial PTSD is
warranted. |
doi_str_mv | 10.1176/ajp.154.8.1114 |
format | Article |
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following trauma exposure were examined in a community sample in order to
determine their prevalence and their relative importance and functional
significance. METHOD: A standardized telephone interview with a series of
trauma probes and a DSM-IV PTSD checklist was administered to a random
sample of 1,002 persons in a midsized Midwestern Canadian city. The authors
determined current (i.e., 1- months) prevalence rates of full PTSD, i.e.,
all DSM-IV criteria, and partial PTSD, i.e., fewer than the required number
of DSM-IV criterion C symptoms (avoidance/numbing) or criterion D symptoms
(increased arousal). Additional questions about interference with
functioning were also posed. RESULTS: The estimated prevalence of full PTSD
was 2.7% for women and 1.2% for men. The prevalence of partial PTSD was
3.4% for women and 0.3% for men. Interference with work or school was
significantly more pronounced in persons with full PTSD than in those with
only partial symptoms, although the latter were significantly more
occupationally impaired than traumatized persons without PTSD. CONCLUSIONS:
These findings in an epidemiologic sample underscore observations from
patient and military groups that many traumatized persons suffer from a
subsyndromal form of PTSD. These persons with partial PTSD, although
somewhat less impaired than persons with the full syndrome, nonetheless
exhibit clinically meaningful levels of functional impairment in
association with their symptoms. This subthreshold form of PTSD may be
especially prevalent in women. Additional study of partial PTSD is
warranted.</description><identifier>ISSN: 0002-953X</identifier><identifier>EISSN: 1535-7228</identifier><identifier>DOI: 10.1176/ajp.154.8.1114</identifier><identifier>PMID: 9247398</identifier><identifier>CODEN: AJPSAO</identifier><language>eng</language><publisher>Washington, DC: American Psychiatric Publishing</publisher><subject>Adolescent ; Adult ; Adult and adolescent clinical studies ; Aged ; Anxiety disorders. Neuroses ; Biological and medical sciences ; Confidence Intervals ; Crime - statistics & numerical data ; Domestic Violence - statistics & numerical data ; Educational Status ; Employment ; Epidemiology ; Female ; Health Surveys ; Humans ; Income ; Life Change Events ; Male ; Medical research ; Medical sciences ; Middle Aged ; Odds Ratio ; Polls & surveys ; Post traumatic stress disorder ; Posttraumatic stress disorder ; Prevalence ; Psychology ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Rape - statistics & numerical data ; Risk Factors ; Sex Factors ; Stress Disorders, Post-Traumatic - classification ; Stress Disorders, Post-Traumatic - diagnosis ; Stress Disorders, Post-Traumatic - epidemiology ; Surveys and Questionnaires ; Telephone ; Telephone surveys ; Violence - statistics & numerical data ; Winnipeg</subject><ispartof>The American journal of psychiatry, 1997-08, Vol.154 (8), p.1114-1119</ispartof><rights>1998 INIST-CNRS</rights><rights>Copyright American Psychiatric Association Aug 1997</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a578t-b612428d8ec0948514d8f14238e2c72cef5dae065db0dbede1b1963f32e4e2d3</citedby><cites>FETCH-LOGICAL-a578t-b612428d8ec0948514d8f14238e2c72cef5dae065db0dbede1b1963f32e4e2d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://psychiatryonline.org/doi/epdf/10.1176/ajp.154.8.1114$$EPDF$$P50$$Gappi$$H</linktopdf><linktohtml>$$Uhttps://psychiatryonline.org/doi/full/10.1176/ajp.154.8.1114$$EHTML$$P50$$Gappi$$H</linktohtml><link.rule.ids>314,780,784,2855,21626,21627,21628,27869,27924,27925,31000,77794,77799</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2216088$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9247398$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>STEIN, M. B</creatorcontrib><creatorcontrib>WALKER, J. R</creatorcontrib><creatorcontrib>HAZEN, A. L</creatorcontrib><creatorcontrib>FORDE, D. R</creatorcontrib><title>Full and partial posttraumatic stress disorder: findings from a community survey</title><title>The American journal of psychiatry</title><addtitle>Am J Psychiatry</addtitle><description>OBJECTIVE: Full and partial posttraumatic stress disorder (PTSD)
following trauma exposure were examined in a community sample in order to
determine their prevalence and their relative importance and functional
significance. METHOD: A standardized telephone interview with a series of
trauma probes and a DSM-IV PTSD checklist was administered to a random
