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Cited by 238Posttraumatic Stress Disorder ResearchMigration, Health and TraumaChild Abuse and Trauma

Prevalence, detection and correlates of PTSD in the primary care setting : a systematic review

Greene, Talya, Neria, Yuval, Gross, Raz·2016·Journal of Clinical Psychology in Medical Settings
DOI 10.1007/s10880-016-9449-8
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Abstract

Research suggests that posttraumatic stress disorder (PTSD) is common, debilitating and frequently associated with comorbid health conditions, including poor functioning, and increased health care utilization. This article systematically reviewed the empirical literature on PTSD in primary care settings, focusing on prevalence, detection and correlates. Twenty-seven studies were identified for inclusion. Current PTSD prevalence in primary care patients ranged widely between 2 % to 39 %, with significant heterogeneity in estimates explained by samples with different levels of trauma exposure. Six studies found detection of PTSD by primary care physicians (PCPs) ranged from 0 % to 52 %. Studies examining associations between PTSD and sociodemographic variables yielded equivocal results. High comorbidity was reported between PTSD and other psychiatric disorders including depression and anxiety, and PTSD was associated with functional impairment or disability. Exposure to multiple types of trauma also raised the risk of PTSD. While some studies indicated that primary care patients with PTSD report higher levels of substance and alcohol abuse, somatic symptoms, pain, health complaints, and healthcare utilization, other studies did not find these associations. This review proposes that primary care settings are important for the early detection of PTSD, which can be improved through indicated screening and PCP education.

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  • The overlap between symptoms of depression and PTSD may partly explain the significant association between PTSD symptom scores and depression scores reported in this study.

    “This overlap may partly explain the significant association between PTSD symptom scores and depression scores reported in this study (Flory and Yehuda, 2015;Spinhoven et al., 2014;Greene et al., 2016).”

    From Risk and protective factors affecting the symptom trajectory of posttraumatic stress disorder post-rape (2022) · cites this paper as Greene et al., 2016

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Authors
Greene, T., Neria, Y., & Gross, R.
Affiliations
  • University of Haifa (IL)
  • Columbia University Irving Medical Center (US)
  • Tel Aviv University (IL)
Corresponding author
Greene, Talya
ORCID
Venue
Journal of Clinical Psychology in Medical Settings
Publisher
Springer Science and Business Media LLC
Published
2016-02-11
Volume
23
Issue
2
Pages
160-180
ISSN
  • 1068-9583 (ISSN-L)
  • 1573-3572
DOI
10.1007/s10880-016-9449-8
OpenAlex
W2264580330
Cited by
238
References
121
Citations by year
2026: 12 · 2025: 44 · 2024: 15 · 2023: 18 · 2022: 24 · 2021: 26 · 2020: 55 · 2019: 10 · 2018: 18 · 2017: 13 · 2016: 3
FWCI
2.17
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (tdm)
Locations
  • Journal of Clinical Psychology in Medical Settings (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
  • Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
  • Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
Keywords
post-traumatic stress disorder, primary care, PTSD prevalence, primary care physicians, comorbidities, depression, anxiety, functional disability, trauma exposure, multiple trauma exposure, substance abuse, alcohol abuse, somatic symptoms, pain, health care utilization, PTSD screening, physician training
MeSH terms
Depression, Humans, Primary Health Care, Stress Disorders, Post-Traumatic, Comorbidity, Prevalence

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