I am looking for recent figures about prevalence of trauma and PTSD in the different levels of populations, but especially among general mental health populations, like out-patients clinics. Does anyone have some most recent literature references about this?
Dag Ruud,
Mijn review prevalentie artikel heb je al, het gaat hier ook om out-patients. Zie eventuele bronnen in het artikel.
Hartelijke groet,
Maria
Dear Ruud,
please find this attached article from our Konstanz group. There are several papers in process of being published by [email protected], a former doctoral student of Thomas Elbert.
Michael
see attached as ACEs research would seem to be good source of data here
Are you talking about general ambulatory mental health or hospitalized psychiatric patients? In any case, the following article from Myrna Weissman's group at Columbia gives perhaps an idea for the former as even within an inner-city primary care setting within a Hispanic community, the amount of maltreatment and violence exposure was higher than expected (83%!). While the focus was a look at the prevalence of Borderline Personality Disorder, there were high rates of PTSD and depression linked to the traumatic histories. 46% of Borderline patients had PTSD and 51%, MDD in this sample.
Psychiatry. 2013 Winter;76(4):365-80. doi: 10.1521/psyc.2013.76.4.365.
Borderline personality disorder, exposure to interpersonal trauma, and psychiatric comorbidity in urban primary care patients.
Westphal M, Olfson M, Bravova M, Gameroff MJ, Gross R, Wickramaratne P, Pilowsky DJ, Neugebauer R, Shea S, Lantigua R, Weissman M, Neria Y.
Abstract
OBJECTIVE:
Few data are available on interpersonal trauma as a risk factor for borderline personality disorder (BPD) and its psychiatric comorbidity in ethnic minority primary care populations. This study aimed to examine the relation between trauma exposure and BPD in low-income, predominantly Hispanic primary care patients.
METHOD:
Logistic regression was used to analyze data from structured clinical interviews and self-report measures (n = 474). BPD was assessed with the McLean screening scale. Trauma exposure was assessed with the Life Events Checklist (LEC); posttraumatic stress disorder (PTSD) was assessed with the Lifetime Composite International Diagnostic Interview, other psychiatric disorders with the SCID-I, and functional impairment with items from the Sheehan Disability Scale and Social Adjustment Scale Self-Report (SAS-SR).
RESULTS:
Of the 57 (14%) patients screening positive for BPD, 83% reported a history of interpersonally traumatic events such as sexual and physical assault or abuse. While interpersonal trauma experienced during adulthood was as strongly associated with BPD as interpersonal trauma experienced during childhood, noninterpersonal trauma was associated with BPD only if it had occurred during childhood. The majority (91%) of patients screening positive for BPD met criteria for at least one current DSM-IV Axis I diagnosis and exhibited significant levels of functional impairment.
CONCLUSION:
Increased awareness of BPD in minority patients attending primary care clinics, high rates of exposure to interpersonal trauma, and elevated risk for psychiatric comorbidity in this population may enhance physicians' understanding, treatment, and referral of BPD patients.
Best of luck,
dan
Dear Ruud,
I hope this article can be helpfully:
Nikolaos P Daskalakis, Hagit Cohen, Guiqing Cai, Joseph D Buxbaum, Rachel Yehuda. Expression profiling associates blood and brain glucocorticoid receptor signaling with trauma-related individual differences in both sexes. the National Academy of Sciences 08/2014
- Badges
- Science topic
- Similar topics
- Biological Science
- Physiology
- Physiological Processes
- Stress