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Recovery from DSM-IV post-traumatic stress disorder in the WHO world mental health surveys
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 Healt...
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2018
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| LEADER | 00000njm a2000000a 4500 | ||
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| 001 | oai:repository.ui.edu.ng:123456789/13565 | ||
| 042 | |a dc | ||
| 720 | |a Rosellini, A. J. |e author | ||
| 720 | |a Liu, H. |e author | ||
| 720 | |a Petukhova, M. V. |e author | ||
| 720 | |a Sampson, N. A. |e author | ||
| 720 | |a Aguilar-Gaxiolam, S. |e author | ||
| 720 | |a Alonso, J. |e author | ||
| 720 | |a Borges, G. |e author | ||
| 720 | |a Bruffaerts, R. |e author | ||
| 720 | |a Bromet, E. J. |e author | ||
| 720 | |a de Girolamo, G. |e author | ||
| 720 | |a de Jonge, P. |e author | ||
| 720 | |a Fayyad, J. |e author | ||
| 720 | |a Florescu, S. |e author | ||
| 720 | |a Gureje, O. |e author | ||
| 720 | |a Haro, J. M. |e author | ||
| 720 | |a Hinkov, H. |e author | ||
| 720 | |a Karam, E. G. |e author | ||
| 720 | |a Kawakami, N. |e author | ||
| 720 | |a Koenen, K. C. |e author | ||
| 720 | |a Lee, S. |e author | ||
| 720 | |a Lépine, J. P. |e author | ||
| 720 | |a Levinson, D. |e author | ||
| 720 | |a Navarro-Mateu, F. |e author | ||
| 720 | |a Oladeji, B. D. |e author | ||
| 720 | |a O'Neill, S. |e author | ||
| 720 | |a Pennell, B. E. |e author | ||
| 720 | |a Piazza, M. |e author | ||
| 720 | |a Posada-Villa, J. |e author | ||
| 720 | |a Scott, K. M. |e author | ||
| 720 | |a Stein, D. J. |e author | ||
| 720 | |a Torres, Y. |e author | ||
| 720 | |a Viana, M. C. |e author | ||
| 720 | |a Zaslavsky, A. M. |e author | ||
| 720 | |a Kessler, R. C. |e author | ||
| 260 | |c 2018 | ||
| 520 | |a 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. | ||
| 024 | 8 | |a 1469-8978 | |
| 024 | 8 | |a ui_art_rosellini_recovery_2018 | |
| 024 | 8 | |a Psychological Medicine 48(3), pp. 437-450 | |
| 024 | 8 | |a https://repository.ui.edu.ng/handle/123456789/13565 | |
| 245 | 0 | 0 | |a Recovery from DSM-IV post-traumatic stress disorder in the WHO world mental health surveys |