J Anxiety Disord. 2007;21(2):176-82. Epub 2006 Oct 19.

Is PTSD caused by traumatic stress?

Bodkin JA, Pope HG, Detke MJ, Hudson JI.

Source

Clinical Psychopharmacology Research Program, McLean Hospital, Belmont, MA 02478, USA. abodkin@mclean.harvard.edu

Abstract

Sequential subjects (N=103) presenting for pharmacologic treatment of major depression were examined prior to treatment for history of traumatic experiences. Subjects were also examined for symptoms of posttraumatic stress disorder (PTSD). Two blinded raters subsequently judged whether subjects' experiences met DSM-IV criteria for trauma (criterion A of PTSD). Among 54 subjects scored by both raters as having experienced trauma, 42 (78%) met all other DSM-IV criteria for PTSD. Among 36 subjects scored by both raters as not having experienced trauma, 28 displayed all other DSM-IV criteria for PTSD--also a rate of 78%. This equivalence suggests that in a treatment-seeking population, caution should be exercised in attributing the PTSD syndrome to trauma.

PMID:: 17055216; [PubMed - indexed for MEDLINE]

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Randomized Controlled Trial

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Antidepressive Agents

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