A prospective study of the onset of PTSD symptoms in the first month after trauma exposure

Jeannie B. Whitman, Carol S North, Dana L. Downs, Edward L. Spitznagel

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

BACKGROUND: The course of posttraumatic stress disorder (PTSD) symptoms in the month after trauma exposure has not been determined adequately. Symptom group C (avoidance/numbing) has been identified retrospectively as a marker for PTSD, but prospective studies are needed to determine whether these symptoms can provide substantially earlier identification of those who will have PTSD 1 month after trauma exposure. METHODS: We evaluated 42 patients hospitalized for traumatic injuries over the first post-injury month to track development of posttraumatic symptoms. RESULTS: Symptoms emerged rapidly, with group B (intrusion) and group D (hyperarousal) symptoms occurring earlier than group C symptoms. At 1 week, group C criteria accurately predicted who would develop PTSD by 1 month, and by 2 weeks, group C criteria also predicted who would not develop PTSD by 1 month. CONCLUSIONS: The findings, if replicated, may permit earlier identification of PTSD and more timely, appropriate treatment.

Original languageEnglish (US)
Pages (from-to)163-172
Number of pages10
JournalAnnals of Clinical Psychiatry
Volume25
Issue number3
StatePublished - Aug 2013

Fingerprint

Post-Traumatic Stress Disorders
Prospective Studies
Wounds and Injuries

Keywords

  • Emergency medicine
  • Posttraumatic stress disorder
  • PTSD
  • Trauma

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

A prospective study of the onset of PTSD symptoms in the first month after trauma exposure. / Whitman, Jeannie B.; North, Carol S; Downs, Dana L.; Spitznagel, Edward L.

In: Annals of Clinical Psychiatry, Vol. 25, No. 3, 08.2013, p. 163-172.

Research output: Contribution to journalArticle

Whitman, Jeannie B. ; North, Carol S ; Downs, Dana L. ; Spitznagel, Edward L. / A prospective study of the onset of PTSD symptoms in the first month after trauma exposure. In: Annals of Clinical Psychiatry. 2013 ; Vol. 25, No. 3. pp. 163-172.
@article{6794f5be4093481881877bf0d123733f,
title = "A prospective study of the onset of PTSD symptoms in the first month after trauma exposure",
abstract = "BACKGROUND: The course of posttraumatic stress disorder (PTSD) symptoms in the month after trauma exposure has not been determined adequately. Symptom group C (avoidance/numbing) has been identified retrospectively as a marker for PTSD, but prospective studies are needed to determine whether these symptoms can provide substantially earlier identification of those who will have PTSD 1 month after trauma exposure. METHODS: We evaluated 42 patients hospitalized for traumatic injuries over the first post-injury month to track development of posttraumatic symptoms. RESULTS: Symptoms emerged rapidly, with group B (intrusion) and group D (hyperarousal) symptoms occurring earlier than group C symptoms. At 1 week, group C criteria accurately predicted who would develop PTSD by 1 month, and by 2 weeks, group C criteria also predicted who would not develop PTSD by 1 month. CONCLUSIONS: The findings, if replicated, may permit earlier identification of PTSD and more timely, appropriate treatment.",
keywords = "Emergency medicine, Posttraumatic stress disorder, PTSD, Trauma",
author = "Whitman, {Jeannie B.} and North, {Carol S} and Downs, {Dana L.} and Spitznagel, {Edward L.}",
year = "2013",
month = "8",
language = "English (US)",
volume = "25",
pages = "163--172",
journal = "Annals of Clinical Psychiatry",
issn = "1040-1237",
publisher = "Dowden Health Media,Inc",
number = "3",

}

TY - JOUR

T1 - A prospective study of the onset of PTSD symptoms in the first month after trauma exposure

AU - Whitman, Jeannie B.

AU - North, Carol S

AU - Downs, Dana L.

AU - Spitznagel, Edward L.

PY - 2013/8

Y1 - 2013/8

N2 - BACKGROUND: The course of posttraumatic stress disorder (PTSD) symptoms in the month after trauma exposure has not been determined adequately. Symptom group C (avoidance/numbing) has been identified retrospectively as a marker for PTSD, but prospective studies are needed to determine whether these symptoms can provide substantially earlier identification of those who will have PTSD 1 month after trauma exposure. METHODS: We evaluated 42 patients hospitalized for traumatic injuries over the first post-injury month to track development of posttraumatic symptoms. RESULTS: Symptoms emerged rapidly, with group B (intrusion) and group D (hyperarousal) symptoms occurring earlier than group C symptoms. At 1 week, group C criteria accurately predicted who would develop PTSD by 1 month, and by 2 weeks, group C criteria also predicted who would not develop PTSD by 1 month. CONCLUSIONS: The findings, if replicated, may permit earlier identification of PTSD and more timely, appropriate treatment.

AB - BACKGROUND: The course of posttraumatic stress disorder (PTSD) symptoms in the month after trauma exposure has not been determined adequately. Symptom group C (avoidance/numbing) has been identified retrospectively as a marker for PTSD, but prospective studies are needed to determine whether these symptoms can provide substantially earlier identification of those who will have PTSD 1 month after trauma exposure. METHODS: We evaluated 42 patients hospitalized for traumatic injuries over the first post-injury month to track development of posttraumatic symptoms. RESULTS: Symptoms emerged rapidly, with group B (intrusion) and group D (hyperarousal) symptoms occurring earlier than group C symptoms. At 1 week, group C criteria accurately predicted who would develop PTSD by 1 month, and by 2 weeks, group C criteria also predicted who would not develop PTSD by 1 month. CONCLUSIONS: The findings, if replicated, may permit earlier identification of PTSD and more timely, appropriate treatment.

KW - Emergency medicine

KW - Posttraumatic stress disorder

KW - PTSD

KW - Trauma

UR - http://www.scopus.com/inward/record.url?scp=84886919397&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84886919397&partnerID=8YFLogxK

M3 - Article

VL - 25

SP - 163

EP - 172

JO - Annals of Clinical Psychiatry

JF - Annals of Clinical Psychiatry

SN - 1040-1237

IS - 3

ER -