Does “subthreshold” posttraumatic stress disorder have any clinical relevance?

Zlotnick, Caron; Franklin, C. Laurel; Zimmerman, Mark

doi:10.1053/comp.2002.35900

Cited by 242 publications

(196 citation statements)

References 14 publications

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“…However, there is a need to address the comorbidity that is often found (O’Donnell, Creamer, & Pattison, 2004), particularly at the PHC level (Campbell et al, 2007; Herman et al, 2009). Subthreshold presentations of PTSD are associated with similar levels of psychosocial impairment to those found in people diagnosed with PTSD (Cukor, Wyka, Jayasinghe, & Difede, 2010; Zlotnick, Franklin, & Zimmerman, 2002). To lower the impact of psychosocial impairment on PHC facility users, both PTSD and subthreshold PTSD have to be recognized.…”

Section: Discussionmentioning

confidence: 84%

Prevalence and correlates of probable post-traumatic stress disorder and common mental disorders in a population with a high prevalence of HIV in Zimbabwe

Verhey

Gibson

Brakarsh

et al. 2018

European Journal of Psychotraumatology

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Background: We investigated the prevalence of and factors associated with post-traumatic stress disorder (PTSD) and common mental disorders (CMDs), which include depression and anxiety disorders, in a setting with a prevalence of high human immunodeficiency virus (HIV) within a primary care clinic, using the PTSD Checklist for DSM-5 and the 14-item Shona Symptom Questionnaire, both locally validated screening tools.Methods: A cross-sectional survey was carried out with adult patients (n = 204) from the largest primary care clinic facility in Harare, Zimbabwe, in June 2016.Results: A total of 83 patients (40.7%) met the criteria for probable PTSD, of whom 57 (69.5%) had comorbid CMDs. Among people living with HIV, 42 (55.3%) had PTSD. Probable PTSD was associated with having experienced a negative life event in the past 6 months [adjusted odds ratio (OR) 3.73, 95% confidence interval (CI) 1.49–9.34] or screening positive for one or more CMD (adjusted OR 6.48, 95% CI 3.35–2.54).Conclusion: People living with HIV showed a high prevalence of PTSD and CMD comorbidity. PTSD screening should be considered when the CMD screen is positive and there is a history of negative life events.

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Section: Discussionmentioning

confidence: 84%

Prevalence and correlates of probable post-traumatic stress disorder and common mental disorders in a population with a high prevalence of HIV in Zimbabwe

Verhey

Gibson

Brakarsh

et al. 2018

European Journal of Psychotraumatology

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“…Nonetheless, the subthreshold group also experienced substantial impairment, approximately four times greater than those without PTSD [82]. Other studies have found that individuals with partial PTSD showed levels of impairment similar to individuals who met full criteria [83], and those with full or subthreshold PTSD had similar degrees of social and work impairment [84].…”

Section: Limitations Of Current Diagnostic Classification Systemmentioning

confidence: 92%

Assessment of posttraumatic stress disorder-related functional impairment: A review

Rodriguez

Holowka²,

Marx³

2012

JRRD

160

110

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Abstract-In 2010, the Department of Veterans Affairs (VA) and Department of Defense (DOD) jointly published the revised VA/DOD Clinical Practice Guideline for Management of Posttraumatic Stress. The Clinical Practice Guideline (CPG) provides evidence-based recommendations for diagnosing and treating a spectrum of stress-related disorders. Included in the CPG were recommendations for assessing posttraumatic stress disorder (PTSD) and other stress disorder-related functional impairment. This article complements those CPG recommendations by providing information that may further guide clinicians in the assessment of functional impairment related to PTSD and other stress-related disorders. We briefly review some of the empirical literature on the association between PTSD and functional impairment and some of the more frequently used methods and measures for assessing functional impairment and introduce a new measure currently being developed by our group. We suggest that information obtained via patient self-report and/or clinician rating be supplemented whenever possible with collateral data from friends, family members, coworkers, or supervisors to provide a complete picture of current and premorbid functional status. Finally, we explore several important issues that we encourage clinicians to keep in mind when assessing functional impairment among Veterans and Active Duty servicemembers.Clinical Trial Registration: ClinicalTrials.gov; PT074941, "Development and validation of a PTSD-related functional impairment scale;" http://www.clinicaltrials.gov.

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“…Although clinician racial pairing may improve treatment engagement, this is not always feasible, and strengths based intervention may be more effective in engaging this population (Zimmerman, 2013) additional factors that may impact treatment engagement among disparity populations include identification of subthreshold PTSD impairment and comorbidity (Kessler, Sonnega, Bromet, Hughes, & Nelson, 1995;Zlotnick, Franklin, & Zimmerman, 2002). This is particularly relevant as many individuals impacted by trauma and depression may be receiving primary care, but not specialty mental health care (Spoont, Sayer, & Nelson, 2015).…”

Section: Use Of Psychological Resilience As a Model For Coping With Mmentioning

confidence: 99%

Resilience: Protective Factors for Depression and Post Traumatic Stress Disorder among African American Women?

Holden

Hernandez

Wrenn

et al. 2017

hcs

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There is a great need to carefully examine issues that may elevate one's risk for mental illness and develop strategies to mitigate risk and cultivate resilience. African Americans, specifically African American women (AAW), are disproportionately affected by mental illness, including depression and post-traumatic stress disorder (PTSD). Higher rates of PTSD among AAW may be explained by significant rates of trauma exposure. Higher resiliency in individuals with mental illnesses is associated with better treatment response/outcomes. An examination of two (2) promising psycho-educational curricula for AAW at risk for depression and PTSD supports consideration of resilience as a protective factor among this population. Strengthening psychological resilience among diverse AAW at risk for depression and/or PTSD may serve as a protective factor for symptom severity. Multidimensional prevention and intervention strategies should incorporate culturally-centered, gender-specific, and strengths-based (resilience) models of care to help encourage mental health help-seeking and promotion of wellness for AAW.

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Does “subthreshold” posttraumatic stress disorder have any clinical relevance?

Cited by 242 publications

References 14 publications

Prevalence and correlates of probable post-traumatic stress disorder and common mental disorders in a population with a high prevalence of HIV in Zimbabwe

Prevalence and correlates of probable post-traumatic stress disorder and common mental disorders in a population with a high prevalence of HIV in Zimbabwe

Assessment of posttraumatic stress disorder-related functional impairment: A review

Resilience: Protective Factors for Depression and Post Traumatic Stress Disorder among African American Women?

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