The 6-Month Prevalence of Posttraumatic Stress Syndrome (PTSS) among Older Adults: Validity and Reliability of the PTSS Scale

Préville, Michel; Lamoureux‐Lamarche, Catherine; Vasiliadis, Helen‐Maria; Grenier, Sébastien; Potvin, Olivier; Quesnel, Louise; Guerra, Samantha Gontijo; Mechakra-Tahiri, S; Berbiche, Djamal

doi:10.1177/070674371405901008

Cited by 18 publications

(19 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The point prevalence of substantial PTSD/clinically important PTSD symptoms based on questionnaire thresholds ranged from 2.9% to 39.1% (15 studies 17, 19, 21, 22, 26, 27, 33, 38, 40, 42, 46, 5329, 34, 36 ). The median point prevalence of PTSD in all primary care samples was 12.5% (civilian population median [N = 21]: 11.1%, special risk population median [N = 3]: 12.5%, and veteran median [N = 7]: 24.5%).…”

Section: Resultsmentioning

confidence: 99%

The Prevalence of Posttraumatic Stress Disorder in Primary Care: A Systematic Review

Spottswood

Davydow

Huang

2017

Harv Rev Psychiatry

View full text Add to dashboard Cite

Background There is limited information on the prevalence of posttraumatic stress disorder (PTSD) across primary care settings. Objective Determine the prevalence of clinician-diagnosed PTSD and questionnaire-ascertained PTSD symptoms in primary care patients. Methods A systematic review of the literature using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) method, searching MEDLINE, CINAHL, Cochrane Database, PsychINFO, EMBASE, Google Scholar, and relevant book chapter bibliographies. Studies that reported on the prevalence, including point and/or lifetime prevalence, of PTSD ascertained using diagnostic interviews, self-report questionnaires, or from administrative data, among patients seen in primary care were deemed eligible for inclusion. We abstracted data on the PTSD assessment tool, the mean questionnaire scores/cutoff scores, the time period of PTSD symptoms, and PTSD prevalence reported. Results Of 10,613 titles screened, 41 studies were eligible for inclusion. The included studies assessed PTSD in a total of 7,256,826 primary care patients. The median point prevalence of PTSD across studies was 12.5%. The point prevalence of the civilian population median was 11.1%, the special risk population median was 12.5%, and the veteran median was 24.5%. The point prevalence of diagnostic interview-ascertained PTSD ranged from 2% to 32.5%, the point prevalence of questionnaire-based substantial PTSD symptoms ranged from 2.9% to 39.1%. Lifetime prevalence of diagnostic interview ascertained-PTSD ranged from 14.5% to 44.3%. The prevalence of PTSD in administrative data-based studies ranged from 3.5% to 48.8%. Conclusions PTSD is common in primary care settings. Additional research on effective and generalizable interventions for PTSD in primary care is needed.

show abstract

Section: Resultsmentioning

confidence: 99%

The Prevalence of Posttraumatic Stress Disorder in Primary Care: A Systematic Review

Spottswood

Davydow

Huang

2017

Harv Rev Psychiatry

View full text Add to dashboard Cite

show abstract

“…We matched on these characteristics given known differences in mental health outcomes by gender (women typically report higher levels of PTSD 32 ), exposure to the storm, 7,25,29,51 and socioeconomic status. 29,31,34 Matching participants on geographic location in addition to ratings of exposure helped to account for the different types of damage individuals may have experienced, aligning individuals inland that likely experienced wind or tree damage and aligning those on the coastline who likely experienced damage such as flooding. Preliminary work within the larger study sample demonstrated that higher ratings of subjective exposure were linked with greater occurrence of PTSD after accounting for demographic and baseline clinical characteristics of participants (B = 0.35, SE = 0.01, P < 0.001, n = 2205).…”

Section: Methodsmentioning

confidence: 99%

“…Regarding pre-disaster characteristics, PTSD has been consistently linked to gender (eg, women), 4,26,27,29,[31][32][33] lower income, 29,31,34 and marital status. 31,34 PTSD has also been linked to disability, 35 chronic health conditions, 36 prior trauma, [3][4][5][6] mental health comorbidities (eg, depression), 19,37,38 and health behaviors (eg, alcohol use). 39 Among peri-disaster variables, level of exposure has been confirmed as a perquisite to the development of PTSD.…”

Section: Factors Associated With the Development Of Ptsd In Older Adumentioning

confidence: 99%

Vulnerable, But Why? Post-Traumatic Stress Symptoms in Older Adults Exposed to Hurricane Sandy

Heid

Christman

Pruchno

et al. 2016

Disaster med. public health prep.

View full text Add to dashboard Cite

show abstract

“…The health and social services’ agency taking part in our study is responsible for a population of 1,325,000 inhabitants. The study population, data collection procedures and recruitment strategies are described in more detail in previous publications [ 17 , 18 ]. The study was approved by the ethics committee of the University of Sherbrooke’s Institute of Geriatrics.…”

Section: Methodsmentioning

confidence: 99%

Determinants of follow-up care associated with incident antidepressant use in older adults

2017

Self Cite

View full text Add to dashboard Cite

ObjectivesTo determine the proportion of older adults receiving guideline concordant antidepressant therapy and to determine patient, prescriber and organizational factors associated with adequate antidepressant therapy.MethodsThe study included secondary analyses of data collected in the Étude sur la Santé des Aînés (ESA) Services study on older adults recruited while consulting in primary care clinics in one of the largest health regions of the province of Québec. Antidepressant users (n = 349) were identified from information collected from the Régie de l’Assurance Maladie du Québec (RAMQ) pharmaceutical database which holds information on all drugs dispensed to all residents covered under the public drug plan. Adequacy of antidepressant treatment was measured using three criteria: adequacy of daily dose; length of prescription (≥455 days); and ≥3 visits to the antidepressant-prescribing physician in the first 3 months after initiation of therapy. Multivariate logistic regression analyses were used to study antidepressant treatment adequacy as a function of individual, provider and healthcare system factors.ResultsAmong the antidepressant users, 44% received an adequate antidepressant treatment filling all three criteria. None of the factors studied were associated with the probability of receiving adequate treatment filling all three criteria. Psychological distress was associated with having an adequate number of visits in the 3 months following initiation. Males and those living in a metropolitan and urban area were less likely to receive an adequate dose.ConclusionsFuture research should consider factors associated with perceived effectiveness and patient treatment preferences that may explain receipt of adequate antidepressant treatment in older adults.

show abstract

The 6-Month Prevalence of Posttraumatic Stress Syndrome (PTSS) among Older Adults: Validity and Reliability of the PTSS Scale

Cited by 18 publications

References 41 publications

The Prevalence of Posttraumatic Stress Disorder in Primary Care: A Systematic Review

The Prevalence of Posttraumatic Stress Disorder in Primary Care: A Systematic Review

Vulnerable, But Why? Post-Traumatic Stress Symptoms in Older Adults Exposed to Hurricane Sandy

Determinants of follow-up care associated with incident antidepressant use in older adults

Contact Info

Product

Resources

About