Prevalence and prognosis of stress disorders: a review of the epidemiologic literature
- PMID: 28496365
- PMCID: PMC5422316
- DOI: 10.2147/CLEP.S106250
Prevalence and prognosis of stress disorders: a review of the epidemiologic literature
Abstract
Given the ubiquity of traumatic events, it is not surprising that posttraumatic stress disorder (PTSD) - a common diagnosis following one of these experiences - is characterized as conferring a large burden for individuals and society. Although there is recognition of the importance of PTSD diagnoses throughout psychiatry, the literature on other diagnoses one may receive following a stressful or traumatic event is scant. This review summarizes the literature on stress disorders (classified according to the International Classification of Diseases, 10th Edition [ICD-10]), including acute stress reaction, PTSD, adjustment disorder and unspecified stress reactions. This review focuses on the literature related to common psychiatric and somatic consequences of these disorders. The prevalence and incidence of each disorder are described. A review of epidemiologic studies on comorbid mental health conditions, including depression, anxiety and substance abuse, is included, as well as a review of epidemiologic studies on somatic outcomes, including cancer, cardiovascular disease and gastrointestinal disorders. Finally, the current literature on all-cause mortality and suicide following stress disorder diagnoses is reviewed. Stress disorders are a critical public health issue with potentially deleterious outcomes that have a significant impact on those living with these disorders, the health care system and society. It is only through an awareness of the impact of stress disorders that appropriate resources can be allocated to prevention and treatment. Future research should expand the work done to date beyond the examination of PTSD, so that the field may obtain a more complete picture of the impact all stress disorders have on the many people living with these diagnoses.
Keywords: prognosis; stress disorders; trauma- and stressor-related disorders; traumatic.
Conflict of interest statement
Disclosure The author reports no conflicts of interest in this work.
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References
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- American Psychiatric Association . Diagnostic and Statistical Manual for Mental Disorders. 5th ed. Washington, DC: American Psychiatric Association; 2013.
-
- Kessler RC, Sonnega A, Bromet E, Hughes M, Nelson CB. Posttraumatic stress disorder in the National Comorbidity Survey. Arch Gen Psychiatry. 1995;52(12):1048–1060. - PubMed
-
- Juel K, Sorensen J, Bronnum-Hansen H. Risk Factors and Public Health in Denmark: Summary Report. Copenhagen: National Institute of Public Health, University of Southern Denmark; 2007.
-
- Schutt NM, Frederiksen ML, Helweg-Larsen K. Dating Violence in Denmark: A Nationwide Survey of Prevalence, Character, and Consequences of Exposure to Violence among 16–24 Year-Old. Copenhagen: Ministry of Gender Equality; 2008.
-
- Kessler RC. Posttraumatic stress disorder: the burden to the individual and to society. J Clin Psychiatry. 2000;61(suppl 5):4–12. - PubMed
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