Universidad Peruana Cayetano Heredia

Posttraumatic stress disorder associated with unexpected death of a loved one: Cross-national findings from the world mental health surveys

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dc.contributor.author Atwoli, Lukoye
dc.contributor.author Stein, Dan J.
dc.contributor.author King, Andrew
dc.contributor.author Petukhova, Maria
dc.contributor.author Aguilar-Gaxiola, Sergio
dc.contributor.author Alonso, Jordi
dc.contributor.author Bromet, Evelyn J.
dc.contributor.author de Girolamo, Giovanni
dc.contributor.author Demyttenaere, Koen
dc.contributor.author Florescu, Silvia
dc.contributor.author Maria Haro, Josep
dc.contributor.author Karam, Elie G.
dc.contributor.author Kawakami, Norito
dc.contributor.author Lee, Sing
dc.contributor.author Lepine, Jean-Pierre
dc.contributor.author Navarro-Mateu, Fernando
dc.contributor.author O'Neill, Siobhan
dc.contributor.author Pennell, Beth-Ellen
dc.contributor.author Piazza Ferrand, Marina Julia
dc.contributor.author Posada-Villa, Jose
dc.contributor.author Sampson, Nancy A.
dc.contributor.author Ten Have, Margreet
dc.contributor.author Zaslavsky, Alan M.
dc.contributor.author Kessler, Ronald C.
dc.date.accessioned 2019-01-25T15:28:08Z
dc.date.available 2019-01-25T15:28:08Z
dc.date.issued 2016
dc.identifier.uri https://hdl.handle.net/20.500.12866/4727
dc.description.abstract BACKGROUND: Unexpected death of a loved one (UD) is the most commonly reported traumatic experience in cross-national surveys. However, much remains to be learned about posttraumatic stress disorder (PTSD) after this experience. The WHO World Mental Health (WMH) survey initiative provides a unique opportunity to address these issues. METHODS: Data from 19 WMH surveys (n = 78,023; 70.1% weighted response rate) were collated. Potential predictors of PTSD (respondent sociodemographics, characteristics of the death, history of prior trauma exposure, history of prior mental disorders) after a representative sample of UDs were examined using logistic regression. Simulation was used to estimate overall model strength in targeting individuals at highest PTSD risk. RESULTS: PTSD prevalence after UD averaged 5.2% across surveys and did not differ significantly between high-income and low-middle income countries. Significant multivariate predictors included the deceased being a spouse or child, the respondent being female and believing they could have done something to prevent the death, prior trauma exposure, and history of prior mental disorders. The final model was strongly predictive of PTSD, with the 5% of respondents having highest estimated risk including 30.6% of all cases of PTSD. Positive predictive value (i.e., the proportion of high-risk individuals who actually developed PTSD) among the 5% of respondents with highest predicted risk was 25.3%. CONCLUSIONS: The high prevalence and meaningful risk of PTSD make UD a major public health issue. This study provides novel insights into predictors of PTSD after this experience and suggests that screening assessments might be useful in identifying high-risk individuals for preventive interventions. en_US
dc.language.iso eng
dc.publisher Wiley
dc.relation.ispartofseries Depression and Anxiety
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Adolescent en_US
dc.subject Adult en_US
dc.subject Female en_US
dc.subject Humans en_US
dc.subject Male en_US
dc.subject Young Adult en_US
dc.subject Child en_US
dc.subject Infant en_US
dc.subject Socioeconomic Factors en_US
dc.subject Child, Preschool en_US
dc.subject Prevalence en_US
dc.subject Logistic Models en_US
dc.subject Risk en_US
dc.subject epidemiology en_US
dc.subject United States/epidemiology en_US
dc.subject Asia/epidemiology en_US
dc.subject Attitude to Death en_US
dc.subject cross-national en_US
dc.subject Death en_US
dc.subject international en_US
dc.subject Life Change Events en_US
dc.subject life events/stress en_US
dc.subject PTSD en_US
dc.subject trauma en_US
dc.subject Europe/epidemiology en_US
dc.subject Health Surveys/statistics & numerical data en_US
dc.subject South Africa/epidemiology en_US
dc.subject South America/epidemiology en_US
dc.subject Stress Disorders, Post-Traumatic/epidemiology/psychology en_US
dc.title Posttraumatic stress disorder associated with unexpected death of a loved one: Cross-national findings from the world mental health surveys en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1002/da.22579
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.24
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#5.01.00
dc.relation.issn 1520-6394


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