ArticleThe Permanente journal2017
Patient Preferences for Discussing Childhood Trauma in Primary Care.
Article in The Permanente journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.
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Who cites it
35 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
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- Comparing Patient to Provider Perceptions of Birth Trauma: What are We Missing?Archives of women's mental health · 2026Article
- Exploring Patient Preferences for Adverse Childhood Experiences Education in the Primary Care Setting: A Focus Group Study.The Permanente journal · 2026Article
- Engineering the mind-body medicine: making a case for a trauma-informed primary care system.Journal of medicine and life · 2025Review
- Patient preferences for violence screening in HIV care settings.AIDS care · 2025Article
- Enhancing nursing and other healthcare professionals' knowledge of childhood sexual abuse through self-assessment: A realist review.Cochrane evidence synthesis and methods · 2025Review
- ACE Enquiry in Primary care: A Qualitative Exploration of the Perspective of General Practitioners in Northern Ireland.Journal of child & adolescent trauma · 2025Article
- Use of Metaphor as an Explanation Tool in Adverse Childhood Experiences Simulation Training.The Permanente journal · 2023Article
- Racial and Ethnic Differences in Patient-Reported Acceptability of Adverse Childhood Experience (ACE) Screening in Adult Primary Care.Journal of racial and ethnic health disparities · 2023Article
- From ACEs to early relational health: Implications for clinical practice.Paediatrics & child health · 2023Review
- Des expériences négatives de l'enfance à la santé relationnelle précoce : les conséquences pour la pratique clinique.Paediatrics & child health · 2023Review
- General Practitioners' Own Traumatic Experiences and Their Skills in Addressing Patients' Past History of Adversities: A Cross-Sectional Study in Portugal.Healthcare (Basel, Switzerland) · 2023Article
- Quantifying Adverse Childhood Experiences in Oklahoma With the Oklahoma Adversity Surveillance Index System (OASIS): Development and Cross-Sectional Study.JMIR public health and surveillance · 2023Article
- Resident Physicians' Perceptions of Trauma Informed Care: Findings from a Small-scale Descriptive Study.Kansas journal of medicine · 2023Article
- The Impact of Adverse Childhood Experiences and Community Violence Exposure on a Sample of Anxious, Treatment-Seeking Children.Journal of child & adolescent trauma · 2022Article
- Development and pilot testing of a five item traumatic stress screener for use with adolescents in pediatric primary care.Child and adolescent psychiatry and mental health · 2022Article
- Insights from Expanded Adverse Childhood Experiences Screening in a Hospital-Based Outpatient Psychiatry Service.The Psychiatric quarterly · 2022Article
- Establishing Trauma-Informed Primary Care: Qualitative Guidance from Patients and Staff in an Urban Healthcare Clinic.Children (Basel, Switzerland) · 2022Article
- Perceived health, adversity, and posttraumatic stress disorder in Syrian and Iraqi refugees.The International journal of social psychiatry · 2022Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextExposure to traumatic events is common in primary care patients, yet health care professionals may be hesitant to assess and address the impact of childhood trauma in their patients.
objectiveTo assess patient preferences for discussing traumatic experiences and posttraumatic stress disorder (PTSD) with clinicians in underserved, predominantly Latino primary care patients.
designCross-sectional study.
main outcome measureWe evaluated patients with a questionnaire assessing comfort to discuss trauma exposure and symptoms using the Adverse Childhood Experiences (ACE) Study questionnaire and the Primary Care-PTSD screen. The questionnaire also assessed patients' confidence in their clinicians' ability to help with trauma-related issues. Surveys were collected at an integrated medical and behavioral health care clinic.
resultsOf 178 adult patients asked, 152 (83%) agreed to participate. Among participants, 37% screened positive for PTSD, 42% reported 4 or more ACEs, and 26% had elevated scores on both measures. Primary Care-PTSD and ACE scores were strongly positively correlated (r = 0.57, p < 0.001). Most patients agreed they were comfortable being asked about trauma directly or through screening questionnaires and did not oppose the inclusion of trauma-related information in their medical record. In addition, most patients perceived their clinician as comfortable asking questions about childhood trauma and able to address trauma-related problems.
conclusionScreening is acceptable to most primary care patients regardless of trauma exposure or positive PTSD screening. Findings may aid primary care clinicians to consider screening regularly for ACEs and PTSD to better serve the health care needs of trauma-exposed patients.
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