ArticleThe British journal of psychiatry : the journal of mental science2014
Trauma, post-traumatic stress disorder and psychiatric disorders in a middle-income setting: prevalence and comorbidity.
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Article in The British journal of psychiatry : the journal of mental science, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The mental health and wellbeing of first generation migrants: a systematic-narrative review of reviews.Globalization and health · 2016Pooled it
- Evaluating psychosis-specific effects of trauma exposure in early-onset and adult-onset psychosis.Psychological medicine · 2026Article
- Mortality causes and health spending by gender and health conditions in octogenarians, nonagenarians and centenarians in Colombia.Scientific reports · 2025Observational
- Rat Models in Post-Traumatic Stress Disorder Research: Strengths, Limitations, and Implications for Translational Studies.Pathophysiology : the official journal of the International Society for Pathophysiology · 2024Review
- Investigating the bed nucleus of the stria terminalis as a predictor of posttraumatic stress disorder in Black Americans and the moderating effects of racial discrimination.Translational psychiatry · 2024Article
- Cognitive function following early life war-time stress exposure in a cohort of Vietnamese older adults.Social science & medicine (1982) · 2024Article
- Experience of traumatic events in people with severe mental illness in a low-income country: a qualitative study.International journal of mental health systems · 2023Article
- Comorbid posttraumatic stress disorder and alcohol use disorder in low- and middle-income countries: A narrative review.Global mental health (Cambridge, England) · 2023Review
- Still Standing Inside: A Local Idiom Related to Trauma among Namibian Speakers of Khoekhoegowab.International journal of environmental research and public health · 2022Article
- NREM Sleep Parasomnias Commencing in Childhood: Trauma and Atopy as Perpetuating Factors.Clocks & sleep · 2022Article
- Article
- Evidence of distinct profiles of ICD-11 post-traumatic stress disorder (PTSD) and complex PTSD in a South African sample.European journal of psychotraumatology · 2020Article
- Sleep, a Governor of Morbidity in PTSD: A Systematic Review of Biological Markers in PTSD-Related Sleep Disturbances.Nature and science of sleep · 2020Review
- MDMA-assisted psychotherapy for treatment of PTSD: study design and rationale for phase 3 trials based on pooled analysis of six phase 2 randomized controlled trials.Psychopharmacology · 2019Article
- Psychiatric symptoms and risk of victimisation: a population-based study from Southeast London.Epidemiology and psychiatric sciences · 2019Article
- Family functioning, trauma exposure and PTSD: A cross sectional study.Journal of affective disorders · 2019Article
- The Role of Attachment Trauma and Disintegrative Pathogenic Processes in the Traumatic-Dissociative Dimension.Frontiers in psychology · 2019Article
- Probable Post-traumatic Stress Disorder and Self-harming Behaviour: Potential Barriers to Employment?Community mental health journal · 2018Article
- Trauma and traumatic stress in a sample of pregnant women.Psychiatry research · 2017Article
- Validity of the posttraumatic stress disorders (PTSD) checklist in pregnant women.BMC psychiatry · 2017Article
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Authors and funding
8 authors.
Sarah DorringtonSarah Dorrington, Department of Psychological Medicine, Institute of Psychiatry, King's College London, UK; Helena Zavos, PhD, MRC Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, King's College London, UK; Harriet Ball, PhD, BMBCh, Faculty of Medicine, Imperial College London, UK; Peter McGuffin, PhD, Fruhling Rijsdijk, PhD, MRC Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, King's College London, UK; Sisira Siribaddana, MBBS, MD, Department of Medicine Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, and Institute of Research and Development Sri Lanka; Athula Sumathipala, MD, PhD, Research Institute for Primary Care and Health Sciences, Keele University, and Department of Health Service and Population Research, King's College London Honorary Director, and Institute for Research and Development Sri Lanka; Matthew Hotopf, PhD, Department of Psychological Medicine, Institute of Psychiatry, King's College London, UK.
Helena ZavosSarah Dorrington, Department of Psychological Medicine, Institute of Psychiatry, King's College London, UK; Helena Zavos, PhD, MRC Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, King's College London, UK; Harriet Ball, PhD, BMBCh, Faculty of Medicine, Imperial College London, UK; Peter McGuffin, PhD, Fruhling Rijsdijk, PhD, MRC Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, King's College London, UK; Sisira Siribaddana, MBBS, MD, Department of Medicine Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, and Institute of Research and Development Sri Lanka; Athula Sumathipala, MD, PhD, Research Institute for Primary Care and Health Sciences, Keele University, and Department of Health Service and Population Research, King's College London Honorary Director, and Institute for Research and Development Sri Lanka; Matthew Hotopf, PhD, Department of Psychological Medicine, Institute of Psychiatry, King's College London, UK.
Harriet BallSarah Dorrington, Department of Psychological Medicine, Institute of Psychiatry, King's College London, UK; Helena Zavos, PhD, MRC Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, King's College London, UK; Harriet Ball, PhD, BMBCh, Faculty of Medicine, Imperial College London, UK; Peter McGuffin, PhD, Fruhling Rijsdijk, PhD, MRC Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, King's College London, UK; Sisira Siribaddana, MBBS, MD, Department of Medicine Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, and Institute of Research and Development Sri Lanka; Athula Sumathipala, MD, PhD, Research Institute for Primary Care and Health Sciences, Keele University, and Department of Health Service and Population Research, King's College London Honorary Director, and Institute for Research and Development Sri Lanka; Matthew Hotopf, PhD, Department of Psychological Medicine, Institute of Psychiatry, King's College London, UK.
