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Prevalence of Posttraumatic Stress Disorder and Major Depression After Trauma Center Hospitalization
| Content Provider | Scilit |
|---|---|
| Author | Shih, Regina A. Schell, Terry L. Hambarsoomian, Katrin Belzberg, Howard Marshall, Grant N. |
| Copyright Year | 2010 |
| Description | Journal: The Journal of Trauma and Acute Care Surgery Background: Individuals hospitalized after physical trauma are at heightened risk for mental disorders. We examined prevalence rates of both posttraumatic stress disorder (PTSD) and major depression at 6 and 12 months in a sample of 677 individuals experiencing different types of trauma who were representative of physical trauma survivors hospitalized in Los Angeles County trauma centers. Demographic and injury-related risk factors for these disorders were also evaluated. Methods: Bivariate logistic regressions estimated risk for PTSD and depression at either 6 or 12 months associated with baseline risk factors. Results: At 6 months, 31% of participants met screening criteria for probable PTSD and 31% met criteria for probable depression. At 12 months, 28% and 29% met criteria for PTSD and depression, respectively. There were also high rates of comorbidity; depression and PTSD co-occurred in 21% of individuals at 6 months and in 19% of patients at 12 months. Bivariate logistic regressions indicated that preexisting disability and lower education were associated with higher odds of PTSD at either 6 or 12 months. African Americans and Hispanics had higher odds of PTSD compared with non-Hispanic Caucasians. Assault-related injury (versus accident), more severe injury, and longer hospitalizations were also associated with greater odds of PTSD. By contrast, higher odds of depression at 6 or 12 months were only associated with preexisting disability, losing consciousness, more severe injury, and longer hospitalizations. Conclusions: Key demographic and injury characteristics may enhance identification of at-risk trauma survivors who would benefit from targeted screening, patient education, and early intervention efforts. |
| Related Links | http://europepmc.org/articles/pmc3071627?pdf=render https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3071627/pdf |
| Ending Page | 1566 |
| Page Count | 7 |
| Starting Page | 1560 |
| ISSN | 21630755 |
| e-ISSN | 21630763 |
| DOI | 10.1097/ta.0b013e3181e59c05 |
| Journal | The Journal of Trauma and Acute Care Surgery |
| Issue Number | 6 |
| Volume Number | 69 |
| Language | English |
| Publisher | Ovid Technologies (Wolters Kluwer Health) |
| Publisher Date | 2010-12-01 |
| Access Restriction | Open |
| Subject Keyword | Journal: The Journal of Trauma and Acute Care Surgery Womens Studies Traumatic Injury, Posttraumatic Stress Disorder, Depression, Prevalence |
| Content Type | Text |
| Resource Type | Article |
| Subject | Surgery Critical Care and Intensive Care Medicine |
