The prevalence of DSM-III-R traumas and posttraumatic stress disorder (PTSD) and their impact on psychosocial functioning were examined in a community population of older adolescents.
Subjects were 384 adolescents participating in an ongoing longitudinal study.
When subjects were aged 18 years, the NIMH Diagnostic Interview Schedule, Version IIIR, was used to identify lifetime traumatic events and diagnoses of PTSD, major depression, phobias, and substance dependence.
Behavioral, emotional, and academic functioning in later adolescence was evaluated through self-report measures and school records.
More than two fifths of adolescents experienced at least one DSM-III-R trauma by age 18 years.
Youths with PTSD demonstrated widespread impairment at age 18, including more overall behavioral-emotional problems, interpersonal problems, academic failure, suicidal behavior, and health problems, as well as an increased risk for additional disorders.
An equally striking finding was that youths who experienced traumas but did not develop PTSD also showed deficits in many of these areas when compared with their peers who had not experienced traumas.
The substantial risk faced by youths in community settings for experiencing traumas and PTSD, along with associated impairments in later adolescence, underscores the need for programs of prompt intervention.
Psychiatry, 1995,34,10 : 1369-1380.
Mots-clés Pascal : Posttraumatisme syndrome, Stress, Traumatisme, Psychogène, Diagnostic and Statistical Manual III, Version revisée, Prévalence, Epidémiologie, Trouble psychiatrique, Adolescent, Homme
Mots-clés Pascal anglais : Posttraumatic syndrome, Stress, Trauma, Psychogenic, Diagnostic and Statistical Manual III, Revised drafting, Prevalence, Epidemiology, Mental disorder, Adolescent, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0549140
Code Inist : 002B18C08D. Création : 01/03/1996.