TY - JOUR
KW - Adaptation, Psychological
KW - Adolescent
KW - Adult
KW - Aged
KW - Cross-Sectional Studies
KW - Data Collection
KW - Depression/epidemiology/etiology
KW - Female
KW - Humans
KW - Logistic Models
KW - Male
KW - Mental Health
KW - Middle Aged
KW - Multivariate Analysis
KW - Primary Health Care
KW - Psychometrics
KW - Questionnaires
KW - Risk Factors
KW - Sex Factors
KW - South Carolina/epidemiology
KW - Stress Disorders, Post-Traumatic/diagnosis/epidemiology/etiology
KW - Stress, Psychological/complications
KW - United States/epidemiology
KW - Wounds and Injuries
KW - Young Adult
AU - J. R. Freedy
AU - K. M. Magruder
AU - J. S. Zoller
AU - W. J. Hueston
AU - P. J. Carek
AU - C. D. Brock
A1 - 
AB - BACKGROUND AND OBJECTIVES: Primary care research into post-traumatic stress disorder (PTSD) is less developed than primary care depression research. This study documents lifetime traumatic events and past month depression and PTSD in adult patients of a large family medicine residency practice. METHODS: We used a telephone survey of 411 adult patients from a family medicine residency practice in the Southeastern United States. Standardized measures were used. RESULTS: Seventy-nine percent of study enrollees completed the study. Women were significantly more likely than men to have been diagnosed with PTSD (35.8% versus 20.0%) or depression (36.1% versus 21.1%), with a high degree of diagnosis overlap (76.5%). Most adults (>90%) reported one or more traumatic events. Men reported more war zone/combat events; women reported more sexual victimization. More than 80% of patients thought family physicians should ask about traumatic events; only a minority recalled being asked (26.8% men, 43.6% women). Regression models determined that current depression and several traumatic events were significant correlates of current PTSD. CONCLUSIONS: Key gender differences in frequency of lifetime traumatic events, past month depression and PTSD, and patient attitudes about trauma questions existed. Current PTSD was best predicted by a combination of coexisting depression and traumatic events. Discussion explores training and practice implications.
BT - Family medicine
C5 - Education & Workforce
CP - 3
CY - United States
IS - 3
JF - Family medicine
N2 - BACKGROUND AND OBJECTIVES: Primary care research into post-traumatic stress disorder (PTSD) is less developed than primary care depression research. This study documents lifetime traumatic events and past month depression and PTSD in adult patients of a large family medicine residency practice. METHODS: We used a telephone survey of 411 adult patients from a family medicine residency practice in the Southeastern United States. Standardized measures were used. RESULTS: Seventy-nine percent of study enrollees completed the study. Women were significantly more likely than men to have been diagnosed with PTSD (35.8% versus 20.0%) or depression (36.1% versus 21.1%), with a high degree of diagnosis overlap (76.5%). Most adults (>90%) reported one or more traumatic events. Men reported more war zone/combat events; women reported more sexual victimization. More than 80% of patients thought family physicians should ask about traumatic events; only a minority recalled being asked (26.8% men, 43.6% women). Regression models determined that current depression and several traumatic events were significant correlates of current PTSD. CONCLUSIONS: Key gender differences in frequency of lifetime traumatic events, past month depression and PTSD, and patient attitudes about trauma questions existed. Current PTSD was best predicted by a combination of coexisting depression and traumatic events. Discussion explores training and practice implications.
PP - United States
PY - 2010
SN - 1938-3800; 0742-3225
SP - 185
EP - 192
EP - 
T1 - Traumatic events and mental health in civilian primary care: Implications for training and practice
T2 - Family medicine
TI - Traumatic events and mental health in civilian primary care: Implications for training and practice
U1 - Education & Workforce
U2 - 20204894
VL - 42
VO - 1938-3800; 0742-3225
Y1 - 2010
ER -