Citation

Whitman JB, North CS, Downs DL, Spitznagel EL. Ann. Clin. Psychiatry 2013; 25(2): E8-E17.

Affiliation

Department of Psychiatry/Division of Crisis and Disaster Psychiatry, University of Texas Southwestern Medical Center, Dallas, TX, USA. E-mail: Jeannie.Whitman@UTSouthwestern.edu.

Copyright

(Copyright © 2013, American Academy of Clinical Psychiatrists)

DOI

unavailable

PMID

23638449

Abstract

BACKGROUND: The course of posttraumatic stress disorder (PTSD) symptoms in the month after trauma exposure has not been determined adequately. Symptom group C (avoidance/numbing) has been identified retrospectively as a marker for PTSD, but prospective studies are needed to determine whether these symptoms can provide substantially earlier identification of those who will have PTSD 1 month after trauma exposure. METHODS: We evaluated 42 patients hospitalized for traumatic injuries over the first post-injury month to track development of posttraumatic symptoms. RESULTS: Symptoms emerged rapidly, with group B (intrusion) and group D (hyperarousal) symptoms occurring earlier than group C symptoms. At 1 week, group C criteria accurately predicted who would develop PTSD by 1 month, and by 2 weeks, group C criteria also predicted who would not develop PTSD by 1 month. CONCLUSIONS: The findings, if replicated, may permit earlier identification of PTSD and more timely, appropriate treatment.

Language: en