ArticleJournal of general internal medicine2007
PTSD in urban primary care: high prevalence and low physician recognition.
Article in Journal of general internal medicine, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 97 papers, 6 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
97 citing papers in PubMed, 6 syntheses or guidelines pooled it, 230 citations in OpenAlex.
- Prevalence and Impact of Post-traumatic Stress Disorder in Gastrointestinal Conditions: A Systematic Review.Digestive diseases and sciences · 2021Pooled it
- Posttraumatic stress disorder and nonadherence to medications prescribed for chronic medical conditions: A meta-analysis.Journal of psychiatric research · 2018Pooled it
- Prevalence, Detection and Correlates of PTSD in the Primary Care Setting: A Systematic Review.Journal of clinical psychology in medical settings · 2016Pooled it
- A systematic review of the comorbidity between PTSD and alcohol misuse.Social psychiatry and psychiatric epidemiology · 2014Pooled it
- Psychological trauma and functional somatic syndromes: a systematic review and meta-analysis.Psychosomatic medicine · 2014Pooled it
- The Prevalence of Posttraumatic Stress Disorder in Primary Care: A Systematic Review.Harvard review of psychiatryPooled it
- Associations among sleep quality, cognitive processing therapy, and posttraumatic stress disorder symptoms in a primary care setting.Journal of traumatic stress · 2025Trial
- Barriers and opportunities for implementation of a brief psychological intervention for post-ICU mental distress in the primary care setting - results from a qualitative sub-study of the PICTURE trial.BMC primary care · 2023Trial
- Screening for opioid use disorder and co-occurring depression and post-traumatic stress disorder in primary care in New Mexico.Addiction science & clinical practice · 2023Trial
- Clinical Predictors of Engagement in Teleintegrated Care and Telereferral Care for Complex Psychiatric Disorders in Primary Care: a Randomized Trial.Journal of general internal medicine · 2022Trial
- BRIGHTEN Heart intervention for depression in minority older adults: Randomized controlled trial.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2019Trial
- Impact of Collaborative Care for Underserved Patients with PTSD in Primary Care: a Randomized Controlled Trial.Journal of general internal medicine · 2016Trial
- Trauma-informed medical care: CME communication training for primary care providers.Family medicine · 2015Trial
- HERMITAGE--a randomized controlled trial to reduce sexually transmitted infections and HIV risk behaviors among HIV-infected Russian drinkers.Addiction (Abingdon, England) · 2015Trial
- Design of the Violence and Stress Assessment (ViStA) study: a randomized controlled trial of care management for PTSD among predominantly Latino patients in safety net health centers.Contemporary clinical trials · 2014Trial
- PTSD risk and mental health care engagement in a multi-war era community sample of women veterans.Journal of general internal medicine · 2013Trial
- RESPECT-PTSD: re-engineering systems for the primary care treatment of PTSD, a randomized controlled trial.Journal of general internal medicine · 2013Trial
- Trial
- Quality of and patient satisfaction with primary health care for anxiety disorders.The Journal of clinical psychiatry · 2011Trial
- Neuropsychological functioning in patients with posttraumatic stress disorder following short-term paroxetine treatment.Psychopharmacology bulletin · 2009Trial
37 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundPosttraumatic stress disorder (PTSD) is associated with medical and psychological morbidity. The prevalence of PTSD in urban primary care has not been well described.
objectiveTo measure the prevalence of PTSD in primary care patients overall and among those with selected conditions (chronic pain, depression, anxiety, heavy drinking, substance dependence (SD), irritable bowel syndrome (IBS), and immigrant status).
designCross-sectional study.
participantsEnglish-speaking patients aged 18-65 years old, awaiting primary care appointments in an urban academic medical center, were eligible for enrollment to determine PTSD prevalence (N = 509). Additional eligible participants (n = 98) with IBS or SD were subsequently enrolled. MEASUREMENTS: PTSD (past year) and trauma exposure were measured with Composite International Diagnostic Interview. We calculated the prevalence of PTSD associated with depression, anxiety, heavy drinking, SD, IBS, and chronic pain. Only the analyses on heavy drinking, SD, and IBS used all 607 participants.
resultsAmong the 509 adults in primary care, 23% (95% CI, 19-26%) had PTSD, of whom 11% had it noted in the medical record. The prevalence of PTSD, adjusted for age, gender, race, and marital and socioeconomic statuses, was higher in participants with, compared to those without, the following conditions: chronic pain (23 vs 12%, p = .003), major depression (35 vs 11%, p < .0001), anxiety disorders (42 vs 14%, p < .0001), and IBS (34 vs 18%, p = .01) and lower in immigrants (13 vs 21%, p = .05).
conclusionsThe prevalence of PTSD in the urban primary care setting, and particularly among certain high-risk conditions, compels a critical examination of optimal approaches for screening, intervention, and referral to PTSD treatment.
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Registered trials
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.