Subthreshold post-traumatic stress disorder as a risk factor for post-traumatic stress disorder: results from a sample of USA veterans

被引:8
|
作者
Pietrzak, Robert H. [1 ,2 ]
Javier, Frances G. [1 ,2 ]
Krystal, John H. [1 ,2 ]
Southwick, Steven M. [1 ,2 ]
机构
[1] VA Connecticut Healthcare Syst, US Dept Vet Affairs Natl Ctr Posttraumat Stress D, West Haven, CT 06516 USA
[2] Yale Sch Med, Dept Psychiat, New Haven, CT 06510 USA
关键词
Epidemiology; post-traumatic stress disorder; military psychiatry; nosology; trauma; NATIONAL-HEALTH; RESILIENCE;
D O I
10.1192/bjp.2021.17
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Subthreshold post-traumatic stress disorder (PTSD) is more prevalent than PTSD, yet its role as a potential risk factor for PTSD is unknown. To address this gap, we analysed data from a 7-year, prospective national cohort of USA veterans. Of veterans with subthreshold PTSD at wave 1, 34.3% developed PTSD compared with 7.6% of trauma-exposed veterans without subthreshold PTSD (relative risk ratio 6.4). Among veterans with subthreshold PTSD, specific PTSD symptoms, greater age, cognitive difficulties, lower dispositional optimism and new-onset traumas predicted incident PTSD. Results suggest that preventive interventions targeting subthreshold PTSD and associated factors may help mitigate risk for PTSD in USA veterans.
引用
收藏
页码:456 / 459
页数:4
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