A multisite study of the capacity of acute stress disorder diagnosis to predict posttraumatic stress disorder

The Journal of Clinical Psychiatry
Richard A BryantAlexander C McFarlane

Abstract

Previous studies investigating the relationship between acute stress disorder (ASD) and posttraumatic stress disorder (PTSD) have reported mixed findings and have been flawed by small sample sizes and single sites. This study addresses these limitations by conducting a large-scale and multisite study to evaluate the extent to which ASD predicts subsequent PTSD. Between April 2004 and April 2005, patients admitted consecutively to 4 major trauma hospitals across Australia (N = 597) were randomly selected and assessed for ASD (DSM-IV criteria) during hospital admission (within 1 month of trauma exposure) and were subsequently reassessed for PTSD 3 months after the initial assessment (N = 507). Thirty-three patients (6%) met criteria for ASD, and 49 patients (10%) met criteria for PTSD at the 3-month follow-up assessment. Fifteen patients (45%) diagnosed with ASD and 34 patients (7%) not diagnosed with ASD subsequently met criteria for PTSD. The positive predictive power of PTSD criteria in the acute phase (0.60) was a better predictor of chronic PTSD than the positive predictive power of ASD (0.46). The majority of people who develop PTSD do not initially meet criteria for ASD. These data challenge the proposition that the ASD di...Continue Reading

Citations

Nov 18, 2011·Journal of Psychiatric Research·Richard A BryantAlexander C McFarlane
Feb 15, 2013·Depression and Anxiety·Jitender SareenSarvesh Logsetty
Oct 8, 2013·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Andreas MaerckerGeoffrey M Reed
Nov 3, 2011·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Kaela B ChiuKaren J Brasel
Apr 28, 2011·Journal of Traumatic Stress·Jonathan GuezHadar Shalev
Sep 13, 2011·Depression and Anxiety·Richard A BryantJames Strain
Feb 12, 2010·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Alexander C McFarlane
Jun 4, 2015·Continuum : Lifelong Learning in Neurology·Ricardo E Jorge
Dec 20, 2011·Journal of Behavior Therapy and Experimental Psychiatry·Muriel A Hagenaars, Arnoud Arntz
May 14, 2016·Journal of Child Psychology and Psychiatry, and Allied Disciplines·Rachel M HillerSarah L Halligan
Jan 3, 2019·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Arieh Y ShalevUNKNOWN International Consortium to Predict PTSD
Jul 6, 2018·Harvard Review of Psychiatry·Nina F Lewis-SchroederMilissa L Kaufman
Oct 14, 2018·Current Psychiatry Reports·Richard A Bryant
Jan 8, 2015·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Jitender Sareen
May 19, 2017·The Journal of Trauma and Acute Care Surgery·Eva VisserJolanda De Vries
Sep 1, 2010·Irish Journal of Psychological Medicine·Niall Crumlish

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