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Co‐occurrence of posttraumatic stress disorder with positive psychotic symptoms in a nationally representative sample
Author(s) -
Sareen Jitender,
Cox Brian J.,
Goodwin Renee D.,
J.G. Asmundson Gordon
Publication year - 2005
Publication title -
journal of traumatic stress
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.259
H-Index - 134
eISSN - 1573-6598
pISSN - 0894-9867
DOI - 10.1002/jts.20040
Subject(s) - comorbidity , cidi , psychiatry , national comorbidity survey , distress , odds ratio , psychology , anxiety disorder , confidence interval , population , clinical psychology , posttraumatic stress , medicine , anxiety , environmental health
The association between posttraumatic stress disorder (PTSD) and positive psychotic symptoms was examined in the National Comorbidity Survey ( N = 5877). The Composite International Diagnostic Interview (CIDI) was used to make DSM‐III‐R ( Diagnostic and Statistical Manual of Mental Disorders, Third Edition, Revised ; American Psychiatric Association, 1987) diagnoses. Posttraumatic stress disorder was found to be associated with an increased likelihood of endorsing one or more psychotic symptoms after adjusting for sociodemographics, psychiatric and medical comorbidity (odds ratios (OR) = 1.83; 95% confidence interval (CI): 1.43–2.45; p < .001). The co‐occurrence of PTSD with psychotic symptoms was marked by greater levels of severity (higher total number of PTSD symptoms, greater levels of comorbidity, and high distress) compared with PTSD alone. This is the first population‐based study to investigate PTSD in relation to endorsement of positive psychotic symptoms, and a strong association was obtained.