COMORBIDITY IN POSTTRAUMATIC-STRESS-DISORDER - AN ANALYSIS OF COMMUNITY AND CLINICAL-STUDIES

被引:242
作者
KEANE, TM [1 ]
WOLFE, J [1 ]
机构
[1] TUFTS UNIV,NEW ENGLAND MED CTR,BOSTON,MA 02111
关键词
D O I
10.1111/j.1559-1816.1990.tb01511.x
中图分类号
B84 [心理学];
学科分类号
04 ; 0402 ;
摘要
Post‐traumatic stress disorder (PTSD) is alleged to be associated with high rates of concurrent psychological disorders. This paper considers the available literature regarding comorbidity in PTSD and reviews in detail the findings to date. This critical evaluation includes studies of clinical samples, veterans community surveys, and population surveys. It also presents new data drawn from 50 PTSD cases assessed at the Boston PTSD Center using a comprehensive, multidimensional diagnostic procedure. The data firmly support the notion that PTSD, regardless of the nature of the trauma, is associated with high rates of other major psychological disorders including substance abuse, major depression, and personality disorders. Despite these findings the issue of cause and effect surrounding comorbidity remains open at this time. More research is needed to determine if exposure to extreme stressors in fact produces the broad spectrum of psychopathology suggested by individuals with PTSD or whether individuals with intrinsic vulnerability are more likely to develop PTSD when exposed to extreme stressors. Implications of the findings from this review are discussed with respect to concepts in diagnosis and comorbidity. Copyright © 1990, Wiley Blackwell. All rights reserved
引用
收藏
页码:1776 / 1788
页数:13
相关论文
共 28 条
  • [1] American Psychiatric Association, 1987, DIAGNOSTIC STAT MANU, V3rd
  • [2] BOYD JH, 1984, ARCH GEN PSYCHIAT, V41, P983
  • [3] POST-TRAUMATIC STRESS DISORDER IN HISPANIC VIETNAM VETERANS - CLINICAL PHENOMENOLOGY AND SOCIOCULTURAL CHARACTERISTICS
    ESCOBAR, JI
    RANDOLPH, ET
    PUENTE, G
    SPIWAK, F
    ASAMEN, JK
    HILL, M
    HOUGH, RL
    [J]. JOURNAL OF NERVOUS AND MENTAL DISEASE, 1983, 171 (10) : 585 - 596
  • [4] DIAGNOSTIC CRITERIA FOR USE IN PSYCHIATRIC RESEARCH
    FEIGHNER, JP
    WOODRUFF, RA
    WINOKUR, G
    MUNOZ, R
    ROBINS, E
    GUZE, SB
    [J]. ARCHIVES OF GENERAL PSYCHIATRY, 1972, 26 (01) : 57 - &
  • [5] FRIEDMAN MJ, 1988, AM J PSYCHIAT, V145, P281
  • [6] GOODWIN DW, 1984, PSYCHIATRIC DIAGNOSI
  • [7] POSTTRAUMATIC-STRESS-DISORDER IN THE GENERAL-POPULATION - FINDINGS OF THE EPIDEMIOLOGIC CATCHMENT-AREA SURVEY
    HELZER, JE
    ROBINS, LN
    MCEVOY, L
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 1987, 317 (26) : 1630 - 1634
  • [8] HELZER JE, 1988, OCT ANN M SOC TRAUM
  • [9] INPATIENT DIAGNOSIS OF POSTTRAUMATIC-STRESS-DISORDER
    HYER, L
    OLEARY, WC
    SAUCER, RT
    BLOUNT, J
    HARRISON, WR
    BOUDEWYNS, PA
    [J]. JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 1986, 54 (05) : 698 - 702
  • [10] VIETNAM VETERANS - OVERREPORTING VERSUS ACCEPTABLE REPORTING OF SYMPTOMS
    HYER, L
    BOUDEWYNS, P
    HARRISON, WR
    OLEARY, WC
    BRUNO, RD
    SAUCER, RT
    BLOUNT, JB
    [J]. JOURNAL OF PERSONALITY ASSESSMENT, 1988, 52 (03) : 475 - 486