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Low recognition of post-traumatic stress disorder in primary care

Ehlers, Anke; Gene-Cos, Nuri and Perrin, Sean LU (2009) In London Journal of Primary Care 2(1). p.36-42
Abstract
Post-traumatic stress disorder (PTSD) is a common and disabling disorder that develops as a consequence of traumatic events and is characterised by distressing re-experiencing of parts of the trauma, avoidance of reminders, emotional numbing and hyperarousal. The NICE guidelines for PTSD (2005) recommend trauma-focused psychological therapy as the first-line treatment. A survey of 129 GPs in south London investigated the recognition and treatment of PTSD in primary care. The majority of GPs underestimated the prevalence of PTSD. Most PTSD patients seen in GP surgeries currently do not receive or are not referred for NICE recommended psychological treatments. Medications, especially SSRIs, appear to be more commonly prescribed than... (More)
Post-traumatic stress disorder (PTSD) is a common and disabling disorder that develops as a consequence of traumatic events and is characterised by distressing re-experiencing of parts of the trauma, avoidance of reminders, emotional numbing and hyperarousal. The NICE guidelines for PTSD (2005) recommend trauma-focused psychological therapy as the first-line treatment. A survey of 129 GPs in south London investigated the recognition and treatment of PTSD in primary care. The majority of GPs underestimated the prevalence of PTSD. Most PTSD patients seen in GP surgeries currently do not receive or are not referred for NICE recommended psychological treatments. Medications, especially SSRIs, appear to be more commonly prescribed than recommended by NICE. Efforts to disseminate information about PTSD and effective treatments to both patients and GPs are needed to increase recognition rates and prompter access to treatment. The Improving Access to Psychological Therapies (IAPT) programme will make the NICE recommended treatments more widely available and will allow self-referral by adults with PTSD to trauma-focused psychological therapy. © 2009 Royal College of General Practitioners. (Less)
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author
publishing date
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Contribution to journal
publication status
published
subject
keywords
Cognitive-behaviour therapy, Mental health, NICE guidelines, Post-traumatic stress disorder, Psychological treatments, serotonin uptake inhibitor, article, behavior therapy, cognitive therapy, general practitioner, health care access, health program, human, information dissemination, posttraumatic stress disorder, practice guideline, prevalence, primary medical care, psychotherapy, questionnaire, United Kingdom
in
London Journal of Primary Care
volume
2
issue
1
pages
7 pages
publisher
Radcliffe Publishing Ltd
external identifiers
  • scopus:69549083095
DOI
10.1080/17571472.2009.11493240
language
English
LU publication?
no
id
0a281b1f-8d9b-41f2-8236-96e5f8ea29e3
date added to LUP
2016-11-10 17:26:32
date last changed
2017-07-05 14:50:26
@article{0a281b1f-8d9b-41f2-8236-96e5f8ea29e3,
  abstract     = {Post-traumatic stress disorder (PTSD) is a common and disabling disorder that develops as a consequence of traumatic events and is characterised by distressing re-experiencing of parts of the trauma, avoidance of reminders, emotional numbing and hyperarousal. The NICE guidelines for PTSD (2005) recommend trauma-focused psychological therapy as the first-line treatment. A survey of 129 GPs in south London investigated the recognition and treatment of PTSD in primary care. The majority of GPs underestimated the prevalence of PTSD. Most PTSD patients seen in GP surgeries currently do not receive or are not referred for NICE recommended psychological treatments. Medications, especially SSRIs, appear to be more commonly prescribed than recommended by NICE. Efforts to disseminate information about PTSD and effective treatments to both patients and GPs are needed to increase recognition rates and prompter access to treatment. The Improving Access to Psychological Therapies (IAPT) programme will make the NICE recommended treatments more widely available and will allow self-referral by adults with PTSD to trauma-focused psychological therapy. © 2009 Royal College of General Practitioners.},
  author       = {Ehlers, Anke and Gene-Cos, Nuri and Perrin, Sean},
  keyword      = {Cognitive-behaviour therapy,Mental health,NICE guidelines,Post-traumatic stress disorder,Psychological treatments,serotonin uptake inhibitor,article,behavior therapy,cognitive therapy,general practitioner,health care access,health program,human,information dissemination,posttraumatic stress disorder,practice guideline,prevalence,primary medical care,psychotherapy,questionnaire,United Kingdom},
  language     = {eng},
  month        = {01},
  number       = {1},
  pages        = {36--42},
  publisher    = {Radcliffe Publishing Ltd},
  series       = {London Journal of Primary Care},
  title        = {Low recognition of post-traumatic stress disorder in primary care},
  url          = {http://dx.doi.org/10.1080/17571472.2009.11493240},
  volume       = {2},
  year         = {2009},
}