Post-traumatic stress disorder in the community: an epidemiological study
Abstract
Post-traumatic stress disorder (PTSD) was studied in the Piedmont region of North Carolina. Among 2985 subjects, the lifetime and six month prevalence figures for PTSD were 1.30 and 0.44% respectively. In comparison to non-PTSD subjects, those with PTSD had significantly greater job instability, family history of psychiatric illness, parental poverty, child abuse, and separation or divorce of parents prior to age 10. PTSD was associated with greater psychiatric comorbidity and attempted suicide, increased frequency of bronchial asthma, hypertension, peptic ulcer and with impaired social support. Differences were noted between chronic and acute PTSD on a number of measures, with chronic PTSD being accompanied by more frequent social phobia, reduced social support and greater avoidance symptoms.
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Childhood abuse is strongly associated with a diagnosis of PTSD, which is a risk factor for suicidality.
“Furthermore, childhood abuse has also been found to be strongly associated with a diagnosis of PTSD which is one of the most well-known risk factors for suicidality (Davidson et al., 1991; Panagioti et al., 2009, 2012; Tarrier and Gregg, 2004; Taylor et al., 2011).”
From Childhood maltreatment and adult suicidality: a comprehensive systematic review with meta-analysis (2019) · cites this paper as Davidson et al., 1991
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“Furthermore, childhood abuse has also been found to be strongly associated with a diagnosis of PTSD which is one of the most well-known risk factors for suicidality (Davidson et al., 1991; Panagioti et al., 2009, 2012; Tarrier and Gregg, 2004; Taylor et al., 2011).”
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- Authors
- Davidson, J. R. T., Hughes, D., Blazer, D. G., & George, L. K.
- Affiliations
- Duke Medical Center (US)
- Corresponding author
- Davidson, Jonathan R. T.
- Venue
- Psychological Medicine
- Publisher
- Cambridge University Press (CUP)
- Published
- 1991-08
- Volume
- 21
- Issue
- 3
- Pages
- 713-721
- ISSN
- 0033-2917 (ISSN-L)
- 1469-8978
- OpenAlex
- W2003662114
- Cited by
- 969
- References
- 0
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 9 · 2023: 10 · 2022: 8 · 2021: 16 · 2020: 22 · 2019: 23 · 2018: 19 · 2017: 16 · 2016: 38 · 2015: 31 · 2014: 28 · 2013: 42 · 2012: 48
- FWCI
- 14.53
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychological Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (3u01mh033883-05s3)
- National Institute of Mental Health (U01 MH-33883, U01 MH34224, U01 MH33780)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Keywords
- post-traumatic stress disorder, prevalence, community population, chronic PTSD, psychiatric comorbidity, suicide attempts, social support, childhood abuse, family history of mental illness, parental divorce, asthma, hypertension, peptic ulcer, avoidance symptoms, social anxiety disorder
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, North Carolina, Personality Development, Risk Factors, Social Environment, Social Support, Stress Disorders, Post-Traumatic, Suicide, Attempted, Incidence
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