Is PTSD caused by traumatic stress?

被引:70
作者
Bodkin, J. Alexander
Pope, Harrison G.
Detke, Michael J.
Hudson, James I.
机构
[1] McLean Hosp, Clin Psychopharmacol Res Program, Belmont, MA 02478 USA
[2] McLean Hosp, Biol Psychiat Lab, Belmont, MA 02478 USA
[3] Harvard Univ, Sch Med, Boston, MA USA
关键词
PTSD; major depression; diagnosis; posttraumatic stress disorder; traumatic stress; etiology;
D O I
10.1016/j.janxdis.2006.09.004
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Sequential subjects (N = 103) presenting for pharmacologic treatment of major depression were examined prior to treatment for history of traumatic experiences. Subjects were also examined for symptoms of posttraurnatic stress disorder (PTSD). Two blinded raters subsequently judged whether subjects' experiences met DSM-IV criteria for trauma (criterion A of PTSD). Among 54 subjects scored by both raters as having experienced trauma, 42 (78%) met all other DSM-IV criteria for PTSD. Among 36 subjects scored by both raters as not having experienced trauma, 28 displayed all other DSM-IV criteria for PTSD-also a rate of 78%. This equivalence suggests that in a treatment-seeking population, caution should be exercised in attributing the PTSD syndrome to trauma. (c) 2006 Elsevier Ltd. All rights reserved.
引用
收藏
页码:176 / 182
页数:7
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