The capacity of acute stress disorder to predict posttraumatic psychiatric disorders

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dc.contributor.authorBryant, R.
dc.contributor.authorCreamer, M.
dc.contributor.authorO'Donnell, M.
dc.contributor.authorSilove, D.
dc.contributor.authorMcFarlane, A.
dc.date.issued2012
dc.description.abstract<h4>Background</h4>One rationale for establishing the acute stress disorder diagnosis was to identify recently trauma-exposed people who may develop later posttraumatic stress disorder (PTSD). This study conducted a multi-site assessment of the extent to which ASD predicts subsequent PTSD, and also major depressive disorder, panic disorder, agoraphobia, social phobia, specific phobia, generalized anxiety disorder, and substance use disorder, 12 months after trauma.<h4>Method</h4>Consecutive admissions to 5 major trauma hospitals across Australia (N = 1084) were assessed during hospital admission and within one month of trauma exposure and subsequently re-assessed for psychiatric disorder 12 months after the initial assessment (N = 859).<h4>Results</h4>Whereas 120 (10%) patients met criteria for ASD in the initial month after trauma, 83 (10%) met criteria for PTSD, and 268 (31%) had any psychiatric disorder at 12 months. In terms of those diagnosed with ASD, 28 (36%) subsequently met criteria for PTSD and 50 (65%) subsequently developed any psychiatric disorder.<h4>Conclusions</h4>Whereas the majority of people with ASD subsequently develop a psychiatric disorder, most people with a disorder at 12 months do not initially display ASD.
dc.description.statementofresponsibilityRichard A. Bryant, Mark Creamer, Meaghan O’Donnell, Derrick Silove and Alexander C. McFarlane
dc.identifier.citationJournal of Psychiatric Research, 2012; 46(2):168-173
dc.identifier.doi10.1016/j.jpsychires.2011.10.007
dc.identifier.issn0022-3956
dc.identifier.issn1879-1379
dc.identifier.orcidMcFarlane, A. [0000-0002-3829-9509]
dc.identifier.urihttp://hdl.handle.net/2440/72746
dc.language.isoen
dc.publisherPergamon-Elsevier Science Ltd
dc.relation.granthttp://purl.org/au-research/grants/nhmrc/300403
dc.relation.granthttp://purl.org/au-research/grants/nhmrc/359284
dc.rights© 2011 Elsevier Ltd. All rights reserved.
dc.source.urihttps://doi.org/10.1016/j.jpsychires.2011.10.007
dc.subjectHumans
dc.subjectSensitivity and Specificity
dc.subjectRetrospective Studies
dc.subjectReproducibility of Results
dc.subjectPredictive Value of Tests
dc.subjectMental Disorders
dc.subjectStress Disorders, Traumatic, Acute
dc.subjectStress Disorders, Post-Traumatic
dc.subjectPsychiatric Status Rating Scales
dc.subjectAdolescent
dc.subjectAdult
dc.subjectAged
dc.subjectMiddle Aged
dc.subjectAustralia
dc.subjectFemale
dc.subjectMale
dc.subjectYoung Adult
dc.titleThe capacity of acute stress disorder to predict posttraumatic psychiatric disorders
dc.typeJournal article
pubs.publication-statusPublished

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