PMID: 16638250Apr 28, 2006Paper

Posttraumatic stress disorder in primary care with special reference to personality disorder comorbidity.

The British Journal of General Practice : the Journal of the Royal College of General Practitioners
Manuel Gómez-BeneytoLuis Gonzalez-Luján

Abstract

Posttraumatic stress disorder (PTSD) is a common and disabling disturbance in primary care. Few studies have been carried out in primary care samples and none have taken into consideration the association between PTSD and personality disorder. To describe prevalence and risk factors of PTSD and its comorbidity with personality disorder. General practice centre in Valencia (Spain). Patients who had experienced at least one traumatic event in their lives were selected from a random sample attending a primary healthcare centre in Valencia and blindly assessed by trained professionals. Patients suffering from PTSD were compared with those who were not. PTSD and personality disorder diagnoses were established using CIDI and SCID-II interviews respectively. Sex, age at the time of experiencing trauma, frequency, multiplicity and type of trauma, dissociative symptoms, personality disorder and severity of PTSD were subjected to multivariate analysis to estimate the probability of developing PTSD and its duration. Life prevalence rate was 14% and current prevalence 9%. Dissociative symptoms and personality disorder were significantly associated with PTSD. Cluster analysis based on age, frequency and type of trauma revealed the existence...Continue Reading

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