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Chronicity in posttraumatic stress disorder and predictors of the course of posttraumatic stress disorder among primary care patients.
J Nerv Ment Dis. 2004 Feb; 192(2):153-9.JN

Abstract

The present study examined the course of posttraumatic stress disorder (PTSD) in a sample of 84 primary care patients. More specifically, this study investigated the role of Axis I comorbidity, psychosocial impairment, and treatment participation in the maintenance of an episode of chronic PTSD and whether patients at follow-up met criteria for PTSD (full remission) or continued to exhibit residual PTSD symptoms and impairment (partial PTSD). Diagnostic structured interviews established all clinical diagnoses and information on the course of anxiety disorder symptoms, psychosocial functioning, and treatment status. Using a prospective, longitudinal design, this study found that during the first 2 years of follow-up, the probability of no longer meeting full DSM-IV criteria for PTSD was .69, and .18 for full remission from PTSD. The number of comorbid anxiety disorders and degree of psychosocial impairment at intake were significantly related to remission status (i.e., full and partial PTSD). This study suggests that, in a primary care setting, PTSD is a persistent illness, and that many subjects who have recovered from PTSD continue to suffer from subthreshold symptoms of PTSD.

Authors+Show Affiliations

Butler Hospital, Providence, RI 02906, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

14770060

Citation

Zlotnick, Caron, et al. "Chronicity in Posttraumatic Stress Disorder and Predictors of the Course of Posttraumatic Stress Disorder Among Primary Care Patients." The Journal of Nervous and Mental Disease, vol. 192, no. 2, 2004, pp. 153-9.
Zlotnick C, Rodriguez BF, Weisberg RB, et al. Chronicity in posttraumatic stress disorder and predictors of the course of posttraumatic stress disorder among primary care patients. J Nerv Ment Dis. 2004;192(2):153-9.
Zlotnick, C., Rodriguez, B. F., Weisberg, R. B., Bruce, S. E., Spencer, M. A., Culpepper, L., & Keller, M. B. (2004). Chronicity in posttraumatic stress disorder and predictors of the course of posttraumatic stress disorder among primary care patients. The Journal of Nervous and Mental Disease, 192(2), 153-9.
Zlotnick C, et al. Chronicity in Posttraumatic Stress Disorder and Predictors of the Course of Posttraumatic Stress Disorder Among Primary Care Patients. J Nerv Ment Dis. 2004;192(2):153-9. PubMed PMID: 14770060.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Chronicity in posttraumatic stress disorder and predictors of the course of posttraumatic stress disorder among primary care patients. AU - Zlotnick,Caron, AU - Rodriguez,Benjamin F, AU - Weisberg,Risa B, AU - Bruce,Steven E, AU - Spencer,Michael A, AU - Culpepper,Larry, AU - Keller,Martin B, PY - 2004/2/11/pubmed PY - 2004/3/26/medline PY - 2004/2/11/entrez SP - 153 EP - 9 JF - The Journal of nervous and mental disease JO - J Nerv Ment Dis VL - 192 IS - 2 N2 - The present study examined the course of posttraumatic stress disorder (PTSD) in a sample of 84 primary care patients. More specifically, this study investigated the role of Axis I comorbidity, psychosocial impairment, and treatment participation in the maintenance of an episode of chronic PTSD and whether patients at follow-up met criteria for PTSD (full remission) or continued to exhibit residual PTSD symptoms and impairment (partial PTSD). Diagnostic structured interviews established all clinical diagnoses and information on the course of anxiety disorder symptoms, psychosocial functioning, and treatment status. Using a prospective, longitudinal design, this study found that during the first 2 years of follow-up, the probability of no longer meeting full DSM-IV criteria for PTSD was .69, and .18 for full remission from PTSD. The number of comorbid anxiety disorders and degree of psychosocial impairment at intake were significantly related to remission status (i.e., full and partial PTSD). This study suggests that, in a primary care setting, PTSD is a persistent illness, and that many subjects who have recovered from PTSD continue to suffer from subthreshold symptoms of PTSD. SN - 0022-3018 UR - https://www.unboundmedicine.com/medline/citation/14770060/Chronicity_in_posttraumatic_stress_disorder_and_predictors_of_the_course_of_posttraumatic_stress_disorder_among_primary_care_patients_ DB - PRIME DP - Unbound Medicine ER -