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Posttraumatic stress disorder in a psychosomatic outpatient clinic. Gender effects, psychosocial functioning, sense of coherence, and service utilization.
J Psychosom Res. 2005 May; 58(5):439-46.JP

Abstract

BACKGROUND

The lifetime prevalence of DSM-IV traumatic events and posttraumatic stress disorder (PTSD) was assessed in outpatients of a tertiary referral mental health center; differences in psychopathology and service utilization between PTSD and non-PTSD patients were evaluated.

METHODS

Five hundred eighty-three outpatients (35.3 years, S.D.=12.5; 74.3% women and 25.7% men), who had been initially examined by clinically experienced medical and psychological psychotherapists, were investigated by means of standardized trauma-specific questionnaires.

RESULTS

Of the patients, 61.1% reported at least one traumatic event during their lifetime, but only 34.3% of the total sample met the DSM-IV (A1 and A2) criteria. The lifetime prevalence of PTSD-positive screening was 10.1%. In 2.7% of these patients, PTSD had been diagnosed in clinical routine (ICD-10: F43.1); 6.6% of the men and 11.3% of the women met the diagnostic criteria for lifetime prevalence of PTSD. All in all, patients with PTSD had higher levels of depression and anxiety and lower levels of sense of coherence (P < .001) than did patients without PTSD (all P < .001). In addition, PTSD patients reported significantly higher rates of medical consultations (P < .001), psychotropic medication (P < .001), and psychotherapy (P < .001).

CONCLUSIONS

About one third of the outpatients suffered from DSM-IV traumas, and 10%, from PTSD. However, PTSD had been diagnosed only in very few patients within the routine diagnostic procedure. These findings suggest that PTSD is frequently overlooked not only in primary but also in tertiary care settings. Finally, our study supports previous results that PTSD patients use more service utilization and are more affected by psychopathology symptoms.

Authors+Show Affiliations

Clinic of Psychosomatic Medicine and Psychotherapy, Rheinische Kliniken, University of Duisburg-Essen, Germany. sefik.tagay@uni-essen.deNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16026660

Citation

Tagay, Sefik, et al. "Posttraumatic Stress Disorder in a Psychosomatic Outpatient Clinic. Gender Effects, Psychosocial Functioning, Sense of Coherence, and Service Utilization." Journal of Psychosomatic Research, vol. 58, no. 5, 2005, pp. 439-46.
Tagay S, Herpertz S, Langkafel M, et al. Posttraumatic stress disorder in a psychosomatic outpatient clinic. Gender effects, psychosocial functioning, sense of coherence, and service utilization. J Psychosom Res. 2005;58(5):439-46.
Tagay, S., Herpertz, S., Langkafel, M., & Senf, W. (2005). Posttraumatic stress disorder in a psychosomatic outpatient clinic. Gender effects, psychosocial functioning, sense of coherence, and service utilization. Journal of Psychosomatic Research, 58(5), 439-46.
Tagay S, et al. Posttraumatic Stress Disorder in a Psychosomatic Outpatient Clinic. Gender Effects, Psychosocial Functioning, Sense of Coherence, and Service Utilization. J Psychosom Res. 2005;58(5):439-46. PubMed PMID: 16026660.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Posttraumatic stress disorder in a psychosomatic outpatient clinic. Gender effects, psychosocial functioning, sense of coherence, and service utilization. AU - Tagay,Sefik, AU - Herpertz,Stephan, AU - Langkafel,Mathias, AU - Senf,Wolfgang, PY - 2004/04/05/received PY - 2004/09/28/accepted PY - 2005/7/20/pubmed PY - 2005/10/15/medline PY - 2005/7/20/entrez SP - 439 EP - 46 JF - Journal of psychosomatic research JO - J Psychosom Res VL - 58 IS - 5 N2 - BACKGROUND: The lifetime prevalence of DSM-IV traumatic events and posttraumatic stress disorder (PTSD) was assessed in outpatients of a tertiary referral mental health center; differences in psychopathology and service utilization between PTSD and non-PTSD patients were evaluated. METHODS: Five hundred eighty-three outpatients (35.3 years, S.D.=12.5; 74.3% women and 25.7% men), who had been initially examined by clinically experienced medical and psychological psychotherapists, were investigated by means of standardized trauma-specific questionnaires. RESULTS: Of the patients, 61.1% reported at least one traumatic event during their lifetime, but only 34.3% of the total sample met the DSM-IV (A1 and A2) criteria. The lifetime prevalence of PTSD-positive screening was 10.1%. In 2.7% of these patients, PTSD had been diagnosed in clinical routine (ICD-10: F43.1); 6.6% of the men and 11.3% of the women met the diagnostic criteria for lifetime prevalence of PTSD. All in all, patients with PTSD had higher levels of depression and anxiety and lower levels of sense of coherence (P < .001) than did patients without PTSD (all P < .001). In addition, PTSD patients reported significantly higher rates of medical consultations (P < .001), psychotropic medication (P < .001), and psychotherapy (P < .001). CONCLUSIONS: About one third of the outpatients suffered from DSM-IV traumas, and 10%, from PTSD. However, PTSD had been diagnosed only in very few patients within the routine diagnostic procedure. These findings suggest that PTSD is frequently overlooked not only in primary but also in tertiary care settings. Finally, our study supports previous results that PTSD patients use more service utilization and are more affected by psychopathology symptoms. SN - 0022-3999 UR - https://www.unboundmedicine.com/medline/citation/16026660/Posttraumatic_stress_disorder_in_a_psychosomatic_outpatient_clinic__Gender_effects_psychosocial_functioning_sense_of_coherence_and_service_utilization_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0022-3999(04)00676-2 DB - PRIME DP - Unbound Medicine ER -