Correlates and prevalence of post-traumatic stress disorders in the Sa tilde o Paulo metropolitan area, Brazil

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorCOELHO, Bruno Mendonca
dc.contributor.authorSANTANA, Geilson Lima
dc.contributor.authorDANTAS, Heloisa de Souza
dc.contributor.authorVIANA, Maria Carmen
dc.contributor.authorANDRADE, Laura Helena
dc.contributor.authorWANG, Yuan-Pang
dc.date.accessioned2023-04-14T18:10:12Z
dc.date.available2023-04-14T18:10:12Z
dc.date.issued2022
dc.description.abstractBackground: Post-traumatic stress disorder (PTSD) is a debilitating condition, which generates an extensive burden. We aimed to investigate in a huge metropolitan area, the prevalence of traumatic experiences, the development of PTSD, and its predictors. Methods: Traumatic experiences and PTSD were assessed in 5037 adult individuals of the general population. Cross-tabulations method assessed the prevalence of traumatic events and PTSD. Logistic regression models investigated predictors of lifetime and 12-month odds of PTSD and the conditional probability of developing PTSD for specific traumas. Results: Lifetime and 12-month diagnoses of PTSD were found in 3.2% and 1.6% of the sample. 'Witnessing anyone being injured or killed, or unexpectedly seeing a dead body' (35,7%) and 'being mugged or threatened with a weapon' (34.0%) were the two most reported traumas. The commonest events before PTSD onset were 'sudden unexpected death of a loved one' (34.0%), 'interpersonal violence' (31.0%), and 'threats to the physical integrity of others' (25.0%). Experiences related to ""interpersonal violence "" presented the highest conditional probability for PTSD (range 2.2-21.2%). Being 'sexually assaulted or molested' (21.2% total; 22.3% women; 0.0% men) and being 'raped' (18.8% total; 18.4% women; 20.1% men) were the two experiences with the highest odds for PTSD. While being female was a predictor of less exposure to any event (OR = 0.69), females were more prone to develop lifetime PTSD after exposure to an event (OR = 2.38). Conclusion: Traumatic events are frequent in the general population and a small group of traumatic events accounts for most cases of subsequent PTSD.eng
dc.description.indexMEDLINE
dc.description.indexPubMed
dc.description.indexWoS
dc.description.indexScopus
dc.description.sponsorshipFundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP, Sao Paulo Research Foundation) [2003/00204-3, 2011/50517-4]
dc.description.sponsorshipFundo de Apoio a Ciencia e Tecnologia do Municipio de Vitoria (FACI-TEC, Vitoria Municipal Science and Technology Fund) in the state of Espirito Santo, Brazil [002/2003]
dc.description.sponsorshipBrazilian Conselho Nacional de Desenvolvimento Cientifico e Tecnologico (CNPq, National Council for Scientific and Technological Development) [307623/2013-0]
dc.description.sponsorshipSao Paulo State Department of Public Safety
dc.description.sponsorshipUnited States National Institutes of Mental Health [R01MH070884]
dc.description.sponsorshipJohn D. and Catherine T. MacArthur Foundation
dc.description.sponsorshipPfizer Foundation
dc.description.sponsorshipUS Public Health Service [R13-MH066849, R01-MH069864, R01 DA016558]
dc.description.sponsorshipFogarty International Center [FIRCA R03-TW006481]
dc.description.sponsorshipPan American Health Organization
dc.description.sponsorshipEli Lilly and Company Foundation
dc.description.sponsorshipOrtho-McNeil Pharmaceutical, Inc.
dc.description.sponsorshipGlaxoSmithKline
dc.description.sponsorshipBristol-Myers Squibb
dc.description.sponsorshipShire
dc.identifier.citationJOURNAL OF PSYCHIATRIC RESEARCH, v.156, p.168-176, 2022
dc.identifier.doi10.1016/j.jpsychires.2022.09.047
dc.identifier.eissn1879-1379
dc.identifier.issn0022-3956
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/53265
dc.language.isoeng
dc.publisherPERGAMON-ELSEVIER SCIENCE LTDeng
dc.relation.ispartofJournal of Psychiatric Research
dc.rightsrestrictedAccesseng
dc.rights.holderCopyright PERGAMON-ELSEVIER SCIENCE LTDeng
dc.subject.othermental-healtheng
dc.subject.otherpolice officerseng
dc.subject.otherrisk-factorseng
dc.subject.othertraumaeng
dc.subject.otherviolenceeng
dc.subject.otherepidemiologyeng
dc.subject.othersymptomseng
dc.subject.otherlifetimeeng
dc.subject.otherburdeneng
dc.subject.wosPsychiatryeng
dc.titleCorrelates and prevalence of post-traumatic stress disorders in the Sa tilde o Paulo metropolitan area, Brazileng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.author.externalDANTAS, Heloisa de Souza:Fac Ciencias Med St Casa Sao Paulo, Sao Paulo, SP, Brazil
hcfmusp.author.externalVIANA, Maria Carmen:Univ Fed Espirito St, Hlth Sci Ctr, Dept Social Med Postgrad Program Publ Hlth, Vitoria, ES, Brazil
hcfmusp.citation.scopus0
hcfmusp.contributor.author-fmusphcBRUNO MENDONCA COELHO
hcfmusp.contributor.author-fmusphcGEILSON LIMA SANTANA JUNIOR
hcfmusp.contributor.author-fmusphcLAURA HELENA SILVEIRA GUERRA DE ANDRADE
hcfmusp.contributor.author-fmusphcWANG YUAN PANG
hcfmusp.description.beginpage168
hcfmusp.description.endpage176
hcfmusp.description.volume156
hcfmusp.origemWOS
hcfmusp.origem.pubmed36252346
hcfmusp.origem.scopus2-s2.0-85139839795
hcfmusp.origem.wosWOS:000920198100015
hcfmusp.publisher.cityOXFORDeng
hcfmusp.publisher.countryENGLANDeng
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