Cited by 241Posttraumatic Stress Disorder ResearchMigration, Health and TraumaTraumatic Brain Injury Research

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What parts of PTSD are normal: Intrusion, avoidance, or arousal? Data from the Northridge, California, earthquake

McMillen, J. Curtis, North, Carol S., Smith, Elizabeth M.·2000·Journal of Traumatic Stress

Abstract

The incidence and comorbidity of posttraumatic stress disorder (PTSD) are addressed in a study of 130 Northridge, California, earthquake survivors interviewed 3 months postdisaster. Only 13% of the sample met full PTSD criteria, but 48% met both the reexperiencing and the arousal symptom criteria, without meeting the avoidance and numbing symptom criterion. Psychiatric comorbidity was associated mostly with avoidance and numbing symptoms. For moderately severe traumatic events, reexperiencing and arousal symptoms may be the most “normal,” and survivors with a history of psychiatric problems may be those most likely to develop full PTSD. A system that considers people who meet all three symptom criteria to have a psychiatric disorder yet recognizes the distress of other symptomatic survivors may best serve traumatized populations.

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References 47 · Cited by 241

Research works printed but not linked: 13

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Metadata

Authors
McMillen, J. C., North, C. S., & Smith, E. M.
Affiliations
Washington University in St. Louis (US)
Venue
Journal of Traumatic Stress
Publisher
Wiley
Published
2000-01
Volume
13
Issue
1
Pages
57-75
ISSN
  • 0894-9867 (ISSN-L)
  • 1573-6598
OpenAlex
W2093838809
Cited by
241
References
47
Citations by year
2026: 2 · 2025: 5 · 2024: 8 · 2023: 8 · 2022: 6 · 2021: 5 · 2020: 5 · 2019: 8 · 2018: 6 · 2017: 10 · 2016: 8 · 2015: 13 · 2014: 11 · 2013: 16 · 2012: 15
FWCI
11.60
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Traumatic Stress (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health
  • National Institute of Mental Health (R01 MH40025, R01MH040025)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
  • Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
  • Health Sciences › Medicine › Clinical Neurology › Traumatic Brain Injury Research
Keywords
post-traumatic stress disorder, Northridge earthquake, earthquake survivors, re-experiencing symptoms, arousal symptoms, psychiatric comorbidity, disaster survivors, PTSD incidence
MeSH terms
Adult, Aged, Arousal, Attention, Avoidance Learning, Disasters, Female, Follow-Up Studies, Humans, Male, Middle Aged, Psychiatric Status Rating Scales, Psychometrics, Reference Values, Risk Factors, Stress Disorders, Post-Traumatic, Comorbidity, Survivors

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