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Journal of Psychopathology and Behavioral Assessment

Gepubliceerd in:

01-06-2013

Trauma Exposure in Anxious Primary Care Patients

Auteurs: J. Bomyea, A. J. Lang, D. Golinelli, M. G. Craske, D. A. Chavira, C. D. Sherbourne, R. D. Rose, L. Campbell-Sills, S. S. Welch, G. Sullivan, A. Bystritsky, P. Roy-Byrne, M. B. Stein

Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment | Uitgave 2/2013

Abstract

The present study examined rates of trauma exposure, clinical characteristics associated with trauma exposure, and the effect of trauma exposure on treatment outcome in a large sample of primary care patients without posttraumatic stress disorder (PTSD). Individuals without PTSD (N = 1,263) treated as part of the CALM program (Roy-Byrne et al., Journal of the American Medical Association 303(19)1921–1928, 2010) were assessed for presence of trauma exposure. Those with and without trauma exposure were compared on baseline demographic and diagnostic information, symptom severity, and responder status six months after beginning treatment. Trauma-exposed individuals (N = 662, 53 %) were more likely to meet diagnostic criteria for Obsessive Compulsive Disorder and had higher levels of somatic symptoms at baseline. Individuals with and without trauma exposure did not differ significantly on severity of anxiety, depression, or mental health functioning at baseline. Trauma exposure did not significantly impact treatment response. Findings suggest that adverse effects of trauma exposure in those without PTSD may include OCD and somatic anxiety symptoms. Treatment did not appear to be adversely impacted by trauma exposure. Thus, although trauma exposure is prevalent in primary care samples, results suggest that treatment of the presenting anxiety disorder is effective irrespective of trauma history.

vorige artikel Development and Validation of the Social Exercise and Anxiety Measure (SEAM): Assessing Fears, Avoidance, and Importance of Social Exercise

volgende artikel The Factor Structure of the COPE Questionnaire in a Sample of Clinically Depressed and Anxious Adults

Note: Because of the statistical trend indicating a greater proportion of females in the trauma exposed group analyses comparing baseline severity and outcome at 6-months were also conducted with gender as a covariate. This did not change the pattern of results.

Results of analyses using continuous BSI-12 scores as the dependent variable produced equivalent results.

Alim, T. N., Graves, E., Mellman, T. A., Aigbogun, N., Gray, E., Lawson, W., & Charney, D. S. (2006). Trauma exposure, posttraumatic stress disorder and depression in an African american primary care population. Journal of the National Medical Association, 98(10), 1630–1636. Retrieved from www.csa.com

Bijl, R. V., & Ravelli, A. (2000). Current and residual functional disability associated with psychopathology: Findings from the Netherlands mental health survey and incidence study (NEMESIS). Psychological Medicine: A Journal of Research in Psychiatry and the Allied Sciences, 30(3), 657–668. doi:10.1017/S0033291799001841.CrossRef

Breslau, N., Chilcoat, H. D., Kessler, R. C., & Davis, G. C. (1999). Previous exposure to trauma and PTSD effects of subsequent trauma: Results from the Detroit area survey of trauma. The American Journal of Psychiatry, 156(6), 902–907. Retrieved from www.csa.com

Breslau, N., Davis, G. C., & Schultz, L. R. (2003). Posttraumatic stress disorder and the incidence of nicotine, alcohol, and other drug disorders in persons who have experienced trauma. Archives of General Psychiatry, 60(3), 289–294. doi:10.1001/archpsyc.60.3.289.PubMedCrossRef

Brown, T. A., Antony, M. M., & Barlow, D. H. (1995). Diagnostic comorbidity in panic disorder: Effect on treatment outcome and course of comorbid diagnoses following treatment. Journal of Consulting and Clinical Psychology, 63(3), 408–418. doi:10.1037/0022-006X.63.3.408.PubMedCrossRef

Bruce, S. E., Weisberg, R. B., Dolan, R. T., Machand, J. T., Kessler, R. C., Manchester, G., & Keller, M. B. (2001). Trauma and posttraumatic stress disorder in primary care patients. Primary Care Companion to the Journal of Clinical Psychiatry, 2, 211–217.CrossRef

Bryant, R. A., O’Donnell, M. L., Creamer, M., McFarlane, A. C., Clark, C. R., & Silove, D. (2010). The psychiatric sequelae of traumatic injury. The American Journal of Psychiatry, 167(3), 312–320. doi:10.1176/appi.ajp.2009.09050617.PubMedCrossRef

