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- Title
Discrepancy in diagnosis and treatment of post-traumatic stress disorder (PTSD): treatment for the wrong reason.
- Authors
Meltzer, Ellen C; Averbuch, Tali; Samet, Jeffrey H; Saitz, Richard; Jabbar, Khelda; Lloyd-Travaglini, Christine; Liebschutz, Jane M
- Abstract
In primary care (PC), patients with post-traumatic stress disorder (PTSD) are often undiagnosed. To determine variables associated with treatment, this cross-sectional study assessed 592 adult patients for PTSD. Electronic medical record (EMR) review of the prior 12 months assessed mental health (MH) diagnoses and MH treatments [selective serotonin reuptake inhibitor (SSRI) and/or ≥1 visit with MH professional]. Of 133 adults with PTSD, half (49%; 66/133) received an SSRI (18%), a visit with MH professional (14%), or both (17%). Of those treated, 88% (58/66) had an EMR MH diagnosis, the majority (71%; 47/66) depression and (18%; 12/66) PTSD. The odds of receiving MH treatment were increased 8.2 times (95% CI 3.1-21.5) for patients with an EMR MH diagnosis. Nearly 50% of patients with PTSD received MH treatment, yet few had this diagnosis documented. Treatment was likely due to overlap in the management of PTSD and other mental illnesses.
- Publication
The journal of behavioral health services & research, 2012, Vol 39, Issue 2, p190
- ISSN
1556-3308
- Publication type
Journal Article
- DOI
10.1007/s11414-011-9263-x