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Recovery from DSM-IV post-traumatic stress disorder in the WHO World Mental Health surveys

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dc.contributor.author Rosellini, A. J.
dc.contributor.author Liu, H.
dc.contributor.author Petukhova, M. V.
dc.contributor.author Sampson, N. A.
dc.contributor.author Aguilar-Gaxiola, S.
dc.contributor.author Alonso, J.
dc.contributor.author Borges, G.
dc.contributor.author Bruffaerts, R.
dc.contributor.author Bromet, E. J.
dc.contributor.author de Girolamo, G.
dc.contributor.author de Jonge, P.
dc.contributor.author Fayyad, J.
dc.contributor.author Florescu, S.
dc.contributor.author Gureje, O.
dc.contributor.author Haro, J. M.
dc.contributor.author Hinkov, H.
dc.contributor.author Karam, E. G.
dc.contributor.author Kawakami, N.
dc.contributor.author Koenen, K. C.
dc.contributor.author Lee, S.
dc.contributor.author Lepine, J. P.
dc.contributor.author Levinson, D.
dc.contributor.author Navarro-Mateu, F.
dc.contributor.author Oladeji, B. D.
dc.contributor.author O'Neill, S.
dc.contributor.author Pennell, B. E.
dc.contributor.author Piazza, M.
dc.contributor.author Posada-Villa, J.
dc.contributor.author Scott, K. M.
dc.contributor.author Stein, D. J.
dc.contributor.author Torres, Y.
dc.contributor.author Viana, M. C.
dc.contributor.author Zaslavsky, A. M.
dc.contributor.author Kessler, R. C.
dc.date.accessioned 2018-12-01T00:04:15Z
dc.date.available 2018-12-01T00:04:15Z
dc.date.issued 2018
dc.identifier.uri https://hdl.handle.net/20.500.12866/4253
dc.description.abstract Background: Research on post-traumatic stress disorder (PTSD) course finds a substantial proportion of cases remit within 6 months, a majority within 2 years, and a substantial minority persists for many years. Results are inconsistent about pre-trauma predictors. Methods: The WHO World Mental Health surveys assessed lifetime DSM-IV PTSD presence-course after one randomly-selected trauma, allowing retrospective estimates of PTSD duration. Prior traumas, childhood adversities (CAs), and other lifetime DSM-IV mental disorders were examined as predictors using discrete-time person-month survival analysis among the 1575 respondents with lifetime PTSD. Results: 20%, 27%, and 50% of cases recovered within 3, 6, and 24 months and 77% within 10 years (the longest duration allowing stable estimates). Time-related recall bias was found largely for recoveries after 24 months. Recovery was weakly related to most trauma types other than very low [odds-ratio (OR) 0.2-0.3] early-recovery (within 24 months) associated with purposefully injuring/torturing/killing and witnessing atrocities and very low later-recovery (25+ months) associated with being kidnapped. The significant ORs for prior traumas, CAs, and mental disorders were generally inconsistent between early- and later-recovery models. Cross-validated versions of final models nonetheless discriminated significantly between the 50% of respondents with highest and lowest predicted probabilities of both early-recovery (66-55% v. 43%) and later-recovery (75-68% v. 39%). Conclusions: We found PTSD recovery trajectories similar to those in previous studies. The weak associations of pre-trauma factors with recovery, also consistent with previous studies, presumably are due to stronger influences of post-trauma factors. en_US
dc.language.iso eng
dc.publisher Cambridge University Press
dc.relation.ispartof urn:issn:1469-8978
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject epidemiology en_US
dc.subject Cross-national en_US
dc.subject post-traumatic stress disorder en_US
dc.subject recovery en_US
dc.title Recovery from DSM-IV post-traumatic stress disorder in the WHO World Mental Health surveys en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1017/S0033291717001817
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.00 es_PE


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