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Related Experiment Videos

Posttraumatic stress disorder in primary care.

A Y Samson1, S Bensen, A Beck

  • 1Research and Development Department, Rocky Mountain Division, Kaiser Permanente, Denver, Colorado, USA.

The Journal of Family Practice
|March 23, 1999
PubMed
Summary

Posttraumatic stress disorder (PTSD) is often missed in primary care, despite frequent patient visits. Screening questions can help providers identify PTSD, which frequently co-occurs with depression and anxiety.

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Area of Science:

  • Psychiatry
  • Primary Care Medicine
  • Mental Health

Background:

  • Primary care providers prioritize identifying depression and anxiety.
  • Posttraumatic stress disorder (PTSD) diagnosis is often overlooked in primary care settings.

Purpose of the Study:

  • To assess the prevalence of PTSD in patients screened for depression and anxiety in primary care.
  • To highlight the challenges in diagnosing PTSD in primary care due to symptom overlap.
  • To introduce screening questions for PTSD detection in primary care.

Main Methods:

  • Psychiatric screening questionnaires were administered to patients suspected of having depression or anxiety in an outpatient facility.
  • Patients with positive screening results were referred for psychological consultation.

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  • Diagnostic criteria from the DSM-IV were used to confirm PTSD diagnoses.

    • Main Results:

    • 38.6% of referred patients met DSM-IV criteria for PTSD.
    • Adult domestic violence and childhood abuse were the most common associated traumas.
    • PTSD patients were frequent users of medical services and primarily sought care in primary care settings.

    Conclusions:

    • PTSD is frequently encountered in primary care settings.
    • Overlapping symptoms with depression and anxiety, and lack of provider familiarity, hinder PTSD diagnosis.
    • Screening questions can aid primary care physicians in detecting PTSD.