Post-traumatic stress disorder (PTSD) is common in primary care but studies have shown poor levels of knowledge about it among GPs. Diagnosis is often delayed, contributing to high levels of complications such as depression or alcohol misuse. There is good evidence that treatment with trauma-specific psychological therapies can be effective. Prompt diagnosis allows appropriate and timely treatment.
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References
1.
American Psychiatric Association (2000) Diagnostic and Statistical Manual of Mental Disorders: DSM-IV-TR, Fourth edition. Washington DC: American Psychiatric Association.
BissonJ. (2007) Post traumatic stress disorder. British Medical Journal334(7597): 789–793. doi: 10.1136/bmj.39162.538553.80.
4.
BissonJ.EhlersA.MatthewsR.PillingS.RichardsD. (2007) Psychological treatments for chronic post traumatic stress disorder: systematic review and meta-analysis. British Journal of Psychiatry190: 97–104. doi: 10.1192/bjp.bp.106.021402.
5.
BradleyR.GreeneJ.RussE.DutraL.WestenD. A. (2005) Multidimensional meta-analysis of psychotherapy for PTSD. American Journal of Psychiatry162: 214–227. doi: 10.1176/appi.ajp.162.2.214.
6.
BrewinC. R. (2005) Systematic review of screening instruments for adults at risk of PTSD. Journal of Traumatic Stress18: 53–62. doi: 10.1002/jts.20007.
7.
BrewinC. R.AndrewsB.ValentineJ. D. (2000) Meta-analysis of risk factors for post traumatic stress disorder in trauma-exposed adults. Journal of Consulting and Clinical Psychology68: 748–766. doi: 10.1037//0022-006X.68.5.748.
8.
Brewin, C. R., Rose, S., Andrews, B., Green, J., Tata, P., McEvedy, C., … Foa, E. B. (2002). Brief screening instrument for post-traumatic stress disorder. British Journal of Psychiatry, 181(2), 158–162. doi: 10.1192/bjp.181.2.158.
9.
CreamerM.BurgessP.McFarlaneA. C. (2001) Post-traumatic stress disorder: findings from the Australian national survey of mental health and well-being. Psychological Medicine31(7): 1237–1247. doi: 10.1017/S0033291701004287.
10.
DalyR. J. (1983) Samuel Pepys and post traumatic stress disorder. The British Journal of Psychiatry143: 64–68. doi: 10.1192/bjp.143.1.64.
11.
De JongJ. T. V. M. (2001) Lifetime events and posttraumatic stress disorder in 4 postconflict settings. Journal of the American Medical Association286: 555–562. doi: 10.1001/jama.286.5.555.
12.
Galea, S., Vlahov, D., Resnick, H., Ahern, J., Susser, E., Gold, J., … Kilpatrick, D. (2003). Trends of probable post-traumatic stress disorder in New York City after the September 11 terrorist attacks. American Journal of Epidemiology, 158, 514–524. doi: 10.1093/aje/kwg187.
KesslerR. C.ChiuW. T.DemlerO.WaltersE. (2005) Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the national comorbidity survey replication. Archives of General Psychiatry62(6): 617–627. doi: 10.1001/archpsyc.62.6.617.
15.
KesslerR. C.SonnehaA.BrometE.HughesM.NelsonC. B. (1995) Posttraumatic stress disorder in the national comorbity survey. Archives of General Psychiatry52(12): 1048–1060. doi: 10.1001/archpsyc.1995.03950240066012.
McNallyR. J.BryantR. A.EhlersA. (2003) Does early psychological intervention promote recovery from posttraumatic stress?Psychological Science in the Public Interest4: 45–79. doi: 10.1111/1529-1006.01421.
18.
Munro, C.G., Freeman, C., & Law, R. (2004). General practitioners’ knowledge of post-traumatic stress disorder: a controlled study. British Journal of General Practice, 54(508), 843–847. Retrieved from www.ncbi.nlm.nih.gov/pmc/articles/PMC1324918/?tool=pubmed.
19.
NICE (2005). Post-Traumatic Stress Disorder (PTSD). The Management of PTSD in Adults and Children in Primary and Secondary Care. Retrieved from www.nice.org.uk/page.aspx?o=CG026fullguideline.
20.
OzerE. J.BestS. R.LipseyT. L.WeissD. S. (2003) Predictors of post-traumatic stress disorder and symptoms in adults: a meta-analysis. Psychological Bulletin129: 52–73. doi: 10.1037//0033-2909.129.1.52.
SchnurrP. P.GreenB. L. (2003) Trauma and Health: Physical Consequences of Exposure to Extreme Stress, Washington, DC: American Psychological Association.
23.
Stein, D. J., Ipser, J. C., & Seedat, S. (2006). Pharmacotherapy for post traumatic stress disorder (PTSD). Cochrane Database of Systematic Reviews, 1, 2. doi: 10.1002/14651858.CD002795/pub2.
