University of Oklahoma Health Sciences Center

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Author/s:

Ostacher, Michael J., Cifu, Adam S.

Date Added:

December 21, 2018

Journal/Publication:

JAMA

Publisher:

American Medical Association

Publication Date:

December 17, 2018

URL:

Management of Posttraumatic Stress Disorder

Type:

Meta-analyses, Reviews, and Guidelines, Meta-analyses, Reviews, and Guidelines

Format:

Article

DOI (1):

10.1001/jama.2018.19290

PMID (1):

30556838

Keywords

post-traumatic stress disorder

veterans

psychotherapy

MeSH

Stress Disorders

stress disorders, post-traumatic

diagnostic and statistical manual of mental disorders

United States Department of Veterans Affairs

veterans health

RPR Commentary

This Veterans Affairs/Dept. of Defense Guideline recommends referral for individual, manualized trauma-focused psychotherapy (TFP) as the first line treatment for PTSD. Patients unwilling to undergo that treatment may benefit from SSRIs.

Abstract

Summary of the Clinical Problem

Individuals who have been personally or indirectly exposed to actual or threatened death, serious injury, or sexual violence have a wide range of psychological responses, from transient, nondebilitating reactions to symptoms that meet the Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition) criteria for acute stress disorder or PTSD. Between 6% and 7% of adults in the US general population are estimated to experience PTSD during their lifetime. The prevalence is higher in women than in men. In 2016, 10.6% of veterans receiving care in the Veterans Health Administration had a diagnosis of PTSD. Among veterans who served in Iraq and/or Afghanistan, 26.7% of those seeking care in the Veterans Health Administration receive a PTSD diagnosis.

Text Availability

Commercial full text (fees may apply)