Article ; Online: Posttraumatic stress disorder prevalence in medical populations: A systematic review and meta-analysis.
2021 Volume 69, Page(s) 81–93
Abstract: Objective: PTSD is increasingly recognized following medical traumas although is highly heterogeneous. It is difficult to judge which medical contexts have the most traumatic potential and where to concentrate further research and clinical attention for ...
Abstract | Objective: PTSD is increasingly recognized following medical traumas although is highly heterogeneous. It is difficult to judge which medical contexts have the most traumatic potential and where to concentrate further research and clinical attention for prevention, early detection and treatment. The objective of this study was to compare PTSD prevalence in different medical populations. Methods: A systematic review of the literature on PTSD following medical traumas was conducted as well as a meta-analysis with final pooled result and 95% confidence intervals presented. A meta-regression was used to investigate the impact of potential effect modifiers (PTSD severity, age, sex, timeline) on study effect size between prevalence studies. Results: From 3278 abstracts, the authors extracted 292 studies reporting prevalence. Using clinician-administered reports, the highest 24 month or longer PTSD prevalence was found for intraoperative awareness (18.5% [95% CI=5.1%-36.6%]) and the lowest was found for epilepsy (4.5% [95% CI=0.2%-12.6%]). In the overall effect of the meta-regression, only medical events or procedures emerged as significant (p = 0.006) CONCLUSION: This review provides clinicians with greater awareness of medical contexts most associated with PTSD, which may assist them in the decision to engage in more frequent, earlier screening and referral to mental health services. |
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MeSH term(s) | Humans ; Prevalence ; Stress Disorders, Post-Traumatic/diagnosis ; Stress Disorders, Post-Traumatic/epidemiology |
Language | English |
Publishing date | 2021-01-31 |
Publishing country | United States |
Document type | Journal Article ; Meta-Analysis ; Research Support, Non-U.S. Gov't ; Review ; Systematic Review |
ZDB-ID | 392299-6 |
ISSN | 1873-7714 ; 0163-8343 |
ISSN (online) | 1873-7714 |
ISSN | 0163-8343 |
DOI | 10.1016/j.genhosppsych.2021.01.010 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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