TY - JOUR
KW - Adolescent
KW - Adult
KW - African Americans/psychology/statistics & numerical data
KW - Aged
KW - Child
KW - Child Abuse, Sexual/diagnosis/ethnology/statistics & numerical data
KW - Child Abuse/diagnosis/ethnology/statistics & numerical data
KW - Cross-Sectional Studies
KW - Depressive Disorder, Major/diagnosis/epidemiology/ethnology
KW - Domestic Violence/ethnology/psychology/statistics & numerical data
KW - Female
KW - Georgia
KW - Humans
KW - Life Change Events
KW - Male
KW - Middle Aged
KW - Poverty/psychology/statistics & numerical data
KW - Primary Health Care/statistics & numerical data
KW - Rape
KW - Stress Disorders, Post-Traumatic/diagnosis/epidemiology/ethnology
KW - Urban Population/statistics & numerical data
KW - Violence/ethnology/psychology/statistics & numerical data
KW - Young Adult
AU - C. F. Gillespie
AU - B. Bradley
AU - K. Mercer
AU - A. K. Smith
AU - K. Conneely
AU - M. Gapen
AU - T. Weiss
AU - A. C. Schwartz
AU - J. F. Cubells
AU - K. J. Ressler
A1 - 
AB - OBJECTIVE: This study was undertaken to increase understanding of environmental risk factors for posttraumatic stress disorder (PTSD) and major depressive disorder (MDD) within an urban, impoverished, population. METHOD: This study examined the demographic characteristics, patterns of trauma exposure, prevalence of PTSD and MDD, and predictors of posttraumatic stress and depressive symptomatology using a verbally presented survey and structured clinical interviews administered to low-income, primarily African-American (>93%) women and men seeking care in the primary care and obstetrics-gynecology clinics of an urban public hospital. RESULTS: Of the sample, 87.8% (n=1256) reported some form of significant trauma in their lifetime. Accidents were the most common form of trauma exposure followed by interpersonal violence and sexual assault. Childhood level of trauma and adult level of trauma separately, and in combination, predicted level of adult PTSD and depressive symptomatology. The lifetime prevalence of PTSD was 46.2% and the lifetime prevalence of MDD was 36.7%. CONCLUSIONS: These data document high levels of childhood and adult trauma exposure, principally interpersonal violence, in a large sample of an inner-city primary care population. Within this group of subjects, PTSD and depression are highly prevalent conditions.
BT - General hospital psychiatry
C5 - Healthcare Disparities
CP - 6
CY - United States
DO - 10.1016/j.genhosppsych.2009.05.003
IS - 6
JF - General hospital psychiatry
N2 - OBJECTIVE: This study was undertaken to increase understanding of environmental risk factors for posttraumatic stress disorder (PTSD) and major depressive disorder (MDD) within an urban, impoverished, population. METHOD: This study examined the demographic characteristics, patterns of trauma exposure, prevalence of PTSD and MDD, and predictors of posttraumatic stress and depressive symptomatology using a verbally presented survey and structured clinical interviews administered to low-income, primarily African-American (>93%) women and men seeking care in the primary care and obstetrics-gynecology clinics of an urban public hospital. RESULTS: Of the sample, 87.8% (n=1256) reported some form of significant trauma in their lifetime. Accidents were the most common form of trauma exposure followed by interpersonal violence and sexual assault. Childhood level of trauma and adult level of trauma separately, and in combination, predicted level of adult PTSD and depressive symptomatology. The lifetime prevalence of PTSD was 46.2% and the lifetime prevalence of MDD was 36.7%. CONCLUSIONS: These data document high levels of childhood and adult trauma exposure, principally interpersonal violence, in a large sample of an inner-city primary care population. Within this group of subjects, PTSD and depression are highly prevalent conditions.
PP - United States
PY - 2009
SN - 1873-7714; 0163-8343
SP - 505
EP - 514
EP - 
T1 - Trauma exposure and stress-related disorders in inner city primary care patients
T2 - General hospital psychiatry
TI - Trauma exposure and stress-related disorders in inner city primary care patients
U1 - Healthcare Disparities
U2 - 19892208
U3 - 10.1016/j.genhosppsych.2009.05.003
VL - 31
VO - 1873-7714; 0163-8343
Y1 - 2009
ER -