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Post-traumatic stress associated with low self-rated well-being in primary care attenders

Thulesius, H; Alveblom, AK and Håkansson, Anders LU (2004) In Nordic Journal of Psychiatry 58(4). p.261-266
Abstract
In this study, we assessed the prevalence of self-rated post-traumatic stress in relation to reported trauma in an unselected primary care population. A total of 1113 out of 1378 consecutive attenders (response rate 81%) to 10 health centres completed the self-report instruments Impact of Event Scale (IES), and Post Traumatic Symptom Scale (PTSS-10). A horizontal visual analogue scale (VAS; 0-100 mm) resembling the EuroQoL (quality of life) health barometer was used for evaluating well-being. Trauma was reported by 325 attenders (29.2%) when applying DSM-IV trauma criteria. Prevalence of possible post-traumatic stress disorder (PTSD) was 6.5% (n=72) using cut-off scores of >35 for IES and >5 for PTSS-10. The two most common traumas... (More)
In this study, we assessed the prevalence of self-rated post-traumatic stress in relation to reported trauma in an unselected primary care population. A total of 1113 out of 1378 consecutive attenders (response rate 81%) to 10 health centres completed the self-report instruments Impact of Event Scale (IES), and Post Traumatic Symptom Scale (PTSS-10). A horizontal visual analogue scale (VAS; 0-100 mm) resembling the EuroQoL (quality of life) health barometer was used for evaluating well-being. Trauma was reported by 325 attenders (29.2%) when applying DSM-IV trauma criteria. Prevalence of possible post-traumatic stress disorder (PTSD) was 6.5% (n=72) using cut-off scores of >35 for IES and >5 for PTSS-10. The two most common traumas in the PTSD group were accidents (2.0%, n=22), followed by cancer (1.3%, n=15). When excluding diseases and unspecified death as trauma, the rate of possible PTSD was 3.5% (n=39). Mean VAS-QoL score was 39.6 mm in the PTSD group (n=72), and 64.7 mm in the non-PTSD group with a reported trauma (n=253). In a multiple logistic regression analysis low self-rated well-being showed the strongest association with possible PTSD, followed by sexual assault, female gender, immigrant status and less than 2 years since trauma. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
cancer, sexual assault, self-report instruments, quality of life, care, primary, prevalence, immigrants, post-traumatic stress disorder
in
Nordic Journal of Psychiatry
volume
58
issue
4
pages
261 - 266
publisher
Informa Healthcare
external identifiers
  • wos:000223212800001
  • pmid:15370774
  • scopus:4544381674
ISSN
1502-4725
DOI
10.1080/08039480410005765
language
English
LU publication?
yes
id
58989d86-ee46-4be1-8dcf-e0b1767e57a1 (old id 898571)
date added to LUP
2008-01-18 14:08:40
date last changed
2017-08-06 03:49:13
@article{58989d86-ee46-4be1-8dcf-e0b1767e57a1,
  abstract     = {In this study, we assessed the prevalence of self-rated post-traumatic stress in relation to reported trauma in an unselected primary care population. A total of 1113 out of 1378 consecutive attenders (response rate 81%) to 10 health centres completed the self-report instruments Impact of Event Scale (IES), and Post Traumatic Symptom Scale (PTSS-10). A horizontal visual analogue scale (VAS; 0-100 mm) resembling the EuroQoL (quality of life) health barometer was used for evaluating well-being. Trauma was reported by 325 attenders (29.2%) when applying DSM-IV trauma criteria. Prevalence of possible post-traumatic stress disorder (PTSD) was 6.5% (n=72) using cut-off scores of >35 for IES and >5 for PTSS-10. The two most common traumas in the PTSD group were accidents (2.0%, n=22), followed by cancer (1.3%, n=15). When excluding diseases and unspecified death as trauma, the rate of possible PTSD was 3.5% (n=39). Mean VAS-QoL score was 39.6 mm in the PTSD group (n=72), and 64.7 mm in the non-PTSD group with a reported trauma (n=253). In a multiple logistic regression analysis low self-rated well-being showed the strongest association with possible PTSD, followed by sexual assault, female gender, immigrant status and less than 2 years since trauma.},
  author       = {Thulesius, H and Alveblom, AK and Håkansson, Anders},
  issn         = {1502-4725},
  keyword      = {cancer,sexual assault,self-report instruments,quality of life,care,primary,prevalence,immigrants,post-traumatic stress disorder},
  language     = {eng},
  number       = {4},
  pages        = {261--266},
  publisher    = {Informa Healthcare},
  series       = {Nordic Journal of Psychiatry},
  title        = {Post-traumatic stress associated with low self-rated well-being in primary care attenders},
  url          = {http://dx.doi.org/10.1080/08039480410005765},
  volume       = {58},
  year         = {2004},
}