Campbell-Sills, L., Norman, S. B., Craske, M. G., Sullivan, G., Lang, A. J., Chavira, D. A., & Stein, M. B. (2009). Validation of a brief measure of anxiety-related severity and impairment: The overall anxiety severity and impairment scale (OASIS). Journal of Affective Disorders, 112(1–3), 92–101. doi:10.1016/j.jad.2008.03.014.PubMedCrossRef

Coid, J., Petruckevitch, A., Chung, W., Richardson, J., Moorey, S., & Feder, G. (2003). Abusive experiences and psychiatric morbidity in women primary care attenders. The British Journal of Psychiatry, 183(4), 332–339. doi:10.1192/bjp.183.4.332.PubMedCrossRef

Cougle, J. R., Timpano, K. R., Sachs-Ericsson, N., Keough, M. E., & Riccardi, C. J. (2010). Examining the unique relationships between anxiety disorders and childhood physical and sexual abuse in the national comorbidity survey-replication. Psychiatry Research, 177(1–2), 150–155. doi:10.1016/j.psychres.2009.03.008.PubMedCrossRef

Craske, M. G., Roy-Byrne, P. P., Stein, M. B., Sullivan, G., Sherbourne, C., & Bystritsky, A. (2009). Treatment for anxiety disorders: Efficacy to effectiveness to implementation. Behaviour Research and Therapy, 47(11), 931–937. doi:10.1016/j.brat.2009.07.012.PubMedCrossRef

Craske, M. G., Stein, M. B., Sullivan, G., Sherbourne, C., Bystritsky, A., Rose, R. D., & Roy-Byrne, P. (2011). Disorder-specific impact of coordinated anxiety learning and management treatment for anxiety disorders in primary care. Archives of General Psychiatry, 68(4), 378–387. doi:10.1001/archgenpsychiatry.2011.25.PubMedCrossRef

Cromer, K. R., Schmidt, N. B., & Murphy, D. L. (2007). An investigation of traumatic life events and obsessive-compulsive disorder. Behaviour Research and Therapy, 45(7), 1683–1691. doi:10.1016/j.brat.2006.08.018.PubMedCrossRef

de Silva, P., & Marks, M. (1999). The role of traumatic experiences in the genesis of obsessive compulsive disorder. Behaviour Research and Therapy, 37(10), 41–51.

de Silva, P., & Marks, M. (2001). Traumatic experiences, post-traumatic stress disorder and obsessive-compulsive disorder. International Review of Psychiatry, 13(3), 172–180. doi:10.1080/09540260120073993.CrossRef

Derogatis, L. R., & Savitz, K. L. (2000). In M. E. Maruish (Ed.), The SCL–90–R and brief symptom inventory (BSI) in primary care (pp. 297–334). Mahwah, NJ: Lawrence Erlbaum Associates Publishers.

Forbes, D., Creamer, M., Hawthorne, G., Allen, N., & McHugh, T. (2003). Comorbidity as a predictor of symptom change after treatment in combat-related posttraumatic stress disorder. The Journal of Nervous and Mental Disease, 191(2), 93–99. doi:10.1097/00005053-200302000-00005.PubMed

Fournier, J. C., DeRubeis, R. J., Shelton, R. C., Hollon, S. D., Amsterdam, J. D., & Gallop, R. (2009). Prediction of response to medication and cognitive therapy in the treatment of moderate to severe depression. Journal of Consulting and Clinical Psychology, 77(4), 775–787. doi:10.1037/a0015401.PubMedCrossRef

Galea, S., Ahern, J., Resnick, H., Kilpatrick, D., Bucuvalas, M., Gold, J., & Vlahov, D. (2002). Psychological sequelae of the September 11 terrorist attacks in new york city. The New England Journal of Medicine, 346(13), 982–987. doi:10.1056/NEJMsa013404.PubMedCrossRef

Gershuny, B. S., Bear, L., Radomsky, A. S., Wilson, K. A., & Jenike, M. A. (2003). Connections among symptoms of obsessive-compulsive disorder and posttraumatic stress disorder: A case series. Behaviour Research and Therapy, 41(9), 1029–41.PubMedCrossRef

Gillespie, C. F., Bradley, B., Mercer, K., Smith, A. K., Conneely, K., Gapen, M., & Ressler, K. J. (2009). Trauma exposure and stress-related disorders in inner city primary care patients. General Hospital Psychiatry, 31(6), 505–514. doi:10.1016/j.genhosppsych.2009.05.003.PubMedCrossRef

