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Brazilian Journal of Psychiatry

versão impressa ISSN 1516-4446versão On-line ISSN 1809-452X

Resumo

DA SILVA, Herika C. et al. PTSD in mental health outpatient settings: highly prevalent and under-recognized. Braz. J. Psychiatry [online]. 2019, vol.41, n.3, pp.213-217.  Epub 11-Out-2018. ISSN 1809-452X.  https://doi.org/10.1590/1516-4446-2017-0025.

Objectives:

To estimate the current prevalence of posttraumatic stress disorder (PTSD) and the diagnosis rate of this disorder ascertained by psychiatrists in training.

Methods:

We interviewed 200 adults under treatment in a university mental health outpatient clinic. The PTSD diagnoses obtained using the Structured Clinical Interview for DSM-IV (SCID-IV) were compared with the patients’ medical records.

Results:

Forty-one patients (20.5%) were diagnosed with current PTSD, but only one of them (2.4%) had previously received this diagnosis. This study confirms that although PTSD is highly prevalent among mental health outpatients, it is remarkably underdiagnosed in teaching hospitals.

Conclusions:

These findings suggest that psychiatrists in training may be failing to investigate traumatic events and their consequences and strongly indicate that trauma-related issues should be given more prominence in psychiatry curricula and psychiatrist training.

Palavras-chave : Prevalence; PTSD; underdiagnosis; outpatient psychiatry.

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