sample of 1,002 persons in a midsized Midwestern Canadian city. The authors
determined current (i.e., 1- months) prevalence rates of full PTSD, i.e.,
all DSM-IV criteria, and partial PTSD, i.e., fewer than the required number
of DSM-IV criterion C symptoms (avoidance/numbing) or criterion D symptoms
(increased arousal). Additional questions about interference with
functioning were also posed. RESULTS: The estimated prevalence of full PTSD
was 2.7% for women and 1.2% for men. The prevalence of partial PTSD was
3.4% for women and 0.3% for men. Interference with work or school was
significantly more pronounced in persons with full PTSD than in those with
only partial symptoms, although the latter were significantly more
occupationally impaired than traumatized persons without PTSD. CONCLUSIONS:
These findings in an epidemiologic sample underscore observations from
patient and military groups that many traumatized persons suffer from a
subsyndromal form of PTSD. These persons with partial PTSD, although
somewhat less impaired than persons with the full syndrome, nonetheless
exhibit clinically meaningful levels of functional impairment in
association with their symptoms. This subthreshold form of PTSD may be
especially prevalent in women. Additional study of partial PTSD is
warranted.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Aged</subject><subject>Anxiety disorders. Neuroses</subject><subject>Biological and medical sciences</subject><subject>Confidence Intervals</subject><subject>Crime - statistics & numerical data</subject><subject>Domestic Violence - statistics & numerical data</subject><subject>Educational Status</subject><subject>Employment</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Health Surveys</subject><subject>Humans</subject><subject>Income</subject><subject>Life Change Events</subject><subject>Male</subject><subject>Medical research</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Odds Ratio</subject><subject>Polls & surveys</subject><subject>Post traumatic stress disorder</subject><subject>Posttraumatic stress disorder</subject><subject>Prevalence</subject><subject>Psychology</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Rape - statistics & numerical data</subject><subject>Risk Factors</subject><subject>Sex Factors</subject><subject>Stress Disorders, Post-Traumatic - classification</subject><subject>Stress Disorders, Post-Traumatic - diagnosis</subject><subject>Stress Disorders, Post-Traumatic - epidemiology</subject><subject>Surveys and Questionnaires</subject><subject>Telephone</subject><subject>Telephone surveys</subject><subject>Violence - statistics & numerical data</subject><subject>Winnipeg</subject><issn>0002-953X</issn><issn>1535-7228</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>K30</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkcuLFDEQxoO4rOPq1ZsQVLwsPaby6KT3JourCwvrYQ_eQjqplgz9MukW5r83wwyLiOKpKOpXXz0-Ql4B2wLo-oPbzVtQcmtKCvIJ2YASqtKcm6dkwxjjVaPEt2fkec67kjKh-Tk5b7jUojEb8vVm7XvqxkBnl5boejpPeVmSWwe3RE_zkjBnGmKeUsB0Rbs4hjh-z7RL00Ad9dMwrGNc9jSv6SfuX5CzzvUZX57iBXm4-fRw_aW6u_98e_3xrnJKm6Vqa-CSm2DQs0YaBTKYDiQXBrnX3GOngkNWq9Cy0GJAaKGpRSc4SuRBXJD3R9k5TT9WzIsdYvbY927Eac1WN6ANaPFfsGwDwjBTwDd_gLtpTWO5wXLOZFO-qwr09l8QKDBCiaJUqO2R8mnKOWFn5xQHl_YWmD24ZotrpUFaYw-ulYbXJ9m1HTA84iebSv3dqe6yd32X3OhjfsQ4h5qZA3Z5xNw8x982-_vQX60lrLw</recordid><startdate>19970801</startdate><enddate>19970801</enddate><creator>STEIN, M. B</creator><creator>WALKER, J. R</creator><creator>HAZEN, A. L</creator><creator>FORDE, D. R</creator><general>American Psychiatric Publishing</general><general>American Psychiatric Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>HAWNG</scope><scope>HBMBR</scope><scope>IBDFT</scope><scope>K30</scope><scope>PAAUG</scope><scope>PAWHS</scope><scope>PAWZZ</scope><scope>PAXOH</scope><scope>PBHAV</scope><scope>PBQSW</scope><scope>PBYQZ</scope><scope>PCIWU</scope><scope>PCMID</scope><scope>PCZJX</scope><scope>PDGRG</scope><scope>PDWWI</scope><scope>PETMR</scope><scope>PFVGT</scope><scope>PGXDX</scope><scope>PIHIL</scope><scope>PISVA</scope><scope>PJCTQ</scope><scope>PJTMS</scope><scope>PLCHJ</scope><scope>PMHAD</scope><scope>PNQDJ</scope><scope>POUND</scope><scope>PPLAD</scope><scope>PQAPC</scope><scope>PQCAN</scope><scope>PQCMW</scope><scope>PQEME</scope><scope>PQHKH</scope><scope>PQMID</scope><scope>PQNCT</scope><scope>PQNET</scope><scope>PQSCT</scope><scope>PQSET</scope><scope>PSVJG</scope><scope>PVMQY</scope><scope>PZGFC</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>19970801</creationdate><title>Full