The nature and course of subthreshold PTSD

Cukor, Judith; Wyka, Katarzyna; Jayasinghe, Nimali; Difede, JoAnn

doi:10.1016/j.janxdis.2010.06.017

Cited by 197Posttraumatic Stress Disorder ResearchMigration, Health and TraumaTraumatic Brain Injury Research

The nature and course of subthreshold PTSD

Cukor, Judith, Wyka, Katarzyna, Jayasinghe, Nimali, Difede, JoAnn·2010·Journal of Anxiety Disorders

DOI 10.1016/j.janxdis.2010.06.017

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Abstract

This study investigated rates of subthreshold PTSD and associated impairment in comparison to no PTSD and full PTSD and prospectively followed the course of subthreshold symptoms over 3 years. 3360 workers dispatched to the WTC site following 9/11 completed clinician interviews and self-report measures at three time points each one year apart. At Time 1, 9.7% of individuals met criteria for subthreshold PTSD. The no PTSD, subthreshold PTSD, and full PTSD groups exhibited significantly different levels of impairment, rates of current MDD diagnosis, and self-reported symptoms of depression. At Time 2, 29% of the initial sample with subthreshold PTSD continued to meet criteria for subthreshold or full PTSD; at Time 3, this was true for 24.5% of the initial sample. The study lends credence to the clinical significance of subthreshold PTSD and emphasizes that associated impairment may be significant and longstanding. It also confirms clinical differences between subthreshold and full PTSD.

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People with subthreshold PTSD experience significant impairment in well-being and everyday life.
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Authors: Cukor, J., Wyka, K., Jayasinghe, N., & Difede, J.
Affiliations: Weill Cornell Medicine (US)
Corresponding author: Cukor, Judith
ORCID: Wyka, Katarzyna
Jayasinghe, Nimali
Difede, JoAnn
Venue: Journal of Anxiety Disorders
Publisher: Elsevier BV
Published: 2010-12
Volume: 24
Issue: 8
Pages: 918-923
ISSN: 0887-6185 (ISSN-L)
DOI: 10.1016/j.janxdis.2010.06.017
OpenAlex: W2131019417
Cited by: 197
References: 22
Citations by year: 2026: 9 · 2025: 13 · 2024: 9 · 2023: 17 · 2022: 11 · 2021: 17 · 2020: 18 · 2019: 13 · 2018: 15 · 2017: 16 · 2016: 13 · 2015: 16 · 2014: 9 · 2013: 10 · 2012: 6
FWCI: 7.01
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Journal of Anxiety Disorders (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
Keywords: subthreshold PTSD, post-traumatic stress disorder, 9/11 responders, World Trade Center, symptom course, functional disability, major depressive disorder, depression, occupational injuries, longitudinal follow-up
MeSH terms: Activities of Daily Living, Adult, Depressive Disorder, Female, Humans, Male, Prognosis, Psychiatric Status Rating Scales, Surveys and Questionnaires, Stress Disorders, Post-Traumatic, Time Factors, Disease Progression, September 11 Terrorist Attacks

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The nature and course of subthreshold PTSD

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