CHRONIC POSTTRAUMATIC-STRESS-DISORDER AND DIAGNOSTIC COMORBIDITY IN A DISASTER SAMPLE

被引:193
作者
GREEN, BL [1 ]
LINDY, JD [1 ]
GRACE, MC [1 ]
LEONARD, AC [1 ]
机构
[1] UNIV CINCINNATI,DEPT PSYCHIAT,CINCINNATI,OH 45221
关键词
D O I
10.1097/00005053-199212000-00004
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Research has indicated significant comorbid psychopathology with chronic posttraumatic stress disorder (PTSD) in samples of war veterans. The present paper examines the issue of comorbidity in a disaster sample to learn whether findings from veterans generalized to this event. A total of 193 subjects exposed to the Buffalo Creek dam collapse of 1972 were examined 14 years later using diagnoses derived from the Structured Clinical Interview for DSM-III (SCID). Past and present PTSD was found in a significant portion of the sample. Major depression was the next most common diagnosis and was highly related to PTSD. Anxiety disorders were also common. The overlap with other diagnoses was quite similar to that found in a sample of Vietnam veterans we studied earlier, except that the diaster sample had fewer dysthymic disorders, substance abusers, and antisocial personality disorders. Possible explanations for comorbidity in chronic PTSD were discussed and it was suggested that the morphology of PTSD may be quite stable in at least some other nonveteran trauma populations.
引用
收藏
页码:760 / 766
页数:7
相关论文
共 25 条
[1]  
ANGST J, 1990, COMORBIDITY OF MOOD AND ANXIETY DISORDERS, P123
[2]  
BRESLAU N, 1987, AM J PSYCHIAT, V144, P578
[3]  
BRESLAU N, 1991, ARCH GEN PSYCHIAT, V48, P216
[4]  
BRESLAU N, 1987, J NERV MENT DIS, V175, P255, DOI 10.1097/00005053-198705000-00001
[5]  
DAVIDSON J, 1990, COMPR PSYCHIAT, V231, P162
[6]  
DOHRENWEND BP, 1990, COMORBIDITY OF MOOD AND ANXIETY DISORDERS, P177
[7]   COMORBIDITY OF PSYCHIATRIC-DISORDERS AND PERSONALITY PROFILES OF AMERICAN WORLD-WAR-2 PRISONERS OF WAR [J].
ENGDAHL, BE ;
SPEED, N ;
EBERLY, RE ;
SCHWARTZ, J .
JOURNAL OF NERVOUS AND MENTAL DISEASE, 1991, 179 (04) :181-187
[8]  
Gleser GC, 1981, PROLONGED PSYCHOSOCI
[9]   POSTTRAUMATIC STRESS DISORDER - TOWARD DSM-IV [J].
GREEN, BL ;
LINDY, JD ;
GRACE, MC .
JOURNAL OF NERVOUS AND MENTAL DISEASE, 1985, 173 (07) :406-411
[10]   MULTIPLE DIAGNOSIS IN POSTTRAUMATIC STRESS DISORDER - THE ROLE OF WAR STRESSORS [J].
GREEN, BL ;
LINDY, JD ;
GRACE, MC ;
GLESER, GC .
JOURNAL OF NERVOUS AND MENTAL DISEASE, 1989, 177 (06) :329-335