Subsyndromal posttraumatic stress disorder symptomatology in primary care military veterans: Treatment implications

Psychological Services

Volumn 9, Issue 4, 2012, Pages 383-389

  Kornfield, Sara L ^a,b   Klaus, Johanna ^a,b   McKay, Caroline ^a,b   Helstrom, Amy ^a,b   Oslin, David ^a,b  

^a VETERANS AFFAIRS MEDICAL CENTER   (United States)

^b UNIVERSITY OF PENNSYLVANIA   (United States)

Author keywords

Brief PTSD treatment; Military veterans; Posttraumatic stress disorder; Primary care mental health integration; PTSD and comorbid depression; Subsyndromal PTSD

Indexed keywords

ADULT; AGED; AROUSAL; ARTICLE; BEHAVIOR THERAPY; COMORBIDITY; COOPERATION; CROSS-SECTIONAL STUDY; FEMALE; HUMAN; INTEGRATED HEALTH CARE SYSTEM; INTERDISCIPLINARY COMMUNICATION; MAJOR DEPRESSION; MALE; MASS SCREENING; MIDDLE AGED; PATIENT REFERRAL; POSTTRAUMATIC STRESS DISORDER; PRIMARY HEALTH CARE; PSYCHOLOGICAL ASPECT; PSYCHOTHERAPY; PUBLIC HOSPITAL; STATISTICS; UNITED STATES; VETERAN; WAR;

ADULT; AFGHAN CAMPAIGN 2001-; AGED; AROUSAL; COMBAT DISORDERS; COMORBIDITY; COOPERATIVE BEHAVIOR; CROSS-SECTIONAL STUDIES; DELIVERY OF HEALTH CARE, INTEGRATED; DEPRESSIVE DISORDER, MAJOR; FEMALE; HOSPITALS, VETERANS; HUMANS; IMPLOSIVE THERAPY; INTERDISCIPLINARY COMMUNICATION; IRAQ WAR, 2003 - 2011; MALE; MASS SCREENING; MIDDLE AGED; PRIMARY HEALTH CARE; PSYCHOTHERAPY, BRIEF; REFERRAL AND CONSULTATION; STRESS DISORDERS, POST-TRAUMATIC; UNITED STATES; VETERANS;

EID: 84874577729     PISSN: 15411559     EISSN: None     Source Type: Journal    
DOI: 10.1037/a0028082     Document Type: Article

References (26)

1. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: Author.
2. Bishop, S. R., Lau, M. A., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., Devins, G. (2004). Mindfulness: A proposed operational definition. Clinical Psychology: Science and Practice, 11, 230-241. doi:10.1093/clipsy.bph077.
3. Blanchard, E., Jones-Alexander, J., Buckley, T., & Forneris, C. (1996). Psychometric properties of the PTSD checklist (PCL). Behaviour Research and Therapy, 34, 669-673. doi:10.1016/0005-7967(96)00033-2.
4. Breslau, N., Lucia, V., & Davis, G. (2004). Partial PSTD vs. full PTSD: An empirical examination of associated impairment. Psychological Medicine, 34, 1205-1214. doi:10.1017/S0033291704002594.
5. Carlier, I., & Gersons, B. (1995). Partial posttraumatic stress disorder (PTSD): the issue of psychological scars and the occurrence of PTSD symptoms. Journal of Nervous and Mental Disease, 183, 107-109. doi: 10.1097/00005053-199502000-00008.
6. Cukor, J., Wyka, K., Jayasinghe, N., & Difede, J. (2010). The nature and course of subthreshold PTSD. Journal of Anxiety Disorders, 24, 918-923. doi:10.1016/j.janxdis.2010.06.017.
7. Engel, C., Oxman, T., Yamamoto, C., Gould, D., Barry, S., Stewart, P., Dietrich, A. (2008). RESPECT-Mil: Feasibility of a systems-level collaborative care approach to depression and posttraumatic stress disorder in military primary care. Military Medicine, 173, 935-940.
8. Felker, B., Chaney, E., Rubenstein, L. V., Bonner, L., Yano, E. M., Parker, L., Ober, S. (2006). Developing effective collaboration between primary care and mental health providers. Primary Care Companion to the Journal of Clinical Psychiatry, 8, 12-16. doi:10.4088/PCC.v08n0102.
9. Follette, V. M., & Vijay, A. (2009). Mindfulness for trauma and posttraumatic stress disorder. In F. Didonna (Ed.), Clinical handbook of mindfulness (pp. 299-317). New York, NY: Springer Science + Business Media.
10. Grubaugh, A., Magruder, K., Waldrop, A., Elhai, J., Knapp, R., & Frueh, B. (2005). Subthreshold PTSD in primary care: Prevalence, psychiatric disorders, healthcare use, and functional status. Journal of Nervous and Mental Disease, 193, 658-664. doi:10.1097/01.nmd.0000180740.02644.ab.
11. Jakupcak, M., Roberts, L. J., Martell, C., Mulick, P., Michael, S., Reed, R., McFall, M. (2006). A pilot study of behavioral activation for veterans with posttraumatic stress disorder. Journal of Traumatic Stress, 19, 387-391. doi:10.1002/jts.20125.
12. Kabat-Zinn, J., Massion, A. O., Kristeller, J., & Peterson, L. G. (1992). Effectiveness of a meditationbased stress reduction program in the treatment of anxiety disorders. American Journal of Psychiatry, 149, 936-943.
13. Kroenke, K., Spitzer, R. L., & Williams, J. B. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16, 606-613. doi:10.1046/j.15251497.2001.016009606.x.
14. Magruder, K., Frueh, C., Knapp, R., Johnson, M., Vaughan, J., Coleman Carson, T., Hebert, R. (2004). PTSD symptoms, demographic characteristics, and functional status among veterans treated in VA primary care clinics. Journal of Traumatic Stress, 17, 293-301. doi:10.1023/B:JOTS.0000038477.47249.c8.
15. Marshall, R., Olfson, M., Hellman, F., Blanco, C., Guardino, M., & Struening, E. (2001). Comorbidity, impairment, and suicidality in subthreshold PTSD. American Journal of Psychiatry, 158, 1467-1473. doi:10.1176/appi.ajp.158.9.1467.
16. Mulick, P. S., & Naugle, A. E. (2004). Behavioral activation for comorbid PTSD and major depression: A case study. Cognitive and Behavioral Practice, 11, 378-387. doi:10.1016/S10777229(04)80054-3.
17. Mylle, J., & Maes, M. (2004). Partial posttraumatic stress disorder revisited. Journal of Affective Disorders, 78, 37-48.
18. Pomerantz, A., Shiner, B., Watts, B., Detzer, M., Kutter, C., Street, B., & Scott, D. (2010). The White River model of collocated collaborative care: A platform for mental health and behavioral health care in the medical home. Families, Systems, & Health, 28, 114-129. doi: 10.1037/a0020261.
19. Sayer, N., Noorbaloochi, S., Frazier, P., Carlson, K., Gravely, A., & Murdoch, M. (2010). Reintegration problems and treatment interests among Iraq and Afghanistan combat veterans receiving VA medical care. Psychiatric Services, 61, 589-597. doi: 10.1176/appi.ps.61.6.589.
20. Schützwohl, M., & Maercker, A. (1999). Effects of varying diagnostic criteria for posttraumatic stress disorder are endorsing the concept of partial PTSD. Journal of Traumatic Stress, 12, 155-165. doi:10.1023/A:1024706702133.
21. Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. New York, NY: Guilford Press.
22. Stein, M., McQuaid, J., Pedrelli, P., Lenox, R., & McCahill, M. (2000). Posttraumatic stress disorder in the primary care medical setting. General Hospital Psychiatry, 22, 261-269. doi:10.1016/S01638343(00)00080-3.
23. Tew, J., Klaus, J., & Oslin, D. W. (2010). The behavioral health laboratory: Building a stronger foundation for the patient-centered medical home. Families, Systems, & Health, 28, 130-145. doi: 10.1037/a0020249.
24. Wagner, A. W., Zatzick, D. F., Ghesquiere, A., & Jurkovich, G. J. (2007). Behavioral activation as an early intervention for posttraumatic stress disorder and depression among physically injured trauma survivors. Cognitive and Behavioral Practice, 14, 341-349. doi:10.1016/j.cbpra.2006.05.002.
25. Ware, J., Kossinski, M., & Keller, S. (1998). How to score the SF-12 (R) physical and mental health summary scales (3rd ed.). Lincoln, RI: Quality Metric Incorporated.
26. Weathers, F. W., Litz, B. T., Herman, D. S., Huska, J. A., & Keane, T. M. (1993, October). The PTSD checklist: Reliability, validity, & diagnostic utility. Paper presented at the Annual Meeting of the International Society for Traumatic Stress Studies, San Antonio, TX.