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Full and partial posttraumatic stress disorder: findings from a community survey
Abstract
OBJECTIVE: Full and partial posttraumatic stress disorder (PTSD) following trauma exposure were examined in a community sample in order to determine their prevalence and their relative importance and functional significance. METHOD: A standardized telephone interview with a series of trauma probes and a DSM-IV PTSD checklist was administered to a random sample of 1,002 persons in a midsized Midwestern Canadian city. The authors determined current (i.e., 1-months) prevalence rates of full PTSD, i.e., all DSM-IV criteria, and partial PTSD, i.e., fewer than the required number of DSM-IV criterion C symptoms (avoidance/numbing) or criterion D symptoms (increased arousal). Additional questions about interference with functioning were also posed. RESULTS: The estimated prevalence of full PTSD was 2.7% for women and 1.2% for men. The prevalence of partial PTSD was 3.4% for women and 0.3% for men. Interference with work or school was significantly more pronounced in persons with full PTSD than in those with only partial symptoms, although the latter were significantly more occupationally impaired than traumatized persons without PTSD. CONCLUSIONS: These findings in an epidemiologic sample underscore observations from patient and military groups that many traumatized persons suffer from a subsyndromal form of PTSD. These persons with partial PTSD, although somewhat less impaired than persons with the full syndrome, nonetheless exhibit clinically meaningful levels of functional impairment in association with their symptoms. This subthreshold form of PTSD may be especially prevalent in women. Additional study of partial PTSD is warranted.
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“Other studies showed diminished social and family functioning [7]”
From Effects of mindfulness-based cognitive therapy for Chinese adults with PTSD symptoms: protocol for a randomised controlled trial (2024) · cites this paper as [7]
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“The prevalence of PTSD in women prisoners tended to increase compared to males and the general population.”
From A Scoping Review of Correctional-Based Interventions for Women Prisoners with Mental Health Problems (2023) · cites this paper as Stein et al. 1997
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French, L. M., Brickell, T. A., Lippa, S. M., Rogers, A. A., Cristaudo, K. E., Walker, T., Higgins, M., Bailie, J. M., Kennedy, J. E., Hungerford, L. D., et al. (2024) · Journal of Affective Disorders · doi:10.1016/j.jad.2024.05.015 · Cited by 9
Pereira, M. G., Pedras, S., & Lopes, C. (2011) · Traumatology An International Journal · doi:10.1177/1534765611426794 · Cited by 7
Single Mother’s Adverse and Traumatic Experiences and Post-Traumatic Stress Symptoms
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Whitt‐Woosley, A., Sprang, G., & Royse, D. D. (2018) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2018.05.009 · Cited by 9
Li, M., Wang, B., Chen, Q., Gao, D., & Zang, Y. (2021) · Contemporary Clinical Trials Communications · doi:10.1016/j.conctc.2021.100729 · Cited by 7
Metadata
- Authors
- Stein, M. B., Walker, J. R., Hazen, A. L., & Forde, D. R.
- Affiliations
- University of California San Diego (US)
- Venue
- American Journal of Psychiatry
- Published
- 1997-08-01
- Volume
- 154
- Issue
- 8
- Pages
- 1114-1119
- ISSN
- 0002-953X (ISSN-L)
- 1535-7228
- OpenAlex
- W1919106491
- Cited by
- 1,013
- References
- 31
- Citations by year
- 2026: 6 · 2025: 11 · 2024: 17 · 2023: 19 · 2022: 16 · 2021: 27 · 2020: 31 · 2019: 28 · 2018: 33 · 2017: 44 · 2016: 49 · 2015: 42 · 2014: 48 · 2013: 46 · 2012: 57
- FWCI
- 16.31
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- 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, subthreshold PTSD, PTSD prevalence, functional disability, occupational impairment, sex differences, trauma exposure, community sample
- MeSH terms
- Adolescent, Adult, Aged, Crime, Educational Status, Employment, Female, Health Surveys, Humans, Income, Life Change Events, Male, Middle Aged, Surveys and Questionnaires, Rape, Risk Factors, Sex Factors, Stress Disorders, Post-Traumatic, Telephone, Violence, Prevalence, Confidence Intervals, Odds Ratio, Domestic Violence
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