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Post-traumatic stress disorder in the community: an epidemiological study

Published online by Cambridge University Press:  09 July 2009

Jonathan R. T. Davidson*
Affiliation:
Department of Psychiatry, Duke University Medical Center, Durham, North Carolina, USA
Dana Hughes
Affiliation:
Department of Psychiatry, Duke University Medical Center, Durham, North Carolina, USA
Dana G. Blazer
Affiliation:
Department of Psychiatry, Duke University Medical Center, Durham, North Carolina, USA
Linda K. George
Affiliation:
Department of Psychiatry, Duke University Medical Center, Durham, North Carolina, USA
*
1 Address for correspondence: Dr Jonathan R. T. Davidson, PO Box 3812, Duke University Medical Center, Durham, NC 27710, USA.

Synopsis

Post-traumatic stress disorder (PTSD) was studied in the Piedmont region of North Carolina. Among 2985 subjects, the lifetime and six month prevalence figures for PTSD were 1·30 and 0·44 % respectively. In comparison to non-PTSD subjects, those with PTSD had significantly greater job instability, family history of psychiatric illness, parental poverty, child abuse, and separation or divorce of parents prior to age 10. PTSD was associated with greater psychiatric co-morbidity and attempted suicide, increased frequency of bronchial asthma, hypertension, peptic ulcer and with impaired social support. Differences were noted between chronic and acute PTSD on a number of measures, with chronic PTSD being accompanied by more frequent social phobia, reduced social support and greater avoidance symptoms.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 1991

