@article{ref1,
title="Prevalence of Posttraumatic Stress Disorder and Major Depression After Trauma Center Hospitalization",
journal="Journal of trauma",
year="2010",
author="Shih, Regina A. and Schell, Terry L. and Hambarsoomians, Katrin and Belzberg, H. and Marshall, Grant N.",
volume="69",
number="6",
pages="1560-1566",
abstract="BACKGROUND:: Individuals hospitalized after physical trauma are at heightened risk for mental disorders. We examined prevalence rates of both posttraumatic stress disorder (PTSD) and major depression at 6 and 12 months in a sample of 677 individuals experiencing different types of trauma who were representative of physical trauma survivors hospitalized in Los Angeles County trauma centers. Demographic and injury-related risk factors for these disorders were also evaluated. METHODS:: Bivariate logistic regressions estimated risk for PTSD and depression at either 6 or 12 months associated with baseline risk factors. RESULTS:: At 6 months, 31% of participants met screening criteria for probable PTSD and 31% met criteria for probable depression. At 12 months, 28% and 29% met criteria for PTSD and depression, respectively. There were also high rates of comorbidity; depression and PTSD co-occurred in 21% of individuals at 6 months and in 19% of patients at 12 months. Bivariate logistic regressions indicated that preexisting disability and lower education were associated with higher odds of PTSD at either 6 or 12 months. African Americans and Hispanics had higher odds of PTSD compared with non-Hispanic Caucasians. Assault-related injury (versus accident), more severe injury, and longer hospitalizations were also associated with greater odds of PTSD. By contrast, higher odds of depression at 6 or 12 months were only associated with preexisting disability, losing consciousness, more severe injury, and longer hospitalizations. CONCLUSIONS:: Key demographic and injury characteristics may enhance identification of at-risk trauma survivors who would benefit from targeted screening, patient education, and early intervention efforts.<p /> <p>Language: en</p>",
language="en",
issn="0022-5282",
doi="10.1097/TA.0b013e3181e59c05",
url="http://dx.doi.org/10.1097/TA.0b013e3181e59c05"
}