|
Título:
|
Recovery from DSM-IV post-traumatic stress disorder in the WHO World Mental Health surveys
|
|
Autores:
|
Rosellini, A. J. ;
Liu, H. ;
Petukhova, M. V. ;
Sampson, N. A. ;
Aguilar-Gaxiola, S. ;
Alonso, J. ;
Borges, G. ;
Bruffaerts, R. ;
Bromet, E. J. ;
de Girolamo, G. ;
de Jonge, P. ;
Fayyad, J. ;
Florescu, S. ;
Gureje, O. ;
Haro, J. M. ;
Hinkov, H. ;
Karam, E. G. ;
Kawakami, N. ;
Koenen, K. C. ;
Lee, S. ;
Lepine, J. P. ;
Levinson, D. ;
Navarro-Mateu, F. ;
Oladeji, B. D. ;
O'Neill, S. ;
Pennell, B. E. ;
Piazza, M. ;
Posada-Villa, J. ;
Scott, K. M. ;
Stein, D. J. ;
Torres, Y. ;
Viana, M. C. ;
Zaslavsky, A. M. ;
Kessler, R. C.
|
|
Tipo de documento:
|
texto impreso
|
|
Editorial:
|
Cambridge University Press, 2018-12-01T00:04:15Z
|
|
Nota general:
|
info:eu-repo/semantics/restrictedAccess
https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
|
|
Idiomas:
|
Inglés
|
|
Palabras clave:
|
Editados por otras instituciones
,
Artículos
,
Artículos en revistas indizadas
|
|
Resumen:
|
Background Research on post-traumatic stress disorder (PTSD) course finds a substantial proportion of cases remit within 6 months, a majority within 2 years, and a substantial minority persists for many years. Results are inconsistent about pre-trauma predictors. Methods The WHO World Mental Health surveys assessed lifetime DSM-IV PTSD presence-course after one randomly-selected trauma, allowing retrospective estimates of PTSD duration. Prior traumas, childhood adversities (CAs), and other lifetime DSM-IV mental disorders were examined as predictors using discrete-time person-month survival analysis among the 1575 respondents with lifetime PTSD. Results 20%, 27%, and 50% of cases recovered within 3, 6, and 24 months and 77% within 10 years (the longest duration allowing stable estimates). Time-related recall bias was found largely for recoveries after 24 months. Recovery was weakly related to most trauma types other than very low [odds-ratio (OR) 0.2-0.3] early-recovery (within 24 months) associated with purposefully injuring/torturing/killing and witnessing atrocities and very low later-recovery (25+ months) associated with being kidnapped. The significant ORs for prior traumas, CAs, and mental disorders were generally inconsistent between early- and later-recovery models. Cross-validated versions of final models nonetheless discriminated significantly between the 50% of respondents with highest and lowest predicted probabilities of both early-recovery (66-55% v. 43%) and later-recovery (75-68% v. 39%). Conclusions We found PTSD recovery trajectories similar to those in previous studies. The weak associations of pre-trauma factors with recovery, also consistent with previous studies, presumably are due to stronger influences of post-trauma factors.
|
|
En línea:
|
http://doi.org/10.1017/S0033291717001817
|