Glover, K., Olfson, M., Gameroff, M. J., & Neria, Y. (2010). Assault and mental disorders: A cross sectional study of urban adult primary care patients. Psychiatric Services, 61(10), 1018–1023. doi:10.1176/appi.ps.61.10.1018.PubMedCrossRef

Grabe, H. J., Meyer, C., Hapke, U., Rumpf, H., Freyberger, H. J., Dilling, H., & Ulrich, J. (2001). Lifetime-comorbidity of obsessive-compulsive disorder and subclinical obsessive-compulsive disorder in northern Germany. European Archives of Psychiatry and Clinical Neuroscience, 251(3), 130–135. doi:10.1007/s004060170047.PubMedCrossRef

Grabe, H. J., Ruhrmann, S., Spitzer, C., Josepeit, J., Ettelt, S., Buhtz, F., & Freyberger, H. J. (2008). Obsessive compulsive disorder and posttraumatic stress disorder. Psychopathology, 41(2), 129–134. doi:10.1159/000112029.PubMedCrossRef

Green, B. L., Goodman, L. A., Krupnick, J. L., Corcoran, C. B., Petty, R. M., Stockton, P., & Stern, N. M. (2000). Outcomes of single versus multiple trauma exposure in a screening sample. Journal of Traumatic Stress, 13(2), 271–286. doi:10.1023/A:1007758711939.PubMedCrossRef

Hollingsworth, C. E., Tanguay, P. E., Grossman, L., & Pabst, P. (1980). Long-term outcome of Obsessive-Compulsive Disorder in childhood. Journal of the American Academy of Child Psychiatry, 19(1), 134–144. doi:10.1016/S0002-7138(09)60658-0.PubMedCrossRef

Huppert, J. D., Moser, J. S., Gershuny, B. S., Riggs, D. S., Spokas, M., Filip, J., & Foa, E. B. (2005). The relationship between obsessive-compulsive and posttraumatic stress symptoms in clinical and non-clinical samples. Journal of Anxiety Disorders, 19(1), 127–136. doi:10.1016/j.janxdis.2004.01.001.PubMedCrossRef

James, I. A., Southam, L., & Blackburn, I. M. (2004). Schemas revisited. Clinical Psychology & Psychotherapy, 11(6), 369–377. doi:10.1002/cpp.423.CrossRef

Kartha, A., Brower, V., Saitz, R., Samet, J. H., Keane, T. M., & Liebschutz, J. (2008). The impact of trauma exposure and post-traumatic stress disorder on healthcare utilization among primary care patients. Medical Care, 46(4), 388–393. doi:10.1097/MLR.0b013e31815dc5d2.PubMedCrossRef

Kessler, R. C., Sonnega, A., Bromet, E., Hughes, M., & Nelson, C. B. (1995). Posttraumatic stress disorder in the National Comorbidity Survey. Archives of General Psychiatry, 52(12), 1048–1606.PubMedCrossRef

Khanna, S., Rajendra, P. N., & Channabasavanna, S. M. (1988). Life events and onset of obsessive compulsive disorder. The International Journal of Social Psychiatry, 34(4), 305–309. doi:10.1177/002076408803400408.PubMedCrossRef

Khoury, L., Tang, Y. L., Bradley, B., Cubells, J. F., & Ressler, K. J. (2010). Substance use, childhood traumatic experience, and posttraumatic stress disorder in an urban civilian population. Depression and Anxiety, 27(12), 1077–1086. doi:10.1002/da.20751.PubMedCrossRef

Kipper, L., Blaya, C., Wachleski, C., Dornelles, M., Salum, G. A., Heldt, E., & Manfro, G. G. (2007). Trauma and defense style as response predictors of pharmacological treatment in panic patients. European Psychiatry, 22(2), 87–91. doi:10.1016/j.eurpsy.2006.09.009.PubMedCrossRef

Kirmayer, L. J., Robbins, J. M., Dworkind, M., & Yaffe, M. J. (1993). Somatization and the recognition of depression and anxiety in primary care. The American Journal of Psychiatry, 150(5), 734–741. Retrieved from www.csa.com

Kraemer, H. C., Wilson, G. T., Fairburn, C. G., & Agras, W. S. (2002). Mediators and moderators of treatment effects in randomized clinical trials. Archives of General Psychiatry, 59(10), 877–883. doi:10.1001/archpsyc.59.10.877.PubMedCrossRef

Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16(9), 606–613. doi:10.1046/j.1525-1497.2001.016009606.x.PubMedCrossRef

