PTSD in mental health outpatient settings: highly prevalent and under-recognized

Braz J Psychiatry. 2019 May-Jun;41(3):213-217. doi: 10.1590/1516-4446-2017-0025. Epub 2018 Oct 11.

Abstract

Objectives: To estimate the current prevalence of posttraumatic stress disorder (PTSD) and the diagnosis rate of this disorder ascertained by psychiatrists in training.

Methods: We interviewed 200 adults under treatment in a university mental health outpatient clinic. The PTSD diagnoses obtained using the Structured Clinical Interview for DSM-IV (SCID-IV) were compared with the patients' medical records.

Results: Forty-one patients (20.5%) were diagnosed with current PTSD, but only one of them (2.4%) had previously received this diagnosis. This study confirms that although PTSD is highly prevalent among mental health outpatients, it is remarkably underdiagnosed in teaching hospitals.

Conclusions: These findings suggest that psychiatrists in training may be failing to investigate traumatic events and their consequences and strongly indicate that trauma-related issues should be given more prominence in psychiatry curricula and psychiatrist training.

MeSH terms

  • Adult
  • Aged
  • Ambulatory Care
  • Brazil / epidemiology
  • Female
  • Hospitals, University
  • Humans
  • Male
  • Mental Health / education
  • Middle Aged
  • Prevalence
  • Psychiatry / education*
  • Socioeconomic Factors
  • Stress Disorders, Post-Traumatic / diagnosis*
  • Stress Disorders, Post-Traumatic / epidemiology
  • Stress Disorders, Post-Traumatic / psychology
  • Surveys and Questionnaires
  • Young Adult