Posttraumatic stress disorder symptom trajectories within the first year following emergency department admissions : pooled results from the International Consortium to predict PTSD
BACKGROUND: Research exploring the longitudinal course of posttraumatic stress disorder (PTSD) symptoms has documented four modal trajectories (low, remitting, high, and delayed), with proportions varying across studies. Heterogeneity could be due to differences in trauma types and patient demographic characteristics.
METHODS: This analysis pooled data from six longitudinal studies of adult survivors of civilian-related injuries admitted to general hospital emergency departments (EDs) in six countries (pooled N = 3083). Each study included at least three assessments of the clinician-administered PTSD scale in the first post-trauma year. Latent class growth analysis determined the proportion of participants exhibiting various PTSD symptom trajectories within and across the datasets. Multinomial logistic regression analyses examined demographic characteristics, type of event leading to the injury, and trauma history as predictors of trajectories differentiated by their initial severity and course.
RESULTS: Five trajectories were found across the datasets: Low (64.5%), Remitting (16.9%), Moderate (6.7%), High (6.5%), and Delayed (5.5%). Female gender, non-white race, prior interpersonal trauma, and assaultive injuries were associated with increased risk for initial PTSD reactions. Female gender and assaultive injuries were associated with risk for membership in the Delayed (v. Low) trajectory, and lower education, prior interpersonal trauma, and assaultive injuries with risk for membership in the High (v. Remitting) trajectory.
CONCLUSIONS: The results suggest that over 30% of civilian-related injury survivors admitted to EDs experience moderate-to-high levels of PTSD symptoms within the first post-trauma year, with those reporting assaultive violence at increased risk of both immediate and longer-term symptoms.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:51 |
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| Enthalten in: |
Psychological medicine - 51(2021), 7 vom: 11. Mai, Seite 1129-1139 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Lowe, Sarah R [VerfasserIn] |
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| Links: |
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| Themen: |
Journal Article |
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| Anmerkungen: |
Date Completed 30.11.2021 Date Revised 24.02.2024 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1017/S0033291719004008 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM306042118 |
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| 100 | 1 | |a Lowe, Sarah R |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Posttraumatic stress disorder symptom trajectories within the first year following emergency department admissions |b pooled results from the International Consortium to predict PTSD |
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| 500 | |a Date Revised 24.02.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a BACKGROUND: Research exploring the longitudinal course of posttraumatic stress disorder (PTSD) symptoms has documented four modal trajectories (low, remitting, high, and delayed), with proportions varying across studies. Heterogeneity could be due to differences in trauma types and patient demographic characteristics | ||
| 520 | |a METHODS: This analysis pooled data from six longitudinal studies of adult survivors of civilian-related injuries admitted to general hospital emergency departments (EDs) in six countries (pooled N = 3083). Each study included at least three assessments of the clinician-administered PTSD scale in the first post-trauma year. Latent class growth analysis determined the proportion of participants exhibiting various PTSD symptom trajectories within and across the datasets. Multinomial logistic regression analyses examined demographic characteristics, type of event leading to the injury, and trauma history as predictors of trajectories differentiated by their initial severity and course | ||
| 520 | |a RESULTS: Five trajectories were found across the datasets: Low (64.5%), Remitting (16.9%), Moderate (6.7%), High (6.5%), and Delayed (5.5%). Female gender, non-white race, prior interpersonal trauma, and assaultive injuries were associated with increased risk for initial PTSD reactions. Female gender and assaultive injuries were associated with risk for membership in the Delayed (v. Low) trajectory, and lower education, prior interpersonal trauma, and assaultive injuries with risk for membership in the High (v. Remitting) trajectory | ||
| 520 | |a CONCLUSIONS: The results suggest that over 30% of civilian-related injury survivors admitted to EDs experience moderate-to-high levels of PTSD symptoms within the first post-trauma year, with those reporting assaultive violence at increased risk of both immediate and longer-term symptoms | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, N.I.H., Extramural | |
| 650 | 4 | |a Latent class growth analysis | |
| 650 | 4 | |a posttraumatic stress | |
| 650 | 4 | |a resilience | |
| 650 | 4 | |a traumatic injuries | |
| 700 | 1 | |a Ratanatharathorn, Andrew |e verfasserin |4 aut | |
| 700 | 1 | |a Lai, Betty S |e verfasserin |4 aut | |
| 700 | 1 | |a van der Mei, Willem |e verfasserin |4 aut | |
| 700 | 1 | |a Barbano, Anna C |e verfasserin |4 aut | |
| 700 | 1 | |a Bryant, Richard A |e verfasserin |4 aut | |
| 700 | 1 | |a Delahanty, Douglas L |e verfasserin |4 aut | |
| 700 | 1 | |a Matsuoka, Yutaka J |e verfasserin |4 aut | |
| 700 | 1 | |a Olff, Miranda |e verfasserin |4 aut | |
| 700 | 1 | |a Schnyder, Ulrich |e verfasserin |4 aut | |
| 700 | 1 | |a Laska, Eugene |e verfasserin |4 aut | |
| 700 | 1 | |a Koenen, Karestan C |e verfasserin |4 aut | |
| 700 | 1 | |a Shalev, Arieh Y |e verfasserin |4 aut | |
| 700 | 1 | |a Kessler, Ronald C |e verfasserin |4 aut | |
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