Evidence map›Paper›PMID 15527610›Full record

Trial reportThe British journal of general practice : the journal of the Royal College of General Practitioners2004

General practitioners' knowledge of post-traumatic stress disorder: a controlled study.

Calum G Munro, Chris P Freeman, Roslyn Law

Open access · greenAbstract readClinical TrialControlled Clinical Trial
In one paragraph

Trial report in The British journal of general practice : the journal of the Royal College of General Practitioners, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.5field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 37 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Observational
  7. Article
  8. Article
  9. Posttraumatic stress disorder in primary care with special reference to personality disorder comorbidity.The British journal of general practice : the journal of the Royal College of General Practitioners · 2006
    Article
  10. Recognising domestic violence in clinical practice using the diagnoses of posttraumatic stress disorder, depression and low self-esteem.The British journal of general practice : the journal of the Royal College of General Practitioners · 2006
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Calum G MunroOutpatient Psychotherapy Department,Maudsley Hospital, London, England. Calum.Munro@slam.nhs.uk
Chris P Freeman
Roslyn Law
Maudsley Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPost-traumatic stress disorder (PTSD) is common, is associated with substantial morbidity, and is often not recognised in primary care.

aimTo explore whether general practitioners (GPs) have significant gaps in their knowledge of PTSD. DESIGN OF STUDY: A controlled study.

settingPrimary care in two Scottish regions.

methodA validated postal questionnaire consisting of clinical vignettes for PTSD, acute stress reaction, and depression was used to gather the data. The primary outcome measures were the proportion describing 'best practice' management of PTSD and the comparison of this with the control condition, the proportion describing 'best practice' management of depression. The secondary outcome measures were comparisons of PTSD and depression by recognition, drug treatment, and referral.

resultsTwo-thirds (67.5%) of GPs included PTSD in their differential diagnosis for the PTSD vignette, and 86.8% made a referral to secondary care for the PTSD case. A minority of GPs (42.9%) and only 54.1% of a comparison group of psychiatrists specified the drug treatment of choice for PTSD, a selective serotonin reuptake inhibitor. Only 28.3% of GPs had the knowledge to recognise PTSD and prescribe appropriately, compared with 89.8% for depression (P <0.001). Only 10.2% of GPs described best practice for PTSD, compared with 47.7% for depression (P <0.001).

conclusionLack of knowledge is among the reasons for less than ideal recognition and management of PTSD in primary care. Further research should aim to explore the implementation of PTSD guidelines in primary care.

Indexed as

Antidepressive AgentsBenchmarkingClinical CompetenceDepressive DisorderDiagnosis, DifferentialFamily PracticeFemaleHealth Knowledge, Attitudes, PracticeHealth SurveysHumansHypnotics and SedativesMalePractice Guidelines as TopicPractice Patterns, Physicians'Quality of Health CareScotlandAntidepressive AgentsHypnotics and Sedatives

Identifiers

PMID15527610
PMCPMC1324918
OpenAlexW1945715511

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.