and partial posttraumatic stress disorder: findings from a community survey</title><author>STEIN, M. B ; WALKER, J. R ; HAZEN, A. L ; FORDE, D. R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a578t-b612428d8ec0948514d8f14238e2c72cef5dae065db0dbede1b1963f32e4e2d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Aged</topic><topic>Anxiety disorders. Neuroses</topic><topic>Biological and medical sciences</topic><topic>Confidence Intervals</topic><topic>Crime - statistics & numerical data</topic><topic>Domestic Violence - statistics & numerical data</topic><topic>Educational Status</topic><topic>Employment</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Health Surveys</topic><topic>Humans</topic><topic>Income</topic><topic>Life Change Events</topic><topic>Male</topic><topic>Medical research</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Odds Ratio</topic><topic>Polls & surveys</topic><topic>Post traumatic stress disorder</topic><topic>Posttraumatic stress disorder</topic><topic>Prevalence</topic><topic>Psychology</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. 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B</au><au>WALKER, J. R</au><au>HAZEN, A. L</au><au>FORDE, D. R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Full and partial posttraumatic stress disorder: findings from a community survey</atitle><jtitle>The American journal of psychiatry</jtitle><addtitle>Am J Psychiatry</addtitle><date>1997-08-01</date><risdate>1997</risdate><volume>154</volume><issue>8</issue><spage>1114</spage><epage>1119</epage><pages>1114-1119</pages><issn>0002-953X</issn><eissn>1535-7228</eissn><coden>AJPSAO</coden><abstract>OBJECTIVE: Full and partial posttraumatic stress disorder (PTSD)
following trauma exposure were examined in a community sample in order to
determine their prevalence and their relative importance and functional
significance. METHOD: A standardized telephone interview with a series of
trauma probes and a DSM-IV PTSD checklist was administered to a random
sample of 1,002 persons in a midsized Midwestern Canadian city. The authors
determined current (i.e., 1- months) prevalence rates of full PTSD, i.e.,
all DSM-IV criteria, and partial PTSD, i.e., fewer than the required number
of DSM-IV criterion C symptoms (avoidance/numbing) or criterion D symptoms
(increased arousal). Additional questions about interference with
functioning were also posed. RESULTS: The estimated prevalence of full PTSD
was 2.7% for women and 1.2% for men. The prevalence of partial PTSD was
3.4% for women and 0.3% for men. Interference with work or school was
significantly more pronounced in persons with full PTSD than in those with
only partial symptoms, although the latter were significantly more
occupationally impaired than traumatized persons without PTSD. CONCLUSIONS:
These findings in an epidemiologic sample underscore observations from
patient and military groups that many traumatized persons suffer from a
subsyndromal form of PTSD. These persons with partial PTSD, although
somewhat less impaired than persons with the full syndrome, nonetheless
exhibit clinically meaningful levels of functional impairment in
association with their symptoms. This subthreshold form of PTSD may be
especially prevalent in women. Additional study of partial PTSD is
warranted.</abstract><cop>Washington, DC</cop><pub>American Psychiatric Publishing</pub><pmid>9247398</pmid><doi>10.1176/ajp.154.8.1114</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Free E-Journal (出版社公開部分のみ); Periodicals Index Online; PsychiatryOnline |
subjects | Adolescent Adult Adult and adolescent clinical studies Aged Anxiety disorders. Neuroses Biological and medical sciences Confidence Intervals Crime - statistics & numerical data Domestic Violence - statistics & numerical data Educational Status Employment Epidemiology Female Health Surveys Humans Income Life Change Events Male Medical research Medical sciences Middle Aged Odds Ratio Polls & surveys Post traumatic stress disorder Posttraumatic stress disorder Prevalence Psychology Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Rape - statistics & numerical data Risk Factors Sex Factors Stress Disorders, Post-Traumatic - classification Stress Disorders, Post-Traumatic - diagnosis Stress Disorders, Post-Traumatic - epidemiology Surveys and Questionnaires Telephone Telephone surveys Violence - statistics & numerical data Winnipeg |
title | Full and partial posttraumatic stress disorder: findings from a community survey |
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