Post-traumatic stress disorder in primary-care settings: prevalence and physicians' detection

Taubman–Ben-Ari, Orit; Rabinowitz, Jonathan; Feldman, Dina; Vaturi, R.

doi:10.1017/s0033291701003658

Cited by 91 publications

(58 citation statements)

References 34 publications

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“…21,22 Although recognizing traumatic stress symptoms has been proposed as an important first step toward addressing the needs of higher-risk and complex patients, 23 patients who somaticize are often unaware of links between past events and current symptoms 24 and may be…”

Section: Introductionmentioning

confidence: 99%

Patient Preferences for Discussing Childhood Trauma in Primary Care

Goldstein

Athale

Sciolla

et al. 2017

TPJ

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Context: Exposure to traumatic events is common in primary care patients, yet health care professionals may be hesitant to assess and address the impact of childhood trauma in their patients.Objective: To assess patient preferences for discussing traumatic experiences and posttraumatic stress disorder (PTSD) with clinicians in underserved, predominantly Latino primary care patients.Design: Cross-sectional study. Main Outcome Measure:We evaluated patients with a questionnaire assessing comfort to discuss trauma exposure and symptoms using the Adverse Childhood Experiences (ACE) Study questionnaire and the Primary Care-PTSD screen. The questionnaire also assessed patients' confidence in their clinicians' ability to help with trauma-related issues. Surveys were collected at an integrated medical and behavioral health care clinic.Results: Of 178 adult patients asked, 152 (83%) agreed to participate. Among participants, 37% screened positive for PTSD, 42% reported 4 or more ACEs, and 26% had elevated scores on both measures. Primary Care-PTSD and ACE scores were strongly positively correlated (r = 0.57, p < 0.001). Most patients agreed they were comfortable being asked about trauma directly or through screening questionnaires and did not oppose the inclusion of trauma-related information in their medical record. In addition, most patients perceived their clinician as comfortable asking questions about childhood trauma and able to address trauma-related problems.Conclusion: Screening is acceptable to most primary care patients regardless of trauma exposure or positive PTSD screening. Findings may aid primary care clinicians to consider screening regularly for ACEs and PTSD to better serve the health care needs of trauma-exposed patients.

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Section: Introductionmentioning

confidence: 99%

Patient Preferences for Discussing Childhood Trauma in Primary Care

Goldstein

Athale

Sciolla

et al. 2017

TPJ

View full text Add to dashboard Cite

show abstract

“…Prevalence estimates among medical patients range from 7% to 36%. [15][16][17][18][19] Although PTSD confers significant psychiatric disturbance, functional impairment, and morbidity as a singular diagnosis, 18,20,21 depression and PTSD commonly co-occur.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Depression–PTSD Comorbidity: Implications for Clinical Practice Guidelines and Primary Care-based Interventions

et al. 2007

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“…populations, [10][11][12][13][14] Latinos and Latino immigrants may be at higher risk for both the traumas that lead to PTSD [15][16][17][18] and PTSD itself. 3,[19][20][21] While studies have examined depression in Latinos presenting for primary care, little is known about PTSD in this population.…”

mentioning

confidence: 99%

PTSD in Latino Patients: Illness Beliefs, Treatment Preferences, and Implications for Care

et al. 2008

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Post-traumatic stress disorder in primary-care settings: prevalence and physicians' detection

Abstract: Many primary-care patients suffer from PTSD, which is usually accompanied by major psychological distress. Attention by primary-care physicians to a history of trauma could improve physicians' detection of this disabling disorder.

Cited by 91 publications

References 34 publications

Patient Preferences for Discussing Childhood Trauma in Primary Care

Patient Preferences for Discussing Childhood Trauma in Primary Care

Prevalence of Depression–PTSD Comorbidity: Implications for Clinical Practice Guidelines and Primary Care-based Interventions

PTSD in Latino Patients: Illness Beliefs, Treatment Preferences, and Implications for Care

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