Partial posttraumatic stress disorder revisited

Mylle, Jacques; Maes, Michaël

doi:10.1016/s0165-0327(02)00218-5

Cited by 174 publications

(141 citation statements)

References 22 publications

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“…36 In a clinical setting, patients with subsyndromal PTSD should not be overlooked because they endorse marked levels of psychological distress and low functional status. 37 The distinction between patients who affirmed the A2 criterion in the interview (i.e.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and predictors of posttraumatic stress disorder in patients with acute myocardial infarction

et al. 2008

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OBJECTIVE: We estimated the prevalence of posttraumatic stress disorder (PTSD) and identified predictors of self-rated PTSD symptoms in patients post-myocardial infarction (MI). METHODS: We recruited 400 patients (mean age 60 +/-12 years, 79% were men) with a previous acute index MI who were referred to a tertiary cardiology clinic. PTSD was assessed by the Clinician-administered PTSD Scale, and self-rated severity of PTSD symptom levels were assessed by the Posttraumatic Diagnostic Scale. RESULTS: Of the 190 patients who completed the Posttraumatic Diagnostic Scale, 34 met the cutoff for clinically significant PTSD symptomatology and 32 agreed to be interviewed. Among these patients, the Clinician-administered PTSD Scale interview yielded a prevalence of full and subsyndromal PTSD of 9.5% (95% confidence interval 7.4-11.6). Retrospectively rated feelings of helplessness (beta = .47, P < .001) and pain intensity during MI (beta = .15, P = .019) independently predicted PTSD symptom level. CONCLUSIONS: Approximately 10% of patients post-MI had full or subsyndromal PTSD. Subjective perception of MI predicted self-rated PTSD symptom level. PREVALENCE AND PREDICTORS OF POST-TRAUMATIC STRESS DISORDER (PTSD) IN ACUTE MYOCARDIAL INFARCTION PATIENTS Methods:We recruited 400 patients (mean age 60±12 years, 79% men) with a previous acute index MI referred to a tertiary cardiology clinic. PTSD was assessed by the Clinician-administered PTSD Scale (CAPS) and self-rated severity of PTSD symptom levels by the Posttraumatic Diagnostic Scale (PDS). Results:Of the 190 patients who completed the PDS, 34 met the cut-off for clinically significant PTSD symptomatology and 32 agreed to be interviewed. In these, the CAPS interview yielded a prevalence of full and subsyndromal PTSD of 9.5% (95% CI 7.4-11.6).Retrospectively rated feelings of helplessness (β=.47, p<.001) and pain intensity during MI (β=.15, p=.019) independently predicted PTSD symptom level.Conclusions: Almost 10% of post-MI patients had full or subsyndromal PTSD. Subjective perception of MI predicted self-rated PTSD symptom level.2

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Section: Discussionmentioning

confidence: 99%

Prevalence and predictors of posttraumatic stress disorder in patients with acute myocardial infarction

et al. 2008

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“…Some individuals, however, have clinicallysignificant PTSD symptoms but do not meet the full set of criteria required for PTSD (Mylle and Maes, 2004). In the absence of a formal diagnosis, terms like posttraumatic stress-reactions are used (Dyb et al, 2003).…”

Section: The Formal Diagnosis Of Ptsd According To the Diagnostic And mentioning

confidence: 99%

The meaning of posttraumatic stress-reactions following critical illness or injury and intensive care treatment

Corrigan

Samuelson

Fridlund

et al. 2007

Intensive and Critical Care Nursing

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“…The same applies to questions directed at impairment, which need to be clearer; the criteria could also be more flexible. This flexibility has been studied by some authors with the concept of partial, subsyndromal or subthreshold PTSD (PPTSD) 27,28,29,30 . In general, a diagnosis of PPTSD requires the presence of at least one symptom for each criterion of PTSD; criteria E (time) and F (impairment and distress) are maintained 30 .…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, Stein et al 30 have reported that partial PTSD subjects presented social and occupational impairments as severe as those with full-blown PTSD. Mylle & Maes 29 propose that "subsyndromal PTSD" is a syndrome where at least one symptom of each criterion is required, whereas "partial PTSD" requires the presence of criterion F and does not necessarily require any other criteria. Regarding the type of traumatic event, Breslau et al 31 found differences between full-blown PTSD and PPTSD, with the former presenting more often with "high magnitude events", similar to the findings of this study.…”

Section: Discussionmentioning

confidence: 99%

Accuracy of the Composite International Diagnostic Interview (CIDI 2.1) for diagnosis of post-traumatic stress disorder according to DSM-IV criteria

et al. 2012

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The objective was to study the accuracy of the post-traumatic stress disorder (PTSD) section of the Composite International Diagnostic Interview (CIDI 2.1) DSM-IV diagnosis, using the Structured Clinical Interview (SCID) as gold standard, and compare the ICD-10 and DSM IV classifications for PTSD. The CIDI was applied by trained lay interviewers and the SCID by a psychologist. The subjects were selected from a community and an outpatient program. A total of 67 subjects completed both assessments. Kappa coefficients for the ICD-10 and the DSM IV compared to the SCID diagnosis were 0.67 and 0.46 respectively. Validity for the DSM IV diagnosis was: sensitivity (51.5%), specificity (94.1%), positive predictive value (9.5%), negative predictive value (66.7%), misclassification rate (26.9%). The CIDI 2.1 demonstrated low validity coefficients for the diagnosis of PTSD using DSM IV criteria when compared to the SCID. The main source of discordance in this study was found to be the high probability of false-negative cases with regards to distress and impairment as well as to avoidance symptoms.

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Partial posttraumatic stress disorder revisited

Cited by 174 publications

References 22 publications

Prevalence and predictors of posttraumatic stress disorder in patients with acute myocardial infarction

Prevalence and predictors of posttraumatic stress disorder in patients with acute myocardial infarction

The meaning of posttraumatic stress-reactions following critical illness or injury and intensive care treatment

Accuracy of the Composite International Diagnostic Interview (CIDI 2.1) for diagnosis of post-traumatic stress disorder according to DSM-IV criteria

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