Is posttraumatic stress disorder underdiagnosed in routine clinical settings ?
The goal of the present study was to examine whether posttraumatic stress disorder (PTSD) is underrecognized in routine clinical practice.
One thousand patients were evaluated at the Rhode Island Hospital Department of Psychiatry outpatient practice.
The first 500 patients completed a psychiatric diagnostic screening questionnaire that included a PTSD subscale.
The next 500 individuals were interviewed with the Structured Clinical Interview for DSM-IV (SCID).
In the first 500 patients, 36 (7.2%) patients were diagnosed by their clinicians with PTSD and an additional 18.6% of the sample screened positive on the questionnaire but were not diagnosed with PTSD.
The patients who were diagnosed with PTSD and the patients who screened positive but were not given the diagnosis were significantly younger, had lower GAF scores, and less frequently graduated from college than the non-PTSD group.
The frequency of suicidal thoughts was identical in the two PTSD groups and twice as high as the frequency in the non-PTSD group.
Scores on 9 of the other 12 psychopathology dimensions assessed by the screening questionnaire were significantly higher in the two PTSD groups than the non-PTSD group.
In the 500 patients interviewed with the SCID the prevalence of PTSD was two times higher than in the 500 patients diagnosed with an unstructured clinical interview (14.4% vs. 7.2%). (...)
Mots-clés Pascal : Posttraumatisme syndrome, Stress, Diagnostic, Consultation psychiatrique, Milieu hospitalier, Dépistage, Demande thérapeutique, Facteur sociodémographique, Symptomatologie, Etude comparative, Santé mentale, Etats Unis, Amérique du Nord, Amérique, Homme, Trouble anxieux
Mots-clés Pascal anglais : Posttraumatic syndrome, Stress, Diagnosis, Psychiatric consultation, Hospital environment, Medical screening, Therapeutical request, Sociodemographic factor, Symptomatology, Comparative study, Mental health, United States, North America, America, Human, Anxiety disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0388898
Code Inist : 002B18C08D. Création : 22/03/2000.