Cited by 159Posttraumatic Stress Disorder ResearchMigration, Health and TraumaTraumatic Brain Injury Research

Subthreshold PTSD in Primary Care: Prevalence, Psychiatric Disorders, Healthcare Use, and Functional Status

Grubaugh, Anouk L., Magruder, Kathryn M., Waldrop, Angela E., Elhai, Jon D., Knapp, Rebecca G., Frueh, B Christopher·2005·The Journal of Nervous and Mental Disease

Abstract

The purpose of this study is to determine the prevalence of subthreshold posttraumatic stress disorder (PTSD) and its association with specific traumas, other psychiatric diagnoses, healthcare use, and functional status among 669 veterans in four VA Medical Centers. A cross-sectional, epidemiological design incorporating self-report measures, structured interviews, and chart reviews was used to obtain relevant information for analyses. Comparisons across three trauma-exposed groups (PTSD, subthreshold PTSD, no PTSD) revealed that veterans in the subthreshold PTSD group did not use mental health services more often than those in the no PTSD group despite the presence of additional mental health diagnoses and worse functional status. These data indicate that clinicians may be overlooking a subset of individuals suffering from subsyndromal PTSD, suggesting the need to detect and serve these individuals better within healthcare settings.

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Crossref · 10.1097/01.nmd.0000180740.02644.ab

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Authors
Grubaugh, A. L., Magruder, K. M., Waldrop, A. E., Elhai, J. D., Knapp, R. G., & Frueh, B. C.
Affiliations
  • Medical University of South Carolina (US)
  • University of South Dakota (US)
Corresponding author
  • Grubaugh, Anouk L.
  • Magruder, Kathryn M.
  • Frueh, B Christopher
Venue
The Journal of Nervous and Mental Disease
Published
2005-10
Volume
193
Issue
10
Pages
658-664
ISSN
0022-3018 (ISSN-L)
OpenAlex
W1991732362
Cited by
159
References
25
Citations by year
2026: 2 · 2025: 5 · 2024: 6 · 2023: 5 · 2022: 3 · 2021: 7 · 2020: 5 · 2019: 8 · 2018: 8 · 2017: 10 · 2016: 10 · 2015: 14 · 2014: 12 · 2013: 6 · 2012: 6
FWCI
6.17
Type
journal article
Language
en
Open access
closed
Locations
  • The Journal of Nervous and Mental Disease (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institute of Mental Health (R21MH065248, R21-MH065248-02S1)
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
subsyndromal PTSD, veterans, primary care, mental health service utilization, functional status, psychiatric comorbidity, trauma exposure, Veterans Affairs hospitals
MeSH terms
Adult, Aged, Mental Disorders, Cross-Sectional Studies, Disability Evaluation, Female, Follow-Up Studies, Health Status, Humans, Interviews as Topic, Life Change Events, Male, Middle Aged, Primary Health Care, Psychiatric Status Rating Scales, Stress Disorders, Post-Traumatic, Veterans, Comorbidity, Prevalence, Logistic Models

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