Posttraumatic stress disorder in the World Mental Health Surveys

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. Data were analyzed from 26 population surveys in the World Health Organization...

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Vydáno v:	Psychological medicine Ročník 47; číslo 13; s. 2260 - 2274
Hlavní autoři:	Koenen, K. C., Ratanatharathorn, A., Ng, L., McLaughlin, K. A., Bromet, E. J., Stein, D. J., Karam, E. G., Meron Ruscio, A., Benjet, C., Scott, K., Atwoli, L., Petukhova, M., Lim, C. C.W., Aguilar-Gaxiola, S., Al-Hamzawi, A., Alonso, J., Bunting, B., Ciutan, M., de Girolamo, G., Degenhardt, L., Gureje, O., Haro, J. M., Huang, Y., Kawakami, N., Lee, S., Navarro-Mateu, F., Pennell, B.-E., Piazza, M., Sampson, N., ten Have, M., Torres, Y., Viana, M. C., Williams, D., Xavier, M., Kessler, R. C.
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	Cambridge, UK Cambridge University Press 01.10.2017
Témata:	Adolescent Adult Age of Onset Aged Chronic illnesses Clinical psychology Data processing Demography Developed Countries - statistics & numerical data Developing Countries - statistics & numerical data Disadvantaged Disorders Epidemiology Female Global Health - statistics & numerical data Health care policy Health disparities Health surveys Health Surveys - statistics & numerical data Healthcare Disparities - statistics & numerical data Help seeking behavior Hospitals Humans Low income groups Male Medicine Mental disorders Mental health Mental health care Mental health services Mental Health Services - statistics & numerical data Middle Aged Minority & ethnic groups Original Articles Polls & surveys Post traumatic stress disorder Prevalence Psychiatry Public health Respondents Sociodemographics Stress Disorders, Post-Traumatic - epidemiology Stress Disorders, Post-Traumatic - therapy Trauma Traumatic life events Unemployed people Vulnerable Populations - statistics & numerical data World Health Organization World population Young Adult United States > US trauma treatment Posttraumatic stress disorder (PTSD) Epidemiology International
ISSN:	0033-2917, 1469-8978, 1469-8978
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Shrnutí:	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. 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. 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. 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.
Bibliografie:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23
ISSN:	0033-2917 1469-8978 1469-8978
DOI:	10.1017/S0033291717000708