Subthreshold posttraumatic stress disorder in the world health organization world mental health surveys

Simple item page
dc.contributor.affiliationDepartment of Psychology (KAM), University of Washington, Seattle, Washington
dc.contributor.emailKessler@hcp.med.harvard.edu (Ronald C. Kessler)
dc.creatorMcLaughlin, Katie A.es_ES
dc.creatorKoenen, Karestan C.es_ES
dc.creatorFriedman, Matthew J.es_ES
dc.creatorMeron Ruscio, Ayeletes_ES
dc.creatorKaram, Elie G.es_ES
dc.creatorShahly, Victoriaes_ES
dc.creatorStein, Dan J.es_ES
dc.creatorHill, Eric D.es_ES
dc.creatorPetukhova, Mariaes_ES
dc.creatorAlonso, Jordies_ES
dc.creatorAndrade, Laura Helenaes_ES
dc.creatorAngermeyer, Matthias C.es_ES
dc.creatorBorges, Guilhermees_ES
dc.creatorGirolamo, Giovanni dees_ES
dc.creatorGraaf, Ron dees_ES
dc.creatorDemyttenaere, Koenes_ES
dc.creatorFlorescu, Silvia E.es_ES
dc.creatorMladenova, Mayaes_ES
dc.creatorPosada-Villa, Josees_ES
dc.creatorScott, Kate M.es_ES
dc.creatorTakeshima, Tadashies_ES
dc.creatorKessler, Ronald C.es_ES
dc.date2015
dc.date.accessioned2025-08-22T16:11:11Z
dc.date.accessioned2026-03-27T15:32:22Z
dc.date.available2025-08-22T16:11:11Z
dc.date.issued2015
dc.date.published2015
dc.descriptionBackground: Although only a few people exposed to a traumatic event (TE) develop posttraumatic stress disorder (PTSD), symptoms that do not meet full PTSD criteria are common and often clinically significant. Individuals with these symptoms sometimes have been characterized as having subthreshold PTSD, but no consensus exists on the optimal definition of this term. Data from a large cross-national epidemiologic survey are used in this study to provide a principled basis for such a definition. Methods: The World Health Organization World Mental Health Surveys administered fully structured psychiatric diagnostic interviews to community samples in 13 countries containing assessments of PTSD associated with randomly selected TEs. Focusing on the 23,936 respondents reporting lifetime TE exposure, associations of approximated DSM-5 PTSD symptom profiles with six outcomes (distress-impairment, suicidality, comorbid fear-distress disorders, PTSD symptom duration) were examined to investigate implications of different subthreshold definitions. Results: Although consistently highest outcomes for distress-impairment, suicidality, comorbidity, and PTSD symptom duration were observed among the 3.0% of respondents with DSM-5 PTSD rather than other symptom profiles, the additional 3.6% of respondents meeting two or three of DSM-5 criteria B-E also had significantly elevated scores for most outcomes. The proportion of cases with threshold versus subthreshold PTSD varied depending on TE type, with threshold PTSD more common following interpersonal violence and subthreshold PTSD more common following events happening to loved ones. Conclusions: Subthreshold DSM-5 PTSD is most usefully defined as meeting two or three of DSM-5 criteria B-E. Use of a consistent definition is critical to advance understanding of the prevalence, predictors, and clinical significance of subthreshold PTSD.es_ES
dc.formatPDFes_ES
dc.identifier.doi10.1016/j.biopsych.2014.03.028
dc.identifier.eissn1873-2402
dc.identifier.issn0006-3223
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.placeEstados Unidos
dc.identifier.urihttps://doi.org/10.1016/j.biopsych.2014.03.028
dc.identifier.urihttps://pmc.ncbi.nlm.nih.gov/articles/PMC4194258/
dc.identifier.urihttps://repositorio.inprf.gob.mx/handle/123456789/8386
dc.language.isoenges_ES
dc.publisherElsevieres_ES
dc.relation77(4):375-384
dc.relation.jnabreviadoBIOL PSYCHIATRY
dc.relation.journalBiological Psychiatry
dc.rightsAcceso Cerradoes_ES
dc.subject.kwEpidemiology
dc.subject.kwNosology
dc.subject.kwPartial PTSD
dc.subject.kwPosttraumatic stress disorder
dc.subject.kwPTSD
dc.subject.kwSubthreshold PTSD
dc.titleSubthreshold posttraumatic stress disorder in the world health organization world mental health surveyses_ES
dc.typeArtículoes_ES

Files

License bundle

Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Plain Text
Description:
Download

Collections

Artículos de revista