Elsevier

Comprehensive Psychiatry

Volume 43, Issue 6, November 2002, Pages 413-419
Comprehensive Psychiatry

Does “subthreshold” posttraumatic stress disorder have any clinical relevance?

https://doi.org/10.1053/comp.2002.35900Get rights and content

Abstract

The present report examined the extent to which subthreshold posttraumatic stress disorder (PTSD) (without lifetime PTSD) and full PTSD are associated with impairment or distress, controlling for comorbidity (i.e., major depression and panic disorder) in a sample of treatment-seeking psychiatric patients. Patients were administered diagnostic interviews and assessed for psychosocial impairment and whether or not they desired treatment for their PTSD symptoms. No significant differences were found between patients with full PTSD (N = 156) and those with subthreshold PTSD (N = 56) in degree of impairment (i.e., social and work functioning, as well as number of suicide attempts). In contrast, those with full PTSD had significantly more psychiatric hospitalizations and worse global functioning and were more likely to want treatment for their PTSD symptoms compared to those with subthreshold PTSD, albeit the majority of patients with subthreshold PTSD wanted treatment for their PTSD symptoms. These findings, like past research, suggest that subthreshold PTSD is associated with levels of social and work morbidity comparable to full PTSD. However, the report also underscores the difficulties in identifying a set of clinical criteria that clearly delineates between full PTSD and subthreshold PTSD. Copyright 2002, Elsevier Science (USA). All rights reserved.

References (17)

  • H. Helmchen et al.

    Subthreshold disorders in psychiatry: clinical reality, methodological artifact, and the double-threshold problem

    Compr Psychiatry

    (2000)
  • M. Zimmerman et al.

    Psychiatric diagnosis in clinical practice: is comorbidity being missed?

    Compr Psychiatry

    (1999)
  • M.B. Stein et al.

    Full and partial posttraumatic stress disorder: findings from a community survey

    Am J Psychiatry

    (1997)
  • J. Angst

    Depression and anxiety: implications for nosology, course, and treatment

    J Clin Psychiatry

    (1997)
  • J.C. Ballenger et al.

    Consensus statement on posttraumatic stress disorder from the International Consensus Group on Depression and Anxiety

    J Clin Psychiatry

    (2000)
  • R.C. Kessler et al.

    Post-traumatic stress disorder in the National Comorbidity Survey

    Arch Gen Psychiatry

    (1995)
  • P.E. Greenberg et al.

    Economic burden of depression in 1990

    J Clin Psychiatry

    (1993)
  • P.E. Greenberg et al.

    The economic burden of anxiety disorders in the 1990s

    J Clin Psychiatry

    (1999)
There are more references available in the full text version of this article.

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