Kroenke, K., Spitzer, R. L., Williams, J. B., Monahan, P. O., & Lowe, B. (2007). Anxiety disorders in Primary care: prevalence, impairment, comorbidity, and detection. Annals of Intern Medicine, 146, 317–325.CrossRef

Löew, B., Kroenke, K., Spitzer, R. L., Williams, J. B. W., Mussell, M., Rose, M., & Spitzer, C. (2011). Trauma exposure and Posttraumatic Stress Disorder in primary care patients: Cross sectional criterion standard study. The Journal of Clinical Psychiatry, 72(3), 304–12.CrossRef

Marshall, R. D., Olfson, M., Hellman, F., Blanco, C., Guardino, M., & Struening, E. L. (2001). Comorbidity, impairment, and suicidality in subthreshold PTSD. The American Journal of Psychiatry, 158(9), 1467–1473. doi:10.1176/appi.ajp.158.9.1467.PubMedCrossRef

McQuaid, J. R., Pedrelli, P., McCahill, M. E., & Stein, M. B. (2001). Reported trauma, post traumatic stress disorder and major depression among primary care patients. Psychological Medicine: A Journal of Research in Psychiatry and the Allied Sciences, 31(7), 1249–1257. doi:10.1017/S0033291701004202.CrossRef

Mellman, T. A., Aigbogun, N., Graves, R. E., Lawson, W. B., & Alim, T. N. (2008). Sleep paralysis and trauma, psychiatric symptoms and disorders in an adult african american population attending primary medical care. Depression and Anxiety, 25(5), 435–440. doi:10.1002/da.20311.PubMedCrossRef

Michelson, L., June, K., Vives, A., Testa, S., & Marchione, N. (1998). The role of trauma and dissociation in cognitive-behavioral psychotherapy outcome and maintenance for panic disorder with agoraphobia. Behaviour Research and Therapy, 36(11), 1011–1050. doi:10.1016/S0005-7967(98)00073-4.PubMedCrossRef

North, C. S., Nixon, S. J., Shariat, S., Mallonee, S., McMillen, J. C., Spitznagel, E. L., & Smith, E. M. (1999). Psychiatric disorders among survivors of the Oklahoma city bombing. JAMA: The Journal of the American Medical Association, 282(8), 755–762. doi:10.1001/jama.282.8.755.CrossRef

Piersma, H. L., Reaume, W. M., & Boes, J. L. (1994). The Brief Symptom Inventory (BSI) as an outcome measure for adult psychiatric inpatients. Journal of Clinical Psychology, 50(4), 555–563.PubMedCrossRef

Pini, S., Perkonnig, A., Tansella, M., & Wittchen, H. (1999). Prevalence and 12-month outcome of threshold and subthreshold mental disorders in primary care. Journal of Affective Disorders, 56(1), 37–48. doi:10.1016/S0165-0327(99)00141-X.PubMedCrossRef

Pitman, R. K. (1993). Posttraumatic obsessive-compulsive disorder: A case study. Comprehensive Psychiatry, 34(2), 102–107. doi:10.1016/0010-440X(93)90054-8.PubMedCrossRef

Roy-Byrne, P., Craske, M. G., Sullivan, G., Rose, R. D., Edlund, M. J., Lang, A. J., & Stein, M. B. (2010). Delivery of evidence-based treatment for multiple anxiety disorders in primary care: A randomized controlled trial. JAMA: The Journal of the American Medical Association, 303(19), 1921–1928. doi:10.1001/jama.2010.608.CrossRef

Sasson, Y., Dekel, S., Nacasch, N., Chopra, M., Zinger, Y., Amital, D., & Zohar, J. (2005). Posttraumatic obsessive-compulsive disorder: A case series. Psychiatry Research, 135(2), 145–152. doi:10.1016/j.psychres.2004.05.026.PubMedCrossRef

Scholing, A., & Emmelkamp, P. M. G. (1999). Prediction of treatment outcome in social phobia: A cross-validation. Behaviour Research and Therapy, 37(7), 659–670. doi:10.1016/S0005-7967(98)00175-2.PubMedCrossRef

Seivewright, H., Tyrer, P., & Johnson, T. (1998). Prediction of outcome in neurotic disorder: A 5 year prospective study. Psychological Medicine: A Journal of Research in Psychiatry and the Allied Sciences, 28(5), 1149–1157. doi:10.1017/S0033291798007119.CrossRef

