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Posttraumatic stress disorder in the World Mental Health Surveys

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dc.contributor.author Koenen, K. C.
dc.contributor.author Ratanatharathorn, A.
dc.contributor.author Ng, L.
dc.contributor.author McLaughlin, K. A.
dc.contributor.author Bromet, E. J.
dc.contributor.author Stein, D. J.
dc.contributor.author Karam, E. G.
dc.contributor.author Ruscio, A. M.
dc.contributor.author Benjet, C.
dc.contributor.author Scott, K.
dc.contributor.author Atwoli, L.
dc.contributor.author Petukhova, M.
dc.contributor.author Lim, C. C. W.
dc.contributor.author Aguilar-Gaxiola, S.
dc.contributor.author Al-Hamzawi, A.
dc.contributor.author Alonso, J.
dc.contributor.author Bunting, B.
dc.contributor.author Ciutan, M.
dc.contributor.author de Girolamo, G.
dc.contributor.author Degenhardt, L.
dc.contributor.author Gureje, O.
dc.contributor.author Haro, J. M.
dc.contributor.author Huang, Y.
dc.contributor.author Kawakami, N.
dc.contributor.author Lee, S.
dc.contributor.author Navarro-Mateu, F.
dc.contributor.author Pennell, B. E.
dc.contributor.author Piazza Ferrand, Marina Julia
dc.contributor.author Sampson, N.
dc.contributor.author ten Have, M.
dc.contributor.author Torres, Y.
dc.contributor.author Viana, M. C.
dc.contributor.author Williams, D.
dc.contributor.author Xavier, M.
dc.contributor.author Kessler, R. C.
dc.contributor.author WHO World Mental Health Survey
dc.date.accessioned 2019-01-25T16:36:29Z
dc.date.available 2019-01-25T16:36:29Z
dc.date.issued 2017
dc.identifier.uri https://hdl.handle.net/20.500.12866/4856
dc.description.abstract Background. Traumatic events are common globally; however, comprehensive population-based cross-national data on the epidemiology of posttraumatic stress disorder (PTSD), the paradigmatic trauma-related mental disorder, are lacking. Methods. Data were analyzed from 26 population surveys in the World Health Organization World Mental Health Surveys. A total of 71 083 respondents ages 18+ participated. The Composite International Diagnostic Interview assessed exposure to traumatic events as well as 30-day, 12-month, and lifetime PTSD. Respondents were also assessed for treatment in the 12 months preceding the survey. Age of onset distributions were examined by country income level. Associations of PTSD were examined with country income, world region, and respondent demographics. Results. The cross-national lifetime prevalence of PTSD was 3.9% in the total sample and 5.6% among the trauma exposed. Half of respondents with PTSD reported persistent symptoms. Treatment seeking in high-income countries (53.5%) was roughly double that in low-lower middle income (22.8%) and upper-middle income (28.7%) countries. Social disadvantage, including younger age, female sex, being unmarried, being less educated, having lower household income, and being unemployed, was associated with increased risk of lifetime PTSD among the trauma exposed. Conclusions. PTSD is prevalent cross-nationally, with half of all global cases being persistent. Only half of those with severe PTSD report receiving any treatment and only a minority receive specialty mental health care. Striking disparities in PTSD treatment exist by country income level. Increasing access to effective treatment, especially in low- and middle-income countries, remains critical for reducing the population burden of PTSD. en_US
dc.language.iso eng
dc.publisher Cambridge University Press
dc.relation.ispartofseries Psychological Medicine
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 treatment en_US
dc.subject Psychiatry en_US
dc.subject united-states en_US
dc.subject Psychology en_US
dc.subject trauma en_US
dc.subject controlled-trial en_US
dc.subject events en_US
dc.subject psychiatric-disorders en_US
dc.subject age-of-onset en_US
dc.subject dsm-iv disorders en_US
dc.subject International en_US
dc.subject lifetime prevalence en_US
dc.subject national comorbidity survey en_US
dc.subject Posttraumatic stress disorder (PTSD) en_US
dc.subject predicting ptsd en_US
dc.subject sex-differences en_US
dc.subject traumatic en_US
dc.title Posttraumatic stress disorder in the World Mental Health Surveys en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1017/s0033291717000708
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#5.01.00
dc.relation.issn 1469-8978


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