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Cited by 72Posttraumatic Stress Disorder ResearchTraumatic Brain Injury ResearchMigration, Health and Trauma

Predictors of PTSD symptoms in adults admitted to a Level I trauma center: A prospective analysis

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Powers, Mark B., Warren, Ann Marie, Rosenfield, David, Roden-Foreman, Kenleigh, Bennett, Monica, Reynolds, Megan C., Davis, Michelle L., Foreman, Michael L. +2 more·2014·Journal of Anxiety Disorders
DOI 10.1016/j.janxdis.2014.01.003PMC PMC4004712
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Abstract

Trauma centers are an ideal point of intervention in efforts to prevent posttraumatic stress disorder (PTSD). In order to assist in the development of prevention efforts, this study sought to identify early predictors of PTSD symptoms among adults admitted to a Level I trauma center using a novel analytic strategy (Fournier et al., 2009). Upon admission, participants (N=327) were screened for PTSD symptoms and provided information on potential predictor variables. Their PTSD symptoms were assessed again 3 months later (N=227). Participants were classified as symptomatic (positive PTSD screen) or asymptomatic (negative PTSD screen) at the follow-up assessment. Multinomial logistic regression showed that age, depression, number of premorbid psychiatric disorders, gunshot wound, auto vs. pedestrian injury, and alcohol use predicted who had PTSD symptoms at FU with 76.3% accuracy. However, when controlling for PTSD severity at baseline, only age, number of premorbid psychiatric disorders, and gunshot wounds predicted PTSD symptoms at FU but with 78.5% accuracy. These findings suggest that psychological prevention efforts in trauma centers may be best directed toward adults who are young, have premorbid psychiatric disorders, and those admitted with gunshot wounds.

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  • Trauma centers report many barriers to providing mental health assessments and services, notably time, expertise, and resource constraints.

    “There are many barriers reported by trauma centers in providing mental health assessments and services, notably time, expertise, and resource constraints [92].”

    From Adolescent Suicide—Understanding Unique Risks and Opportunities for Trauma Centers to Recognize, Intervene, and Prevent a Leading Cause of Death (2022) · cites this paper as [92]

    The Discussion states that many trauma centers have limited resources and proposes targeting PTSD prevention efforts accordingly. It does not say that trauma centers reported barriers, or identify time and expertise as constraints on mental health assessments and services. No page number is available in our copy. (LLM, conf=0.88)

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  • A prospective study of hospitalized trauma survivors found that younger patients were more likely to have PTSD at 3 months post trauma.

    “a study of hospitalized trauma survivors found that younger patients were more likely to have PTSD at 3 months post trauma (Powers et al., 2014)”

    From PTSD in the Year Following Sexual Assault: A Meta-Analysis of Prospective Studies (2023) · cites this paper as Powers et al., 2014

    The Results section (‘Predictors of PC-PTSD criterion at 3 months’; page not provided) reports higher odds of being symptomatic for younger patients after controlling for baseline symptoms. This supports the age and timing of the claim, but the study measured PTSD symptom status rather than establishing that patients had a PTSD diagnosis. (LLM, conf=0.85)

    Experimental — accuracy not yet measured

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Authors
Powers, M. B., Warren, A. M., Rosenfield, D., Roden-Foreman, K., Bennett, M., Reynolds, M. C., Davis, M. L., Foreman, M. L., Petrey, L. B., & Smits, J. A. J.
Affiliations
  • The University of Texas at Austin (US)
  • Baylor University Medical Center (US)
  • Southern Methodist University (US)
  • Baylor Scott & White Health (US)
Corresponding author
Powers, Mark B.
ORCID
Venue
Journal of Anxiety Disorders
Publisher
Elsevier BV
Published
2014-04
Volume
28
Issue
3
Pages
301-309
ISSN
0887-6185 (ISSN-L)
DOI
10.1016/j.janxdis.2014.01.003
PMC
PMC4004712
OpenAlex
W1983401493
Cited by
72
References
51
Citations by year
2025: 4 · 2024: 7 · 2023: 7 · 2022: 6 · 2021: 11 · 2020: 5 · 2019: 9 · 2018: 8 · 2017: 8 · 2016: 3 · 2015: 3 · 2014: 1
FWCI
5.90
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of Anxiety Disorders (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
  • Radboud Repository (Radboud University) (submittedVersion)
Funders
National Institute on Drug Abuse (K01DA035930)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
  • Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
  • Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
Keywords
post-traumatic stress disorder, PTSD risk factors, trauma center patients, gunshot wounds, depression, alcohol consumption, age, injury types, injury prevention, PTSD screening
MeSH terms
Adult, Age Factors, Alcohol Drinking, Depression, Female, Hospitalization, Humans, Male, Middle Aged, Prospective Studies, Stress Disorders, Post-Traumatic, Trauma Centers, Wounds and Injuries, Logistic Models

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