Serrano-Blanco, A., Palao, D. J., Luciano, J. V., Pinto-Meza, A., Luján, L., Fernández, A., & Haro, J. M. (2010). Prevalence of mental disorders in primary care: Results from the diagnosis and treatment of mental disorders in primary care study (DASMAP). Social Psychiatry and Psychiatric Epidemiology, 45(2), 201–210. doi:10.1007/s00127-009-0056-y.PubMedCrossRef

Shavitt, R. G., Valério, C., Fossaluza, V., da Silva, E. M., Cordeiro, Q., Diniz, J. B., & Miguel, E. C. (2010). The impact of trauma and post-traumatic stress disorder on the treatment response of patients with obsessive-compulsive disorder. European Archives of Psychiatry and Clinical Neuroscience, 260(2), 91–99. doi:10.1007/s00406-009-0015-3.PubMedCrossRef

Sheehan, D. V., Harnett-Sheehan, K., & Raj, B. A. (1996). The measurement of disability. International Clinical Psychopharmacology, 11(S3), 89–95. doi:10.1097/00004850-199606003-00015.PubMedCrossRef

Sheehan, D. V., Lecrubier, Y., Sheehan, K. H., Amorim, P., Janavs, J., Weiller, E., . . . Dunbar, G. C. (1998). The mini-international neuropsychiatric interview (M.I.N.I): The development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. Journal of Clinical Psychiatry, 59(S20), 22–33. Retrieved from www.csa.com

Simon, N. M., Herlands, N. N., Marks, E. H., Mancini, C., Letamendi, A., Li, Z., & Stein, M. B. (2009). Childhood maltreatment linked to greater severity and poorer quality of life and function in social anxiety disorder. Depression and Anxiety, 26(11), 1027–1032. doi:10.1002/da.20604.PubMedCrossRef

Simpson, T. L., & Miller, W. R. (2002). Concomitance between childhood sexual and physical abuse and substance use problems: A review. Clinical Psychology Review, 22(1), 27–77. doi:10.1016/S0272-7358(00)00088-X.PubMedCrossRef

Solvason, H. B., Ernst, H., & Roth, W. (2003). Predictors of response in anxiety disorders. Psychiatric Clinics of North America. Special Issue: Drug Therapy: Predictors of Response, 26(2), 411–433. doi:10.1016/S0193-953X(03)00027-3.CrossRef

Stein, D. J., Montgomery, S. A., Kasper, S., & Tanghoj, P. (2001). Predictors of response to pharmacotherapy with citalopram in obsessive-compulsive disorder. International Clinical Psychopharmacology, 16(6), 357–361. doi:10.1097/00004850-200111000-00007.PubMedCrossRef

Tsao, J. C. I., Lewin, M. R., & Craske, M. G. (1998). The effects of cognitive-behavior therapy for panic disorder on comorbid conditions. Journal of Anxiety Disorders, 12(4), 357–371. doi:10.1016/S0887-6185(98)00020-6.PubMedCrossRef

Wang, P. S., Lane, M., Olfson, M., Pincus, H. A., Wells, K. B., & Kessler, R. C. (2005). Twelve month use of mental health services in the United States: Results from the national comorbidity survey replication. Archives of General Psychiatry, 62(6), 629–640. doi:10.1001/archpsyc.62.6.629.PubMedCrossRef

Ware, J. E., Kosinski, M., Turner-Bowker, D. M., & Gandek, B. (2002). How to Score Version 2 of the SF-12™ Health Survey (With a Supplement Documenting Version 1) (p. 2002). Lincoln (RI): QualityMetric Incorporated.

Weisberg, R. B., Dyck, I., Culpepper, L., & Keller, M. B. (2007). Psychiatric treatment in primary care patients with anxiety disorders: A comparison of care received from primary care providers and psychiatrists. The American Journal of Psychiatry, 164(2), 276–282. doi:10.1176/appi.ajp.164.2.276.PubMedCrossRef

Titel: Trauma Exposure in Anxious Primary Care Patients
Auteurs: J. Bomyea
A. J. Lang
D. Golinelli
M. G. Craske
D. A. Chavira
C. D. Sherbourne
R. D. Rose
L. Campbell-Sills
S. S. Welch
G. Sullivan
A. Bystritsky
P. Roy-Byrne
M. B. Stein
Publicatiedatum: 01-06-2013
Uitgeverij: Springer US
Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment / Uitgave 2/2013
Print ISSN: 0882-2689
Elektronisch ISSN: 1573-3505
DOI: https://doi.org/10.1007/s10862-012-9327-0

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Trauma Exposure in Anxious Primary Care Patients

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