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References

American Psychiatric Association (1980). Diagnostic and Statistical Manual of Mental Disorders, 3rd edn.APA: Washington, DC.Google Scholar
American Psychiatric Association (1987). Diagnostic and Statistical Manual of Mental Disorders, 3rd edn – Revised. APA: Washington, DC.Google Scholar
Breslau, N. & Davis, G. (1987). Posttraumatic stress disorder: the etiologic specificity of wartime stressors. American Journal of Psychiatry 144, 578583.Google ScholarPubMed
Breslau, N., Davis, G. C., Andreski, P. & Peterson, E.Traumatic events and posttraumatic stress disorder in an urban population of young adults. Archives of General Psychiatry 48, 218222.Google Scholar
Centers for Disease Control (1988). Health status of Vietnam veterans: psychosocial characteristics. Journal of American Medical Association 259, 27012707.CrossRefGoogle Scholar
Davidson, J. R. T. & Smith, R. D. (1990). Traumatic experiences in psychiatric outpatients. Journal of Traumatic Stress 3, 459474.CrossRefGoogle Scholar
Davidson, J. R. T., Swartz, M., Storck, M., Krishnan, K. R. R. & Hammett, E. B. (1985). A diagnostic and family study of posttraumatic stress disorder. American Journal of Psychiatry 142, 9093.Google ScholarPubMed
Eaton, W. W. & Kessler, L. G. (1985). The NIMH Epidemiological Catchment Area Program. In Epidemiological Field Methods in Psychiatry (ed. Eaton, W. W. and Kessler, L. G.), pp. 1363. Academic Press: New York.Google Scholar
Editorial (1985). Post-traumatic stress disorder. Lancet i, 562.Google Scholar
Goldberg, D. P. (1972). The Detection of Psychiatric Illness by Questionnaire. Oxford University Press: London.Google Scholar
Helzer, J. E., Robins, L. N. & McEvoy, L. (1987). Post-traumatic stress disorder in the general population. Findings from the Epidemiological Catchment Area Survey. New England Journal of Medicine 317, 3171630.CrossRefGoogle ScholarPubMed
Holzer, C. E., Sheal, B. M., Swanson, J. S., Leaf, P. J., Myers, J. K., George, L. & Bednarski, P. (1986). The increased risk for specific psychiatric disorders among persons of lower socioeconomic status. American Journal of Social Psychiatry 6, 6259.Google Scholar
Horowitz, M. (1986). Stress–response syndromes: a review of posttraumatic and adjustment disorders. Hospital and Community Psychiatry 37, 37241.Google ScholarPubMed
Kessler, L. G., Folsom, R., Royall, R., Forsythe, A., McEvoy, L., Holzer, C. E., Rae, D. S. & Woodbury, M. (1985). Parameter and variance estimation. In Epidemiologic Field Methods in Psychiatry (ed. Eaton, W. W. and Kessler, L. G.), pp. 327348. Academic Press: Orlando, Florida.CrossRefGoogle Scholar
Kleinbaum, D. G., Dupper, L. L. & Morgenstern, H. (1982). Epidemiological Research: Principles and Quantitative Methods. Lifetime Learning Publications: Belmont, CA.Google Scholar
Kolb, L. C. (1989). Chronic post-traumatic stress disorder: implications of recent epidemiological and neuropsychological studies. Psychological Medicine 19, 821824.CrossRefGoogle ScholarPubMed
Kulka, R. A., Schlenger, W. E., Fairbank, J. A., Hough, R. L., Jordan, B. K., Marmar, C. R. & Weiss, D. S. (1988 a). National Vietnam Veterans Readjustment Study (NVVRS): Description, Current Status and Initial PTSD Prevalence Estimates. Research Triangle Institute: Research Triangle Park, NC.Google Scholar
Kulka, R. A., Schlenger, W. E., Fairbank, J. A., Hough, R. L., Jordan, B. K., Marmar, C. R. & Weiss, D. S. (1988 b). Executive Summary: Contractual Report of Findings from the National Vietnam Veterans Readjustment Study. Research Triangle Institute: Research Triangle Park, NC.Google Scholar
Landerman, R., George, L. K., Campbell, R. T. & Blazer, D. G. (1989). Social support, stress, and depression: alternative models of the stress buffering hypothesis. American Journal of Community Psychology 17, 625642.CrossRefGoogle ScholarPubMed
McFarlane, A. C. (1988 a). The phenomenology of post-traumatic stress disorders following a natural disaster. Journal of Nervous and Mental Disease 176, 2229.CrossRefGoogle ScholarPubMed
McFarlane, A. C. (1988 b). The longitudinal course of post-traumatic morbidity. The range of outcomes and their predictors. Journal of Nervous and Mental Disease 176, 2229.CrossRefGoogle ScholarPubMed
McFarlane, A. C. (1989). The aetiology of post traumatic morbidity: predisposing, precipitating and perpetuating factors. British Journal of Psychiatry 154, 221228.CrossRefGoogle ScholarPubMed
Pitts, F. (1985). Post-traumatic stress disorder. Journal of Clinical Psychiatry 46, 373.Google Scholar
Pynoos, R. S., Frederick, C., Nader, K., Arroyo, W., Steinberg, A., Eth, S., Nunez, F. & Fairbanks, L. (1987). Life-threat and post traumatic stress in school-age children. Archives of General Psychiatry 12, 10571063.CrossRefGoogle Scholar
Robins, L. N., Helzer, J. E., Croughland, J. L., Williams, J. B. W. & Spitzer, R. L. (1981). NIMH Diagnostic Interview Schedule – Version III. Public Health Service (PHS), publication ADM-T-42–3 (5–8–81). NIMH: Rockville, MD.Google Scholar
Schlenger, W. E. & Kulka, R. A. (1987). Performance of the Fairbank–Keane MMPI scale and other self report measures in identifying post traumatic stress disorder.Paper presented at 95th Annual Convention, American Psychological Association,New York.Google Scholar
Shah, B. V., Folsom, R. M., Harrell, F. E. & Dillard, C. N. (1987). RTI Logit: Procedure for logistic regression on survey data. Research Triangle Institute: Research Triangle Park, NC.Google Scholar
Shore, J. H., Tatum, E. & Vollmer, W. M. (1986). Psychiatric reactions to disaster: the Mt St Helen's experience. American Journal of Psychiatry 143, 143590.Google Scholar
Shore, J. H., Vollmer, W. M. & Tatum, E. L. (1989). Community patterns of post traumatic stress disorders. Journal of Nervous and Mental Disease 177, 681685.CrossRefGoogle Scholar
Spitzer, R. L. & Williams, J. B. W. (1987). Structured Clinical Interview for DSM-III-R, Version NP-V. Biometrics Research Department, State Psychiatric Institute: New York.Google Scholar
Van Putten, R. & Emory, W. H. (1973). Traumatic neurosis in Vietnam returnees: a forgotten diagnosis? Archives of General Psychiatry 29, 695698.CrossRefGoogle ScholarPubMed
Walker, J. I. & Cavenar, J. O. (1981). Forgotten warriors: continuing problems of Vietnam veterans. In Critical Problems in Psychiatry (ed. Cavenar, J. O. and Brodie, H. K. H.), pp. 223242. J. B. Lippincott: Philadelphia.Google Scholar