Peter McGuffinSarah Dorrington, Department of Psychological Medicine, Institute of Psychiatry, King's College London, UK; Helena Zavos, PhD, MRC Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, King's College London, UK; Harriet Ball, PhD, BMBCh, Faculty of Medicine, Imperial College London, UK; Peter McGuffin, PhD, Fruhling Rijsdijk, PhD, MRC Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, King's College London, UK; Sisira Siribaddana, MBBS, MD, Department of Medicine Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, and Institute of Research and Development Sri Lanka; Athula Sumathipala, MD, PhD, Research Institute for Primary Care and Health Sciences, Keele University, and Department of Health Service and Population Research, King's College London Honorary Director, and Institute for Research and Development Sri Lanka; Matthew Hotopf, PhD, Department of Psychological Medicine, Institute of Psychiatry, King's College London, UK.
Fruhling RijsdijkSarah Dorrington, Department of Psychological Medicine, Institute of Psychiatry, King's College London, UK; Helena Zavos, PhD, MRC Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, King's College London, UK; Harriet Ball, PhD, BMBCh, Faculty of Medicine, Imperial College London, UK; Peter McGuffin, PhD, Fruhling Rijsdijk, PhD, MRC Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, King's College London, UK; Sisira Siribaddana, MBBS, MD, Department of Medicine Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, and Institute of Research and Development Sri Lanka; Athula Sumathipala, MD, PhD, Research Institute for Primary Care and Health Sciences, Keele University, and Department of Health Service and Population Research, King's College London Honorary Director, and Institute for Research and Development Sri Lanka; Matthew Hotopf, PhD, Department of Psychological Medicine, Institute of Psychiatry, King's College London, UK.
Sisira SiribaddanaSarah Dorrington, Department of Psychological Medicine, Institute of Psychiatry, King's College London, UK; Helena Zavos, PhD, MRC Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, King's College London, UK; Harriet Ball, PhD, BMBCh, Faculty of Medicine, Imperial College London, UK; Peter McGuffin, PhD, Fruhling Rijsdijk, PhD, MRC Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, King's College London, UK; Sisira Siribaddana, MBBS, MD, Department of Medicine Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, and Institute of Research and Development Sri Lanka; Athula Sumathipala, MD, PhD, Research Institute for Primary Care and Health Sciences, Keele University, and Department of Health Service and Population Research, King's College London Honorary Director, and Institute for Research and Development Sri Lanka; Matthew Hotopf, PhD, Department of Psychological Medicine, Institute of Psychiatry, King's College London, UK.
Athula SumathipalaSarah Dorrington, Department of Psychological Medicine, Institute of Psychiatry, King's College London, UK; Helena Zavos, PhD, MRC Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, King's College London, UK; Harriet Ball, PhD, BMBCh, Faculty of Medicine, Imperial College London, UK; Peter McGuffin, PhD, Fruhling Rijsdijk, PhD, MRC Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, King's College London, UK; Sisira Siribaddana, MBBS, MD, Department of Medicine Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, and Institute of Research and Development Sri Lanka; Athula Sumathipala, MD, PhD, Research Institute for Primary Care and Health Sciences, Keele University, and Department of Health Service and Population Research, King's College London Honorary Director, and Institute for Research and Development Sri Lanka; Matthew Hotopf, PhD, Department of Psychological Medicine, Institute of Psychiatry, King's College London, UK.
Matthew HotopfSarah Dorrington, Department of Psychological Medicine, Institute of Psychiatry, King's College London, UK; Helena Zavos, PhD, MRC Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, King's College London, UK; Harriet Ball, PhD, BMBCh, Faculty of Medicine, Imperial College London, UK; Peter McGuffin, PhD, Fruhling Rijsdijk, PhD, MRC Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, King's College London, UK; Sisira Siribaddana, MBBS, MD, Department of Medicine Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, and Institute of Research and Development Sri Lanka; Athula Sumathipala, MD, PhD, Research Institute for Primary Care and Health Sciences, Keele University, and Department of Health Service and Population Research, King's College London Honorary Director, and Institute for Research and Development Sri Lanka; Matthew Hotopf, PhD, Department of Psychological Medicine, Institute of Psychiatry, King's College London, UK.
Funding
Wellcome Trust
Abstract
backgroundMost studies of post-traumatic stress disorder (PTSD) in low- and middle-income countries (LMICs) have focused on 'high-risk' populations defined by exposure to trauma.
aimsTo estimate the prevalence of post-traumatic stress disorder (PTSD) in a LMIC, the conditional probability of PTSD given a traumatic event and the strength of associations between traumatic events and other psychiatric disorders.
methodOur sample contained a mix of 3995 twins and 2019 non-twins. We asked participants about nine different traumatic exposures, including the category 'other', but excluding sexual trauma.
resultsTraumatic events were reported by 36.3% of participants and lifetime PTSD was present in 2.0%. Prevalence of non-PTSD lifetime diagnosis was 19.1%. Of people who had experienced three or more traumatic events, 13.3% had lifetime PTSD and 40.4% had a non-PTSD psychiatric diagnosis.
conclusionsDespite high rates of exposure to trauma, this population had lower rates of PTSD than high-income populations, although the prevalence might have been slightly affected by the exclusion of sexual trauma. There are high rates of non-PTSD diagnoses associated with trauma exposure that could be considered in interventions for trauma-exposed populations. Our findings suggest that there is no unique relationship between traumatic experiences and the specific symptomatology of PTSD.
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Life Change EventsViolenceAdolescentAdultAgedAged, 80 and overComorbidityFemaleHumansIncomeMaleMental DisordersMiddle AgedPrevalenceSex FactorsSocial Class
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