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Am J Psychiatry 1997; 154:1114-1119
Copyright © 1997 by American Psychiatric Association
Full and partial posttraumatic stress disorder: findings from a community survey
MB Stein, JR Walker, AL Hazen and DR Forde
Department of Psychiatry, University of California, San Diego, La Jolla 92093-0985, USA. mstein@ucsd.edu
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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Post-Traumatic Stress: More Common in Women?
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6 - 6.
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